Understanding Pulsatile Tinnitus: When to See a Cardiologist
Pulsatile tinnitus in the right ear? I have been experiencing pulsatile tinnitus every night for the past four months. I wake up in the early morning either feeling like I can't breathe due to a dream where a zipper won't close, or being awakened by the pulsatile tinnit...
Dr. Li Han Reply:
Hello, regarding your "pulsatile tinnitus in the right ear," it seems you have undergone several advanced diagnostic tests, including electroencephalography and magnetic resonance imaging, but no findings were noted. Generally, vascular-related causes are rare but can p...[Read More] Understanding Pulsatile Tinnitus: When to See a Cardiologist
Can Weight Loss Help Avoid Heart Catheterization in Women?
Cardiac catheterization issues? Inquire on behalf of someone: A 40-year-old woman has been evaluated by a doctor and needs to undergo cardiac catheterization. However, she is reluctant to have an invasive procedure. Is there a possibility that weight loss could eliminate the need...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wish you good health![Read More] Can Weight Loss Help Avoid Heart Catheterization in Women?
Managing Atrial Fibrillation and Stroke Risk in Elderly Patients
Atrial fibrillation causing cerebral embolism? My grandmother at home is 96 years old and has symptoms of hypertension, for which she is taking antihypertensive medication. In early June, she suddenly experienced slurred speech and weakness in one side of her limbs. Unfortunately...
Dr. Chen Jili Reply:
I suggest that you discuss the above situation with your grandmother's attending physician to see if further examinations are necessary. Thank you, and wish you good health![Read More] Managing Atrial Fibrillation and Stroke Risk in Elderly Patients
Understanding Pulse Rate Variations After Exercise: Is It Normal?
Pulse rate After exercising for an hour today, I measured my blood pressure one hour later. After sitting for 5 minutes, my first pulse reading was 95 bpm and my blood pressure was around 120. However, when I measured again after one minute, my pulse dropped to 85 bpm while my bl...
Dr. Wu Xueming Reply:
The normal resting heart rate ranges from 60 to 100 beats per minute, and based on your description, there are no abnormalities.[Read More] Understanding Pulse Rate Variations After Exercise: Is It Normal?
Managing Blood Pressure Fluctuations After Heart Procedures: A Patient's Journey
Hypertension and Blood Pressure Instability Hello, Doctor. In May 2015, I was diagnosed with coronary artery sclerosis. In July and October 2020, I underwent catheter ablation procedures for atrial flutter and atrial fibrillation, respectively. Currently, I am taking the followin...
Dr. Huang Yinghe Reply:
Hello: Electrophysiological procedures primarily affect the electrical conduction pathways within the heart, and blood pressure is generally not impacted or may be better controlled due to the improvement of post-operative arrhythmias. Blood pressure can fluctuate due to environm...[Read More] Managing Blood Pressure Fluctuations After Heart Procedures: A Patient's Journey
Can I Take Concor and Propranolol Together? Heart Medication Concerns Explained
Questions about cardiac medications? Can Concor (bisoprolol) 1.25 mg and propranolol 10 mg be taken together? I was originally taking propranolol, but my doctor switched me to Concor extended-release. After taking it for two days, I felt chest tightness. Can I switch back to what...
Dr. Wu Xueming Reply:
Both medications are beta-adrenergic blockers and are not recommended for concurrent use, although their mechanisms of action differ slightly. If used together, please be aware that heart rate may become excessively slow.[Read More] Can I Take Concor and Propranolol Together? Heart Medication Concerns Explained
Understanding Arrhythmia: Impact of Jazz Drumming and Nighttime Symptoms
Arrhythmia Hello Dr. Huang, A year ago, I was diagnosed with premature atrial contractions and mild mitral and tricuspid regurgitation, which are causing arrhythmia issues (I experience palpitations mostly at night while sleeping, and less frequently during the day). I have bee...
Dr. Huang Yinghe Reply:
Hello: The autonomic nervous system is divided into two main systems: the sympathetic nervous system and the parasympathetic nervous system. The sympathetic nervous system is active during the day when we are engaged in activities, while the parasympathetic nervous system takes o...[Read More] Understanding Arrhythmia: Impact of Jazz Drumming and Nighttime Symptoms
Understanding Heart Issues: Symptoms, Diagnosis, and Treatment Options
Cardiac issues Hello doctor, I previously experienced arrhythmia and underwent examinations at a major hospital, including blood tests, X-rays, electrocardiograms, a 24-hour Holter monitor, and echocardiography. All results were normal. The doctor mentioned I have mild mitral val...
Dr. Li Han Reply:
Hello, regarding your inquiry, beta-blockers are a type of sympatholytic agent. Generally, they are not suitable for individuals who are allergic to this medication, have asthma, or experience bradycardia. Overall, they are considered quite safe. Although you described multiple s...[Read More] Understanding Heart Issues: Symptoms, Diagnosis, and Treatment Options
Can Eating Sweets Cause Heart Pain? Understanding Your Symptoms
Experiencing discomfort in the heart after consuming sweets? Hello Doctor, I have been experiencing a lot of stress lately, which has led to autonomic nervous system dysfunction and gastrointestinal discomfort. A few days ago, after eating chocolate-filled cookies, I felt stomach...
Dr. Li Han Reply:
Hello, regarding your inquiry, chest pain related to eating should primarily be considered in relation to gastrointestinal issues. However, if it is specifically associated with sweet foods, the reason is unclear. It is advisable to stay calm, as it is likely not a dangerous phys...[Read More] Can Eating Sweets Cause Heart Pain? Understanding Your Symptoms
Managing Cardiovascular Health in Seniors: Tips for Heart and Sleep Issues
Cardiovascular issues in the elderly? My father is 65 years old and has undergone numerous cardiovascular examinations, including MRI, electrocardiogram (ECG), and pulse oximetry to measure blood oxygen levels and heart rate. Several doctors believe that there are no abnormalitie...
Dr. Wu Xueming Reply:
1. For sleep issues, it is recommended to consult a psychiatrist or a psychosomatic medicine specialist. 2. Moderate exercise can help prevent chronic diseases, but if one is already diagnosed, further examination and treatment are necessary. 3. Cardiac issues can be evaluate...[Read More] Managing Cardiovascular Health in Seniors: Tips for Heart and Sleep Issues
Understanding Irregular Heartbeats: Causes and Management Tips
Solutions for Cardiac Rhythm Issues I have been experiencing discomfort in my heart, with episodes of rapid and slow heartbeats (I am taking antiarrhythmic medication). Additionally, I have been experiencing persistent tinnitus due to the heart discomfort. Two weeks ago, I underw...
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 Irregular Heartbeats: Causes and Management Tips
Understanding Palpitations: Distinguishing Strong Heartbeats from Arrhythmias
Inquiry Consultation Dear Dr. He, I have a few questions to ask you: Q1. Recently, I came across a medical report stating that "a strong heartbeat can make us feel our heartbeat, which is completely normal without arrhythmia, yet we may still experience palpitations. There...
Dr. He Dongjin Reply:
Hello, that's correct. Palpitations do not equal arrhythmias, but you cannot determine the presence of arrhythmias or premature beats solely from palpitations. I'm not a fortune teller, and I cannot know if your last episode of palpitations was associated with arrhythmi...[Read More] Understanding Palpitations: Distinguishing Strong Heartbeats from Arrhythmias
Managing Atrial Fibrillation: Medication Consultation and Concerns
Consultation on Antiarrhythmic Medications Hello Director: Currently, due to arrhythmia, premature atrial contractions, and paroxysmal atrial fibrillation, I have been taking one tablet of Rynol (Ranolazine) twice daily for over two months. My heart rate was over 100 beats per mi...
Dr. He Dongjin Reply:
Hello, reducing to 1-2 times a week is considered controlled, unless the medication dosage is increased. With an ALT of 60 and LDL of 120, if you have concerns about liver side effects, you can start with dietary control and reduce oil intake. We can discuss further after your bl...[Read More] Managing Atrial Fibrillation: Medication Consultation and Concerns
Understanding Atrial Fibrillation Ablation for Dialysis Patients
Atrial fibrillation ablation? Hello Doctor: I am a dialysis patient. Early on, dialysis caused atrial premature beats, which later progressed to atrial fibrillation. Despite medication treatment, the results were not satisfactory. Following my physician's recommendation, I u...
Dr. He Dongjin Reply:
Hello, during dialysis, if you experience discomfort, it may be related to atrial fibrillation. It might be necessary to monitor your heart during dialysis or arrange for a 24-hour Holter monitor to track your current heart rhythm status for further evaluation. Changhua Hospital ...[Read More] Understanding Atrial Fibrillation Ablation for Dialysis Patients
Understanding Heart Health: Symptoms and When to Seek Medical Advice
Medical consultation Hello, doctor! I often experience pale lips, occasional chest tightness and pain, and I have woken up suddenly while sleeping due to a sensation of my heart skipping beats and difficulty breathing. My heart rate is quite fast, often around 145 beats per minut...
Dr. He Dongjin Reply:
Hello, it is recommended to visit the outpatient clinic for an examination to understand what the issue is. Knowing the problem is essential to determine whether it may worsen. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Health: Symptoms and When to Seek Medical Advice
Understanding the Impact of Heat Exhaustion on Heart Rate and Health
Inquiry Consultation Hello Dr. He, Yesterday (July 24), I felt unwell with symptoms including sweating, fatigue, low-grade fever, a dull headache, and an increased heart rate. I measured my heart rate with a blood pressure monitor, which peaked at 99 beats per minute, and throug...
Dr. He Dongjin Reply:
Hello, the heart rate is regulated by the brain based on the body's needs at the time. Not only heatstroke, but any physical discomfort can potentially cause an increased heart rate, especially when the body is relatively dehydrated. The heart needs to beat faster to meet th...[Read More] Understanding the Impact of Heat Exhaustion on Heart Rate and Health
Sudden Heart Racing During Naptime: Should You Be Concerned?
During my lunch break, I felt a sudden increase in my heart rate while sleeping on my side? Hello, Doctor. I consulted you a while ago regarding my VPC issues. A few days ago, I had a second Holter monitor test, and the results were completely normal with no issues related to VPC...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to occasionally experience some physical discomfort. Abnormal heartbeats such as VPCs (ventricular premature contractions) may occur more or less frequently, but they do not necessarily lead to organ damage or an increased risk of sudd...[Read More] Sudden Heart Racing During Naptime: Should You Be Concerned?
Understanding Myocardial Perfusion Reports: What Do the Results Mean?
Myocardial Perfusion Medical Report The results of this report indicate that there are issues with the heart. The Tl-201 myocardial perfusion SPECT study shows mixed myocardial scarring with ischemia in the mid to basal inferolateral wall and mid to basal inferior wall. Additiona...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further treatment is necessary. Thank you, and wishing you good health![Read More] Understanding Myocardial Perfusion Reports: What Do the Results Mean?
Understanding Tricuspid Valve Insufficiency After Heart Procedures
Tricuspid valve insufficiency? Hello, doctor: Last July, I underwent catheter ablation for paroxysmal supraventricular tachycardia, and the procedure was successful. At that time, a cardiac ultrasound was performed, and everything was normal. Although this past year, my heart rat...
Dr. He Dongjin Reply:
Hello, the cause of tricuspid valve insufficiency is unknown, so let's just monitor it. As for whether to take medication, it's up to you; if you feel more comfortable taking it, then go ahead. Otherwise, simple observation should suffice. I believe the medication is in...[Read More] Understanding Tricuspid Valve Insufficiency After Heart Procedures
How Often Should You Get a Heart Ultrasound? Understanding Your Reports
How often should a cardiac ultrasound be performed (and how to interpret the cardiac ultrasound report)? Hello, Doctor. I have two echocardiogram reports that are about two months apart. 1. In one of the reports, the LAD (19-40mm): 43. Does this indicate left atrial enlargement...
Dr. He Dongjin Reply:
Hello, follow-up should be done at most once a year; it should be a measurement error. A difference of two months is significant. Undergoing valve surgery will not eliminate premature beats, and no one undergoes surgery for such mild issues. Valve repair surgery does not involve ...[Read More] How Often Should You Get a Heart Ultrasound? Understanding Your Reports