Understanding Your Exercise ECG Report: Key Insights for Heart Health
Please have the physician review what the exercise electrocardiogram report reveals? Purpose: 1. (V) Diagnosis; 2. ( ) Percutaneous Transluminal Coronary Angioplasty (PTCA); 3. ( ) Percutaneous Transmitral Valvuloplasty (PTMV); 4. ( ) Medications; 5. ( ) Coronary Artery Bypass Gr...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram report are normal.[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Impact of Antiarrhythmic Medications on Pregnancy: What You Need to Know
Antiarrhythmic drugs Hello doctor, I have been taking Rhythmix (Dronedarone) once in the morning and once in the evening for my arrhythmia since April this year. My doctor had prescribed a long-term prescription, and I am scheduled for a follow-up appointment in August to check f...
Dr. He Dongjin Reply:
Hello, how is your arrhythmia condition? Your attending physician knows best. Regardless, your physical condition during pregnancy is significantly different from before. It is advisable to return to the outpatient clinic and discuss further treatment with your doctor. Treatment ...[Read More] Impact of Antiarrhythmic Medications on Pregnancy: What You Need to Know
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
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 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 Acute Pulmonary Embolism: Symptoms, Diagnosis, and Treatment
Acute Pulmonary Embolism Routine chest CT without/with contrast enhancement revealed: 1. Obvious filling defects in bilateral pulmonary arteries (main trunks and their branches) with dilated right atrium/right ventricle noted. 2. No evident pleural effusion or pulmonary nodular l...
Dr. Huang Yinghe Reply:
Hello: The CT scan report indicates a significant pulmonary embolism, which is a condition where a blood clot obstructs the pulmonary artery, affecting blood circulation. Common symptoms include chest tightness and shortness of breath. The standard treatment involves hospitalizat...[Read More] Understanding Acute Pulmonary Embolism: Symptoms, Diagnosis, and Treatment
Understanding Blood Pressure Medications and Erectile Dysfunction
Blood pressure medication consultation? Doctor, two years ago I suddenly experienced erectile dysfunction, and I started to suspect whether I have metabolic syndrome. I measure my blood pressure every day, and it ranges from 110 to 140. In the morning, it is generally between 110...
Dr. He Dongjin Reply:
Hello, this is not considered high blood pressure, and taking Cialis should not significantly affect the accuracy of your blood pressure readings. It's best to consult a urologist first. Currently, there is no evidence to suggest that you have metabolic syndrome. Changhua Ho...[Read More] Understanding Blood Pressure Medications and Erectile Dysfunction
Understanding Heart Rate Fluctuations: When to Seek Medical Advice
Consultation regarding heart rate issues? Hello Doctor, I apologize for bothering you. I am currently being treated for hyperthyroidism and adenomyosis, taking Methimazole (three times a week) and Estrogen. I had a follow-up appointment for hyperthyroidism on May 11, and my level...
Dr. He Dongjin Reply:
Hello, chest pain during palpation may be related to a strain. Any discomfort, including autonomic nervous system disorders and hyperthyroidism, can cause an increased heart rate. As long as there are no arrhythmias, it is advisable to monitor the situation or take Ental. If symp...[Read More] Understanding Heart Rate Fluctuations: When to Seek Medical Advice
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 Palpitations: When to Seek Further Cardiac Evaluation
Questions related to palpitations? Hello Doctor, Since receiving my two vaccine doses six months ago, I have been experiencing intermittent palpitations and chest tightness. During this time, I visited a cardiologist and underwent a stress electrocardiogram, a 24-hour Holter mo...
Dr. He Dongjin Reply:
Hello, it sounds like you might be experiencing symptoms of autonomic nervous system dysfunction, such as persistent anxiety related to stable angina pectoris at 50%. It would be advisable to undergo a self-funded cardiac CT scan to gain a clearer understanding. Changhua Hospital...[Read More] Understanding Palpitations: When to Seek Further Cardiac Evaluation
Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
Chest pain, coronary artery obstruction, myocardial ischemia, myocardial bridge? Hello, please help me interpret the report and advise on further treatment or examination directions. Thank you, doctor. A few years ago, I underwent radiofrequency ablation for PSVT and have a myoca...
Dr. He Dongjin Reply:
Hello, at this age, it is common to experience chest pain due to autonomic nervous system issues during menopause. However, a positive result from an extreme cycling exercise test still raises suspicion for angina, particularly with the presence of a myocardial bridge in the left...[Read More] Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
When Is Baiwu Ning Prescribed for Cardiovascular Patients?
Medication Consultation - Baibingning Hello, Director: I apologize for interrupting you during your busy schedule. May I ask under what circumstances a doctor would prescribe "Bai Wu Ning"? The doctor has not prescribed this medication before... When I inquired, the doc...
Dr. He Dongjin Reply:
Hello, it is generally recommended to adjust the original anticoagulant medication by the physician 3 months to 1 year after coronary stent placement. It is advisable to discuss this further with your attending physician during your outpatient visit. Changhua Hospital cares about...[Read More] When Is Baiwu Ning Prescribed for Cardiovascular Patients?
Understanding Heart Palpitations: Could They Be a Sign of Male Menopause?
Inquiry Consultation Dear Dr. He, I previously experienced some cold-like symptoms (headache, stomach discomfort, etc.) that triggered palpitations (with noticeable symptoms such as heavy heartbeat, premature beats, and a feeling of anxiety). You advised that I should first addr...
Dr. He Dongjin Reply:
Hello, experiencing frequent palpitations can indeed be one of the symptoms of menopause. Palpitations do not pose any harm to the heart and do not require aggressive treatment. Taking certain medications can help reduce palpitations caused by menopause. Changhua Hospital cares a...[Read More] Understanding Heart Palpitations: Could They Be a Sign of Male Menopause?
Managing Irregular Heartbeats: When to Seek Emergency Care
Palpitations and missed beats? Hello, Director. I'm here to consult again. I underwent catheter ablation for atrial fibrillation last April, and I had a stable period for six months. Currently, my doctor has prescribed the following medications: Kankun 5 mg once daily, Lival...
Dr. He Dongjin Reply:
Hello, you went to the emergency department for a blood test. It did not help with your irregular heartbeat, and you don't need to go if you're not feeling unwell. You can take more photos and if you missed any, please do so. You can take one and a half tablets of Kanki...[Read More] Managing Irregular Heartbeats: When to Seek Emergency Care
Do You Really Need a Pacemaker After an 8.4-Second Heart Pause?
Is it necessary to immediately implant a cardiac pacemaker? On January 11, 2022, I had a two-week ePatch monitoring report that showed my heart stopped for 8.4 seconds. The doctor recommended that I get a pacemaker, but do I really need to have it implanted after just one test? I...
Dr. Huang Yinghe Reply:
Hello: The detection of a cardiac arrest lasting 8.4 seconds indicates a problem with the heart's rhythm mechanism. Common causes include aging or ischemic heart disease, and sometimes it can be influenced by medications or electrolyte imbalances. Unless a temporary and trea...[Read More] Do You Really Need a Pacemaker After an 8.4-Second Heart Pause?
Antibiotics and Heart Health: Concerns About Side Effects and Interactions
Questions about the side effects of antibiotic medications? Hello, Dr. He! About a year and a half ago, I underwent catheter ablation surgery to treat premature ventricular contractions (PVCs). I have been under continuous follow-up (every three months), and after a 24-hour Holte...
Dr. He Dongjin Reply:
Hello, Cipro has side effects such as QT prolongation or ventricular arrhythmias, but it has minimal interactions with heart medications. If you are concerned about taking half a dose of heart medication, it may be best to pause it for now. Changhua Hospital cares about your well...[Read More] Antibiotics and Heart Health: Concerns About Side Effects and Interactions