Comparing Side Effects: Zulitor 4mg vs. Ezetimibe 10mg for Elderly Patients
The side effects of Zulitor 4mg (Zolpidem) are generally considered to be less severe compared to those of Edluar (10mg/Merck). However, the severity and occurrence of side effects can vary among individuals. It is important to consult a healthcare professional for personalized a...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Comparing Side Effects: Zulitor 4mg vs. Ezetimibe 10mg for Elderly Patients
Should You See a Doctor for Low Heart Rate and Fatigue?
Heart rate issues Recently, my Apple Watch has recorded my heart rate while sitting or lying down to be around 50-70 beats per minute (when I am not asleep), and I feel fatigued and drowsy. I am currently taking psychiatric medications (anti-anxiety medications and SSRIs). Is it ...
Dr. Wu Xueming Reply:
A normal heart rate ranges from 60 to 100 beats per minute. If there is a noticeable decrease in heart rate, it is advisable to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Should You See a Doctor for Low Heart Rate and Fatigue?
Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues
Left chest pain? I have been experiencing left chest pain for over two years, which comes in episodes. I previously visited two hospitals' cardiology departments; the first one conducted an electrocardiogram (ECG) and chest X-ray, both of which were normal. The second hospit...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, the risk of heart disease is low, and this symptom is likely unrelated to cardiac issues. Many factors in daily life can contribute to this condition, such as emotions, stress, and irregular routines. It is advisable to a...[Read More] Understanding Left Chest Pain: Causes and Concerns Beyond Heart Issues
Understanding Your Exercise ECG Report: Is My Heart at Risk?
Exercise Electrocardiogram Report Hello Doctor, my exercise electrocardiogram report from last week is as follows, and it seems to indicate a diagnosis of myocardial ischemia? Should I avoid intense exercise until my follow-up appointment? Do I need to see a doctor immediately fo...
Dr. He Dongjin Reply:
Hello, it seems that everything is fine. You can be observed for now. Changhua Hospital cares about you.[Read More] Understanding Your Exercise ECG Report: Is My Heart at Risk?
Understanding Side Effects of Pletaal in Cardiovascular Patients
Side effects of Pletaal (cilostazol)? Hello, my father is a dialysis patient and was recently diagnosed with severe narrowing of the calf arteries. The doctor prescribed Pletaal (cilostazol) 100 mg, to be taken once in the morning and once in the evening, and Lipitor (atorvastati...
Dr. Huang Yinghe Reply:
Hello, Pletaal is an antiplatelet medication used to promote blood circulation, while Lipitor is a cholesterol-lowering drug. Pharmacologically, neither of these medications directly causes an increased heart rate. Many other conditions can lead to an increased heart rate, such a...[Read More] Understanding Side Effects of Pletaal in Cardiovascular Patients
Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Arrhythmia report and medication inquiries? Hello Doctor, here are the contents of my report: 24-Hour Holter Monitor Report *Basic Rhythm: The basic rhythm is sinus rhythm (SR), with a ventricular rate of 46 to 111 bpm, including 29 atrial premature contractions (APCs) and 12,...
Dr. He Dongjin Reply:
Hello, you have ventricular premature contractions (VPCs) and are currently taking Diltiazem 6.25 mg and a rhythm stabilizer. Essentially, Diltiazem 6.25 mg is a similar medication that may lower blood pressure by about 13%. Ventricular premature contractions are generally benign...[Read More] Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Understanding Your Echocardiogram Report: Key Insights and Considerations
Echocardiogram Report Hello Doctor: I recently experienced frequent feelings of heart weakness and underwent an examination, including a cardiac ultrasound. The results are as follows: Conclusion: - Normal sizes of cardiac chambers - Preserved global contractility of the left v...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Understanding Your Echocardiogram Report: Key Insights and Considerations
Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Discomfort in the heart? Hello, doctor. Whenever I don't sleep well, I wake up feeling an itch in my left chest, which is where my heart is, and I easily experience palpitations, chest tightness, and anxiety. Not sleeping well means going to bed very late. Just as I'm a...
Dr. He Dongjin Reply:
Hello, it seems you are experiencing post-acute sequelae of SARS-CoV-2 infection (PASC), commonly referred to as long COVID. I also had lingering symptoms for several months after my diagnosis, but it will get better, so don't worry. Changhua Hospital is concerned about your...[Read More] Understanding Heart Symptoms: Sleep Issues and Mitral Valve Prolapse
Understanding Irregular Heartbeats: When to Seek Medical Advice
Heartbeat issues Hello, Doctor: I occasionally feel that my heartbeat is stronger, somewhat irregular, or has a pounding sensation, but I do not experience any significant discomfort. When using the electrocardiogram feature on my smartwatch, I notice that the heart rate measurem...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 to adju...[Read More] Understanding Irregular Heartbeats: When to Seek Medical Advice
Is It Normal to See Metal Coils in X-rays After PDA Closure?
The spiral coils used for patent ductus arteriosus (PDA) closure? Hello, I am 25 years old. I had an open ductus arteriosus repair with a coil embolization at the age of 3. In previous years, my company's health check-ups did not indicate the presence of a metal coil on the ...
Dr. Huang Yinghe Reply:
Hello: Of course, the coil is a stable device inside the heart. Sometimes, the implanted devices in the heart may not be clearly visible on a chest X-ray, or the images may be misinterpreted as external objects, which could lead to them not being described in the report. This cou...[Read More] Is It Normal to See Metal Coils in X-rays After PDA Closure?
Understanding Heart Health: Risks After Normal Coronary Angiography
Coronary Angiography I would like to ask if having undergone a coronary angiography a year ago with no abnormalities, no calcification, and no stenosis still poses a risk for cardiovascular disease. Recently, I have been experiencing persistent pain in my left shoulder, along wit...
Dr. He Dongjin Reply:
Hello, a year ago you underwent coronary angiography which showed no abnormalities, no calcification, and no stenosis. While the risk of developing cardiovascular disease remains low, it is still present. You are experiencing pain in your left shoulder, back, and cervical spine. ...[Read More] Understanding Heart Health: Risks After Normal Coronary Angiography
Can You Go Snorkeling with Palpitations and Mitral Valve Prolapse?
Palpitations, non-rheumatic mitral valve prolapse? Hello, the doctor has already had an electrocardiogram done at another cardiology clinic, where he was diagnosed with palpitations and non-rheumatic mitral valve prolapse. He often experiences a heart rate between 100-130 during ...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Can You Go Snorkeling with Palpitations and Mitral Valve Prolapse?
Managing Slow Heart Rate: Concerns with KanKen and XinLiZheng Medications
Bradycardia, issues with the use of Heart Rate Regulating medications such as Cardizem and Concor? Hello, Doctor. I have hypothyroidism, which has been well-controlled with medication for many years. Last August, I experienced chest tightness, chest pain, and fatigue, and was dia...
Dr. He Dongjin Reply:
Hello, feeling very fatigued could be due to a slow heart rate or hypothyroidism. It is recommended to consider medications that improve sleep. Regarding the medication Heartil, my suggestion is to hold off on taking it for now and observe your condition. Changhua Hospital cares ...[Read More] Managing Slow Heart Rate: Concerns with KanKen and XinLiZheng Medications
Understanding PVCs and PACs: Should You Ignore Them?
Ventricular premature contractions and atrial premature contractions? Hello Doctor, the 24-hour ECG shows APC/couplet/AT: 1456 (1.6%)/0/0; VPC/couplet/triplet/bigeminy: 408/0/0/19. Can I ignore this? Will ignoring it cause heart damage or worsen the condition? Wishing you peace a...
Dr. He Dongjin Reply:
Hello, it's not serious, and you can ignore it. It won't cause heart damage or anything more severe, so don't worry. Changhua Hospital cares about you.[Read More] Understanding PVCs and PACs: Should You Ignore Them?
Pregnancy Complications: Heart Symptoms and Seeking Medical Advice
Pregnancy-related symptom consultation Hello Doctor, I am a 30-week pregnant woman. Before pregnancy, my health check showed slightly elevated TSH levels, but the endocrinologist said it was only a little high and that I didn't need to follow up. Prior to pregnancy, I experi...
Dr. Wu Xueming Reply:
Due to the different endocrine status of pregnant women compared to the general population, it is recommended that you consult both a cardiologist and an endocrinologist to check for any abnormalities.[Read More] Pregnancy Complications: Heart Symptoms and Seeking Medical Advice
Understanding Your ECG Report: Key Insights for Heart Health
Please provide the electrocardiogram report? Hello, Director. I would like to ask if there are any issues with the results. Do I need to go to the hospital for further examination? Is my heart condition suitable for simple hiking (like Hehuanshan)? Thank you. Electrocardiogram r...
Dr. Wu Xueming Reply:
The exercise electrocardiogram report is positive. It is recommended that you consult with a physician in the outpatient clinic to discuss whether further testing is necessary before deciding to go hiking.[Read More] Understanding Your ECG Report: Key Insights for Heart Health
Understanding Your Echocardiogram: Insights on Left Ventricular Hypertrophy
Echocardiogram Hello, Doctor. I underwent a cardiac ultrasound due to occasional heart discomfort. Could you please help interpret the report? Here are the findings: Conclusion: 1. Left Ventricular Hypertrophy (LVH) 2. Fair global left ventricular (LV) systolic function with an ...
Dr. Wu Xueming Reply:
There is mild tricuspid regurgitation, and the structures and functions of the heart are otherwise normal.[Read More] Understanding Your Echocardiogram: Insights on Left Ventricular Hypertrophy
Understanding Your ECG and Blood Test Results: Key Insights for Heart Health
Electrocardiogram and blood test report? Hello, Doctor. I sought medical attention due to a sensation of rapid heartbeat. The doctor arranged for an electrocardiogram (ECG) and blood tests (including thyroid function and anemia, among others). Could you please advise if there are...
Dr. Wu Xueming Reply:
The report indicates that, aside from a few isolated atrial premature contractions, everything else is normal.[Read More] Understanding Your ECG and Blood Test Results: Key Insights for Heart Health
Understanding PSVT: Insights on Heart Palpitations and Treatment Options
PSVT (Paroxysmal Supraventricular Tachycardia) and frequent episodes of tachycardia? I would like to inquire, Director. I often feel my heart racing and palpitations. I previously underwent catheter ablation for PSVT, but the induction was unsuccessful. Recently, I have had sever...
Dr. Wu Xueming Reply:
The echocardiogram report shows mitral valve prolapse and very mild mitral regurgitation, with all other structures and functions being normal. The 24-hour Holter monitor report indicates only a very small number of premature ventricular contractions (PVCs) and premature atrial c...[Read More] Understanding PSVT: Insights on Heart Palpitations and Treatment Options
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram Echocardiogram Report Summary: 1. Chamber and Function: - No chamber dilation - Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57% by M-mode - Impaired myocardial relaxation, normal left atrial (LA) fi...
Dr. Wu Xueming Reply:
The report indicates that, aside from mild mitral and tricuspid regurgitation, both the structure and function of the heart are normal.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health