Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Atrial premature contractions & mitral valve prolapse? Hello, Doctor. This is my third consultation. Sometimes the hospital visits are so rushed that I forget to ask some questions. I have been diagnosed with premature atrial contractions and mitral valve prolapse, which has ...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular daily routine in addition to medication management, adjust your mood, reduce excessive stress, engage in regular exercise, and avoid excessive consumption of caffeinated beverages.[Read More] Understanding Atrial Premature Contractions and Mitral Valve Prolapse
Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Exercise electrocardiogram hypoxia Dr. Huang: Hello, I have been experiencing swelling in my right foot after getting out of bed for a long time, but it only extends up to my ankles. In the morning, my feet are normal when I first step on the ground, but they gradually swell thro...
Dr. Huang Yinghe Reply:
Hello Mr. Lin: Common internal organ issues associated with lower limb edema include heart failure, renal dysfunction, or liver cirrhosis. Other causes may include local circulation problems, high dietary salt intake, and many others. If cardiac, hepatic, and renal function tests...[Read More] Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Managing Hypertension: Understanding Medication Side Effects and Symptoms
Hypertension, medication side effects? Hello Doctor: On June 2nd, while I was sitting and preparing to stand up from a chair, I suddenly experienced severe back pain that made it difficult to speak and caused breathing difficulties. When I arrived at the emergency room, blood tes...
Dr. He Dongjin Reply:
Hello, I am not sure if you have hypertension, but you cannot assume you have high blood pressure just because of one instance of discomfort. It is advisable to first stabilize your condition. If your blood pressure remains stable, you may even consider stopping Nebivolol. For th...[Read More] Managing Hypertension: Understanding Medication Side Effects and Symptoms
Understanding Sudden Dizziness and Low Blood Pressure in Diabetics
Sudden onset of visual disturbances (seeing stars) and a blood pressure drop to 80? Hello doctor, I have diabetes and hypertension, and I take medication daily to manage them. My blood pressure usually ranges between 115 and 105. Today, while working in the field around 10 AM, I ...
Dr. Wu Xueming Reply:
If blood pressure is too low, it is recommended to stop the medication. Regular exercise and avoiding excessive salt intake are advised. If blood pressure can be maintained within the normal range, medication may not be necessary.[Read More] Understanding Sudden Dizziness and Low Blood Pressure in Diabetics
Understanding Renal Denervation: A Potential Solution for Uncontrolled Hypertension
Regarding renal denervation (RDN) for hypertension? Hello Doctor, my mother is 56 years old and is obese with a history of hypertension that has been treated for many years. Currently, her hypertension medication has been unstable, with episodes of tachycardia, elevated blood pre...
Dr. Huang Yinghe Reply:
Hello Winnie: The causes of hypertension are believed by the academic community to involve three main physiological mechanisms: excessive sympathetic nervous system activation, salt/water retention, and the renin-angiotensin system. Antihypertensive medications target these mecha...[Read More] Understanding Renal Denervation: A Potential Solution for Uncontrolled Hypertension
Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?
Is it safe for someone with moderate to severe tricuspid regurgitation to receive the COVID-19 vaccine? Hello, my mother is 75 years old and has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation. She often experiences sho...
Dr. Li Han Reply:
Hello: Based on your description, your 75-year-old mother has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation symptoms. She often experiences shortness of breath and difficulty breathing. She has been on anticoagulants ...[Read More] Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?
Understanding Dilated Left Atrium: Risks and Causes Explained
Issues with Echocardiogram Report Hello Dr. Lee, I am 29 years old and have been experiencing long-term chest tightness and pain, along with shortness of breath. Recently, I underwent an echocardiogram, which revealed a dilated left atrium measuring 45 mm and mild tricuspid and p...
Dr. Li Shengkai Reply:
If a cardiac ultrasound examination reveals that the left ventricle size exceeds 40 millimeters, it indicates left ventricular enlargement, which is commonly seen in older patients or those with hypertension. Your left ventricular enlargement is currently classified as mild, so t...[Read More] Understanding Dilated Left Atrium: Risks and Causes Explained
Managing Blood Pressure Medication: Concerns and Solutions for Hypertension
Blood pressure medication issues? Hello Doctor: I have had high blood pressure for about 6 years, and I have been controlling it with Amlodipine 80/5, maintaining levels between 120-130/80-90. Recently, one day my blood pressure suddenly rose to 170/94. After taking my usual bloo...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Managing Blood Pressure Medication: Concerns and Solutions for Hypertension
Managing Hypertension: Do I Need to Continue Multiple Medications?
Issues with Hypertension Medications Hello, Director Wu! I started taking blood pressure medication six years ago when my blood pressure was 145/85, and my cholesterol was high at 230, while my triglycerides were normal at 100. The doctor prescribed Amlodipine 160 mg. After that,...
Dr. Wu Xueming Reply:
Due to the presence of calcification in the coronary arteries, it is essential to properly control blood pressure and lipid levels. If there are any side effects from the current medication, it is advisable to discuss with the prescribing physician whether a change in medication ...[Read More] Managing Hypertension: Do I Need to Continue Multiple Medications?
Managing Hypertension Medications: Expert Advice on Dosage and Compliance
Issues with Hypertension Medications Hello, Director Wu! I would like to ask if I should continue taking Berkey? Is 2 mg of Liching suitable for me? I didn't take my medication on time before, and my blood pressure has risen again. The doctor advised me to switch to 20 mg of...
Dr. Wu Xueming Reply:
Due to the calcification of the coronary arteries, the physician recommends continuing the medication. There are many types of lipid-lowering medications available; if there are any side effects, please discuss switching to another medication with the prescribing physician.[Read More] Managing Hypertension Medications: Expert Advice on Dosage and Compliance
Post-COVID Heart Rate Increase: Should You Be Concerned?
After being diagnosed with COVID-19, there is a noticeable increase in heart rate? Hello, Doctor He: Last week, I felt unwell and after testing positive with a rapid test and PCR, I isolated at home for 7 days. Today is the 8th day, and I have completed my isolation. I noticed th...
Dr. He Dongjin Reply:
Hello, the heartbeat is controlled by the brain. The brain determines how many times the heart should beat based on the body's needs. After a COVID-19 diagnosis, the body may still have some immune responses, which could lead the brain to signal the heart to pump faster for ...[Read More] Post-COVID Heart Rate Increase: Should You Be Concerned?
Understanding Heart Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in my left fingertips. Last night, the numbness persisted for several hours, extending from my fingertips to my upper arm. I have been concerned that this might be atypical angina....
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there is no need to worry too much. You may consider taking B vitamins or visiting...[Read More] Understanding Heart Symptoms: When to Seek Further Testing
Understanding Heart-Related Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in the fingertips of my left hand. Last night, the numbness persisted for several hours, spreading from my fingertips to my upper arm. I have been concerned that this might be atyp...
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there's no need to worry too much. You may consider taking B vitamins or visi...[Read More] Understanding Heart-Related Symptoms: When to Seek Further Testing
Understanding Pulmonary Hypertension and Heart Conditions: A Comprehensive Guide
Is there a connection between pulmonary hypertension and other heart problems? Electrocardiogram (ECG) findings or pathology report content examination purpose and: Result: Normal sinus rhythm with sinus arrhythmia. Normal ECG. Echocardiogram (including single and dual views) ...
Dr. He Dongjin Reply:
Hello, there are no signs of pulmonary hypertension or other heart issues; everything is basically normal, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Pulmonary Hypertension and Heart Conditions: A Comprehensive Guide
Understanding Myocardial Perfusion Scan Results in Coronary Artery Disease
Coronary artery disease, seeking advice on the results of a cardiac nuclear scan? Examination Item: Tl-201 Myocardial Perfusion Scan 1. Stress Imaging: The stress imaging following intravenous infusion of dipyridamole and the post-dipyridamole SPECT images revealed moderate hypo...
Dr. Huang Yinghe Reply:
Hello: The nuclear medicine examination shows moderate myocardial perfusion reduction, and the exercise electrocardiogram is also positive, indicating a certain degree of myocardial hypoxia, commonly associated with coronary artery stenosis (but these two tests cannot definitivel...[Read More] Understanding Myocardial Perfusion Scan Results in Coronary Artery Disease
Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery
Electrocardiogram (ECG) results? Hello, Doctor. I underwent a uterine fibroid surgery last week. Prior to the surgery, due to the fibroid's unusual location, it was compressing the ureters, leading to bilateral hydronephrosis and resulting in decreased kidney function, with ...
Dr. He Dongjin Reply:
Hello, determining the presence of biventricular hypertrophy through an electrocardiogram may not always be accurate, and it is not necessarily related to renal function decline. If you are concerned, it is advisable to visit a cardiology clinic for further evaluation. It may be ...[Read More] Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery
Managing High Blood Pressure Medications: Can You Increase Dosage Safely?
Issues with Hypertension Medications Currently, I am a hypertension patient and take medication regularly: 80/12.5mg of Amlodipine once a day. Recently, my blood pressure has been spiking to 160-170 for no apparent reason. However, I am currently abroad and it is inconvenient for...
Dr. Wu Xueming Reply:
You can add one more pill, but if the blood pressure remains high, it is advisable to consult a physician for medication adjustment.[Read More] Managing High Blood Pressure Medications: Can You Increase Dosage Safely?
Interactions Between Chronic Medications and Cranberry Supplements: A Guide
The issue of taking chronic disease medications alongside cranberry tablets? Hello Doctor: My grandmother has diabetes, hypertension, and heart disease, so she has been taking chronic disease medications, which include CADUET 5/20 mg, Glucomine 500 mg, BLOPRESS 8 mg, and ASPIRIN ...
Dr. Wu Xueming Reply:
Cranberry tablets do not have any interactions with the aforementioned medications.[Read More] Interactions Between Chronic Medications and Cranberry Supplements: A Guide
Understanding Cardiac Catheterization: Misdiagnosis and Heart Health Concerns
Cardiac catheterization In January 2021, I underwent a nuclear medicine myocardial perfusion imaging test that indicated hypoxia; however, I do not have hypertension, diabetes, or hyperlipidemia, and I did not experience symptoms of chest tightness or chest pain at that time. The...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Cardiac Catheterization: Misdiagnosis and Heart Health Concerns
Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights
Inquiry Consultation Dear Dr. He, I have two questions I would like to consult with you. <Question 1> Recently, I accompanied my mother to a local hospital for a consultation. While waiting, I noticed that the hospital had "tunnel-type" blood pressure monitors. ...
Dr. He Dongjin Reply:
Hello, blood pressure measurements taken at general hospitals often tend to be higher due to insufficient rest, slight anxiety, or white coat hypertension. Therefore, patients are encouraged to measure and record their blood pressure at home. Just because you had one high reading...[Read More] Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights