Understanding Atrial Premature Contractions: Causes and Management Strategies
Hello doctor, how can I determine whether my atrial premature contractions are due to abnormal electrical discharges from a specific area in the atrium or caused by autonomic nervous system dysregulation leading to erratic signals, especially after a long period of time? Cardiolo...
Dr. Wu Xueming Reply:
Atrial premature contractions are not the same as atrial fibrillation; they can occur in normal individuals. Myoclonic jerks can also manifest in the myocardium. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or ex...[Read More] Understanding Atrial Premature Contractions: Causes and Management Strategies
Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Chest pain Hello Dr. Huang, I have been experiencing chronic chest pain and intermittent palpitations, so I returned for an exercise electrocardiogram (ECG) examination. During the exercise, I felt fine, but after finishing, I went to have a meal and experienced several episodes...
Dr. Huang Yinghe Reply:
Hello: The results of the exercise electrocardiogram show no significant cardiac ischemia. For paroxysmal palpitations, a 24-hour Holter monitor or a wearable device (such as an Apple Watch) can be used to record the electrocardiogram to check for arrhythmias. Many non-cardiac ca...[Read More] Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Managing Drug Allergies and Side Effects in Cardiovascular Patients
Drug allergy? I had carotid artery stents placed on both sides in September of last year and January of this year. I am currently taking antihypertensive medication, lipid-lowering medication, and dual antiplatelet therapy. The problem is that after taking dual antiplatelet thera...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Managing Drug Allergies and Side Effects in Cardiovascular Patients
Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Are there any restrictions on taking erectile dysfunction medications for patients with mitral valve prolapse? A few years ago, during a health check-up, mitral valve prolapse was detected, and I have experienced symptoms such as palpitations, chest tightness, shortness of breath...
Dr. He Dongjin Reply:
Hello, it is safe to take these medications. Changhua Hospital cares about you.[Read More] Can Patients with Mitral Valve Prolapse Safely Use Viagra or Cialis?
Understanding Catheter Ablation: Differentiating AVNRT and AVRT Diagnoses
Cardiac catheterization 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given the different diagnoses from the two catheterizations? 2. Although the ablation was empirical, does it indicate that the parah...
Dr. Huang Yinghe Reply:
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the site for empirical ablation is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of pa...[Read More] Understanding Catheter Ablation: Differentiating AVNRT and AVRT Diagnoses
Understanding Catheter Ablation: AVNRT vs. AVRT Diagnosis Differences
Cardiac catheterization? 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given that the diagnoses from the two catheterizations were different? 2. Although the ablation was empirical, does this indicate t...
Dr. Huang Yinghe Reply:
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the empiric ablation site is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of paroxysm...[Read More] Understanding Catheter Ablation: AVNRT vs. AVRT Diagnosis Differences
Understanding Catheter Ablation: Insights on AVNRT and AVRT Diagnoses
Cardiac catheterization 1. Is it possible for AV nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) to coexist, given that the diagnoses from the two catheterizations were different? 2. Although the ablation was empirical, does this indicate th...
Dr. Huang Yinghe Reply:
1. It is indeed possible for a patient to have two or more types of arrhythmias simultaneously. 2. According to the information, the empiric ablation site is the slow conduction pathway. Since AV nodal reentrant tachycardia (AVNRT) accounts for over 70% of the causes of paroxysm...[Read More] Understanding Catheter Ablation: Insights on AVNRT and AVRT Diagnoses
Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Swelling of the dorsum of the foot and the ankle? Hello, my mother is 76 years old. She was previously taking a blood pressure medication called Shumaiyou (40/5/12.5 mg). However, due to issues with postprandial hypotension, the doctor switched her to Unisia (Candesartan 8 mg + A...
Dr. Wu Xueming Reply:
In addition to the side effects of medications, issues with the heart or kidneys can also cause edema. It is recommended to return to the hospital outpatient department for further examination.[Read More] Understanding Ankle Swelling: Side Effects of Blood Pressure Medications
Is There a Link Between Arrhythmia and Thymoma?
Is there a relationship between arrhythmia and thymoma? Hello Doctor, my mother is currently 59 years old and has been experiencing arrhythmia for the past few months, along with consistently high blood pressure. However, her cardiac evaluations have shown no issues. She has a hi...
Dr. He Dongjin Reply:
Hello, thymoma? Do you have thymoma? In recent months, you have experienced arrhythmia and elevated blood pressure, which may be due to autonomic nervous system instability. It is advisable to consult a cardiologist for further examination. Ping An Changhua Hospital cares about y...[Read More] Is There a Link Between Arrhythmia and Thymoma?
Understanding Your Exercise ECG Report: Key Insights and Next Steps
Exercise Electrocardiogram Report Hello: The exercise electrocardiogram report is as follows. No additional tests were performed, and the doctor recommends continuing aspirin therapy. I would like to seek a second opinion regarding the necessity of continuing this medication. C...
Dr. Li Han Reply:
Hello, based on your exercise electrocardiogram records, your clinical symptoms mainly include exertional wheezing (New York Heart Association classification) and exertional chest discomfort? Typical? (Canadian Cardiovascular Society classification). Angina pectoris is actually a...[Read More] Understanding Your Exercise ECG Report: Key Insights and Next Steps
Post-Heart Examination Care: Key Considerations and Next Steps
I would like to inquire about the follow-up precautions after various heart examinations? Description of Symptoms: On June 14, 2022, approximately a year and a half ago, while climbing Keelung Mountain, I experienced a sudden onset of fatigue during the final steep segment. I sto...
Dr. Wu Xueming Reply:
It is recommended to moderately adjust your exercise routine, such as brisk walking or jogging for thirty minutes three times a week. If symptoms do not improve, please consult with a physician in the outpatient clinic to discuss further treatment options.[Read More] Post-Heart Examination Care: Key Considerations and Next Steps
Understanding High Blood Pressure During Colds: Causes and Concerns
High blood pressure due to a cold? In December, my blood pressure was a bit high, so I visited a hospital outpatient clinic where the doctor prescribed two medications: Prazosin and Diltiazem. During this period, my blood pressure readings consistently ranged from approximately 1...
Dr. Li Han Reply:
Hello, blood pressure can easily fluctuate due to various internal or external, physiological or psychological stressors. Therefore, it may experience slight variations seasonally and even throughout the day. When these fluctuating factors are present, there is a tendency to over...[Read More] Understanding High Blood Pressure During Colds: Causes and Concerns
Can Propranolol and Herbal Supplement Shoumei Jangzhi No. 1 Be Taken Together?
Drug interactions Hello, doctor. May I ask if Propranolol for arrhythmia can be taken simultaneously with the traditional Chinese medicine "Shoumei Jiangzhi No. 1"? Thank you!
Dr. Wu Xueming Reply:
I am not familiar with the ingredients of this traditional Chinese medicine, so it may be necessary to consult a Chinese medicine practitioner. However, it is generally recommended to space the intake of Western and Chinese medications by at least two hours.[Read More] Can Propranolol and Herbal Supplement Shoumei Jangzhi No. 1 Be Taken Together?
Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Mild mitral valve prolapse + exercise electrocardiogram? Hello Doctor: My cholesterol level is 241, and my low-density lipoprotein (LDL) cholesterol is 171. I have not taken any lipid-lowering medications for five years. My father has a history of hypertension, diabetes, and hype...
Dr. Li Han Reply:
Hello, regarding your inquiry, you are experiencing chest tightness and stabbing pain; however, the exercise electrocardiogram was able to complete the fourth stage of the BRUCE protocol, showing only exercise-induced dyspnea without the aforementioned chest tightness symptoms. F...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Why Inderal May Be Losing Its Effectiveness Over Time
I gradually feel that Inderal is becoming ineffective? Hello Doctor: I have mitral valve prolapse and tricuspid valve prolapse, and I occasionally experience arrhythmias and increased heart rate due to anxiety. During my student years, I first took Inderal (I am now in my fifties...
Dr. He Dongjin Reply:
Hello, please discuss adjusting your medication with your attending physician. Changhua Hospital cares about you.[Read More] Why Inderal May Be Losing Its Effectiveness Over Time
Understanding Dizziness and Blood Pressure: When to Seek Help
Dizziness and blood pressure? Hello, at the end of November, I experienced a spike in blood pressure up to 200 while in Germany and went to the emergency room. I was prescribed two medications: Metoprolol and Diltiazem 80 mg. After taking them for three days, I returned to Taiwan...
Dr. He Dongjin Reply:
Hello, not all discomfort is caused by blood pressure, but discomfort can lead to fluctuations in blood pressure, causing symptoms like head heaviness and dizziness, as well as numbness in the face and back of the head. It would be advisable to consult a neurologist. For now, the...[Read More] Understanding Dizziness and Blood Pressure: When to Seek Help
Medication Consultation for Patients with Heart Stents: Managing Side Effects
Medication Consultation Hello Dr. Wu, I would like to ask about my medication. I have a stent and have been taking medication for over eight months. Recently, in the past month, I have been experiencing increased bloating and belching after taking my medication, which has become ...
Dr. Wu Xueming Reply:
If the medication is prescribed to be taken once a day, it should be taken at the same time every day.[Read More] Medication Consultation for Patients with Heart Stents: Managing Side Effects
Understanding Atrial Fibrillation: Risks, Treatment, and Management Tips
Atrial fibrillation Hello Doctor, I was recently diagnosed with atrial fibrillation by a hospital physician. The doctor mentioned that this condition increases the risk of stroke, and that if there are no risk factors, I do not need to take anticoagulants. However, my blood press...
Dr. He Dongjin Reply:
Hello, 1. What are the dangers of long-term use? The side effects of medications vary from person to person; not everyone experiences them, and most people do not. In fact, not taking the medication may increase the risk of stroke. Comparing the two, it is advisable to continue...[Read More] Understanding Atrial Fibrillation: Risks, Treatment, and Management Tips
Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Heart rate issues Hello, Doctor. A few years ago, I underwent catheter-based medication treatment for cardiac spasms and have been taking autonomic nervous system medications long-term. I use a ventilator at night due to sleep apnea and also take cardiology medications including ...
Dr. He Dongjin Reply:
Hello, this symptom does not seem to indicate a heart problem and should be monitored. For heart spasms and chest pain, sublingual tablets should be administered first, followed by observation. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Distressing Questions Dear Dr. He, I apologize for the lengthy description below. For the past two years, I have been troubled by a significant issue: my mother experiences episodes of sudden hypertension, which makes her feel unwell. She is nearly 69 years old. In April of last...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to feel more discomfort during seasonal transitions, especially for older individuals. Blood pressure merely reflects a person's current condition. In response to the recent instability of your aunt's autonomic nervous system...[Read More] Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health