Understanding Dizziness and Neck Tightness: Heart Health Insights
Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...
Dr. Li Han Reply:
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...[Read More] Understanding Dizziness and Neck Tightness: Heart Health Insights
Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Medication consultation Hello, doctor. Six months ago, I visited a cardiology clinic due to chest tightness, and the examination results showed no issues. However, a check-up at a psychosomatic clinic indicated autonomic nervous system dysfunction. Due to the chest tightness and ...
Dr. Wu Xueming Reply:
1. Will long-term use of these three medications affect the body? Besides low blood pressure and slow heart rate, are there any other effects? 2. Can I stop taking the medication abruptly and resume if I experience symptoms? It is not advisable to stop prescribed medications wi...[Read More] Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Understanding Atrial Premature Contractions: Causes and Management Strategies
Hello doctor, how can I determine whether my atrial premature contractions are due to abnormal electrical discharges from a specific area in the atrium or caused by autonomic nervous system dysregulation leading to erratic signals, especially after a long period of time? Cardiolo...
Dr. Wu Xueming Reply:
Atrial premature contractions are not the same as atrial fibrillation; they can occur in normal individuals. Myoclonic jerks can also manifest in the myocardium. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or ex...[Read More] Understanding Atrial Premature Contractions: Causes and Management Strategies
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, just before sleeping, my heartbeat sounds very loud. I...
Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to muscular or neurological issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Understanding Holter EKG Results: Are PACs Dangerous?
Report Inquiry Chief, I apologize for the interruption. May I ask about the 24-hour Holter ECG report? HOLTER EKG: Date of 24-hour recording: 2024/02/21 Study for: Arrhythmia Antiarrhythmic drug therapy at the time of recording: Unknown ANALYSIS RESULT 1) Quality of recor...
Dr. He Dongjin Reply:
Hello, it's nothing serious. Atrial premature contractions are not very dangerous, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Holter EKG Results: Are PACs Dangerous?
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin Reply:
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Do You Need Heart Medication for a Heart Rate of 80-90?
A heart rate of 80 to 90 beats per minute typically falls within the normal range for adults. Whether or not to take heart medication depends on various factors, including overall health, the presence of Hello, doctor! I am a patient with hypertension. My heart rate used to be be...
Dr. Li Shengkai Reply:
A normal heart rate ranges from 60 to 100 beats per minute, so your heart rate is within the normal range. Additionally, since you are not experiencing any discomfort, no special treatment is necessary.[Read More] Do You Need Heart Medication for a Heart Rate of 80-90?
Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Heart rate issues Hello doctor, I would like to inquire about my condition. For the past few days, whenever I stand, my heart rate exceeds 120 beats per minute. I have previously consulted a cardiologist and underwent an electrocardiogram (ECG) and echocardiogram, both of which s...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention
Increased heart rate? Does high blood pressure cause an increased heart rate? I often feel like my heart rate exceeds 100 beats per minute. Could this be due to a lack of exercise? I am 168 cm tall and weigh 107 kg. I frequently experience a pounding heartbeat and sometimes have ...
Dr. Chen Jili Reply:
It is recommended that you consult a cardiologist. Wishing you good health. Thank you![Read More] Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, before going to sleep, I notice my heartbeat is very l...
Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to musculoskeletal or nerve issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Understanding Anemia and High Platelet Counts in Diabetic Patients
Blood test shows anemia and thrombocytosis? Good evening, doctor. My wife is 60 years old and has type 2 diabetes without complications for over two years. Her blood pressure is 143/77, and her heart rate is approximately 113. She has been taking the prescribed medication to cont...
Dr. He Dongjin Reply:
Hello, it is recommended to visit a hematology department for further examination due to worsening anemia and increased platelet count. It would be prudent to investigate potential issues with the hematopoietic system. Changhua Hospital cares about your well-being.[Read More] Understanding Anemia and High Platelet Counts in Diabetic Patients
Is Your Heart Rate Too High During Exercise? Understanding Safe Limits
Breathing and heart rate issues during exercise? When I run, if I push myself to run faster and longer, my heart rate stays close to 160 beats per minute for several minutes. Given my age, this seems too high, but since I have a consistent exercise routine, I don't feel shor...
Dr. Li Shengkai Reply:
The maximum heart rate is typically calculated by subtracting your age from 220. Therefore, if you are not experiencing any discomfort, maintaining a heart rate of 160 beats per minute is generally acceptable. It is very beneficial to maintain a healthy exercise routine, so you c...[Read More] Is Your Heart Rate Too High During Exercise? Understanding Safe Limits
Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Elderly individuals may experience rapid heart rates? Hello Doctor, thank you for taking the time to respond. My mother, who is in her 70s and has hypertension, usually has a heart rate of around 70-80 bpm. She has a regular exercise routine, but during the New Year holiday, she ...
Dr. He Dongjin Reply:
Hello, if you experience occasional arrhythmias that persist, it is advisable to schedule an earlier follow-up appointment. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Understanding the Recurrence of Ventricular Premature Contractions After Ablation
Continuing to inquire about the ectopic foci of premature ventricular contractions? Hello, Director. Thank you for your response to my previous question. However, I would like to ask one more thing. I recall that three years ago during my radiofrequency ablation, I monitored my h...
Dr. He Dongjin Reply:
Hello, please discuss this with your attending physician. Theoretically, if there were no issues observed during the procedure, the surgery would have been concluded. The recurrence three days later is unclear; it could be due to abnormal electrical discharge points that were onl...[Read More] Understanding the Recurrence of Ventricular Premature Contractions After Ablation
Understanding Catheter Ablation: Differentiating AVNRT and AVRT Diagnoses
Cardiac catheterization 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given the different diagnoses from the two catheterizations? 2. Although the ablation was empirical, does it indicate that the parah...
Dr. Huang Yinghe Reply:
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the site for empirical ablation is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of pa...[Read More] Understanding Catheter Ablation: Differentiating AVNRT and AVRT Diagnoses
Understanding Catheter Ablation: AVNRT vs. AVRT Diagnosis Differences
Cardiac catheterization? 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given that the diagnoses from the two catheterizations were different? 2. Although the ablation was empirical, does this indicate t...
Dr. Huang Yinghe Reply:
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the empiric ablation site is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of paroxysm...[Read More] Understanding Catheter Ablation: AVNRT vs. AVRT Diagnosis Differences
Understanding Catheter Ablation: Insights on AVNRT and AVRT Diagnoses
Cardiac catheterization 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given that the diagnoses from the two catheterizations were different? 2. Although the ablation was empirical, does this indicate th...
Dr. Huang Yinghe Reply:
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the empiric ablation site is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of paroxysm...[Read More] Understanding Catheter Ablation: Insights on AVNRT and AVRT Diagnoses
Understanding Blood Pressure Medication Changes: Risks and Concerns
Issues with Hypertension Medications Hello, my mother has been taking half a tablet of Amlodipine at 6 PM for hypertension for over three years. Her usual morning blood pressure is around 120/59 with a heart rate of about 108. Recently, after breakfast, her blood pressure has dro...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Blood Pressure Medication Changes: Risks and Concerns
Understanding ECG and Chest Imaging Results in Hospitalized Pneumonia Patients
Electrocardiogram (ECG) examination for father hospitalized due to fever? Hello Doctor, my father was admitted to the emergency room on January 15 due to fever and was diagnosed with pneumonia. Upon arrival, his blood pressure was between 70 and 80, and his heart rate was in the ...
Dr. Wu Xueming Reply:
The report you provided appears to be an echocardiogram report, which indicates that there are no significant abnormalities.[Read More] Understanding ECG and Chest Imaging Results in Hospitalized Pneumonia Patients
Understanding ECG and Coronary Artery Tests for Hypertension Patients
Electrocardiogram (ECG) and coronary artery examination? Familial hypertension, currently managed with medication, occasionally experiences chest tightness and pressure. On New Year's Day, there were several instances of sharp chest pain. On January 9th, a follow-up visit in...
Dr. Wu Xueming Reply:
The electrocardiogram report shows right atrial enlargement and T-wave abnormalities. If you have risk factors for heart disease such as hypertension, diabetes, or smoking, it is recommended that you undergo further tests to confirm the presence of cardiovascular disease.[Read More] Understanding ECG and Coronary Artery Tests for Hypertension Patients