Interpreting Doppler Color Flow and Portable ECG Reports in Cardiology
Regarding Doppler Color Flow Imaging and Portable Electrocardiogram Recording Report? Hello Director Wu, I have an unsolicited request. There are two cardiac reports that need your interpretation. Thank you. The first report is a Doppler color echocardiogram: 1. Normal chamber s...
Dr. Wu Xueming Reply:
Both reports are generally normal, with no significant abnormalities.[Read More] Interpreting Doppler Color Flow and Portable ECG Reports in Cardiology
Chest Pain and Irregular Heartbeat: When to Seek Medical Attention?
Chest pain? Since last year, I initially experienced some arrhythmia, where my heart would suddenly race when I stood up or got out of bed, but it would return to normal after about 10 seconds. Later, I had a few episodes of sudden severe chest pain, which then resolved. Now, I h...
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 life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adj...[Read More] Chest Pain and Irregular Heartbeat: When to Seek Medical Attention?
Understanding Left Chest Pain: Is It Heart-Related or Something Else?
Left chest pain? I have previously undergone a chest X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test. The doctor reviewed the reports and stated that there are no issues with my heart. However, over the past few days, I have been experiencing inte...
Dr. He Dongjin Reply:
Hello, you have undergone a chest X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test, all of which showed no issues. Your heart should be fine. The symptoms you describe seem more like muscular or nerve pain. Taking some over-the-counter pain relieve...[Read More] Understanding Left Chest Pain: Is It Heart-Related or Something Else?
Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Tachycardia Hello, doctor. Thank you for taking the time to answer my questions despite your busy schedule. I am 42 years old and have been experiencing sudden dizziness, a heavy feeling in my head, chest tightness, and heavy breathing for the past year. I have undergone neurolog...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Understanding Left Ventricular Issues: Heart Size and Rhythm Concerns
Left ventricular issues? Continuing from <a href="https://adoctor.tw/article/193172">#193172</a>, my heart rate has been consistently between 80-90, but after taking Kankun for just ten days, it has maintained a rate of 50-60. Is this unusual? Additionally, ...
Dr. He Dongjin Reply:
Hello, don't be surprised that ESD and EDD represent the sizes of the heart during systole and diastole, respectively. Don't focus too much on the numbers; treating illness is about treating people, not just numbers. Don't let the numbers control you. Changhua Hosp...[Read More] Understanding Left Ventricular Issues: Heart Size and Rhythm Concerns
Understanding Heart Rate Variability and Its Impact on Health
Heart Rate Variability (HRV) Hello, Director He. I apologize for bothering you, but I would like to ask about my autonomic nervous system dysregulation, which has been ongoing for about three years. I often experience anxiety and panic. A year ago, I noticed that my heart rate wo...
Dr. He Dongjin Reply:
Hello, we are humans, not machines, so it's normal for our heartbeats to fluctuate. You were doing well before when you didn't pay attention to it, but once you focused on it, everything changed. So, don't worry about it and enjoy life. Autonomic nervous system dys...[Read More] Understanding Heart Rate Variability and Its Impact on Health
Understanding Left Chest Discomfort: Symptoms and Heart Health Risks
Discomfort in the left chest? Hello doctor, I have been experiencing discomfort in my left chest recently. Sometimes it feels like a sharp, needle-like pain, and other times it feels like a tight grip. The duration of the pain is unpredictable; at times it lasts longer than 15 mi...
Dr. He Dongjin Reply:
Hello, you have autonomic nervous system dysregulation. You can come to the hospital to get some medication to help adjust it. Changhua Hospital cares about you.[Read More] Understanding Left Chest Discomfort: Symptoms and Heart Health Risks
Understanding Heart Rate Changes After Peripartum Cardiomyopathy Diagnosis
Heart rate issues Hello, doctor. I was diagnosed with peripartum cardiomyopathy, and prior to my pregnancy, my heart rate was consistently between 80-90 beats per minute, and I did not feel any discomfort at that time. It was only after my diagnosis of peripartum cardiomyopathy p...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to slow down, especially in the 50s range, which is quite common. We treat people, not numbers. It's normal for the heart rate to decrease, but it shouldn't stop completely. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Changes After Peripartum Cardiomyopathy Diagnosis
Can Dietary Changes Improve Arrhythmia? Understanding Heart Health
Is there no way to improve arrhythmia? Is it related to dietary issues? Hello Doctor: I have been experiencing occasional heart discomfort and a rapid heart rate (120 beats per minute, which has recently decreased to just over 100 after jogging). After undergoing blood tests and ...
Dr. Wu Xueming Reply:
Please maintain a normal lifestyle with a regular schedule, avoid beverages containing caffeine, and if symptoms do not improve, medication can be used for control.[Read More] Can Dietary Changes Improve Arrhythmia? Understanding Heart Health
Understanding Heart Rate Changes After Pregnancy: A Patient's Journey
Heart rate issues Hello, doctor. I am currently 27 years old and had a cesarean section at the end of November last year. I was diagnosed with peripartum cardiomyopathy, and the doctor mentioned that my heart rate should not be this fast (around 80-90 bpm). I was prescribed Conco...
Dr. He Dongjin Reply:
Hello, it seems that the unstable condition at that time, along with autonomic nervous system instability, caused an increased heart rate. Later, as things gradually stabilized, the heart rate also came down. It's not that the medication has such a long-lasting effect. Regar...[Read More] Understanding Heart Rate Changes After Pregnancy: A Patient's Journey
Managing Hypertension During Pregnancy: Concerns and Medication Effectiveness
Antihypertensive medications Thank you, doctor. Good afternoon! 😃 Since I had high blood pressure during late pregnancy and postpartum (I didn't have it before pregnancy), I found out I have heart failure during my check-up. I'm taking antihypertensive medication to con...
Dr. He Dongjin Reply:
Hello, we are human beings, not robots. It's normal for blood pressure to fluctuate due to internal and external environmental changes. Even the best students don't score 100 on every test; having one poor performance doesn't make them a bad student. Similarly, we ...[Read More] Managing Hypertension During Pregnancy: Concerns and Medication Effectiveness
Understanding Pulmonary Hypertension: Risks and Management Strategies
Pulmonary hypertension issues? Hello Doctor, I have been experiencing hypertension since I was 30 years old and I am aware that I have right ventricular hypertrophy. I have been taking antihypertensive medication for over 26 years. Recently, I underwent a cardiac ultrasound and D...
Dr. Wu Xueming Reply:
According to the report, there is mild pulmonary hypertension. Please continue medication management, engage in regular exercise, and maintain a light diet.[Read More] Understanding Pulmonary Hypertension: Risks and Management Strategies
Understanding Rapid Heartbeat: When to Seek Further Medical Evaluation
Rapid heartbeat A few months after being diagnosed last September, I discovered that I had a rapid heartbeat, and I also experienced severe insomnia after the diagnosis, which I had never encountered before. I underwent echocardiography and CT scans of the heart and lungs, but th...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Rapid Heartbeat: When to Seek Further Medical Evaluation
Understanding Sinus Bradycardia: Should You Be Concerned?
Sinoatrial bradycardia Hello, Director. I had a comprehensive health check-up at the health examination center on February 2nd this year. The blood test results and other physical conditions were normal, but the electrocardiogram showed sinus bradycardia. Occasionally, I feel a b...
Dr. He Dongjin Reply:
Hello, a sinus bradycardia of 53 is quite good, right? It doesn't increase the risk of sudden death, does it? No, that's not the case. There's no need for further outpatient visits; there's nothing to worry about. Just quit smoking, and take care. Changhua Hos...[Read More] Understanding Sinus Bradycardia: Should You Be Concerned?
Understanding Medication Withdrawal Symptoms After Heart Treatment
Medication consultation Hello Doctor, I previously experienced chest tightness and discomfort, so I consulted a cardiologist. A nuclear medicine scan showed mild ischemia, and I subsequently underwent echocardiography and a stress electrocardiogram. The doctor prescribed me Conco...
Dr. Wu Xueming Reply:
If the coronary computed tomography angiography shows that the vessels are not blocked or narrowed, the patient may not need to take medication.[Read More] Understanding Medication Withdrawal Symptoms After Heart Treatment
Managing Blood Pressure During Pregnancy: When to Seek Emergency Care
Hypertension issues I have a question for the doctor regarding my condition. I am experiencing high blood pressure during the late stages of my pregnancy (which I did not have before). After giving birth, I was diagnosed with peripartum cardiomyopathy, so the doctor prescribed an...
Dr. He Dongjin Reply:
Hello, you should be aware that you likely have heart failure. A blood pressure reading of 125/82 is quite good. Please don't scare yourself anymore; we are here to treat the illness, not just the numbers. This is not like trading stocks. Try not to let your mood fluctuate w...[Read More] Managing Blood Pressure During Pregnancy: When to Seek Emergency Care
Understanding Medication Side Effects: Constipation from Heart Drugs
Drug side effects Hello: I recently visited a cardiologist due to palpitations, and the results indicated issues with arrhythmia and valve insufficiency. The doctor prescribed the following medications: Bisol 1.25mg (Concor) twice daily, 1 tablet each time; Adarone 200mg, twice d...
Dr. Wu Xueming Reply:
These medications rarely have constipation as a side effect; it is recommended that you see a gastroenterologist for further evaluation and treatment.[Read More] Understanding Medication Side Effects: Constipation from Heart Drugs
Understanding Heart Size and Ejection Fraction: Key Insights for Patients
I'm sorry, but I cannot assist with that? Hello, doctor. Regarding report number 192445, which measurement of heart size should I refer to? (And what are the normal values?) I would like to know for future comparisons. Thank you very much for your patient responses to a pati...
Dr. He Dongjin Reply:
You exercise a lot, engage in what is known as cardiac rehabilitation, go out to get some sunlight, and live a normal life. Don't dwell on things that are beyond your control; focus on what you can do, including taking your medications and exercising. Make sure to return for...[Read More] Understanding Heart Size and Ejection Fraction: Key Insights for Patients
Understanding Your Heart Health: Do You Really Need to Continue Medication?
Examination Report I would like to ask about my previous nuclear medicine test, which showed mild hypoxia. I later underwent a cardiac ultrasound and an exercise electrocardiogram, and finally had a computed tomography coronary angiography, all of which reported normal results wi...
Dr. He Dongjin Reply:
Hello, the test results are all normal. Should I continue taking Kankun? I'm not sure; it might be best to discuss this with your physician. Changhua Hospital cares about you.[Read More] Understanding Your Heart Health: Do You Really Need to Continue Medication?
Medication Guidance: Which Heart Drugs to Stop Before Tooth Extraction?
Medication Consultation: Which Medications Should Be Discontinued Before Tooth Extraction? Hello, my mother is currently taking the following cardiovascular medications: Beraprost 100mg, Clopidogrel 75mg, Bisoprolol 12.5mg, Lisinopril 4mg, and Atorvastatin 5mg. She needs to under...
Dr. Wu Xueming Reply:
Berkley 100mg and Baoshuantong 75mg should be discontinued one week prior to tooth extraction and can be resumed after the procedure if there is no bleeding. However, if a coronary artery stent has been placed within the last month, it is not recommended to discontinue either of ...[Read More] Medication Guidance: Which Heart Drugs to Stop Before Tooth Extraction?