Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Berkley and Baidu? Hello, Doctor: I have been taking Berkey and Baibing for a month. Recently, I noticed bleeding gums while brushing my teeth and unexplained bruising on my knees. Should I change my medication or just monitor the situation? Additionally, I read that taking Kanka...
Dr. Wu Xueming Reply:
Questions regarding changing medications should be directed to the original prescribing physician to assess whether it is appropriate to switch medications.[Read More] Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Should My Father See a Cardiologist for Aortic Calcified Plaque?
Pulmonary computed tomography showing aortic calcified plaques? Hello Doctor, my father is currently 60 years old and has mild hypertension, around 130. In his regular lung CT report without contrast, it mentions "Atherosclerotic change with calcified plaque formation over t...
Dr. Wu Xueming Reply:
Aortic calcification remains a phenomenon associated with chronic diseases and aging. Please manage your blood pressure well, and if you experience any discomfort related to your heart, seek further evaluation at an outpatient clinic.[Read More] Should My Father See a Cardiologist for Aortic Calcified Plaque?
Understanding Sudden Heart Rate Spikes: Causes and Concerns
My heart rate has increased again? Hello, Doctor. I apologize for bothering you. Last night, I fell asleep and experienced a heart rate increase to 170 beats per minute. I’m not sure what to make of it. My heart rate was originally in the 50s while I was sleeping, but then I sudd...
Dr. He Dongjin Reply:
Hello, it's not just atrial flutter, atrial fibrillation, or atrial tachycardia that can cause a rapid heartbeat; it could also be a panic attack. There is no danger, and your heart won't be harmed, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Sudden Heart Rate Spikes: Causes and Concerns
Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Arrhythmia and Kanken? Dear Dr. He, Thank you for taking the time to respond. I have a few questions I would like to ask you. 1. I will be undergoing an MRI on October 12. I would like to know if, in addition to examining the heart's structure and myocardium, the MRI can a...
Dr. He Dongjin Reply:
Hello, what are your main concerns? Are you afraid of undergoing cardiac catheterization? Are you worried about the possibility of complications? To put it bluntly, are you afraid of dying? Generally, I don't recommend cardiac catheterization unless necessary, but since you ...[Read More] Understanding Arrhythmias and the Role of Cardiac MRI in Diagnosis
Understanding Aortic Insufficiency: Treatment Options and Management
Aortic valve insufficiency Dear Director, Please help me review the following echocardiogram results. Thank you very much! **Purpose of Examination:** Rule out congestive heart failure (CHF) **Image Quality:** Satisfactory **2D/M-mode Measurements:** - Normal Aortic Root: 31 ...
Dr. He Dongjin Reply:
Hello, aortic valve insufficiency may not require surgery at this stage. It is important to manage arrhythmias with medication and to focus on controlling them to prevent stroke. Changhua Hospital cares about your well-being.[Read More] Understanding Aortic Insufficiency: Treatment Options and Management
Understanding Palpitations: Causes and Management for New Mothers
Palpitations? Hello Doctor, I am the postpartum woman with peripartum cardiomyopathy. I wanted to ask you about my EF of 58 from the check-up in August. The doctor said I didn't need to return for follow-up. However, due to long-term psychological issues, I now experience pa...
Dr. He Dongjin Reply:
Hello EF58, there's no need for a follow-up appointment. First of all, congratulations on your graduation! Experiencing palpitations once or twice a month is not concerning; this is likely caused by anxiety or panic. Don't worry, just take your medication consistently b...[Read More] Understanding Palpitations: Causes and Management for New Mothers
Nightmares and Heart Palpitations: Understanding Your Symptoms
Experiencing nightmares during sleep can lead to discomfort in the heart, causing it to beat forcefully? Hello Doctor, I am someone who is easily startled. Often, after being startled, I experience significant palpitations; my heart doesn't beat rapidly, but it beats very fo...
Dr. He Dongjin Reply:
Hello, it's normal to feel discomfort in your heart when you're startled. This is related to adrenal gland issues; nightmares cannot cause sudden death or cardiac arrest. Don't scare yourself. Changhua Hospital cares about you.[Read More] Nightmares and Heart Palpitations: Understanding Your Symptoms
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
Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Heart rhythm & tremors Hello, Doctor. I usually experience tachycardia, and I seek medical attention when my heart rate reaches 150 beats per minute. I have been using antiarrhythmic medications for long-term control and have made lifestyle changes, but my heart rate has not ...
Dr. He Dongjin Reply:
Hello, it should not be a side effect of medication. Please get a neurological examination, and also have your thyroid checked. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Understanding Arrhythmias: Causes and Management for Heart Health
Arrhythmia Hello, doctor. I have been diagnosed with sinus tachycardia during my physical exams in high school and college. Recently, I noticed that my heart rate often beats particularly fast, so I visited a cardiologist. The doctor arranged for an echocardiogram, a 24-hour Holt...
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 Arrhythmias: Causes and Management for Heart Health
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram Ultrasound examination report, please assist with the translation and interpretation: 1. Adequate left ventricular (LV) performance without regional wall motion abnormalities (Left Ventricular Ejection Fraction [LVEF] 66.72%) (Left Ventricular Internal Diameter in...
Dr. Wu Xueming Reply:
The report indicates that there is enlargement of the left atrium and left ventricle. It is recommended to visit a cardiology outpatient clinic for further evaluation and treatment by a physician.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Symptoms: Palpitations, fatigue. Attached is the electrocardiogram (ECG)? Hello Doctor, recently I have been experiencing a rapid and forceful heartbeat while at rest and during sleep. I often feel very fatigued at work. I have undergone an examination and a resting electrocardio...
Dr. Wu Xueming Reply:
The electrocardiogram shows no significant abnormalities; please wait for the 24-hour Holter monitor report.[Read More] Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Understanding Palpitations: Insights for New Mothers with Anxiety
Palpitations? Hello Doctor, I am the postpartum patient with peripartum cardiomyopathy. I wanted to ask you about my EF of 58 from the examination in August. The doctor said I didn't need to return for follow-up. However, due to long-term psychological issues, I now experien...
Dr. He Dongjin Reply:
Hello EF58, there’s no need for a follow-up appointment. First of all, congratulations on your graduation! Experiencing palpitations once or twice a month is not concerning; this is likely caused by anxiety or panic. Don’t worry, just take your medication consistently before bedt...[Read More] Understanding Palpitations: Insights for New Mothers with Anxiety
Understanding Palpitations During Bathing: Causes and Concerns
Palpitations while showering? Hello, Director. I apologize for bothering you. I would like to ask about my mother, who is 57 years old. Sometimes she experiences palpitations while taking a shower. I used an Apple Watch to monitor her heart rate, and it showed some arrhythmias. C...
Dr. He Dongjin Reply:
Hello, early morning contractions are not dangerous; could they be hereditary? It's hard to say, but as long as they are not excessive, it should be fine to just observe for now. Changhua Hospital cares about you.[Read More] Understanding Palpitations During Bathing: Causes and Concerns
Can Mitral Valve Prolapse Cause Numbness in the Back?
Can moderate mitral valve prolapse cause symptoms of back numbness? Hello, I went to the hospital for a check-up due to a loud heartbeat and was diagnosed with moderate mitral valve prolapse. I would like to ask if this condition can cause numbness in the back. I often experience...
Dr. Li Han Reply:
Hello, whether moderate mitral valve prolapse can cause symptoms like back numbness is uncertain. This is a complex syndrome with unclear mechanisms, but there is no need for excessive concern, as the symptoms themselves are not dangerous. You may discuss this with your trusted a...[Read More] Can Mitral Valve Prolapse Cause Numbness in the Back?
Understanding 24-Hour ECG Results: Insights on Heart Health Post-Vaccination
24-hour Holter monitor? The 24-hour electrocardiogram report from September indicates the following conclusions: [1] Essentially sinus rhythm with a ventricular rate ranging from 48 to 123 bpm; [2] A few premature atrial contractions (PACs), including isolated ones; [4] No suprav...
Dr. Li Han Reply:
Hello, to be honest, the medical information you provided is limited, making it difficult to give a substantial and helpful response. As for this electrocardiogram record, there doesn't seem to be any significant abnormalities or dangers. It might be best to relax and discus...[Read More] Understanding 24-Hour ECG Results: Insights on Heart Health Post-Vaccination
Understanding Your Echocardiogram Report: Key Insights and Analysis
Echocardiogram Report Hello Director Wu, please help me interpret this echocardiogram report. Thank you. IVSd: 9 mm (normal range: 6-11) LVDd: 48 mm (normal range: 36-52) AoRoot: 28 mm (normal range: 20-37) LVDs: 30 mm (normal range: 20-36) AV opening: 20 mm (normal rang...
Dr. Wu Xueming Reply:
The report indicates mild mitral regurgitation and mitral valve prolapse, while the other structures and functions of the heart are normal.[Read More] Understanding Your Echocardiogram Report: Key Insights and Analysis
Understanding Myocardial Perfusion: Insights from SPECT Imaging
Myocardial perfusion NUCLEAR MEDICINE STUDY: Myocardial SPECT, dipyridamole and resting. RADIOPHARMACEUTICAL: Intravenous 33 mCi Tc99m-MIBI. SCINTIGRAPHIC FINDINGS: EKG-gated SPECT was performed after a standardized dipyridamole stress protocol (dipyridamole: 0.56 mg/kg, continuo...
Dr. Wu Xueming Reply:
The report indicates mild hypoxia in the anterior and inferior walls of the heart, and it is recommended to consult a physician in the outpatient clinic for further treatment.[Read More] Understanding Myocardial Perfusion: Insights from SPECT Imaging
Understanding Increased VPC Symptoms: Causes and Management Strategies
Recently, there has been an increase in missed doses? I apologize for bothering you with many questions about VPCs recently. I have been feeling better for a while, but since September 11th, the symptoms of VPCs have increased again. When I was feeling better, I occasionally felt...
Dr. He Dongjin Reply:
Hello, experiencing this many times is certainly not dangerous or harmful to the heart. These occurrences are naturally repetitive, with good days and bad days. You recently went through a similar situation. Aside from feelings of tension and anxiety, there’s nothing significant ...[Read More] Understanding Increased VPC Symptoms: Causes and Management Strategies
Understanding Chest Pain: Is It a Heart Condition or Something Else?
Chest pain I have been experiencing left chest pain for over a year. I visited two hospitals at that time, and they both said there was no problem. Recently, I have been feeling sharp pain in my left chest when taking deep breaths, and sometimes the pain suddenly occurs in my che...
Dr. He Dongjin Reply:
Hello, your symptoms are not indicative of a myocardial infarction or aortic dissection. These are both emergencies. Climbing from the first to the fifth floor without resting and only experiencing mild shortness of breath suggests that your heart is functioning well. The chest p...[Read More] Understanding Chest Pain: Is It a Heart Condition or Something Else?