Understanding Left Chest Pain: When to Worry About Heart Issues
Left lateral chest pain? This morning, I was awakened by pain on the outer side of my left chest, which lasted for about an hour. There was no pain when I pressed on it. I did not experience any chest pain while sleeping last night, and I'm unsure if it was related to my sle...
Dr. He Dongjin Reply:
Hello, the heart is located in the center, and issues on the outer side of the chest are likely related to muscle or nerve problems, possibly due to your sleeping position. Please rest and observe your condition. Changhua Hospital cares about you.[Read More] Understanding Left Chest Pain: When to Worry About Heart Issues
Understanding ECG Results: Sinus Arrhythmia and Heart Health Concerns
Electrocardiogram (ECG) Heart issues Arrhythmia Hello, doctor. Some time ago, I inquired about my ECG results, which showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Early repolarization 3. Normal ECG. You mentioned that this is a common phenomenon in young people and does...
Dr. Wu Xueming Reply:
Your symptoms are not related to sinus arrhythmia. Many factors in daily life can contribute to 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 exercis...[Read More] Understanding ECG Results: Sinus Arrhythmia and Heart Health Concerns
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, just before sleeping, my heartbeat sounds very loud. I...
Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to muscular or neurological issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Understanding Holter EKG Results: Are PACs Dangerous?
Report Inquiry Chief, I apologize for the interruption. May I ask about the 24-hour Holter ECG report? HOLTER EKG: Date of 24-hour recording: 2024/02/21 Study for: Arrhythmia Antiarrhythmic drug therapy at the time of recording: Unknown ANALYSIS RESULT 1) Quality of recor...
Dr. He Dongjin Reply:
Hello, it's nothing serious. Atrial premature contractions are not very dangerous, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Holter EKG Results: Are PACs Dangerous?
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin Reply:
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Do You Need Heart Medication for a Heart Rate of 80-90?
A heart rate of 80 to 90 beats per minute typically falls within the normal range for adults. Whether or not to take heart medication depends on various factors, including overall health, the presence of Hello, doctor! I am a patient with hypertension. My heart rate used to be be...
Dr. Li Shengkai Reply:
A normal heart rate ranges from 60 to 100 beats per minute, so your heart rate is within the normal range. Additionally, since you are not experiencing any discomfort, no special treatment is necessary.[Read More] Do You Need Heart Medication for a Heart Rate of 80-90?
Understanding Cardiac Catheterization Reports: Myths and Facts
Myths about Test Reports Indication: Known CAD Pre-Cath Diagnosis: Chronic CAD Post-Cath Diagnosis: 3VD-CAD, LM-CAD Intervention: Yes Complication: No Due to the patient's condition, a surgical consultation was requested; however, the patient refused surgery after ...
Dr. Li Han Reply:
Hello, this report includes the diagnosis, treatment decision-making process, doctor-patient discussion options, and records of the intervention process. It is recommended that you discuss this with your attending physician for a more appropriate approach. Changhua Hospital, Mini...[Read More] Understanding Cardiac Catheterization Reports: Myths and Facts
Intermittent Left Chest Pain: Should You Worry About Heart Issues?
Mild pain in the left chest? Hello Doctor: A few days ago, I suddenly experienced mild pain in my left chest (which I have not felt before). The pain was intermittent, occurring for a moment and then stopping for a few seconds to a few minutes, lasting for about three hours. Howe...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, as well as the atypical nature of your chest pain symptoms, your risk of heart disease is low. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Intermittent Left Chest Pain: Should You Worry About Heart Issues?
Understanding Your Cardiovascular Imaging Report: Key Findings Explained
Examination Report Pre- and post-contrast CT imaging of the aorta was performed from the lower neck to the pelvis. Coronary imaging of the chest was completed. The findings are as follows: * A low-density lesion in the liver segment 7, approximately 9.9 mm in diameter, exhibiti...
Dr. Wu Xueming Reply:
The report you provided indicates that there is calcification in the coronary arteries. To determine if there is any coronary artery stenosis, further tests are required. As for issues related to other organs, please consult with specialists from other departments.[Read More] Understanding Your Cardiovascular Imaging Report: Key Findings Explained
Understanding Cardiac Catheterization: Balloon Angioplasty vs. Stenting
Cardiac catheterization? Having undergone coronary stenting, all indicators are normal, with an LDL of 48, age 60, and weight 70 kg. There are no symptoms. Recently, a CT scan and myocardial perfusion study were performed, raising suspicion of stenosis. Therefore, the physician r...
Dr. Wu Xueming Reply:
If the lesion expands and the results are unsatisfactory, a stent should be placed in accordance with health insurance regulations.[Read More] Understanding Cardiac Catheterization: Balloon Angioplasty vs. Stenting
Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Heart rate issues Hello doctor, I would like to inquire about my condition. For the past few days, whenever I stand, my heart rate exceeds 120 beats per minute. I have previously consulted a cardiologist and underwent an electrocardiogram (ECG) and echocardiogram, both of which s...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Understanding Rapid Heartbeat: When to Seek Cardiac Evaluation
Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention
Increased heart rate? Does high blood pressure cause an increased heart rate? I often feel like my heart rate exceeds 100 beats per minute. Could this be due to a lack of exercise? I am 168 cm tall and weigh 107 kg. I frequently experience a pounding heartbeat and sometimes have ...
Dr. Chen Jili Reply:
It is recommended that you consult a cardiologist. Wishing you good health. Thank you![Read More] Does High Blood Pressure Cause Rapid Heartbeat? When to Seek Medical Attention
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, before going to sleep, I notice my heartbeat is very l...
Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to musculoskeletal or nerve issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Frequent Heart Discomfort Before Sleep: What You Need to Know
Frequent heart discomfort before bedtime? Hello Doctor, I experience discomfort in my heart before going to sleep. Previously, I would occasionally feel a brief pause in my heartbeat followed by a cough as a physiological response. However, recently, every night before sleep, in ...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is recommen...[Read More] Frequent Heart Discomfort Before Sleep: What You Need to Know
Managing WPW Syndrome: Daily Tips and Exercise Guidelines
What precautions should individuals with WPW syndrome take in their daily lives? Is exercise allowed? I was informed during my military service examination that I might have Wolff-Parkinson-White (WPW) syndrome. I have experienced dizziness since childhood, and during college, I ...
Dr. Wu Xueming Reply:
If Wolff-Parkinson-White (WPW) syndrome presents with arrhythmias, it is recommended to consider catheter ablation. A 24-hour Holter monitor can be performed in an outpatient setting for further evaluation.[Read More] Managing WPW Syndrome: Daily Tips and Exercise Guidelines
Understanding Continuous VPCs: Concerns and Risks for Heart Health
Skipped VPCs continuously? Hello, Director. I apologize for previously asking you many questions about my missed beats. My check-ups have all been normal, but it has been sporadic. However, tonight it has become quite severe with continuous missed beats that haven't stopped....
Dr. He Dongjin Reply:
Hello, the three ECGs show little change, so the risk of danger should be low. The probability of developing ventricular tachycardia (VT) should be even lower. It would be appropriate to increase the medication dosage a bit over the next few days. Changhua Hospital cares about yo...[Read More] Understanding Continuous VPCs: Concerns and Risks for Heart Health
Understanding Anemia and High Platelet Counts in Diabetic Patients
Blood test shows anemia and thrombocytosis? Good evening, doctor. My wife is 60 years old and has type 2 diabetes without complications for over two years. Her blood pressure is 143/77, and her heart rate is approximately 113. She has been taking the prescribed medication to cont...
Dr. He Dongjin Reply:
Hello, it is recommended to visit a hematology department for further examination due to worsening anemia and increased platelet count. It would be prudent to investigate potential issues with the hematopoietic system. Changhua Hospital cares about your well-being.[Read More] Understanding Anemia and High Platelet Counts in Diabetic Patients
Is Your Heart Rate Too High During Exercise? Understanding Safe Limits
Breathing and heart rate issues during exercise? When I run, if I push myself to run faster and longer, my heart rate stays close to 160 beats per minute for several minutes. Given my age, this seems too high, but since I have a consistent exercise routine, I don't feel shor...
Dr. Li Shengkai Reply:
The maximum heart rate is typically calculated by subtracting your age from 220. Therefore, if you are not experiencing any discomfort, maintaining a heart rate of 160 beats per minute is generally acceptable. It is very beneficial to maintain a healthy exercise routine, so you c...[Read More] Is Your Heart Rate Too High During Exercise? Understanding Safe Limits
Managing PVCs in Dialysis Patients: Is Repeat Ablation Worth It?
Ventricular premature contraction ablation Hello, doctor. I am a dialysis patient who has experienced arrhythmias. After medication failed to control the condition, I underwent catheter ablation at a medical center. A 24-hour ECG after the procedure showed over 5,000 premature be...
Dr. Wu Xueming Reply:
1. You can consult with a physician specializing in catheter ablation for arrhythmias for evaluation. 2. There is no direct relationship between dialysis and the ablation of ventricular premature contractions.[Read More] Managing PVCs in Dialysis Patients: Is Repeat Ablation Worth It?
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