Post-Ablation Atrial Fibrillation: Understanding Complications and Treatments
Atrial Fibrillation - Post-Cryoablation Procedure My father underwent a cryoablation procedure on Tuesday, May 17, and has been experiencing irregular heartbeats post-surgery. The frequency of these irregularities is quite high, and he has not been discharged yet. On the morning ...
Dr. Huang Yinghe Reply:
Hello: It is quite common for patients to experience recurrent atrial arrhythmias within three months after catheter-based cryoablation for atrial fibrillation, with an incidence of about 40%. This is generally believed to be related to the inflammatory response of the atrial tis...[Read More] Post-Ablation Atrial Fibrillation: Understanding Complications and Treatments
Understanding Dizziness, Palpitations, and Mitral Valve Issues: Key Insights
Dizziness, valvular insufficiency, transient vision loss, palpitations? Hello Doctor, I have mitral valve prolapse with regurgitation and occasionally take Inderal. Recently, I have been experiencing sudden dizziness, complete darkness in my vision, rapid heartbeat that makes me ...
Dr. Wu Xueming Reply:
1. Change of posture, please slow down your movements. 2. It is possible. 3. The chances are low. 4. If the 24-hour Holter monitor results are normal, this possibility can be ruled out. 5. Irrelevant. 6. You can visit the neurology department for autonomic nervous syste...[Read More] Understanding Dizziness, Palpitations, and Mitral Valve Issues: Key Insights
Understanding Postural Hypotension and Its Link to Syncope
Orthostatic hypotension causing syncope? Hello Director Wu, I have been experiencing postural hypotension with dizziness more noticeably than those around me, but usually, I recover after standing still for a few seconds. However, a few weeks ago, I experienced a situation where ...
Dr. Wu Xueming Reply:
1. Is there anything special to pay attention to with multiform VPCs? It is recommended to adjust your daily routine and engage in regular exercise. Limit caffeine intake from sources such as tea or coffee. 2. Is it possible that my condition is vasovagal syncope? Is there a ne...[Read More] Understanding Postural Hypotension and Its Link to Syncope
Understanding Your Heart Health: Insights from Myocardial Perfusion Reports
I would like to ask the doctor to review this report? 1. I would like to ask the physician to review these two reports regarding the degree of myocardial ischemia and myocardial perfusion: The Tl-201 myocardial perfusion SPECT scintigraphy was performed 5 minutes after intravenou...
Dr. He Dongjin Reply:
Hello, chest pain is generally not related to the heart rate. The symptoms should be considered atypical. The attending physician may use medication for management. If you still feel uncomfortable or are concerned, you may opt for a self-paid CT scan. Changhua Hospital cares abou...[Read More] Understanding Your Heart Health: Insights from Myocardial Perfusion Reports
Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Bradycardia with a heart rate of approximately 38-45 beats per minute? I am currently 69 years old and have issues with hypertension and benign prostatic hyperplasia. I am currently taking 2 mg of Clonidine and Diovan daily, and my blood pressure is well controlled (I was also ta...
Dr. Wu Xueming Reply:
If both the echocardiogram and the 24-hour Holter electrocardiogram show normal results, then regular follow-up is sufficient, and no further tests are needed.[Read More] Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Understanding Mediterranean Anemia: Symptoms and Blood Test Insights
Mediterranean anemia Based on your blood test results showing a hemoglobin level of 12.6 g/dL, MCV of 90.2 fL, and red blood cell count of 4.10 million cells/µL, along with your symptoms of occasional dizziness, especially when standing up after squatting, it is important to cons...
Dr. He Dongjin Reply:
Hello, it is likely not Mediterranean anemia. Feeling dizzy when standing up could be due to orthostatic hypotension. Please observe the situation. Changhua Hospital cares about you.[Read More] Understanding Mediterranean Anemia: Symptoms and Blood Test Insights
Managing Dizziness When Standing: Tips for Seniors with Diabetes
Occasionally experiencing dizziness when standing up from a lying position? An elderly family member has diabetes and has recently experienced dizziness and even fainting when standing up after lying down. They regularly monitor their blood pressure and blood sugar levels, with b...
Dr. He Dongjin Reply:
Hello, this is what is known as orthostatic hypotension. If you are taking blood pressure medication, please consider reducing the dosage and be cautious to avoid falls. Changhua Hospital cares about your well-being.[Read More] Managing Dizziness When Standing: Tips for Seniors with Diabetes
Understanding Abnormal Heart Rhythms: Causes and Solutions for Young Adults
Electrocardiogram (ECG) abnormal arrhythmia? Hello Doctor, I am 21 years old with no past medical history. My electrocardiogram shows abnormal heart rhythm (incomplete right bundle branch block and left axis deviation), and my blood pressure is consistently low, around 94-87/60-4...
Dr. Huang Yinghe Reply:
Hello: The described electrocardiogram results generally do not indicate a heart problem. Slightly low blood pressure is not a concern if there are no discomforts in daily life. Dizziness upon standing up is a symptom of "orthostatic hypotension," which occurs when a ch...[Read More] Understanding Abnormal Heart Rhythms: Causes and Solutions for Young Adults
Understanding Low Blood Pressure and Slow Heart Rate: When to Seek Help
Hypotension and bradycardia? Hello Doctor, for the past year or two, I have been monitoring my blood pressure, which is usually around 85/55 mmHg, and my heart rate is about 50 bpm. Recently, I have been experiencing more severe symptoms of orthostatic hypotension; when I stand u...
Dr. Wu Xueming Reply:
Please drink plenty of water and avoid rapid changes in posture. If symptoms do not improve, please go to the hospital for further examination.[Read More] Understanding Low Blood Pressure and Slow Heart Rate: When to Seek Help
Understanding Leg Numbness and Pain with Low Blood Pressure: A Cardiovascular Perspective
Numbness and tingling in the legs accompanied by low blood pressure? Hello Doctor, my father is 63 years old. A year ago, he experienced numbness and tingling in his legs, and an orthopedic surgeon performed surgery for "lumbar disc nerve adhesion." However, his symptom...
Dr. Li Han Reply:
Hello, regarding your inquiry about your father's condition of having dark purple microvascular changes in his feet, experiencing tingling and exacerbated hypotension while sitting or standing, but relief of symptoms when lying down, could this be indicative of "lower e...[Read More] Understanding Leg Numbness and Pain with Low Blood Pressure: A Cardiovascular Perspective
Impact of Priligy on Patients with Aortic Regurgitation: A Clinical Inquiry
What is the effect of Priligy on patients with aortic regurgitation? Hello Dr. Lee, I have moderate to severe aortic regurgitation, with a history of 30 years. I also have left bundle branch block, but the physician seems to consider this less significant. I have not undergone s...
Dr. Li Han Reply:
Hello, regarding your inquiry about "moderate-severe aortic regurgitation with a 30-year history, along with left bundle branch block, long-term medication (Valsartan) for control, LVIDD approximately 51, LVEF approximately 75%, and no issues with normal activities, includin...[Read More] Impact of Priligy on Patients with Aortic Regurgitation: A Clinical Inquiry
Rapid Heartbeat and Breathing Issues After Bending or Squatting: Causes Explained
Bending down and squatting can lead to increased heart rate and difficulty breathing upon standing up? Hello doctor, recently I have experienced a sudden increase in heart rate and difficulty breathing when bending down and standing up. I also feel slightly dizzy. Additionally, f...
Dr. He Dongjin Reply:
Hello, experiencing an increased heart rate and slight dizziness when standing up from a squat may be caused by orthostatic hypotension. It might be helpful to take your time when changing positions. The soreness in your back, ribs, and shoulders is likely just general muscle and...[Read More] Rapid Heartbeat and Breathing Issues After Bending or Squatting: Causes Explained
Can Elderly Heart Failure Patients Safely Receive COVID-19 Vaccines?
Heart failure Hello Dr. Wu, my 82-year-old grandmother had a stroke this February. The doctor recommended a cardiac stent placement, but she experienced acute heart failure the day after the procedure and was hospitalized for several days. Currently, she is classified as a Stage ...
Dr. Wu Xueming Reply:
Due to your grandmother's advanced age and history of heart failure, it is recommended to have her evaluated by a cardiologist in an outpatient setting. If her current condition is unstable, it is advisable to postpone the vaccination.[Read More] Can Elderly Heart Failure Patients Safely Receive COVID-19 Vaccines?
Understanding Shortness of Breath: Causes and When to Seek Help
Dyspnea I have been experiencing slight dizziness when standing up suddenly for several years, but recently the duration and intensity of the dizziness have increased. One time, when I quickly stood up from lying flat on the bed, I even experienced blackouts and felt like I could...
Dr. Wu Xueming Reply:
Based on your description, orthostatic hypotension could be a possible cause of the symptoms. However, if the symptoms persist, it is still advisable to go to the hospital for further evaluation.[Read More] Understanding Shortness of Breath: Causes and When to Seek Help
Understanding Rapid Heartbeat: Heart Issues or Autonomic Nervous System Disorder?
Increased heart rate? Hello, I was hospitalized for acute myocarditis two years ago, and after discharge, I have been continuously taking Kankun 1.25. During that time, my resting heart rate was maintained between 50 and 60 beats per minute. Around the end of January this year, I...
Dr. Wu Xueming Reply:
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Rapid Heartbeat: Heart Issues or Autonomic Nervous System Disorder?
Understanding Your Heart Report: What Do the Results Mean?
Clarification of the report content? Hello Doctor: Recently, I underwent an echocardiogram due to palpitations, and the report indicated that there are no significant structural issues. However, I found that the results show four valves with regurgitation, mitral valve prolapse, ...
Dr. Wu Xueming Reply:
± indicates that a value of 32 mmHg is within the normal range for mild hypotension.[Read More] Understanding Your Heart Report: What Do the Results Mean?
Understanding Palpitations: Causes and Concerns for Young Patients
I frequently experienced palpitations during elementary school? Hello doctor, I have been experiencing palpitations since elementary school, but they are quite unusual. I almost have palpitations every day, especially when I sit down or stand up. Sometimes my heart may skip a bea...
Dr. Huang Yinghe Reply:
The described symptoms are suggestive of orthostatic hypotension. It is recommended to maintain adequate hydration and engage in appropriate exercise to improve vascular elasticity. Artificial blood vessels and oral retinoids do not cause arrhythmias. It is advisable to minimize ...[Read More] Understanding Palpitations: Causes and Concerns for Young Patients
Managing Mitral Valve Prolapse and Low Blood Pressure in Cold Work Environments
History of mitral valve insufficiency/prolapse and hypotension? As a child, there was a history of mitral valve regurgitation/prolapse and hypotension. The work environment requires moving between -20°C to 7°C for about 10 hours, with approximately two five-minute breaks througho...
Dr. Wu Xueming Reply:
Your symptoms are not related to mitral valve prolapse. It is recommended to maintain a regular schedule, get plenty of rest, stay hydrated, keep warm, and engage in regular exercise.[Read More] Managing Mitral Valve Prolapse and Low Blood Pressure in Cold Work Environments
Managing Myocardial Bridge: Medication Insights and Patient Concerns
Medications for myocardial bridge? Dear Dr. He, I was diagnosed with myocardial bridge 11 years ago through a CT scan, located at the proximal segment of the left anterior descending artery. I have been consistently taking medication and managing my hypertension, hyperlipidemia,...
Dr. He Dongjin Reply:
Hello, myocardial bridge does not necessarily worsen with age. In Taiwan, the final proportion of patients undergoing bypass surgery is 0. Medication should primarily focus on controlling the three highs (hypertension, hyperlipidemia, and diabetes). Currently, there are no effect...[Read More] Managing Myocardial Bridge: Medication Insights and Patient Concerns
Understanding Heart Rate Variations: When to Seek Medical Advice
Heart rate issues Hello, doctor. I would like to ask about my heart rate. When I am sitting or lying down, my heart rate is around 69-88 beats per minute, but when I stand up, it increases to 95-112 beats per minute. Even when I stand still for a while, my heart rate remains in t...
Dr. He Dongjin Reply:
Hello, the number of jumps depends on the brain and is controlled by the autonomic nervous system. Jumping according to the body's needs may indicate that your blood pressure is not high. If you experience orthostatic hypotension when standing, the brain commands the heart t...[Read More] Understanding Heart Rate Variations: When to Seek Medical Advice