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
Frequent Heart Discomfort Before Sleep: What You Need to Know
Frequent heart discomfort before bedtime? Hello Doctor, I experience discomfort in my heart before going to sleep. Previously, I would occasionally feel a brief pause in my heartbeat followed by a cough as a physiological response. However, recently, every night before sleep, in ...
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 daily routine and engage in regular exercise. However, if symptoms persist, it is recommen...[Read More] Frequent Heart Discomfort Before Sleep: What You Need to Know
Managing WPW Syndrome: Daily Tips and Exercise Guidelines
What precautions should individuals with WPW syndrome take in their daily lives? Is exercise allowed? I was informed during my military service examination that I might have Wolff-Parkinson-White (WPW) syndrome. I have experienced dizziness since childhood, and during college, I ...
Dr. Wu Xueming Reply:
If Wolff-Parkinson-White (WPW) syndrome presents with arrhythmias, it is recommended to consider catheter ablation. A 24-hour Holter monitor can be performed in an outpatient setting for further evaluation.[Read More] Managing WPW Syndrome: Daily Tips and Exercise Guidelines
Understanding Continuous VPCs: Concerns and Risks for Heart Health
Skipped VPCs continuously? Hello, Director. I apologize for previously asking you many questions about my missed beats. My check-ups have all been normal, but it has been sporadic. However, tonight it has become quite severe with continuous missed beats that haven't stopped....
Dr. He Dongjin Reply:
Hello, the three ECGs show little change, so the risk of danger should be low. The probability of developing ventricular tachycardia (VT) should be even lower. It would be appropriate to increase the medication dosage a bit over the next few days. Changhua Hospital cares about yo...[Read More] Understanding Continuous VPCs: Concerns and Risks for Heart Health
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
Can I Get a Neck MRI After Heart Stent Placement?
Cervical MRI after coronary stent placement? Hello Dr. Wu, I had a stent placed in my coronary artery (left anterior descending artery) in April 2023. I currently have issues with cervical spine compression, and the neurosurgery department has scheduled an MRI of my cervical spin...
Dr. Wu Xueming Reply:
Coronary artery stents will not displace due to magnetic resonance imaging, so you don't need to worry.[Read More] Can I Get a Neck MRI After Heart Stent Placement?
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 Your Heart Report: Insights on Palpitations and ST Changes
Please have a look at my report, doctor. Thank you? Palpitations Interpretation: Pretest: no specific ST-T changes. Exercise: upsloping ST depression in leads II, III, aVF, V4-V6. Recovery: upsloping ST depression in leads II, III, aVF, V4-V6. Causes of termination: Exercise Max....
Dr. He Dongjin Reply:
Hello, a negative result indicates that everything is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your Heart Report: Insights on Palpitations and ST Changes
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 Ventricular Premature Contractions: Treatment Options and Insights
Premature Ventricular Contractions (PVCs) Issues Hello, Director! Last April, I inquired about VPC-related issues. Three years ago, I underwent a catheter ablation (initially through a vein, but switched to an artery midway). However, my arrhythmia returned afterward. The previou...
Dr. He Dongjin Reply:
Hello, to be honest, you are prone to VPCs, but they may cause you increased anxiety. I would suggest actively addressing this, possibly with another round of catheter ablation or increasing your medication dosage. I recommend seeking a third opinion from another medical center i...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Insights
Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients
Valvular insufficiency I'm sorry, doctor, my report is as follows: am I experiencing prolapse or insufficiency? Some doctors say I have prolapse, while others say I have mild to moderate insufficiency. I'm very confused, but it is true that I can only stay awake for thr...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients
Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Swelling of the dorsum of the foot and the ankle? Hello, my mother is 76 years old. She was previously taking a blood pressure medication called Shumaiyou (40/5/12.5 mg). However, due to issues with postprandial hypotension, the doctor switched her to Unisia (Candesartan 8 mg + A...
Dr. Wu Xueming Reply:
In addition to the side effects of medications, issues with the heart or kidneys can also cause edema. It is recommended to return to the hospital outpatient department for further examination.[Read More] Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Understanding Your Echocardiogram Report: Key Insights and Normal Findings
Hello doctor, I would like to inquire about the echocardiogram report. Thank you? LV-D: 41 (40-56) mm LA: 23 (25-40) mm PA systolic pressure: 35 mmHg LV-S: 24 (20-38) mm AO: 30 (22-40) mm Pericardial effusion: mm LVS: 9 (7-12) mm RV: 23 (21-27) mm Quality: 04 (21-27) mm LVPW: 8 (...
Dr. Wu Xueming Reply:
The report indicates that both the structure and function of the heart are normal, with mild valve regurgitation that does not affect cardiac function, so there is no need for concern.[Read More] Understanding Your Echocardiogram Report: Key Insights and Normal Findings
Understanding Your Echocardiogram Results: Do You Need Further Testing?
Echocardiogram Hello Doctor, I would like to ask if there are any issues with my ultrasound report. This examination was conducted at the end of 2022, and do I need to go to the hospital for another check-up? Recently, the changes in weather have made me feel more anxious... Plea...
Dr. Wu Xueming Reply:
The report indicates that both the structure and function of the heart are normal, so there is no need for concern.[Read More] Understanding Your Echocardiogram Results: Do You Need Further Testing?
Is There a Link Between Arrhythmia and Thymoma?
Is there a relationship between arrhythmia and thymoma? Hello Doctor, my mother is currently 59 years old and has been experiencing arrhythmia for the past few months, along with consistently high blood pressure. However, her cardiac evaluations have shown no issues. She has a hi...
Dr. He Dongjin Reply:
Hello, thymoma? Do you have thymoma? In recent months, you have experienced arrhythmia and elevated blood pressure, which may be due to autonomic nervous system instability. It is advisable to consult a cardiologist for further examination. Ping An Changhua Hospital cares about y...[Read More] Is There a Link Between Arrhythmia and Thymoma?
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