Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Discomfort after exercise, left arm soreness? I have recently started to rebuild my exercise routine for about one to two months. During my workouts (walking), I do not feel particularly tired or out of breath (even though my physical fitness has noticeably declined over the past...
Dr. He Dongjin Reply:
Hello, the pain in your left arm radiating to your teeth could be a sign of angina, but it's unlikely to be caused by mitral valve prolapse. It may be more related to autonomic nervous system instability. I recommend undergoing an exercise electrocardiogram to determine if t...[Read More] Post-Exercise Discomfort: Understanding Left Arm Pain and Fatigue
Understanding the Risks of Combined Atrial and Ventricular Premature Beats
Arrhythmia issues I apologize for asking you another question, but what happens if both ventricular premature contractions and atrial premature contractions occur together? Would it result in both the ventricles and atria missing a beat? Is this dangerous? If someone has prematur...
Dr. He Dongjin Reply:
Hello, the occurrence of premature ventricular contractions (PVCs) and premature atrial contractions (PACs) together is not dangerous. You can exercise normally and do not need to avoid anything. Dizziness is related to autonomic nervous system dysregulation, so try not to worry ...[Read More] Understanding the Risks of Combined Atrial and Ventricular Premature Beats
Understanding Your 24-Hour ECG: Insights into Heart Health Concerns
24-hour Holter monitor? Hello, doctor: (I usually have a pulse rate of over 100 at school or the hospital, and it beats very strongly (almost every day). I also experience chest tightness, chest pain, and have difficulty breathing, which often leads to shortness of breath...) A p...
Dr. He Dongjin Reply:
Hello, the report is completely normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour ECG: Insights into Heart Health Concerns
Interpreting Echocardiogram Reports: Key Findings and Implications
Interpretation of Echocardiogram Report Hello Doctor, please help interpret the echocardiogram report. Thank you. Examination Date: March 15, 2022 Conclusion: • Left atrial enlargement • Preserved global contractility of the left ventricle • Left ventricular ejection fraction ...
Dr. Wu Xueming Reply:
The report indicates that cardiac contractile function is normal, with only mild left atrial enlargement and mild mitral and tricuspid regurgitation.[Read More] Interpreting Echocardiogram Reports: Key Findings and Implications
Understanding Early Beats and Palpitations: Causes and Concerns
Premature beats and palpitations? Hello, doctor. I previously suffered from panic disorder and took medication, but after stopping the medication, I did not experience a relapse. However, later on, I visited a traditional Chinese medicine practitioner for body adjustment. During ...
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 lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Early Beats and Palpitations: Causes and Concerns
Understanding Early Beats and Palpitations: Causes and Concerns
Premature beats and palpitations? Hello, doctor. I previously suffered from panic disorder and took medication, but after stopping the medication, I did not experience a relapse. However, later I consulted a traditional Chinese medicine practitioner to adjust my body. After recei...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Early Beats and Palpitations: Causes and Concerns
Understanding Echocardiograms: Key Insights for Heart Health Monitoring
Echocardiogram Since receiving the first dose of the AstraZeneca vaccine last year, I have reported adverse reactions and have been attending immunology follow-ups. I was recently diagnosed with suspected lupus erythematosus. Previously, I experienced occasional shortness of brea...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral valve prolapse with mild mitral regurgitation, tricuspid regurgitation, and mild pulmonary hypertension. If you continue to experience discomfort, please follow up at the hospital outpatient clinic.[Read More] Understanding Echocardiograms: Key Insights for Heart Health Monitoring
Chest Tightness: Is It a Heart Issue or Anxiety?
Chest tightness issues? Hello doctor, a few months ago I experienced severe panic anxiety disorder. My symptoms have improved a bit, but whenever I feel down or start to feel anxious, I experience tightness in my left chest. When I'm in a good mood, I don't have any iss...
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] Chest Tightness: Is It a Heart Issue or Anxiety?
Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Palpitations after COVID-19 vaccination? Hello Doctor: I received my fifth dose of the COVID-19 vaccine (Moderna) on March 7th. Starting on March 9th, I began experiencing irregular heartbeats, with my resting heart rate increasing from the usual 72-73 to 84-90. As of March 11th,...
Dr. Wu Xueming Reply:
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination.[Read More] Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Managing Cholesterol: Dietary Changes vs. Medication Concerns
Cholesterol Issues 2 On December 9, my cholesterol level was 267. The doctor advised me to adjust my diet first. I noticed that others have mentioned cholesterol levels of 259, and their doctors suggested medication. However, my doctor said I don't need medication for now. I...
Dr. He Dongjin Reply:
Hello, please trust your attending physician. Everyone's situation is different, and doctors will consider your specific circumstances when prescribing medication. Don't overthink it; just trust your doctor and cooperate with them. The discomfort and tingling in your le...[Read More] Managing Cholesterol: Dietary Changes vs. Medication Concerns
Is Mountain Climbing Safe for Teens with Arrhythmia and Mitral Valve Prolapse?
Arrhythmia I am 13 years old and have arrhythmia, occasionally feeling sharp pain in my heart. I underwent catheter ablation last December, but I still experience episodes from time to time. I also have mitral valve prolapse. My school is planning a hiking trip to Hehuanshan for ...
Dr. He Dongjin Reply:
Hello, regarding the summit of Hehuanshan, it might be better to do some physical training first. Based on your description, it may not be suitable at the moment. Please coordinate with your cardiologist. Changhua Hospital cares about your well-being.[Read More] Is Mountain Climbing Safe for Teens with Arrhythmia and Mitral Valve Prolapse?
Understanding Blood Pressure Readings and Monitoring Techniques
Blood pressure-related issues? 1. Today, I measured my blood pressure. The first reading on my right arm was 126/75 mmHg with a heart rate of 68 bpm. Five minutes later, the second reading was 115/74 mmHg with a heart rate of 66 bpm. Five minutes later, the third reading was 116/...
Dr. He Dongjin Reply:
Hello, the blood pressure readings are normal. The method of wearing the cuff on both arms is basically the same. I am not sure what "ART" means regarding the pulse pressure; you may need to ask the manufacturer as the labeling can vary between different brands. Changhu...[Read More] Understanding Blood Pressure Readings and Monitoring Techniques
Understanding VPC Symptoms: When to Worry About Heart Issues
I apologize, Director, but I have one more thing to trouble you with? I apologize for taking up your time, Director. I have somewhat gotten used to the symptoms of VPC (ventricular premature contractions), as there have been times when I felt better. However, over the past three ...
Dr. He Dongjin Reply:
Hello, this is a symptom of autonomic nervous system disorder. Mild mitral and tricuspid regurgitation typically do not affect heart rhythm; it may just feel like missed beats. Any discomfort is related to the heart, but it won't lead to death. Don't worry, Changhua Hos...[Read More] Understanding VPC Symptoms: When to Worry About Heart Issues
Understanding Your Holter EKG Results: Sinus Rhythm and Arrhythmias Explained
Arrhythmia Hello, Doctor. My Holter EKG report has come out: HOLTER EKG: Code No.: Clinical diagnosis: Technical quality of record: Good Dominant rhythm: Sinus Total Beats: 107,704 Min HR: 43 BPM at 06:33:46 (sinus bradycardia) Avg HR: 75 BPM Max HR: 154 BPM at 13:25:47...
Dr. He Dongjin Reply:
Hello, everything is stable. There are only a few instances of atrial premature contractions (APCs) and 33 ventricular premature contractions (VPCs), which are minimal. Don't worry, everything is fine. Changhua Hospital cares about you.[Read More] Understanding Your Holter EKG Results: Sinus Rhythm and Arrhythmias Explained
Understanding Vascular Issues in Diabetic Patients: MRA vs. CT Contrast
Vascular issues Hello, doctor. My mother has diabetes, which has caused chronic wounds on her toes (the soles of her feet) that do not heal quickly. This has led to osteomyelitis, and she requires debridement. However, the underlying issue is that the blood vessels in her calves ...
Dr. He Dongjin Reply:
Hello, without the use of contrast agents, it would be difficult to clearly visualize the areas of vascular obstruction, as the lesions would not be highlighted. Changhua Hospital cares about your well-being.[Read More] Understanding Vascular Issues in Diabetic Patients: MRA vs. CT Contrast
Understanding Heart Catheterization: Essential Questions for Patients
Inquiry about cardiac catheterization? Hello Dr. Huang, My father is 70 years old, 170 cm tall, and weighs 76 kg. His medical history includes liver cancer (diagnosed 7 years ago, has hepatitis B, is on medication, has undergone electrocautery, embolization, arterial chemothera...
Dr. Huang Yinghe Reply:
Hello: 1. An exercise electrocardiogram (ECG) is used to assess whether there are signs of myocardial ischemia. Under normal circumstances, one should be able to run for 8 to 10 minutes; if symptoms arise within 2 minutes, it likely indicates severe cardiovascular obstruction, an...[Read More] Understanding Heart Catheterization: Essential Questions for Patients
Understanding High Cholesterol: Symptoms, Risks, and Treatment Options
High cholesterol can lead to fatigue? Hello, Doctor: Recently, I have been experiencing worsening fatigue, along with persistent body aches, dizziness, chest tightness, shortness of breath, and palpitations. I also tend to show signs of inflammation and often experience severe co...
Dr. Wu Xueming Reply:
Please engage in regular exercise and avoid high-fat foods. After three months, have your blood drawn for follow-up. If levels are still not within normal range, medication treatment is recommended.[Read More] Understanding High Cholesterol: Symptoms, Risks, and Treatment Options
Understanding Your ECG Report: Sinus Rhythm and Left Atrial Abnormality Explained
Electrocardiogram Report Hello, doctor. Below is my electrocardiogram report. I would like to ask if this report is normal. Thank you. SINUS RHYTHM CONSIDERING LEFT ATRIAL ABNORMALITY.
Dr. Wu Xueming Reply:
The diagnosis of an electrocardiogram (ECG) requires reviewing the actual images. It is recommended that you return to the outpatient clinic for the physician to interpret the report.[Read More] Understanding Your ECG Report: Sinus Rhythm and Left Atrial Abnormality Explained
Can Autonomic Nervous System Imbalance Cause Ventricular Tachycardia?
Arrhythmia Hello Director Wu, may I ask if autonomic nervous system dysfunction can lead to premature contractions of the ventricles or atria? Can autonomic nervous system dysfunction also cause ventricular tachycardia (VT) to occur? I have been experiencing frequent missed beats...
Dr. Wu Xueming Reply:
Autonomic nervous system dysfunction is not a diagnosis of arrhythmia. If there are concerns about arrhythmia, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Can Autonomic Nervous System Imbalance Cause Ventricular Tachycardia?
Unexplained Chest Pain and Tightness: Seeking Answers for Persistent Symptoms
Chest tightness, chest pain, pain in the center of the chest, and inability to control emotions? I have consulted multiple doctors and undergone hospital examinations, all of which indicated no issues. However, I still cannot identify the cause of my daily chest tightness and pai...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Unexplained Chest Pain and Tightness: Seeking Answers for Persistent Symptoms