Understanding Abnormal ECG Results in Teenagers: What Parents Should Know
Abnormal electrocardiogram (ECG) findings? Hello, my son is a 17-year-old high school senior who usually does not experience any heart discomfort. However, due to concerns about getting vaccinated, we went for a cardiac evaluation. The doctor mentioned that his electrocardiogram ...
Dr. Wu Xueming Reply:
Based on your description, I cannot determine the specific abnormalities in the electrocardiogram. I recommend consulting a cardiologist at a hospital's cardiology outpatient clinic.[Read More] Understanding Abnormal ECG Results in Teenagers: What Parents Should Know
Managing Low Blood Pressure and High Heart Rate: Expert Insights
Low blood pressure, rapid heartbeat, and elevated blood lipids? Hello Dr. Tsai, I have purchased a blood pressure monitor and an Apple Watch to track my heart rate throughout the day. The values are as follows: Blood pressure: systolic around the 80s, diastolic around the 50s; he...
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 wishing you good health![Read More] Managing Low Blood Pressure and High Heart Rate: Expert Insights
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
Understanding Atrial Fibrillation: Medication, Side Effects, and Treatment Options
Cardiac issues Hello Dr. Huang, I have severe arrhythmia and have undergone X-rays and echocardiograms, both of which showed no issues (the heart is not enlarged and structurally normal). However, during a 24-hour Holter monitor test, my heart rate spiked to about 300 beats per m...
Dr. Huang Yinghe Reply:
Hello: Atrial fibrillation indeed increases the risk of stroke, and the use of anticoagulants should be considered based on established criteria. We use the CHA2DS2-VASc score for assessment: for a 45-year-old male without heart failure, hypertension, diabetes, or a history of st...[Read More] Understanding Atrial Fibrillation: Medication, Side Effects, and Treatment Options
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 Low Blood Pressure: Signs, Symptoms, and Heart Rate Concerns
How to determine if blood pressure is too low? Hello, doctor. I would like to ask about my blood pressure readings. I often measure my blood pressure before bed and find that my systolic pressure is around 100 and my diastolic pressure is around 58 (I am 180 cm tall and weigh 85 ...
Dr. Wu Xueming Reply:
1. Your blood pressure is still within a reasonable range. 2. The normal range for heart rate at rest is 60-100 beats per minute. Many factors in daily life can affect heart rate, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. If...[Read More] Understanding Low Blood Pressure: Signs, Symptoms, and Heart Rate Concerns
Understanding Arrhythmia: When to See a Cardiologist for Heart Issues
Arrhythmia Hello, Director. I have been experiencing frequent arrhythmia issues since last year (2020). Whenever I feel uncomfortable, I check my fitness watch and notice my heart rate is relatively high (around 150 bpm, sometimes even higher). However, I find that during intense...
Dr. He Dongjin Reply:
Hello, stress and asthma can cause rapid breathing and increased heart rate, but it may not necessarily be related to the heart. If there is uncertainty about arrhythmias, it is advisable to consult a cardiologist for a comprehensive evaluation. Changhua Hospital cares about your...[Read More] Understanding Arrhythmia: When to See a Cardiologist for Heart Issues
Managing Low Blood Pressure After Heart Stent Surgery: What You Need to Know
What can be done for low blood pressure? Are there methods to treat and improve it? Grandfather has severe coronary artery blockage (due to untreated blocked vessels, he has developed stable chronic heart failure stage II). He was recently hospitalized for stent placement, but be...
Dr. He Dongjin Reply:
Hello, patients who have undergone stent implantation typically take two antiplatelet medications due to considerations of age and bleeding risk. This can be discussed with your attending physician. Jian An Xin (健安心) is used to treat heart failure but can also lower blood pressur...[Read More] Managing Low Blood Pressure After Heart Stent Surgery: What You Need to Know
Understanding Persistent Low Blood Pressure in Dialysis Patients
Persistent hypotension Hello, Doctor. My father is a dialysis patient and had a drug-eluting stent placed in his heart a year ago. He regularly takes one tablet of Kankin, one tablet of Berkey, and one tablet of Farmatran enteric-coated tablets. Over the past three months, his bl...
Dr. Wu Xueming Reply:
If adjusting dry body weight and dehydration levels still results in low blood pressure, a nephrologist can prescribe oral vasopressors.[Read More] Understanding Persistent Low Blood Pressure in Dialysis 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 Rapid Heartbeat: Navigating Thyroid and Cardiac Health
Heartbeat issues Due to an endocrine disorder, I currently need to take 250 mcg of thyroxine daily. However, this has resulted in a significantly increased heart rate, with my resting heart rate around 120 beats per minute. Just climbing a few stairs can elevate it to 150. My int...
Dr. He Dongjin Reply:
Hello, not taking Concor or Inderal will not cause your heart to overwork and fail. After taking them, your blood pressure medication will still be effective. It is recommended that you see an endocrinologist instead of a cardiac surgeon. Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat: Navigating Thyroid and Cardiac Health
Understanding the Shift from Low to High Blood Pressure: Causes and Concerns
Regarding the transition from hypotension to hypertension? Hello, doctor. I have a history of low blood pressure (around 90/60) which seems to run in my family. Recently, without any changes to my lifestyle or diet, and without any weight gain, I suddenly noticed a significant in...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding the Shift from Low to High Blood Pressure: Causes and Concerns
Understanding Abnormal Blood Pressure: Concerns for Young Adults
Abnormal blood pressure Hello doctor, I am 19 years old and for the past few years, I have often felt that there is something wrong with my body. I have undergone many tests (such as electrocardiograms and echocardiograms), and my primary physician only mentioned that my heart wa...
Dr. Huang Yinghe Reply:
Hello: Your blood pressure readings are still within the normal range, so there is no indication of vascular issues. However, it is important to note that blood pressure can fluctuate due to activity, emotions, or physical conditions. Therefore, there are specific guidelines for ...[Read More] Understanding Abnormal Blood Pressure: Concerns for Young Adults
Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Cardiac catheterization Hello Dr. Huang, I previously inquired with another physician about my family member's symptoms of rapid breathing and a sensation of being pricked. My family member is 55 years old and has not yet reached menopause. The physician I consulted earlie...
Dr. Huang Yinghe Reply:
Hello: Based on your description, a 55-year-old female with a history of secondhand smoke exposure and no hypertension. If there is no history of diabetes or high cholesterol, and no family history of cardiovascular disease, the likelihood of coronary artery disease is indeed low...[Read More] Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Understanding Low Blood Pressure: Links to Thyroid Issues and Heart Rate
Hypotension issues Hello Doctor: Due to hypothyroidism, I have issues with low blood pressure. Whenever I feel hungry, my blood sugar drops, which is accompanied by a gradual decrease in body temperature and heart rate. Then I start to experience palpitations, with my heart rate ...
Dr. Chen Jili Reply:
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant tests are needed. Thank you![Read More] Understanding Low Blood Pressure: Links to Thyroid Issues and Heart Rate
Understanding Heart Palpitations: Insights on Anxiety and Sleep Patterns
The issue is in the text. Thank you, doctor, for reviewing it? Happy New Year, Doctor! I have two questions I would like to ask. I might have issues related to cardiac neurosis (autonomic nervous system) that could be triggered by my irregular sleep schedule and staying up late. ...
Dr. He Dongjin Reply:
Hello, your neurological responses are more sensitive, and you are more aware of changes in your heart rate. We need to pay attention to arrhythmias rather than just the sensation of a racing heartbeat. Feeling an increased heart rate is not a disease; it indicates that your hear...[Read More] Understanding Heart Palpitations: Insights on Anxiety and Sleep Patterns
Is Sudden Dizziness After Standing Up a Cause for Concern?
Suddenly standing up after squatting down? I would like to ask the doctor if it is possible for a brief sensation of palpitations to occur, which resolves shortly after standing up. Is this related to postural orthostatic tachycardia syndrome or low blood pressure? Should I not b...
Dr. He Dongjin Reply:
Hello, you are correct that it is related to orthostatic hypotension. There is no need to be overly anxious. Changhua Hospital cares about you.[Read More] Is Sudden Dizziness After Standing Up a Cause for Concern?
Understanding Low Blood Pressure After Stent Placement in Seniors
Low blood pressure? Hello doctor, my father recently had a stent placed and he is in his sixties. He is taking anticoagulant medication, and after each dose, his blood pressure tends to be low, around 105/68. Is this situation normal? Thank you.
Dr. Lin Jixiong Reply:
Hello: Normally, blood pressure should not be low after taking anticoagulant medication. It is advisable to discuss the related situation with the patient's cardiologist. Dr. Lin Chi-Hsiung.[Read More] Understanding Low Blood Pressure After Stent Placement in Seniors
Understanding Chest Tightness and Breathing Difficulties: Possible Causes
Chest tightness and difficulty breathing? I have been experiencing shortness of breath for the past two years, and in the last two months, I have started to feel chest tightness and difficulty breathing. Sometimes, I feel sharp pain in my heart while breathing. I have seen a pulm...
Dr. He Dongjin Reply:
Hello, long-term insomnia may lead to autonomic nervous system dysregulation, causing chest tightness and difficulty breathing. If you still feel unwell, it is recommended to seek further evaluation from a psychosomatic medicine specialist. Changhua Hospital cares about your well...[Read More] Understanding Chest Tightness and Breathing Difficulties: Possible Causes
Understanding Elevated Blood Pressure and Heart Rate: When to Seek Medical Help
Both blood pressure and heart rate are elevated? I previously had low blood pressure, around 100/50, with a heart rate of 60 to 80. Recently, this week, my blood pressure has risen to 130/85, and my heart rate has increased to 110 to 130. I feel uncomfortable and somewhat fatigue...
Dr. He Dongjin Reply:
Hello, have you been experiencing a lot of stress or any discomfort lately? It sounds like it may be caused by autonomic nervous system dysfunction. I recommend monitoring your condition, and if there is no improvement, it would be advisable to visit a clinic for medical treatmen...[Read More] Understanding Elevated Blood Pressure and Heart Rate: When to Seek Medical Help