Inverted P Waves and Irregular Heartbeat: What You Need to Know
Inverted P waves and irregular heartbeat? Hello, I have been experiencing frequent palpitations and feel that my breathing efficiency is poor. I went to the hospital for an examination, and the doctor mentioned the sinoatrial node, noting that the P waves on my electrocardiogram ...
Dr. Yu Liying Reply:
In this situation, it is recommended that you seek medical attention and discuss with your physician whether further examinations are necessary. As for whether you can engage in exercise, it is advisable to avoid vigorous activities until a diagnosis and treatment plan are establ...[Read More] Inverted P Waves and Irregular Heartbeat: What You Need to Know
Understanding Your Exercise ECG Report: Key Insights for Patients
Please have the physician assist in reviewing the exercise electrocardiogram report? Please assist in reviewing whether the exercise electrocardiogram report is normal. Thank you very much! Order Date: June 1, 2024 Examination Date: June 7, 2024 Conclusions: 1) Target he...
Dr. Yu Liying Reply:
The exercise electrocardiogram report indicates that cardiac function is good under high-intensity exercise, with no significant signs of ischemic heart disease. However, non-specific ST-T changes and premature atrial contractions (PACs) were noted during the exercise, and furthe...[Read More] Understanding Your Exercise ECG Report: Key Insights for Patients
Understanding Abdominal Pain: Causes and When to Seek Help
Abnormal abdominal pain Hello, doctor. I am 29 years old and I have ankylosing spondylitis and chronic anemia (with an average hemoglobin level of about 20). I'm not sure if this is related to the events I've experienced. The first incident occurred when I was around 20...
Dr. Zheng Weijun Reply:
Hello, thank you for your detailed description. First, regarding your mention that "the average hemoglobin does not exceed 20," this value is within the normal range; the normal hemoglobin level for women is 12–16 g/dL, so your current hemoglobin level may not be abnorm...[Read More] Understanding Abdominal Pain: Causes and When to Seek Help
Understanding Exercise Fatigue and Heart Issues: A Patient's Journey
Exercise, fatigue, heart problems? Dear Doctor, For the past few months, I have been feeling more fatigued than usual. I feel weak when standing and cannot walk for long periods. Additionally, my exercise capacity has decreased significantly; I often experience an inexplicable ...
Dr. Hong Yuanbin Reply:
Based on your description, it is possible that the issue may be due to physiological or psychological factors. I recommend starting with a visit to a family medicine specialist to check your basic health status, such as whether you have anemia or if your endocrine system is funct...[Read More] Understanding Exercise Fatigue and Heart Issues: A Patient's Journey
Understanding Raynaud's and Scleroderma: Challenges in Major Illness Claims
Raynaud's phenomenon and scleroderma are considered significant illnesses that are not eligible for disability claims? Hello, Doctor Gao. After being diagnosed with COVID-19 this year, I suddenly noticed abnormalities in my fingers. After researching online, I found informat...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The treatment for scleroderma is primarily based on the extent of its impact on vital organs. If you only have Raynaud's phenomenon with mild symptoms, you might want to discuss with your physician the necessity of using off-label medicati...[Read More] Understanding Raynaud's and Scleroderma: Challenges in Major Illness Claims
Understanding Asthma: Managing Persistent Cough and Heart Concerns
Asthma issues I would like to ask the doctor a few questions. Since last winter, I have been coughing persistently. I have visited many clinics, and the doctors have said it is due to allergies caused by changes in the weather, and that it would improve as the weather warms up. I...
Dr. Hong Yuanbin Reply:
Hello, chronic cough can indeed have many causes. The most important thing is to rule out lung and heart issues. If auscultation is normal, the chances of severe asthma are lower, but there may be other lung problems. It is advisable to consult a pulmonology or family medicine ou...[Read More] Understanding Asthma: Managing Persistent Cough and Heart Concerns
Understanding Sinus Rhythm with Right Bundle Branch Block: What You Need to Know
Static Electrocardiogram (ECG) Hello Dr. Hong: Recently, during my son's company health check-up, a resting electrocardiogram revealed sinus rhythm with right bundle branch block. Is this considered a heart condition? What kind of treatment is necessary? Should we schedule a...
Dr. Hong Yuanbin Reply:
Hello, this indicates that the electrical conduction in a certain part of the heart is slower, but it doesn't necessarily mean there is a disease; it could also be a normal physiological phenomenon. It is recommended to consult a cardiologist, as further tests such as an ele...[Read More] Understanding Sinus Rhythm with Right Bundle Branch Block: What You Need to Know
Sudden Rapid Heartbeat and Low Oxygen: Understanding Your Symptoms
Sudden increase in heart rate while sitting, decreased blood oxygen levels, and hand tremors? Hello doctor, after taking a shower tonight, I sat down and suddenly experienced a rapid heartbeat that shot up to over 120 beats per minute. My blood oxygen level dropped from 99 to 93,...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely that the significant temperature changes have activated the sympathetic nervous system, leading to your symptoms. It is advisable to avoid drastic temperature fluctuations and to take care to keep warm after bathing. The rapid heartbeat may...[Read More] Sudden Rapid Heartbeat and Low Oxygen: Understanding Your Symptoms
Managing Thyroid Issues After Total Thyroidectomy: A Patient's Journey
Thyroid issues The family member is 63 years old, has undergone total thyroidectomy over a year ago, and has completed radioactive iodine therapy, with no other chronic illnesses. Initially, they were supplementing with 50 mg of Levothyroxine, but after a follow-up visit, the doc...
Dr. Li Jian Reply:
In addition to T3, it is also important to consider TSH and free T4 levels to determine their status. If there are concerns about excessive supplementation leading to hyperthyroidism, an electrocardiogram (ECG) and a bone density test can be performed to check for any arrhythmias...[Read More] Managing Thyroid Issues After Total Thyroidectomy: A Patient's Journey
Understanding Heart Issues: Propranolol Use and Symptoms Explained
Cardiac issues Hello, doctor. This month, I have frequently experienced a sensation of rapid heartbeat. On May 16, I went to a large hospital for an electrocardiogram and echocardiogram. The doctor explained that it might be due to hypersensitivity of the sympathetic nervous syst...
Dr. Hong Yuanbin Reply:
Hello, due to the multifaceted considerations regarding medication use, it is recommended to follow the prescribing physician's instructions for taking the medication. Only discontinue use if the heart rate drops below 60 beats per minute. As for feeling unwell, there may be...[Read More] Understanding Heart Issues: Propranolol Use and Symptoms Explained
Understanding Ankylosing Spondylitis: Treatment Options and Patient Concerns
Ankylosing spondylitis Dear Doctor: I am a patient with ankylosing spondylitis, diagnosed for 2.5 years, and I am currently 18.8 years old. I have been managing my condition with NSAIDs and have been unable to discontinue them. I would like to ask the following questions: 1) Gen...
Dr. Zeng Guosen Reply:
1) Biological agents tend to be more effective and are easier to achieve stable drug withdrawal. 2) For a 19-year-old, there are no specific recommendations; a general chest X-ray and electrocardiogram are sufficient. 3) It does not necessarily increase. 4) A temporary paus...[Read More] Understanding Ankylosing Spondylitis: Treatment Options and Patient Concerns
Undercooked Pork: Health Risks and When to Seek Medical Help
Eating undercooked pork? In October 2021, I ate undercooked pork chops at a teppanyaki restaurant. Over the past few months, I have frequently experienced itching in my buttocks, increased episodes of diarrhea, and sometimes abdominal cramps. I'm unsure if these symptoms are...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the main concern is diarrhea and the possibility of a parasitic infection. It is recommended to visit a gastroenterologist or a family medicine physician to arrange for a stool test to check for any eggs. If none are found, the likelihood of a pa...[Read More] Undercooked Pork: Health Risks and When to Seek Medical Help
Breathing Difficulties and Chest Pain: Understanding Your Symptoms
Difficulty breathing can cause wheezing, and there may be a stabbing or cramping sensation in the heart? Recently, I've been feeling like I have to take deep breaths to get enough air, and this sensation is more pronounced when I'm wearing a mask. After some physical ac...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it could potentially be a problem related to the stomach, lungs, or heart. However, further examination may be necessary to determine the exact issue. I recommend visiting a cardiology or pulmonology clinic for evaluation. You may need to undergo...[Read More] Breathing Difficulties and Chest Pain: Understanding Your Symptoms
Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options
Cardiac arrhythmia Since I have developed arrhythmia after receiving the vaccine, my heart rate fluctuates between 40-50 beats per minute and sometimes spikes to 110-120 beats per minute. I also experience missed beats and have a cough, although I do not have a cold. I feel short...
Dr. He Yonghe Reply:
Hello Ms. Momo, if you are experiencing arrhythmia, you should immediately visit a cardiology clinic for evaluation. If you feel very uncomfortable, please go to the emergency department right away.[Read More] Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options
Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Heart sound changes In auscultation, there are specific characteristics of heart sounds that can help differentiate between S1 and S2. S1, the first heart sound, is primarily associated with the closure of the atrioventricular valves (mitral and tricuspid valves) at the beginning...
Dr. Hong Yuanbin Reply:
Hello, auscultation can indeed help infer S1 and S2 heart sounds, but this requires a professional cardiologist's assessment. For the general public, it is sufficient to distinguish whether the heartbeat is regular and to assess the heart rate. A stethoscope cannot accuratel...[Read More] Understanding Heart Sounds: Key Features of S1 and S2 in Auscultation
Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Regarding the postprandial blood glucose test results in the United States indicating prediabetes? Hello Dr. Lee, I am approximately 169 cm tall and weighed 67.5 kg at the time of my examination on July 28. I have a history of ankylosing spondylitis (diagnosed in 2008) and am a ...
Dr. Li Jian Reply:
Glycated hemoglobin (HbA1c): A level of 5.8% is sufficient to diagnose prediabetes. HbA1c can be tested after meals, and a follow-up test can be conducted in three months.[Read More] Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Understanding Heart Discomfort During Dialysis: Causes and Solutions
Discomfort in the heart during dialysis? Dear Dr. Wu, I have a family member, a 30-year-old female, who has been undergoing dialysis treatment for nearly two years. Recently, she experienced a sudden myocardial infarction and underwent cardiac catheterization and coronary artery...
Dr. Wu Jiyu Reply:
Based on your inquiry, the hemoglobin measurement is approximately 21-25, which is low. After blood transfusion, you may discuss with your physician whether erythropoietin (EPO) or iron supplements are adequate or if there are other bleeding issues (such as gastrointestinal bleed...[Read More] Understanding Heart Discomfort During Dialysis: Causes and Solutions
Understanding Low Heart Rate: Implications and When to Seek Cardiology Care
Bradycardia Hello, doctor. In my health check report, there is an electrocardiogram (ECG) finding suggestive of myocardial ischemia, and my hemoglobin and mean corpuscular hemoglobin concentration are low. My smartwatch has a heart rate monitoring function, and a normal resting h...
Dr. Hong Yuanbin Reply:
Hello, regarding bradycardia, it should be assessed in conjunction with your symptoms. If you have no discomfort, there may not be a need to address it. A low hemoglobin level and mean corpuscular hemoglobin concentration indicate anemia, and the specific hemoglobin level should ...[Read More] Understanding Low Heart Rate: Implications and When to Seek Cardiology Care
Understanding Chest Tightness in Hyperthyroidism and Heart Valve Issues
Chest tightness issue? Hello, doctor. I am a patient with hyperthyroidism, and my only symptom is a slightly elevated heart rate. I also have a problem with mitral valve insufficiency. Currently, I am controlling my hyperthyroidism with medication, taking two tablets of methimazo...
Dr. Hong Yuanbin Reply:
Hello, based on your description, there could indeed be many causes for your breathing difficulties. It may be necessary to check your blood oxygen levels; if they are abnormal, you should be cautious about potential lung or heart issues. However, since you have already undergone...[Read More] Understanding Chest Tightness in Hyperthyroidism and Heart Valve Issues
Understanding Fever Symptoms: When to Seek Medical Attention
Fever symptoms Hello Dr. Hong: I started experiencing chills and high fever ranging from 38.5 to 40.1 degrees Celsius on February 14. Therefore, I went to the outpatient department for hospitalization on February 17, where I underwent the following tests: blood tests (including c...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed difficult to determine the cause of the fever of unknown origin. There are a few points to consider: First, rheumatological and immunological issues may be a concern, which is likely why your physician has suspected this and prescr...[Read More] Understanding Fever Symptoms: When to Seek Medical Attention