Understanding Chest Pain: Is It a Sign of Heart Attack?
Chest pain? Currently managing diabetes, hypertension, and heart disease with medication. At 3 PM in the office, I suddenly experienced sharp chest pain that lasted for 10 minutes. Could this be a precursor to a myocardial infarction, and how should I respond?
Dr. Wu Xueming Reply:
Numbness or tingling is not a typical symptom of a myocardial infarction; however, if it persists and intensifies, it is advisable to seek further evaluation at a hospital.[Read More] Understanding Chest Pain: Is It a Sign of Heart Attack?
Understanding Your Echocardiogram: Key Insights on Heart Health
Echocardiography, Doppler ultrasound of the heart? Hello, doctor. I would like to ask about my recent examination report. The electrocardiogram report is normal, and the doctor did not mention anything specific at that time. However, I noticed that the echocardiogram indicates so...
Dr. He Dongjin Reply:
Hello, I believe the outpatient physician's opinion should be prioritized, as they can view the actual imaging. Relying solely on the report may lead to misinterpretation. It is advisable to return to the outpatient clinic to discuss the report with the attending physician. ...[Read More] Understanding Your Echocardiogram: Key Insights on Heart Health
Understanding Arrhythmia: Blood Pressure and Heart Rate Concerns Post-Pregnancy
Arrhythmia Hello doctor, last year I had gestational hypertension during my pregnancy. After giving birth this year, I have been measuring my blood pressure at home. During the day, my readings are normal, but in the evening, they occasionally fluctuate around 140/90. Does this m...
Dr. Wu Xueming Reply:
Is it necessary to go to the hospital for an electrocardiogram (ECG) if there is an arrhythmia?[Read More] Understanding Arrhythmia: Blood Pressure and Heart Rate Concerns Post-Pregnancy
Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Does Fylin Retard interact with Nebilet and Exforge? My father has hypertension and usually takes Nebilet and Exforge for control. However, recently he has had issues with proteinuria, and the nephrologist prescribed Fylin Retard, one tablet daily. After less than half a month, h...
Dr. Li Han Reply:
Hello, Fylin Retard (Pentoxifylline) is mentioned in the package insert, indicating that while it is not common, it may enhance the antihypertensive effects of antihypertensive medications and other drugs that lower blood pressure. If your father's blood pressure has shown s...[Read More] Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Key Considerations for Heart Ultrasound Report Interpretation
Issues with Echocardiogram Report Due to experiencing shortness of breath when climbing stairs and having a generally elevated heart rate, an echocardiogram was performed. However, the follow-up appointment is scheduled for three months later, so I would like to inquire about any...
Dr. He Dongjin Reply:
Hello, you have moderate mitral valve prolapse with regurgitation. Please return to the outpatient clinic to discuss further follow-up with your physician. Changhua Hospital cares about you.[Read More] Key Considerations for Heart Ultrasound Report Interpretation
Understanding Irregular Heartbeats After Meals: What You Need to Know
Irregular heartbeat? Hello, Doctor. I weigh 94 kg and am 178 cm tall, giving me a BMI of 29.6. I have a family history of hypertension (around 140/85). Recently, I have been actively losing weight, going from 100 kg to 94 kg, and my blood pressure has decreased to around 135/80. ...
Dr. He Dongjin Reply:
Hello, it seems like you might be experiencing autonomic nervous system dysfunction. It would be advisable to undergo a 24-hour Holter monitor test. If everything is fine, consider visiting a psychosomatic medicine specialist. Take care from Changhua Hospital.[Read More] Understanding Irregular Heartbeats After Meals: What You Need to Know
Understanding Pulmonary Hypertension and Ventricular Hypertrophy: Key Insights
Pulmonary hypertension / Ventricular hypertrophy I see that my RVSP is 30 mmHg and I'm unsure if this indicates a problem with pulmonary hypertension. Additionally, there is a significant difference between the two measurements of IVSd and LVPWd; does this suggest hypertroph...
Dr. He Dongjin Reply:
Hello, everything seems fine. I believe there is no issue and observation is sufficient. Changhua Hospital cares about you.[Read More] Understanding Pulmonary Hypertension and Ventricular Hypertrophy: Key Insights
Can Nebilet and Propranolol Be Taken Together Safely?
Can Nebilet (5 mg) and Propranolol be taken together? Hello, Director Wu. I have a history of hypertension due to organ transplantation. Recently, I have been experiencing discomfort with a fast heart rate of 100 beats per minute after exercise. The organ transplant hospital orig...
Dr. Wu Xueming Reply:
If the heart rate is too slow (below 50 beats per minute), choose to take one of the following medications.[Read More] Can Nebilet and Propranolol Be Taken Together Safely?
Can You Get Vaccinated with an ICD? Safety of Magnetic Necklaces Explained
Can a person with an implanted defibrillator receive vaccinations? And is it safe to wear a magnetic necklace? I have hypertension and hyperlipidemia, and on October 5, 2022, I experienced tachycardia with a heart rate of 200 beats per minute, leading to cardiac arrest, after whi...
Dr. Huang Yinghe Reply:
Hello: 1. The implantation of an ICD does not affect vaccination; in principle, if there is no acute infection and the patient's physical condition is stable, vaccination should be possible. The vaccination process will be evaluated by a physician, so please proactively info...[Read More] Can You Get Vaccinated with an ICD? Safety of Magnetic Necklaces Explained
Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Myocardial ischemia, exercise electrocardiogram? Hello Doctor, I have noticed significant differences in the test results from a clinic and a large hospital, and I hope you can assist in interpreting them. Thank you! **[Clinic A]** 1. **24-Hour Holter Monitor:** - 402.10 HYPE...
Dr. He Dongjin Reply:
Hello, I trust large hospitals. I cannot make a judgment without seeing the relevant images, but I believe it is better to observe first. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Understanding Abnormal Electrocardiography Results and Follow-Up Care
Electrocardiogram (ECG or EKG) examination The electrocardiogram report indicates abnormalities including left atrial enlargement, atrial premature contractions, and first-degree atrioventricular block. It is recommended to follow up at a cardiology outpatient clinic, but it is n...
Dr. Wu Xueming Reply:
Please manage your blood pressure carefully. If you experience any symptoms of heart discomfort, please visit the outpatient clinic for further evaluation.[Read More] Understanding Abnormal Electrocardiography Results and Follow-Up Care
Understanding Pulmonary Hypertension: When to Get Accurate Testing?
Do I have pulmonary hypertension? Would a CT scan provide a more accurate diagnosis? I have recently been experiencing episodes of shortness of breath to the point where I can hardly walk. Whether I am walking or climbing stairs, I feel like I can't catch my breath, and it h...
Dr. Wu Xueming Reply:
A measurement of 22 mmHg does not meet the diagnostic criteria for pulmonary hypertension.[Read More] Understanding Pulmonary Hypertension: When to Get Accurate Testing?
Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Could it be pulmonary hypertension? Hello, I used to frequently dream about flooding while sleeping (this happened several times each month over the past ten years). When I woke up, I felt like I was breathing heavily. Later, after taking a sedative for a month, I started experie...
Dr. Li Shengkai Reply:
If it is pulmonary hypertension, an echocardiogram can detect it. If you still have concerns, you may seek further evaluation at a higher-level medical facility. Based on your description, in addition to cardiac issues, it is important to consider whether it may be "autonomi...[Read More] Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Understanding Heart Palpitations and Anxiety Medication Withdrawal
Hello, I would like to inquire about antiarrhythmic medications? Hello, I previously took medication for anxiety, but I had to stop because I have asthma and cannot take those medications. I'm not sure if I stopped too quickly, as I only took them for two days before discont...
Dr. Huang Yinghe Reply:
Hello: Rhythm control medications belong to the class of beta-adrenergic blockers, commonly used to alleviate symptoms of chest tightness and palpitations. Not taking the medication may lead to more frequent symptoms, but it is unlikely to cause severe complications. This medicat...[Read More] Understanding Heart Palpitations and Anxiety Medication Withdrawal
Understanding Pulmonary Hypertension: Diagnosis Challenges and Symptoms
Is pulmonary hypertension difficult to diagnose? I have recently been experiencing occasional shortness of breath to the point where I can't walk. Whether I'm walking or climbing stairs, I feel like I can't catch my breath, and it has become quite severe lately. Ho...
Dr. Huang Yinghe Reply:
Hello: A cardiac ultrasound can provide a rough estimate of pulmonary artery pressure. If the ultrasound detects suspected pulmonary hypertension, hospitalization for cardiac catheterization is necessary for accurate confirmation. There are many causes of shortness of breath, and...[Read More] Understanding Pulmonary Hypertension: Diagnosis Challenges and Symptoms
Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Experiencing a rapid heartbeat and dizziness after eating? Hello Doctor: I am 19 years old, do not have hypertension, diabetes, or hyperlipidemia, but I have thalassemia and am underweight. Last week, I was diagnosed and have had little appetite; I often start feeling full after ...
Dr. He Dongjin Reply:
Hello, after being diagnosed, it is common to experience heart rhythm issues, which can be monitored initially. If discomfort persists, you should visit a cardiology clinic for further evaluation. A heart rate of 50 to 55 beats per minute before sleep is considered normal; monito...[Read More] Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Antihistamines and Heart Disease: Understanding the Risks and Symptoms
Antihistamines causing heart disease? I went to the emergency room once, and after receiving an antihistamine injection, I experienced intense heart palpitations (my heart had never beaten this hard before). I felt like I couldn't walk and could only lie down. Later, when I ...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions if needed. Thank you, and wish you go...[Read More] Antihistamines and Heart Disease: Understanding the Risks and Symptoms
Understanding Pulmonary Hypertension: Symptoms, Diagnosis, and Management
Suspected pulmonary hypertension? I have been experiencing shortness of breath and chest tightness when walking or climbing stairs for the past year. After eating, I feel particularly breathless and have chest discomfort to the point where I can't speak. Even when my family ...
Dr. Wu Xueming Reply:
A measurement of 22 mmHg does not meet the criteria for a diagnosis of pulmonary hypertension; it is recommended to undergo further detailed examinations at a hospital.[Read More] Understanding Pulmonary Hypertension: Symptoms, Diagnosis, and Management
Understanding Blood Pressure Fluctuations: Causes, Medications, and Measurement Tips
Causes of Elevated Blood Pressure / Use of Antiarrhythmic Medications / Factors Affecting Systolic and Diastolic Blood Pressure / Methods for Measuring Blood Pressure Hello, Dr. He. I would like to ask you some questions related to blood pressure. I am currently 33 years old, 146...
Dr. He Dongjin Reply:
Hello, both your attending physician and I do not believe that you have hypertension; it sounds more like autonomic nervous system dysregulation or fluctuations in blood pressure caused by changes in both external and internal environments. External factors include weather and se...[Read More] Understanding Blood Pressure Fluctuations: Causes, Medications, and Measurement Tips
Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Hello, I would like to inquire about pulmonary hypertension caused by the sedative Amberning? Hello, I would like to ask about my situation. I accidentally took a sedative called Ambien along with an antihistamine, and since then, I have been experiencing increasing shortness of ...
Dr. Wu Xueming Reply:
Medications do not cause pulmonary hypertension; it is recommended that you go to the hospital for further evaluation.[Read More] Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions