Understanding Chest Pain: When to Seek Medical Attention
Thoracic issues Hello, doctor. I recently had a chest X-ray, an electrocardiogram (ECG), and a lung examination at the hospital, and everything came back normal. However, I sometimes experience sharp pain in the middle or left side of my chest, and a few times I've felt a sl...
Dr. He Dongjin Reply:
Hello, if you are experiencing tingling, arm soreness, and shoulder stiffness, it is likely a muscle issue. If your chest X-ray, electrocardiogram, and lung examinations show no problems, there is no need to worry. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Medical Attention
Understanding Chest Discomfort and Ischemia in a Young Female Patient
Left chest tightness and discomfort, seeking advice on angina? Hello, Director. I would like to ask you to take some time to analyze the echocardiogram results for a 37-year-old female patient with no history of hypertension, diabetes, or hyperlipidemia, who does not smoke or dri...
Dr. He Dongjin Reply:
Hello, myocardial ischemia and angina? I haven't seen relevant evidence to assess the severity of the disease; perhaps an exercise electrocardiogram could be arranged? There shouldn't be significant issues with the echocardiogram. If you're feeling uncomfortable, i...[Read More] Understanding Chest Discomfort and Ischemia in a Young Female Patient
Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Do I need to take medication for arrhythmia and premature contractions? Dear Director Wu, Regarding the 24-hour Holter monitor from May 2023, which recorded 12,426 premature contractions, I initially took antiarrhythmic medication but found it more uncomfortable than the irregul...
Dr. Wu Xueming Reply:
1. Not related to these two medications. 2. Taking medication can reduce the frequency of arrhythmias and control symptoms; please discuss any adjustments to medication and whether to continue use with your prescribing physician. 3-5. Many factors in daily life can contribute...[Read More] Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Understanding Your Holter EKG Report: Key Insights and Conclusions
Electrocardiogram (ECG) Examination Report HOLTER EKG: 24-hour ambulatory electrocardiogram 1️⃣ Basic rhythm: Sinus rhythm 2️⃣ Duration: 23 hours 00 minutes, total 103,191 beats 3️⃣ Minimal heart rate: 50 bpm; sinus rhythm at 1:35 AM Maximal heart rate: 144 bpm; sinus ...
Dr. Wu Xueming Reply:
The report is normal.[Read More] Understanding Your Holter EKG Report: Key Insights and Conclusions
Post-Discharge Medication for Acute Myocardial Infarction: Where to Get It?
Medication Consultation Hello, I would like to ask if patients with acute myocardial infarction need to return to the original hospital for medication (such as beta blockers) after discharge, or can they go to another hospital? Alternatively, can they obtain medication from a cli...
Dr. Wu Xueming Reply:
Patients with myocardial infarction, unless contraindicated, should be prescribed a beta-blocker. It is recommended to visit a cardiology outpatient clinic for the physician to assess the patient's condition before prescribing.[Read More] Post-Discharge Medication for Acute Myocardial Infarction: Where to Get It?
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram heart examination issues? Please help me review the echocardiogram for any issues. Thank you for your assistance. ECHO: Transthoracic echocardiography M-mode (Normal data) 1. Aorta/LA (23-37/18-38mm) 26 / 32 2. IVS/LVPW (6-12/ 5-11mm) 8 / 8 3. LV-Diameter Dias/Sys ...
Dr. Wu Xueming Reply:
The report indicates minimal mitral and tricuspid regurgitation, with all other cardiac structures and functions being normal.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiography Hello Dr. Li, could you please help me understand the contents of the echocardiogram? Are there any issues? Thank you very much, doctor. 112/6/7 ECHO: Transthoracic echocardiography M-mode (Normal data) 1️⃣ Aorta/LA (23-37/18-38mm) 26 / 32 2️⃣ IVS/LVPW (6-1...
Dr. Li Shengkai Reply:
According to your echocardiogram report, there are no major issues with your heart; at most, there is diastolic dysfunction, which may be a change related to aging and does not require excessive concern. However, since I have not examined you directly, it would be more appropriat...[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Do Mild Mitral and Tricuspid Regurgitation Require Treatment?
Tricuspid regurgitation Does mild mitral and tricuspid regurgitation require treatment, or are there specific precautions to take? In previous examinations, including one in November last year, there were no signs of mitral or tricuspid regurgitation, but a recent check revealed ...
Dr. Wu Xueming Reply:
No treatment is needed, and there is no correlation between COVID-19 diagnosis and autonomic nervous system disorders.[Read More] Do Mild Mitral and Tricuspid Regurgitation Require Treatment?
Is Hitting Your Chest Safe for Heart Pain Relief? Risks and Consequences
Patients experiencing chest pain should not pound their chest forcefully to relieve the pain, as this can lead to several adverse consequences. Such actions may exacerbate the underlying condition, potentially causing further injury to the heart or surrounding tissues. It could a...
Dr. Wu Xueming Reply:
Patients with heart disease should promptly go to the hospital for further evaluation if they experience any discomfort in the chest, and should not repeatedly pound their chest.[Read More] Is Hitting Your Chest Safe for Heart Pain Relief? Risks and Consequences
Can Right Heart Enlargement Occur Suddenly in Just Months?
X-ray report, may I ask? Hello, Doctor 197207. Is it possible for the right heart to suddenly enlarge in just two to three months? When I looked at the X-ray, I felt that the right heart appeared larger than the left. Isn't it rare for someone to have a heart that is skewed ...
Dr. He Dongjin Reply:
Hello, the likelihood of sudden right heart enlargement within just two to three months is very low. X-rays should be compared between the frontal and lateral views to determine if there are any changes. Please return to your previous cardiologist for a re-evaluation to give you ...[Read More] Can Right Heart Enlargement Occur Suddenly in Just Months?
Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Chest tightness and back discomfort on the left side? Dr. Huang, I have seen many doctors regarding my heart and have visited several hospitals. I have undergone numerous tests, and all the doctors have said that my heart is fine. However, I still feel strange in my body, especia...
Dr. Huang Yinghe Reply:
Hello: If all the tests you mentioned are normal, it indicates that there should be no issues with your heart. There are many causes for chest discomfort, aside from heart disease, such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress-related issu...[Read More] Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Understanding Low Heart Rate: When to Seek Medical Advice
Heart rate below 60 beats per minute? Hello Doctor: My average heart rate is around 55 beats per minute, and sometimes it drops below 50 beats per minute (as measured by my fitness tracker). Besides feeling extremely fatigued every day, I don't have any other significant dis...
Dr. Li Shengkai Reply:
A normal heart rate is about 60 to 100 beats per minute. A heart rate that is too slow can cause symptoms such as weakness, fatigue, and dizziness. Your discomfort may be due to bradycardia. If the condition persists, it is advisable to visit a hospital for an evaluation. Common ...[Read More] Understanding Low Heart Rate: When to Seek Medical Advice
Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Rapid heartbeat I'm sorry, Doctor, but I had another episode. Yesterday while walking, I felt a sense of heaviness and fatigue, and then I checked my watch and saw my heart rate was 140. I started to worry, and it escalated to 150-160, which made me even more anxious. I also...
Dr. He Dongjin Reply:
Hello, the link indicates that a normal rapid heartbeat means that there are no arrhythmias and the heart is functioning properly. It will not stop or lead to death. Anxiety and panic can cause an increased heart rate, but not receiving an injection at that moment does not pose a...[Read More] Understanding Rapid Heartbeat: Causes and Concerns in Cardiology
Understanding Mitral Valve Prolapse: Symptoms, Risks, and Echo Results Explained
Echocardiogram Hello, I am a patient with mitral valve prolapse. I had an echocardiogram, and I would like to know if this is serious. I experience shortness of breath, chest tightness, and sometimes my heart races. What impact will this have on my heart in the future? Will it re...
Dr. Li Han Reply:
Hello, based on the findings, there is mild mitral valve prolapse without significant valve insufficiency. The cardiac structure and function are generally normal, and clinical follow-up is recommended. It is advised to consult with your trusted physician at Changhua Hospital, Mi...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Echo Results Explained
Understanding Chest X-Ray Results: What Does Heart Shifted Right Mean?
Chest X-ray examination Hello doctor, I went to the emergency room and outpatient clinic due to my diagnosis, both times with the pulmonology department. The doctors ordered chest X-rays and mentioned that my heart is shifted to the right, but they didn't elaborate further. ...
Dr. He Dongjin Reply:
Hello, having the heart positioned slightly to the right is just a variation in its location and does not affect its function. Therefore, the cardiologist said that a normal rightward position is not the same as an enlarged right heart. Don't worry unnecessarily; everything ...[Read More] Understanding Chest X-Ray Results: What Does Heart Shifted Right Mean?
Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Palpitations and premature beats issues? Hello, Doctor. Around January of last year, one afternoon I suddenly experienced severe chest pain. I noticed a prominent lump near the rib cage close to the sternum and heart. When I pressed on it, the pain intensified, and I felt faint. ...
Dr. He Dongjin Reply:
Hello, 1. The heart issue may be related to the problem from last January, which is likely caused by autonomic nervous system dysfunction. 2. How long should I continue taking the antiarrhythmic medication? It's best not to think too much about the future; let's stab...[Read More] Understanding Palpitations and Premature Beats: Key Insights for Heart Health
Understanding Sudden Changes in Hand Veins: What You Need to Know
Vascular issues of the hand? Recently, the veins in my palms have suddenly become extremely prominent, which has never happened before. My hands are occasionally covered with a blue spider web pattern, and I can even see the veins in my fingertips, but they are not raised; it fee...
Dr. Wu Xueming Reply:
It is recommended to schedule an immunology appointment for peripheral vascular testing to assess for the presence of Raynaud's phenomenon. Raynaud's phenomenon is a condition characterized by an exaggerated vascular response to cold or emotional stress. Clinically, it ...[Read More] Understanding Sudden Changes in Hand Veins: What You Need to Know
Understanding Heart Rate Variations: When to Worry and When to Relax
Heart rate issues Hello, Director. I apologize for bothering you again, and I truly appreciate the professional knowledge you have provided me. I understand that skipped heartbeats are not dangerous and that a fast heart rate is not necessarily a disease. However, I still feel an...
Dr. He Dongjin Reply:
Hello, the effect of antiarrhythmic medication is short, so it can be taken twice or three times a day depending on how comfortable you feel. It is unlikely to cause addiction or habitual use. The chances of long-term correction of heart rate are low; if the heart rate is normal ...[Read More] Understanding Heart Rate Variations: When to Worry and When to Relax
Understanding Arrhythmia: Key Insights for Active Individuals
Arrhythmia There is a tendency to experience anemia, and when squatting or sitting on a low chair, standing up often leads to dizziness, with low blood pressure (100/50) and a pulse around 50. I usually jog 15 kilometers in the morning and occasionally hike or ride a bicycle, and...
Dr. He Dongjin Reply:
Hello, it is recommended to undergo an exercise electrocardiogram to further understand your exercise condition. Please pay attention to your body during daily activities and exercise; do not push yourself too hard. If you feel uncomfortable, take a break. Changhua Hospital cares...[Read More] Understanding Arrhythmia: Key Insights for Active Individuals
Understanding Your Echocardiogram Results: Key Insights for Heart Health
Could you please help explain the results of the echocardiogram? Tape no: Begins: : : Ends: : : Laboratory No: 2613--------------------------------------------------------------------------------LV-D: 48 (40-56) mm LA: 38 (25-40) mm PA systolic pressure: 21 mmHg LV-S: 29 (20-38) ...
Dr. Wu Xueming Reply:
The report indicates mild regurgitation of the mitral valve, tricuspid valve, and aortic valve, with normal cardiac contractile function and other structures.[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health