Understanding Pulmonary Hypertension: Diagnosis Challenges and Symptoms
Is pulmonary hypertension difficult to diagnose? I have recently been experiencing occasional shortness of breath to the point where I can't walk. Whether I'm walking or climbing stairs, I feel like I can't catch my breath, and it has become quite severe lately. Ho...
Dr. Huang Yinghe Reply:
Hello: A cardiac ultrasound can provide a rough estimate of pulmonary artery pressure. If the ultrasound detects suspected pulmonary hypertension, hospitalization for cardiac catheterization is necessary for accurate confirmation. There are many causes of shortness of breath, and...[Read More] Understanding Pulmonary Hypertension: Diagnosis Challenges and Symptoms
Understanding Multiple Discomforts: When to Seek Cardiac Care
Generalized discomfort throughout the body? I have been experiencing discomfort in multiple areas of my body. Initially, I had gastrointestinal issues and consulted a gastroenterologist, undergoing an endoscopy and ultrasound. The diagnosis revealed a mild duodenal ulcer and mode...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing symptoms related to autonomic nervous system dysregulation. The pain when pressing on the ribs could be due to muscle or nerve pain, and the strong twitching sensation you describe may also be related. If you are experiencing palpitat...[Read More] Understanding Multiple Discomforts: When to Seek Cardiac Care
Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Experiencing a rapid heartbeat and dizziness after eating? Hello Doctor: I am 19 years old, do not have hypertension, diabetes, or hyperlipidemia, but I have thalassemia and am underweight. Last week, I was diagnosed and have had little appetite; I often start feeling full after ...
Dr. He Dongjin Reply:
Hello, after being diagnosed, it is common to experience heart rhythm issues, which can be monitored initially. If discomfort persists, you should visit a cardiology clinic for further evaluation. A heart rate of 50 to 55 beats per minute before sleep is considered normal; monito...[Read More] Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Understanding Chest Pain: When to Seek Further Heart Evaluation
Similar to angina pectoris? I have been experiencing shortness of breath, chest tightness, and cold sweats whenever I walk, exercise, or climb stairs. I feel so exhausted that I can hardly muster the energy to see a doctor. However, the doctor keeps saying that my electrocardiogr...
Dr. Wu Xueming Reply:
To confirm whether angina is due to coronary artery disease, a stress electrocardiogram or a nuclear myocardial perfusion scan can be arranged. It is advisable to visit an outpatient clinic to discuss this with a physician.[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Suspected myocardial ischemia? Hello, I am the patient who just asked about angina. It seems that patients with frequent angina attacks cannot undergo nuclear medicine myocardial perfusion imaging. I get short of breath when I exercise and I'm a bit afraid of the exercise st...
Dr. Wu Xueming Reply:
A 24-hour electrocardiogram is not very helpful in assessing myocardial ischemia. Current medications, if they can control symptoms, are recommended to be continued.[Read More] Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have been experiencing chest tightness, cold sweats, shortness of breath, and palpitations after exercising recently. These symptoms can last all day, not just for a few minutes or hours. However, my doctor said I have autonomic nervous system dysfunc...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further evaluation.[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Antihistamines and Heart Disease: Understanding the Risks and Symptoms
Antihistamines causing heart disease? I went to the emergency room once, and after receiving an antihistamine injection, I experienced intense heart palpitations (my heart had never beaten this hard before). I felt like I couldn't walk and could only lie down. Later, when I ...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions if needed. Thank you, and wish you go...[Read More] Antihistamines and Heart Disease: Understanding the Risks and Symptoms
Understanding Symptoms of Lung Obstruction: When to Seek Help
Suspected pulmonary obstruction? Hello, I now find that even a little exercise or eating something makes me start to breathe heavily. I can’t do anything else and can only lie in bed, struggling to breathe all day. My heart is pounding strongly, and I feel palpitations as if it m...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wishing you good ...[Read More] Understanding Symptoms of Lung Obstruction: When to Seek Help
Understanding Pulmonary Hypertension: Symptoms, Diagnosis, and Management
Suspected pulmonary hypertension? I have been experiencing shortness of breath and chest tightness when walking or climbing stairs for the past year. After eating, I feel particularly breathless and have chest discomfort to the point where I can't speak. Even when my family ...
Dr. Wu Xueming Reply:
A measurement of 22 mmHg does not meet the criteria for a diagnosis of pulmonary hypertension; it is recommended to undergo further detailed examinations at a hospital.[Read More] Understanding Pulmonary Hypertension: Symptoms, Diagnosis, and Management
Understanding Heart Issues Triggered by Hot Weather: Symptoms and Solutions
Hello, I would like to ask about heart disease caused by hot weather? Hello, I have been experiencing something unusual lately. My heart beats very strongly every day, and I feel short of breath (this is not occasional anxiety). It is completely different from how I used to feel....
Dr. He Dongjin Reply:
Hello, the heart disease caused by hot weather seems more like symptoms related to menopause, which can lead to autonomic nervous system dysregulation and discomfort due to heat intolerance. Please discuss with your physician about trying some medications for autonomic nervous sy...[Read More] Understanding Heart Issues Triggered by Hot Weather: Symptoms and Solutions
Understanding Blood Pressure Fluctuations: Causes, Medications, and Measurement Tips
Causes of Elevated Blood Pressure / Use of Antiarrhythmic Medications / Factors Affecting Systolic and Diastolic Blood Pressure / Methods for Measuring Blood Pressure Hello, Dr. He. I would like to ask you some questions related to blood pressure. I am currently 33 years old, 146...
Dr. He Dongjin Reply:
Hello, both your attending physician and I do not believe that you have hypertension; it sounds more like autonomic nervous system dysregulation or fluctuations in blood pressure caused by changes in both external and internal environments. External factors include weather and se...[Read More] Understanding Blood Pressure Fluctuations: Causes, Medications, and Measurement Tips
Does Drinking Coffee Cause Heart Discomfort or Breathing Issues?
Can drinking coffee cause discomfort in the heart? I had a large cup of coffee between 8 and 9 PM tonight. After a while, I felt some mild discomfort in my upper abdomen, but it wasn't severe pain. When I went to bed at 10:30 PM, I noticed difficulty breathing and chest tigh...
Dr. He Dongjin Reply:
Hello, can drinking coffee cause discomfort in the heart? It is possible, but your symptoms sound more like gastroesophageal reflux disease (GERD). It might be best to avoid it in the future. Changhua Hospital cares about your well-being.[Read More] Does Drinking Coffee Cause Heart Discomfort or Breathing Issues?
Chest Discomfort After COVID Vaccine: When to Seek Medical Attention?
Chest tightness after receiving the COVID-19 vaccine? Today, about three hours after receiving the fourth dose of the Moderna vaccine, I started experiencing a dull pain in the left side of my chest and in the center of my chest. The pain is not severe, but it comes and goes. I h...
Dr. Wu Xueming Reply:
If symptoms persist without improvement, it is recommended to visit a hospital for further evaluation.[Read More] Chest Discomfort After COVID Vaccine: When to Seek Medical Attention?
Understanding Low Heart Rate and Oxygen Levels: When to Seek Medical Advice
The heart rate is generally lower during rest and even lower during sleep? Hello Doctor, I usually have a low heart rate, around 40-70 beats per minute. During my military physical exams and vaccinations, I underwent a 24-hour ECG, and my average heart rate throughout the day was...
Dr. Wu Xueming Reply:
It is recommended to undergo a 24-hour Holter monitor test at the hospital.[Read More] Understanding Low Heart Rate and Oxygen Levels: When to Seek Medical Advice
Can I Take Sotalol After KanKen? Heart Health Concerns Explained
Kanken and the issue of the Senda pacemaker? Hello Doctor, after taking 5mg of Concor, I still feel some discomfort in my heart two hours later. Can I take Sotalol at this time? Will there be any significant drug interactions? My heart rate is 68 beats per minute at the moment.
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Can I Take Sotalol After KanKen? Heart Health Concerns Explained
Understanding Supraventricular Tachycardia: Causes and Prevalence
Cardiac issues? Hello, doctor: I underwent cryoablation for cardiac catheterization during my childhood, but at that time, I only knew it was due to an additional conduction pathway that caused tachycardia. I am curious about the medical term for this condition and what percentag...
Dr. Li Han Reply:
Hello, based on your description, it may refer to atrioventricular reentrant tachycardia, with an incidence of approximately 1.5 per thousand. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Supraventricular Tachycardia: Causes and Prevalence
Understanding the Correlation Between Echocardiogram and Myocardial Perfusion Results
Could Dr. Huang assist with the results of the ultrasound examination? I apologize for the inconvenience, Dr. Huang. I understand that you would like to know more about the echocardiogram results and their correlation with the myocardial perfusion findings, particularly regarding...
Dr. Huang Yinghe Reply:
Hello: The heart function is generally normal, with mild degenerative regurgitation of the valves, which is not a concern. The aortic valve is slightly thickened, possibly related to coronary artery atherosclerosis/stenosis. Overall, there are no specific issues that require inte...[Read More] Understanding the Correlation Between Echocardiogram and Myocardial Perfusion Results
Can COVID-19 Vaccines Affect Heart Health? A Patient's Concern
After receiving the COVID-19 vaccine Hello Doctor, after receiving my third booster shot (Moderna) in May, I started experiencing gastrointestinal discomfort (gastroesophageal reflux). Sometimes I also feel palpitations. I consulted a cardiologist and underwent an echocardiogram ...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wish you good hea...[Read More] Can COVID-19 Vaccines Affect Heart Health? A Patient's Concern
Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Hello, I would like to inquire about pulmonary hypertension caused by the sedative Amberning? Hello, I would like to ask about my situation. I accidentally took a sedative called Ambien along with an antihistamine, and since then, I have been experiencing increasing shortness of ...
Dr. Wu Xueming Reply:
Medications do not cause pulmonary hypertension; it is recommended that you go to the hospital for further evaluation.[Read More] Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Understanding Vascular Aging: Can Young Adults Reverse Arterial Stiffness?
Vascular sclerosis Hello, Doctor. I have been experiencing dizziness that feels like swaying, similar to being on a boat, and sometimes I feel faint. I had a 10-minute MRI of my brain, which came back normal, and an ear examination by an ENT specialist also showed normal results....
Dr. He Dongjin Reply:
Hello, do you smoke? If so, have you quit? Do you have any family history related to this? To be honest, I'm not sure how this test relates to your dizziness. Are your blood vessels really that aged? I also have doubts about the accuracy of this test. Please discuss this dir...[Read More] Understanding Vascular Aging: Can Young Adults Reverse Arterial Stiffness?