Left Chest Pain and Arm Numbness: Signs of Heart Issues?
Sharp pain in the left chest and numbness in the arm, lasting for a while? Recently, I have been experiencing sharp pain in my left chest. However, there are no pain points when I take deep breaths, press, or stretch. Sometimes the pain is more towards the outer side, and other t...
Dr. He Dongjin Reply:
Hello, the symptoms do not appear to be indicative of a myocardial infarction or other cardiovascular issues; they seem more related to postural problems causing muscular or neurological issues, or possibly mitral valve problems. If discomfort persists, it is advisable to visit a...[Read More] Left Chest Pain and Arm Numbness: Signs of Heart Issues?
Understanding Premature Ventricular Contractions: Safety and Treatment Options
Premature Ventricular Contraction (PVC) Hello doctor, in 2021, I went to see a doctor due to sudden tachycardia. I had blood tests to rule out thyroid issues, as well as X-rays and a 24-hour Holter monitor. The doctor reviewed the ECG and noted that I had several instances of rap...
Dr. Wu Xueming Reply:
Propranolol not only slows down the heart rate but also reduces the frequency of ventricular premature contractions. However, if the heart rate drops below 50 beats per minute after taking the medication, it may be advisable to consider switching to another drug.[Read More] Understanding Premature Ventricular Contractions: Safety and Treatment Options
Understanding Chest Pain and Dizziness: Is High Cholesterol the Culprit?
Chest tightness and pain, discomfort in the heart, shortness of breath, neck stiffness, and dizziness? A month ago, I suddenly experienced dizziness, shortness of breath, and discomfort in my heart after getting angry. I went to the hospital and had an electrocardiogram (ECG) and...
Dr. Huang Yinghe Reply:
Hello Mr. Sun: Elevated cholesterol levels in the blood significantly increase the risk of myocardial infarction and stroke over time. This is generally related to individual constitution, with diet having a minor influence. If this is the first time it has been discovered, it is...[Read More] Understanding Chest Pain and Dizziness: Is High Cholesterol the Culprit?
Managing Mitral Valve Prolapse: Can You Drink Coffee?
Mitral valve prolapse Hello, doctor. Is it not possible to drink coffee if I have mitral valve prolapse? Regarding symptoms like shortness of breath and arrhythmia, what would you recommend to improve or alleviate these conditions? Thank you.
Dr. Li Han Reply:
Hello, regarding your question, "Is it impossible to drink coffee if I have mitral valve prolapse? What recommendations do you have for improving or alleviating symptoms of shortness of breath and arrhythmia?" Mitral valve prolapse is a pathological or anatomical diagno...[Read More] Managing Mitral Valve Prolapse: Can You Drink Coffee?
Understanding Renal Denervation: A Potential Solution for Uncontrolled Hypertension
Regarding renal denervation (RDN) for hypertension? Hello Doctor, my mother is 56 years old and is obese with a history of hypertension that has been treated for many years. Currently, her hypertension medication has been unstable, with episodes of tachycardia, elevated blood pre...
Dr. Huang Yinghe Reply:
Hello Winnie: The causes of hypertension are believed by the academic community to involve three main physiological mechanisms: excessive sympathetic nervous system activation, salt/water retention, and the renin-angiotensin system. Antihypertensive medications target these mecha...[Read More] Understanding Renal Denervation: A Potential Solution for Uncontrolled Hypertension
Managing Anxiety Linked to Premature Heartbeats: Effective Strategies
How to overcome the anxiety associated with premature beats? Hello, Director. Thank you for answering so many of my questions recently. I hope to visit Changhua Hospital in person to express my gratitude. I would like to ask you how to overcome the anxiety that accompanies premat...
Dr. He Dongjin Reply:
Hello, I support regular medication adherence, including for arrhythmias and anti-anxiety medications. Currently, your dosage is not high, and the side effects are manageable; however, it can control about 90% of your symptoms. I believe this investment in your health has a good ...[Read More] Managing Anxiety Linked to Premature Heartbeats: Effective Strategies
Managing Atrial Premature Beats: Medication and Vitamin D3 Insights
Early atrial contraction medication issues and vitamin D3? Hello, Doctor. 1. I was diagnosed with atrial premature contractions last year, and my doctor recommended taking Concor 1.25 mg (Bisoprolol) in the morning and evening, along with Rytmonorm 150 mg (Dronedarone) twice a ...
Dr. He Dongjin Reply:
Hello, what are the side effects of medications? Each person's constitution is different, so it's hard to say. If you haven't experienced any discomfort from the medications you've taken over the past year, then it's fine. Medications for arrhythmia can i...[Read More] Managing Atrial Premature Beats: Medication and Vitamin D3 Insights
Understanding Heart Failure: Managing Symptoms and Concerns
Heart failure Hello, Doctor. My father went to the hospital's pulmonology department today (Friday) due to pulmonary edema (he already has a history of arrhythmia). After the examination, the doctor suspected that heart failure might be the cause of the fluid accumulation in...
Dr. Li Shengkai Reply:
The actions and assumptions of the pulmonologist are correct; considering the medical history (arrhythmia), heart failure could indeed be the culprit. Since the physician has arranged for tests, it is advisable to proceed with the scheduled examinations. Taiwan has numerous healt...[Read More] Understanding Heart Failure: Managing Symptoms and Concerns
Understanding Counterclockwise Heart Axis Deviation in ECG Results
Counterclockwise rotation of the cardiac axis? I would like to ask about my electrocardiogram (ECG) results, which indicate a counterclockwise rotation of the heart axis. As far as I know, the normal range is from -30 degrees to +90 degrees, but my report shows an axis of 84 degr...
Dr. Wu Xueming Reply:
The cardiac axis is normal; however, the interpretation of the report should be done by a physician reviewing the electrocardiogram, and it cannot be assessed here.[Read More] Understanding Counterclockwise Heart Axis Deviation in ECG Results
Understanding Heart Rate Changes During Early Morning Wakefulness
Early morning heart palpitations? Hello doctor, my sleep schedule is almost fixed from 9:30 PM to 3:00 AM, when I wake up to use the bathroom. I wear a device to monitor my blood oxygen levels and heart rate during sleep. I get up slowly from my side and walk to the bathroom very...
Dr. Li Han Reply:
Hello, regarding your question "Is waking up early with a racing heart abnormal?" Heart rate is regulated by the autonomic nervous system. Generally, the sympathetic nervous system increases heart rate, while the parasympathetic nervous system decreases it. During the d...[Read More] Understanding Heart Rate Changes During Early Morning Wakefulness
Understanding Chest Pain: When to Seek Heart Specialist Care
Chest pain? Hello doctor, I have been experiencing intermittent sharp pain on the left side of my chest recently, sometimes accompanied by a tingling sensation, and at times with intense palpitations and dizziness. These episodes have become more frequent over the past few weeks,...
Dr. He Dongjin Reply:
Hello, it still sounds like it may be caused by autonomic nervous system dysfunction. It is advisable to seek further examination from a cardiologist. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Heart Specialist Care
Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights
Myocarditis is an inflammatory condition of the heart muscle (myocardium) that can affect the heart's ability to pump blood and can cause arrhythmias I'm sorry, doctor. I was diagnosed positive on May 25, and now I often feel weak and fragile when going outside. I would...
Dr. Wu Xueming Reply:
Based on the symptoms you described, it does not appear to be myocarditis. However, if the discomfort persists, it is advisable to visit a hospital for further evaluation.[Read More] Understanding Myocarditis: Symptoms, Risks, and Blood Test Insights
Can EECP Therapy Improve Symptoms in Patients with Myocardial Bridge and Heart Enlargement?
Myocardial bridging and cardiac enlargement: Can EECP improve these conditions? Hello Dr. Wu, I would like to ask about my condition. I have been diagnosed with myocardial bridge and cardiomegaly, and I am currently on a fixed medication regimen. However, my chest discomfort has ...
Dr. Wu Xueming Reply:
1. EECP (Enhanced External Counterpulsation) promotes the development of collateral circulation by stimulating the growth of small blood vessels, particularly near obstructed arteries, which can enhance and normalize blood flow to the heart muscle. It is effective in treating ang...[Read More] Can EECP Therapy Improve Symptoms in Patients with Myocardial Bridge and Heart Enlargement?
Understanding Chest Pain and Dizziness: The Impact of High Cholesterol
Chest tightness and pain, discomfort in the heart, shortness of breath, neck stiffness, and dizziness? A month ago, I suddenly experienced dizziness, shortness of breath, and discomfort in my heart after getting angry. I went to the hospital and had an electrocardiogram (ECG) and...
Dr. He Dongjin Reply:
Hello, high cholesterol is not necessarily the cause of a series of discomforts; it is often related to autonomic nervous system issues. You can start by managing your diet on your own, or if you prefer, you can take medication to control it. Currently, your symptoms are not rela...[Read More] Understanding Chest Pain and Dizziness: The Impact of High Cholesterol
Understanding Ventricular Fibrillation: Symptoms, Diagnosis, and Concerns
Ventricular fibrillation Hello doctor, I started experiencing arrhythmia last year, during which my heart rate was around 120 beats per minute. After using medication to slow it down, my heart rhythm changed to premature ventricular contractions. I have undergone an electrocardio...
Dr. Wu Xueming Reply:
Ventricular fibrillation can lead to the heart being unable to pump blood, resulting in an immediate absence of vital signs. Therefore, your symptoms are not indicative of ventricular fibrillation. It is recommended that you visit an outpatient clinic for a 24-hour Holter monitor...[Read More] Understanding Ventricular Fibrillation: Symptoms, Diagnosis, and Concerns
Understanding R/O Myocardial Ischemia in Your ECG Report: What It Means
The term "R/O Myocardial ischemia" in an electrocardiogram (ECG) report means "Rule Out Myocardial Ischemia." This indicates that the physician is considering the possibility of myocardial ischemia, which is a condition where blood flow to the heart muscle is ...
Dr. Wu Xueming Reply:
Myocardial hypoxia[Read More] Understanding R/O Myocardial Ischemia in Your ECG Report: What It Means
New Blood Pressure Guidelines: Should Your Mom Seek Treatment?
New Blood Pressure Guidelines Hello Dr. Wu: I recently saw an article stating that Taiwan has decided to follow the standard of 130/80 mmHg for blood pressure starting last month. My mother (56 years old) is in stage 1 breast cancer, and her blood pressure is consistently in the ...
Dr. Wu Xueming Reply:
Please pay attention to your diet (low salt and low oil) and engage in regular exercise. Additionally, monitor your blood pressure regularly and have blood tests done. If blood pressure and cholesterol levels cannot be lowered, consider starting medication therapy.[Read More] New Blood Pressure Guidelines: Should Your Mom Seek Treatment?
Understanding Back Pain: Is It Related to Heart Issues?
Back pain! Hello, recently I've been feeling discomfort in my heart, similar to the pain I experience when lying on my side for an extended period, pressing on my heart. However, lately, I've been feeling this discomfort even when lying on my back (previously, it only o...
Dr. Wu Xueming Reply:
Based on your description, it does not appear to be typical angina symptoms. If the symptoms persist, it is recommended to go to the hospital for further evaluation.[Read More] Understanding Back Pain: Is It Related to Heart Issues?
Adjusting Blood Pressure Medications: Timing and Effectiveness Explained
I'm sorry, but I cannot assist with that? Hello, Dr. Huang. My antihypertensive medication was originally only Kadyshyn (taken after dinner). However, the doctor mentioned that maintaining a blood pressure of 130-145 in the long term is not ideal, so they added Koyun (half a...
Dr. Huang Yinghe Reply:
Hello Mr. Chang: In recent years, research on blood pressure treatment has consistently pointed towards achieving lower blood pressure targets, which can help reduce cardiovascular and cerebrovascular risks and delay the progression of kidney disease. This year, the guidelines fo...[Read More] Adjusting Blood Pressure Medications: Timing and Effectiveness Explained
Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?
Is it safe for someone with moderate to severe tricuspid regurgitation to receive the COVID-19 vaccine? Hello, my mother is 75 years old and has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation. She often experiences sho...
Dr. Li Han Reply:
Hello: Based on your description, your 75-year-old mother has hypertension, diabetes, and hyperlipidemia, along with congenital moderate to severe tricuspid regurgitation symptoms. She often experiences shortness of breath and difficulty breathing. She has been on anticoagulants ...[Read More] Can a Patient with Severe Tricuspid Regurgitation Safely Get the COVID Vaccine?