Can Dizziness Indicate Angina in Elderly Patients?
Could dizziness be a sign of angina? My mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and underwent an electrocardiogram (ECG) test, which came back normal. Does this mean she does not have angina?
Dr. Li Han Reply:
Hello, regarding your question, "Could dizziness be a sign of angina?" Your mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and undergone an electrocardiogram (ECG), which returned normal results. However, your concern is w...[Read More] Can Dizziness Indicate Angina in Elderly Patients?
Understanding Elevated CPK and LDH Levels: What You Need to Know
CPK (Creatine Phosphokinase) & LDH (Lactate Hello Doctor, in my health check report dated October 24th, my CPK level was as high as 418, and my LDH level was slightly elevated at 215. I would like to ask which part of my body I should pay attention to. Should I go to the hosp...
Dr. Huang Yinghe Reply:
Hello Flyber: CPK and LDH are both non-specific enzymes. CPK is found in muscle tissue, while LDH is widely present in various organs throughout the body. They were previously used to diagnose myocardial infarction, but due to advancements in testing techniques, these two tests a...[Read More] Understanding Elevated CPK and LDH Levels: What You Need to Know
Understanding Potential Heart Conditions: Symptoms and Next Steps
Are there any underlying heart diseases? Hello, Doctor. Thank you for taking the time to address some of my concerns. This year, I was diagnosed with right bundle branch block during my military examination, which led to my exemption. I also previously had mitral valve prolapse d...
Dr. He Dongjin Reply:
Hello, jogging for an hour is fine for your heart. These symptoms are not related to your heart. If you're still concerned, please visit a family medicine clinic for an examination. Changhua Hospital cares about you.[Read More] Understanding Potential Heart Conditions: Symptoms and Next Steps
Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Arrhythmia Hello Doctor, since last year, I have been experiencing a feeling of tightness in my chest, as if I can't catch my breath, but this only occurs before sleep, about a few days each month. Last month, I visited a family medicine clinic where I underwent an electroca...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
If you are unsure which specialty to consult for your symptoms? Hello, doctor. Last night I experienced some symptoms resembling a cold. After doing some research, I'm uncertain if it's just a simple cold and which specialty I should prioritize when seeking medical atte...
Dr. Wu Xueming Reply:
Please schedule an appointment with either Internal Medicine or Family Medicine.[Read More] Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Palpitations, chest tightness, skin tingling, sensation of a foreign body in the throat, and poor blood circulation? Hello, Doctor. About 2-3 months ago, I started experiencing symptoms such as a slight tremor in my beard area, a sensation of a foreign body in my throat, palpitat...
Dr. Huang Yinghe Reply:
Hello: Although palpitations and chest tightness may indicate a heart problem, the likelihood of cardiovascular issues at the age of 19 is low. Based on the symptoms you described, it is difficult to determine the exact nature of the problem. The presence of unusual facial hair, ...[Read More] Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Medication for Tachycardia Hello Doctor, I would like to inquire about medication for my father's rapid heartbeat. He is 80 years old and was hospitalized in the intensive care unit for pneumonia last year. After discharge, it was discovered during a follow-up that he has as...
Dr. He Dongjin Reply:
Hello, asthma itself and asthma medications can cause an increased heart rate, and antiarrhythmic medications may exacerbate asthma. Diltiazem is often adjusted, but if the effect is not satisfactory, it is advisable to consult a cardiologist for medication management. Elderly pa...[Read More] Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Rapid heartbeat, chest pain, and low blood pressure? Hello doctor, I am 183 cm tall and weigh about 125 kg. I have had a long-standing blood pressure of 130-140 over 90-100, and my heart rate has been between 100-105. Recently, I have been feeling unwell, experiencing chest pain,...
Dr. Wu Xueming Reply:
It is recommended that you visit the cardiology outpatient clinic for further evaluation.[Read More] Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Understanding Fluctuating Blood Pressure: Causes and Solutions
Blood pressure fluctuations? Hello, Doctor. I have been regularly donating blood and undergoing annual health check-ups, and my blood pressure has always been normal until last year when my check-up revealed a high reading of 141. Since then, I have started measuring my blood pre...
Dr. He Dongjin Reply:
Hello, you seem to be quite anxious. We are here to treat hypertension, not just the numbers. The readings can fluctuate at any time, and your anxiety can certainly cause them to rise. I suggest that you refrain from measuring your blood pressure for now. Focus on improving your ...[Read More] Understanding Fluctuating Blood Pressure: Causes and Solutions
Chest Pain and Breathing Issues After BNT Vaccine: What to Know
After receiving the BNT vaccine, I experienced chest tightness, chest pain, and some difficulty breathing? Hello Doctor: I received my second dose of the BNT vaccine on December 15th. On December 16th, I felt some discomfort in my chest but did not pay much attention to it. On De...
Dr. He Dongjin Reply:
Hello, please do not let the internet be your doctor. If your situation is different from that of the general public, do not self-diagnose. If you experience chest pain, tightness, or discomfort, please return to your primary care physician. A family medicine doctor may not fully...[Read More] Chest Pain and Breathing Issues After BNT Vaccine: What to Know
Post-BNT Vaccine: Chest Pain, Shortness of Breath, and Heart Concerns
After receiving the BNT vaccine, I experienced chest tightness, chest pain, and some difficulty breathing? Hello Doctor: I received my second dose of the BNT vaccine on December 15. On December 16, I felt some discomfort in my chest but didn't pay much attention to it. On De...
Dr. He Dongjin Reply:
Hello, please do not let the internet be your doctor. Your situation may be different from that of the general public, so do not self-diagnose. If you experience chest pain or discomfort, please return to your primary care physician. A family medicine doctor may not fully underst...[Read More] Post-BNT Vaccine: Chest Pain, Shortness of Breath, and Heart Concerns
Understanding Heart Rhythm Medications: Concerns and Safety Tips
Medication Consultation Hello Director He: 1. At the beginning of the year, during a cardiology outpatient visit at the medical center, a 24-hour Holter monitor showed: (1) Rare ventricular premature contractions (VPCs), less than 1 beat per hour; (2) Frequent atrial premature c...
Dr. He Dongjin Reply:
Hello, I suggest returning to the medical center to discuss with your original attending physician. Based on the information you provided, I cannot determine whether the heart rhythm issue has worsened and why medication adjustments are necessary. It's unclear to me if you n...[Read More] Understanding Heart Rhythm Medications: Concerns and Safety Tips
Red Spots After AZ Vaccine: When to Seek Medical Attention?
After receiving the AZ vaccine, I noticed red spots on my skin? Hello Doctor: I received the AZ vaccine on the morning of July 27th, and on the evening of July 29th, I suddenly noticed a few small red spots near my ankle (about 5 to 6 spots). I'm not sure if they were there ...
Dr. Cai Guiqin Reply:
(1) Please refer to the information from the Ministry of Health and Welfare and the Centers for Disease Control: Ministry of Health and Welfare: https://www.mohw.gov.tw/cp-16-58978-1.html Centers for Disease Control: https://www.cdc.gov.tw/Category/MPage/epjWGimoqASwhAN8X-5Nlw (2...[Read More] Red Spots After AZ Vaccine: When to Seek Medical Attention?
Understanding Chest Pain During Exercise: What You Need to Know
Chest pain during exercise? Hello doctor, I am currently 17 years old, 165 cm tall, and weigh 74 kg. There is no history of heart disease in my family. Yesterday, while doing spinning exercise, I suddenly experienced chest pain that felt like a tight grip, and my back also starte...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing cardiovascular disease is low. The chest pain caused by aortic dissection is intense and persistent, which does not match your symptoms. However, if the symptoms occur again, it is still advisable ...[Read More] Understanding Chest Pain During Exercise: What You Need to Know
Managing Rapid Heartbeat: Navigating Thyroid and Cardiac Health
Heartbeat issues Due to an endocrine disorder, I currently need to take 250 mcg of thyroxine daily. However, this has resulted in a significantly increased heart rate, with my resting heart rate around 120 beats per minute. Just climbing a few stairs can elevate it to 150. My int...
Dr. He Dongjin Reply:
Hello, not taking Concor or Inderal will not cause your heart to overwork and fail. After taking them, your blood pressure medication will still be effective. It is recommended that you see an endocrinologist instead of a cardiac surgeon. Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat: Navigating Thyroid and Cardiac Health
Understanding Weak Heartbeats and Dizziness: When to Seek Help
Feeling weak and having a weak heartbeat? Hello Doctor, for the past month or so, I have frequently felt weak heartbeats, fatigue, and dizziness (feeling heavy-headed and experiencing visual disturbances). Sometimes I experience palpitations (around 100 beats per minute) and at o...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable ...[Read More] Understanding Weak Heartbeats and Dizziness: When to Seek Help
Understanding Blood Pressure Readings: When to Start Medication and Trust Your Device
Is a blood pressure of 160/94 an indication for medication treatment? Which blood pressure reading should be considered as the standard when values differ? Hello, at the beginning of June, I visited a family medicine clinic due to hand numbness and dizziness. My blood pressure wa...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Blood Pressure Readings: When to Start Medication and Trust Your Device
Is Frequent Palpitations from Asthma Medication Normal?
Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello, Doctor. I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (Symbicort and a...
Dr. Wu Xueming Reply:
Palpitations refer to the sensation of a forceful heartbeat, irregular heartbeat, or rapid heartbeat. Common causes of palpitations include: 1. Exercise 2. Stress, anxiety, or fear 3. Fever 4. Caffeine, nicotine, or cocaine 5. Disease-related: heart disease, hyperthyroidism, anem...[Read More] Is Frequent Palpitations from Asthma Medication Normal?
Is Frequent Palpitations from Asthma Medication Normal?
Is it normal to experience frequent palpitations caused by medication side effects? (Palpitations, Family Medicine issue) Hello doctor, I am currently 21 years old and have had asthma issues since I was very young. Recently, I switched to a new asthma medication (a combination of...
Dr. Wu Xueming Reply:
Palpitations refer to the sensation of a forceful heartbeat, irregular heartbeat, or rapid heartbeat. Common causes of palpitations include: 1. Exercise 2. Stress, anxiety, or fear 3. Fever 4. Caffeine, nicotine, or cocaine 5. Disease-related: heart disease, hyperthyroidism, anem...[Read More] Is Frequent Palpitations from Asthma Medication Normal?