Managing Occasional Heart Palpitations: Expert Advice for Relief
Sometimes I feel my heart racing or skipping beats at rest? Hello, Doctor He. I learned online that you are a compassionate and patient physician, and I would like to ask you some questions. I sometimes experience skipped heartbeats that can last for about 3 to 4 hours when sever...
Dr. He Dongjin Reply:
Hello, if you have mild asthma, can you use selective beta-blocker medications? It's hard to say, but you can give it a try. If you do not experience an asthma attack, you may use beta-blocker medications, which are theoretically more effective than calcium channel blockers ...[Read More] Managing Occasional Heart Palpitations: Expert Advice for Relief
Should I Switch My Blood Pressure Medication After Surgery?
Do I need to change my medication? Hello Dr. Lee, I was involved in a car accident on December 4th, resulting in an open fracture of my lower limbs, and I underwent surgery. After the surgery, I was moved to the recovery room, where my blood pressure was 180/120. Due to the persi...
Dr. Li Shengkai Reply:
(1) Eyanwen (5/160) is a combination antihypertensive medication that contains two components: a calcium channel blocker and an angiotensin receptor antagonist. Liyanwen (5/160/25) is also a combination antihypertensive medication, but it includes a diuretic, making it more poten...[Read More] Should I Switch My Blood Pressure Medication After Surgery?
Understanding Drug Side Effects in Cardiovascular Treatments: A Patient's Journey
Drug side effects I have atrial fibrillation, arrhythmia, and cardiovascular disease. Six months ago, my doctor continued my prescription for "Pradaxa" and increased "Dabigatran." After taking it for about a month, blood tests revealed that my TSH level was 44...
Dr. Li Han Reply:
Hello, regarding your inquiry about "Pradaxa" and "Xarelto" due to paroxysmal atrial fibrillation, and the subsequent change to "Praxbind" after the diagnosis of "hypothyroidism" and "suspected kidney damage"; clinical trials indi...[Read More] Understanding Drug Side Effects in Cardiovascular Treatments: A Patient's Journey
Do You Need to Take Atorvastatin for Life? Understanding Cholesterol Management
Do cholesterol-lowering medications like Atorvastatin need to be taken for a lifetime? Hello, Doctor. I have mild mitral valve prolapse and hyperlipidemia, and my family has a history of high cholesterol. My most recent tests (three months ago) showed low-density lipoprotein (LDL...
Dr. Huang Yinghe Reply:
Hello James: Numerous large-scale studies on lipid-lowering have indicated that a reduction of low-density lipoprotein (LDL) cholesterol by 40 mg/dL can decrease cardiovascular risk (such as stroke and myocardial infarction) by approximately 20%. Therefore, current international ...[Read More] Do You Need to Take Atorvastatin for Life? Understanding Cholesterol Management
Understanding Your Exercise ECG Results: Insights on Myocardial Ischemia
Third exercise electrocardiogram (ECG)? Hello Dr. Wu, I underwent an exercise electrocardiogram (ECG) test in early January this year. Since I am around 40 years old and had similar tests done a year ago, the doctor determined that there were signs of hypoxia in both instances....
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) test are positive. If symptoms persist despite medication management, it is recommended to discuss with your physician the possibility of further testing, such as coronary angiography.[Read More] Understanding Your Exercise ECG Results: Insights on Myocardial Ischemia
Can Ablation Be Considered for Frequent Atrial Ectopics?
Can this type of premature contraction be treated with radiofrequency ablation? Due to the sudden frequent episodes of atrial premature contractions, I wore a Holter monitor for 7 days. I have mitral valve prolapse, and here are the findings from my 7-day ECG report: Sinus rhyt...
Dr. He Dongjin Reply:
Hello, this amount is not considered significant. There's no need to use an excessive approach. Moreover, electrocautery also carries risks and there is a chance of recurrence, so it is not recommended. Changhua Hospital cares about you.[Read More] Can Ablation Be Considered for Frequent Atrial Ectopics?
Managing Atrial Fibrillation: Medication Interactions and Treatment Options
Arrhythmia Hello, Director: In the past few weeks, I have experienced recurrent atrial fibrillation (with episodes lasting from 20 minutes to 1 hour for six consecutive days) and a sensation of missed or extra heartbeats (occurring almost daily for about 10 minutes). Sometimes th...
Dr. Wu Xueming Reply:
The frequency and occurrence of atrial fibrillation can be assessed using a 24-hour Holter monitor. It is recommended to visit a hospital for relevant examinations and discuss medication dosages with a physician.[Read More] Managing Atrial Fibrillation: Medication Interactions and Treatment Options
Do I Need Ablation for Frequent Atrial Premature Beats?
Does this type of atrial premature contraction require ablation? Due to the previous sudden frequent episodes of atrial premature contractions, I wore a Holter monitor for 7 days. I have mitral valve prolapse, and here is the report from the 7-day ECG: Sinus rhythm Total AFib ...
Dr. Wu Xueming Reply:
Many factors in daily life can exacerbate this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. If the symptoms are manageable, it is recommended t...[Read More] Do I Need Ablation for Frequent Atrial Premature Beats?
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
Experiencing Palpitations After COVID Vaccine: When to Seek Help?
Experiencing palpitations every night before sleep after receiving the vaccine? Hello Director Wu, I received my second dose of the Moderna vaccine on December 30. That same evening, I experienced a noticeable increase in my heart rate, ranging from 100 to 120 beats per minute. ...
Dr. Wu Xueming Reply:
If you experience persistent chest tightness or difficulty breathing within 28 days after receiving the vaccine, it is recommended to visit a hospital for further evaluation.[Read More] Experiencing Palpitations After COVID Vaccine: When to Seek Help?
Understanding Recent High Blood Pressure Readings: Causes and Concerns
Recently, my blood pressure readings have been significantly higher than before? Hello Doctor: Recently, I measured my blood pressure at home and was surprised to find it significantly higher than before, which made me a bit anxious. During the summer of this year, my blood press...
Dr. Wu Xueming Reply:
Please maintain a regular daily routine, engage in regular exercise, and follow a light diet. However, if your systolic blood pressure consistently exceeds 140, it is advisable to start taking antihypertensive medication.[Read More] Understanding Recent High Blood Pressure Readings: Causes and Concerns
Understanding Heart Valve Issues and Medication Concerns
Xiboxin and heart valve issues? Dear Dr. Wu, Thank you for your response amidst your busy schedule. I have personal issues with mitral valve prolapse and arrhythmia (occasionally experiencing a heart rate of 39). I take 5 mg of Concor daily, half a tablet. Recently, due to uri...
Dr. Wu Xueming Reply:
Hibiscus is an antibiotic that does not affect heart valves.[Read More] Understanding Heart Valve Issues and Medication Concerns
Understanding Palpitations and Anxiety: When to Seek Cardiac Care
Palpitations, shortness of breath, and diarrhea? Hello Dr. Wu, Since May, I have been experiencing hyperventilation and arrhythmia with blood pressure readings of 140/9X. I underwent several ECGs in May, which showed abnormal results at times and normal results at others. A card...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to go to the hospital for further examination.[Read More] Understanding Palpitations and Anxiety: When to Seek Cardiac Care
Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Atrial premature contractions frequency Hello, Doctor! I am 24 years old and would like to ask about my condition. I originally had 5-10 atrial premature contractions (APCs) per day, but suddenly, I have been experiencing them frequently, lasting about half an hour each time, wit...
Dr. He Dongjin Reply:
Hello, I believe that having 200-300 APCs (Atrial Premature Contractions) per day should not be a problem. Such a quantity is unlikely to cause issues. Being overly concerned about it may lead to autonomic nervous system instability, which could actually increase the frequency. I...[Read More] Understanding Frequent Atrial Premature Contractions: Causes and Concerns
Managing Low Blood Pressure and Heart Rate in Hypertension Patients
Issues with Hypertension Medications My mother is in her 70s and has been taking antihypertensive medication for nearly a year. Recently, she often feels dizzy, and her heart rate, which has always been slow, has recently dropped below 45. Last week during a follow-up visit, her ...
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 Heart Rate in Hypertension Patients
Understanding Myocardial Perfusion Scan Results: A Guide for Patients
Stress and Redistribution Myocardial Perfusion Scan Report Results Dr. Huang: Hello! My mother is 70 years old and has low blood pressure (approximately 100+/60-70 mmHg; this has been her baseline). She has a history of hypercholesterolemia (most recent lab report on 9/30: total ...
Dr. Huang Yinghe Reply:
Hello: "Stress and Redistribution Myocardial Perfusion Imaging" is a type of nuclear medicine examination that uses radioactive tracers to assess blood flow to the heart muscle, allowing for a rough determination of regional perfusion deficits in the myocardium. Your mo...[Read More] Understanding Myocardial Perfusion Scan Results: A Guide for Patients
Understanding Atrial Fibrillation: Managing Symptoms and Treatment Options
Arrhythmia Hello Dr. Chen, I have been experiencing arrhythmia and tachycardia for several years. I have undergone echocardiograms and 24-hour Holter monitoring, and the doctor mentioned that I have mitral and tricuspid valve prolapse. For the past three years, I have been taking...
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 Atrial Fibrillation: Managing Symptoms and Treatment Options
Understanding Atrial Fibrillation: Managing Irregular Heartbeats and Anxiety
Arrhythmia Hello Dr. Chen, I have been experiencing arrhythmia and tachycardia for several years. I have undergone echocardiograms and 24-hour Holter monitoring, and the doctor mentioned that I have mitral and tricuspid valve prolapse. For the past three years, I have been taking...
Dr. Chen Jili 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 Atrial Fibrillation: Managing Irregular Heartbeats and Anxiety
Understanding Withdrawal Symptoms After Stopping Concan: A Guide for Patients
Kanken withdrawal Hello, I am a patient with hypertension and diabetes. I have been on medication for a long time, and one of my blood pressure medications is Concor (bisoprolol). Due to my regular exercise routine (jogging five times a week for 35 minutes each time), my heart ra...
Dr. Wu Xueming Reply:
Kanken does not exhibit significant withdrawal symptoms.[Read More] Understanding Withdrawal Symptoms After Stopping Concan: A Guide for Patients
Can I Get the BNT Vaccine with Heart Rhythm Issues and GERD?
VPC and BNT vaccines The patient has been on antihypertensive medication for 15 years and has been continuously monitored at Hospital A. The original prescription included Metoprolol and Tenormin 25mg, which was changed to Concor 2.5mg a year and a half ago, maintaining stable co...
Dr. He Dongjin Reply:
Hello, it's just a few days away. Let's wait until the echocardiogram is completed on 11/18, and then we can discuss the report with the attending physician. Everyone is more at ease. Changhua Hospital cares about you.[Read More] Can I Get the BNT Vaccine with Heart Rhythm Issues and GERD?