Understanding Chest Discomfort: Insights on Angina and Treatment
Chest discomfort issues? Hello, Doctor. In August of this year, I experienced chest tightness and difficulty breathing, which improved after I stood up and walked around. In November, the symptoms recurred, and I sought medical attention at Renai Hospital in Taipei. I was diagnos...
Dr. Li Han reply Cardiology
Hello Mr. Chang, based on your description, your initial physician suspected angina due to your symptoms of chest tightness and pain, and subsequently arranged for a stress electrocardiogram, which returned normal results. Overall, the likelihood of significant coronary artery di...[Read More] Understanding Chest Discomfort: Insights on Angina and Treatment
Understanding Ventricular Polarization: Symptoms and Health Implications
What is ventricular repolarization? During military service medical examinations, the electrocardiogram (ECG) showed the term "abnormal," and the examination report mentioned ventricular polarization, but it was later crossed out by the physician with correction fluid (...
Dr. Li Han reply Cardiology
Hello, the phenomena of depolarization and repolarization are physiological changes involved in neuromuscular activation and transmission. These microcurrent changes have been discovered and applied in clinical examinations, with electrocardiography (ECG) being one of them. What ...[Read More] Understanding Ventricular Polarization: Symptoms and Health Implications
Sudden Pain and Bulging Veins in Foot: What You Need to Know
Sudden protrusion and pain in the veins of the foot? Hello Doctor: I suddenly experienced pain in my foot while sleeping at night. When I got up, I noticed a swollen and painful area on the top of my foot with prominent veins, and the pain has been persistent. Only my right foot ...
Dr. Li Han reply Cardiology
Hello, based on your inquiry about sudden pain in the dorsum of the foot at midnight, along with the presence of prominent veins in the affected area, it is uncertain whether there is a correlation between the two. This description alone does not provide a complete picture, so I ...[Read More] Sudden Pain and Bulging Veins in Foot: What You Need to Know
Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Chest pain or heart pain? Hello Doctor, I apologize for the interruption. I am a 35-year-old male, non-smoker and non-drinker, with a height of 170 cm and weight of 83 kg. I do not have hypertension, diabetes, or hyperlipidemia; my total cholesterol is 163 and triglycerides are 1...
Dr. Li Han reply Cardiology
Hello Mr. Chen, regarding your statement, the clinical presentation does not resemble angina, and the objective non-invasive tests show no abnormalities. Regardless of the insignificant changes on the electrocardiogram, I personally suggest that you should not delve into the &quo...[Read More] Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Differentiating Between Iron Deficiency Anemia and Thalassemia
How to distinguish between Mediterranean anemia and iron deficiency anemia? I have anemia. A few weeks ago, my lab results showed a red blood cell count of 4.52 (normal range: 3.7-5.5 µL), hemoglobin of 8.6 (normal range: 11.3-15.3 g/dL) which is low, hematocrit of 28.6 (normal r...
Dr. Li Han reply Cardiology
Hello, Ms. Ya-Hsuan. Based on your inquiry, your child's blood test results indeed indicate anemia with a hemoglobin level of 8.6 g/dL. When classified by red blood cell size, this is categorized as microcytic anemia. The two most common causes are iron deficiency anemia and...[Read More] Differentiating Between Iron Deficiency Anemia and Thalassemia
Understanding Rapid Heartbeat After Palpitations: When to Seek Medical Help
Palpitations followed by persistent tachycardia? Hello doctor, about two weeks ago, I suddenly woke up around 3 AM with palpitations, night sweats, and anxiety. It didn't improve until the morning. In the following days, my heart rate was consistently fast (around 90 to 100 ...
Dr. Li Han reply Cardiology
Hello Mr. Lin, regarding your inquiry, symptoms such as palpitations, night sweats, shortness of breath, and feelings of anxiety may be attributed to lifestyle stress as a potential cause. However, some serious clinical conditions can also present with similar symptoms. Alcohol a...[Read More] Understanding Rapid Heartbeat After Palpitations: When to Seek Medical Help
Is a Heart Rate Over 100 BPM a Cause for Concern? Expert Advice
If your heart rate consistently remains above 100 beats per minute, should you seek medical attention? Doctor, I have always had a very fast heartbeat. When I squat down and then stand up after about 20-40 seconds, I experience symptoms of anemia, dizziness, and sometimes my visi...
Dr. Li Han reply Cardiology
Hello, Xiao Yi. If you still experience wheezing or palpitations that continue to affect your daily life or routine, it is advisable for you to consult a cardiologist. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Is a Heart Rate Over 100 BPM a Cause for Concern? Expert Advice
Understanding Rapid Heartbeat: When to Seek Medical Attention
Recently, I've been experiencing a rapid heartbeat along with some other issues? Hello, I am currently 23 years old and have issues with being overweight and high blood pressure. Recently, I have noticed that my heart rate has increased significantly; it used to be around 50...
Dr. Li Han reply Cardiology
Hello Mr. Lin, based on your inquiry, you are taking medication for hypertension and have recently experienced chest pain and a rapid heartbeat. However, your previous echocardiogram results were generally normal, which typically indicates no major issues. Angina can indeed prese...[Read More] Understanding Rapid Heartbeat: When to Seek Medical Attention
Managing Mitral Valve Prolapse: Symptoms and Treatment Options
Mitral valve prolapse Hello, I have mitral valve prolapse. A few days ago, I tried doing squats, but after just a few, I felt something strange near my heart, like a hand tightly gripping my left chest. It has been three to four days, and despite taking my mitral valve medication...
Dr. Li Han reply Cardiology
Hello, based on your inquiry, chest pain is one of the common complaints among patients with mitral valve prolapse syndrome, although its mechanism is unclear. The chest tightness and pain triggered after squatting could have various causes. If it can be induced by repetitive mov...[Read More] Managing Mitral Valve Prolapse: Symptoms and Treatment Options
Chest Tightness and Dizziness During Exercise: Should You Be Concerned?
Chest tightness and tightness in the neck and jaw during exercise? Question 1: Recently, during exercise, I occasionally feel chest tightness and discomfort in my throat and jaw, which makes me feel dizzy and experience palpitations when I stop. However, this does not happen ever...
Dr. Li Han reply Cardiology
Hello Lu, the first two questions you have are the most concerning and require serious and careful evaluation. It is recommended that you consult a cardiologist in person. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Chest Tightness and Dizziness During Exercise: Should You Be Concerned?
Understanding Palpitations, Dizziness, and Nausea: Heart vs. Gynecological Issues
Palpitations, dizziness, and nausea? Hello doctor, for the past couple of months, I have been experiencing occasional palpitations, even though I haven't engaged in any intense exercise. Before the palpitations occur, I often feel some discomfort in my upper abdomen, with a ...
Dr. Li Han reply Cardiology
Hello Jill, based on your description, the sensation of palpitations seems to be related to your menstrual cycle and gastrointestinal discomfort, accompanied by symptoms such as hot flashes, increased heart rate, dizziness, and numbness or trembling in your limbs. From the limite...[Read More] Understanding Palpitations, Dizziness, and Nausea: Heart vs. Gynecological Issues
Understanding the New Definition of Acute Myocardial Infarction in Insurance
Questions related to acute myocardial infarction (severe)? Hello Dr. Lee: Next year, the definition of "critical illness" in life insurance will be redefined. The definition of myocardial infarction will refer to the necrosis of a portion of the myocardium due to corona...
Dr. Li Han reply Cardiology
Hello Sunny, regarding the definition of acute myocardial infarction you mentioned, it is a narrow and outdated definition. However, according to the explicit terms of your insurance contract, if you meet the criteria, the insurance company should provide coverage. If you do not ...[Read More] Understanding the New Definition of Acute Myocardial Infarction in Insurance
Understanding Slow Heart Rate: When to Seek Medical Attention
Bradycardia Mother originally had a follow-up appointment with the cardiologist every three months. Recently, due to symptoms (chest tightness and chest pain), her medications were adjusted (previous medications included bisoprolol 1 mg once daily and Adalat 1 mg once daily). A n...
Dr. Li Han reply Cardiology
Hello, based on your description, "Your mother originally had a scheduled follow-up with the cardiology department every three months. Recently, due to symptoms (chest tightness and chest pain), her medication was adjusted (she was previously on bisoprolol 1 mg once a day an...[Read More] Understanding Slow Heart Rate: When to Seek Medical Attention
Should You See an Orthopedic or Cardiologist for Leg Pain from Venous Thrombosis?
Venous embolism If there is pain when pressing down on the thigh due to a lower limb venous embolism, should I consult an orthopedic specialist or a cardiologist?
Dr. Li Han reply Cardiology
Hello, Xiaoman. Regarding your question, "Doctor, if there is a venous embolism in the lower limbs and pressing on the thigh causes pain, should I consult an orthopedic doctor or a cardiologist?" Although the medical history is not detailed enough, it is advisable to fi...[Read More] Should You See an Orthopedic or Cardiologist for Leg Pain from Venous Thrombosis?
Sudden Heart Racing: Is It a Sign of Heart Disease?
Sudden increase in heart rate? Sometimes, while resting or watching TV, my heart suddenly races, and I can feel it beating strongly without touching my chest. I also experience a heavy sensation in my chest and start to feel short of breath. Could this be heart disease? (My fathe...
Dr. Li Han reply Cardiology
Hello Mr. Chen, based on your description, your palpitations began suddenly, in episodes, and are characterized by an increased heart rate, seemingly unrelated to physical activity. However, you did not mention any alleviating or terminating factors, as well as the duration of th...[Read More] Sudden Heart Racing: Is It a Sign of Heart Disease?
Understanding the Differences Between Post-Thrombotic Syndrome and Varicose Veins
Could you please clarify what two types you are referring to? Dear Doctor, I would like to ask about post-thrombotic syndrome and varicose veins, both of which can cause calf swelling and are manifestations of venous insufficiency. 1. Post-thrombotic syndrome is due to vascul...
Dr. Li Han reply Cardiology
Hello, Mr. Chen. The two types of venous issues you mentioned can occur independently or coexist. The solutions may only address the symptoms rather than the root cause, potentially providing temporary relief without achieving a complete cure. The treatment options may not align ...[Read More] Understanding the Differences Between Post-Thrombotic Syndrome and Varicose Veins
Understanding Heart Contractions: Insights for Seniors with Stents
Regarding heart palpation? Hello Dr. Lee, the following questions are from a 73-year-old man, and I am writing on his behalf (actually, his symptoms are quite similar to mine). Three years ago, he had two stents placed. A year after the procedure, he began experiencing sudden hea...
Dr. Li Han reply Cardiology
Hello Mr. Lee, regarding your inquiry, the sudden onset of constrictive pain and shortness of breath after meals or when climbing stairs, without similar chest pain occurring, are likely not typical manifestations of angina. If non-invasive cardiac stress testing shows no evidenc...[Read More] Understanding Heart Contractions: Insights for Seniors with Stents
Understanding Cardiovascular Concerns: Low Fibrinogen and WBC Levels
Cardiovascular Concerns - Fibrinogen + WBC (White Blood Cell Count) Hello Doctor, I recently underwent a health check-up and encountered several unusual indicators that I couldn't find comprehensive information about online. I would appreciate it if you could take the time ...
Dr. Li Han reply Cardiology
Hello Jackie, based on your statement, your Body Mass Index (BMI) is approximately 24, which is within the normal range. Your diet and exercise are normal, and the listed data is only at the lower edge of the normal values, which should be considered normal variants. As for body ...[Read More] Understanding Cardiovascular Concerns: Low Fibrinogen and WBC Levels
Hiccups and Chest Pain: Understanding Cardiac and Gastrointestinal Symptoms
Hiccups and chest pain? Hello Dr. Lee, I had a stent placed in October 2014, and since then, I have occasionally experienced symptoms of chest tightness and pain. However, all the necessary follow-up examinations have shown no abnormalities. Recently, over the past two months, I ...
Dr. Li Han reply Cardiology
Hello Mr. Zhang, I can roughly understand your concerns: 1. The follow-up examinations show no abnormalities (I assume this refers to cardiovascular assessments?), and as long as you consistently take your medication on time, there shouldn't be any major issues, right? --- H...[Read More] Hiccups and Chest Pain: Understanding Cardiac and Gastrointestinal Symptoms
How to Improve Low Red Blood Cell Count in Patients with Favism
How to improve low red blood cell count? The young dog is a freshman this year, has favism, stands 173 cm tall, and weighs 55 kg. In the school health check, the RBC count was 4.19 million/µL, and the hemoglobin level was 13.9 g/dL (previous checks have shown levels below 13). Ot...
Dr. Li Han reply Cardiology
Hello Emily, are you experiencing anemia? In terms of quantity, a hemoglobin level of less than 13 g/dL in males qualifies as anemia. In terms of quality, whether the size of the red blood cells and the concentration of hemoglobin meet the standards... you may consult a physician...[Read More] How to Improve Low Red Blood Cell Count in Patients with Favism