Understanding Heart Pain: When to Seek Medical Attention
Cardiac issues Hello Doctor: Recently, I experienced a sudden sharp pain in my heart while forcefully opening a beverage, feeling as if it was being squeezed. After sitting down and resting for a short while, the pain subsided. I have had several previous episodes of intermittent...
Dr. Zhong Yuxun reply Cardiology
Hello, dear user: Most beverages contain caffeine, which may cause palpitations. Based on your message, it could be related to autonomic nervous system dysfunction or neuropathy. Please consult an internist or a cardiologist for diagnosis and treatment. Dr. Chung Yu-Hsuan[Read More] Understanding Heart Pain: When to Seek Medical Attention
Distinguishing Between Mitral Valve Insufficiency, Prolapse, and Regurgitation
How to differentiate between mitral valve insufficiency, mitral valve prolapse, and mitral regurgitation? (1) How can mitral valve insufficiency, mitral valve prolapse, and mitral regurgitation be distinguished from each other? (2) If any of these conditions are present, can they...
Dr. Zhong Yuxun reply Cardiology
Hello, Bi netizens: The mitral valve, also known as the bicuspid valve, consists of two leaflets and is located between the left atrium and the left ventricle. Its function is to allow blood to flow unidirectionally from the left atrium to the left ventricle. When one of the leaf...[Read More] Distinguishing Between Mitral Valve Insufficiency, Prolapse, and Regurgitation
Understanding Rapid Heartbeat: When to Seek Medical Attention
Cardiac issues Hello, Doctor. I would like to ask a question. Recently, I sometimes feel that my heart is beating very fast (without feeling anxious or having exercised). In milder cases, I only feel discomfort in my heart, but sometimes when it’s more severe, I feel very fatigue...
Dr. Zhong Yuxun reply Cardiology
Dear Mr. Tang, What you described is a typical case of "palpitations." There are many potential causes, and it is advisable to consult a cardiologist for further evaluation and treatment as soon as possible. Dr. Chung Yu-Hsuan[Read More] Understanding Rapid Heartbeat: When to Seek Medical Attention
Understanding Frequent PVCs and Their Impact on Heart Health
Arrhythmia The 24-hour electrocardiogram (ECG) recorded frequent premature ventricular contractions (PVCs) at a rate of 9,498 per day, along with couplets and triplets (monomorphic). Is this serious? How should one manage this condition? Will this affect military service eligibil...
Dr. Zhong Yuxun reply Cardiology
Hello Nelly, Frequent premature ventricular contractions should be further evaluated. Please consult a cardiologist for diagnosis and treatment, and avoid stimulants. Issues related to military service should be handled according to regulations by the military service office. ...[Read More] Understanding Frequent PVCs and Their Impact on Heart Health
Understanding Chest Pain and Breathing Difficulties in Middle-Aged Women
Chest pain and difficulty breathing! Hello, doctor. I would like to ask: A woman in her 40s experiences chest pain at night, radiating from the front of her chest to her back, accompanied by a sensation of difficulty breathing, which prevents her from sleeping at night. What coul...
Dr. Zhong Yuxun reply Cardiology
Hello Ms. Lai, In middle-aged women in their 40s experiencing chest pain accompanied by shortness of breath and insomnia, there are several potential causes. These may include issues related to the heart, lungs, or pleura, as well as conditions such as menopause or autonomic ne...[Read More] Understanding Chest Pain and Breathing Difficulties in Middle-Aged Women
Understanding Chest Pain and Discomfort: When to Seek Heart Care
Please tell me? Hello, Doctor: I often feel a tightness in my chest, and I frequently experience pain in my chest that feels like something is stabbing me. Sometimes, when I raise my arms, my heart feels like it's cramping. Recently, whenever I squat or get up from lying dow...
Dr. Zhong Yuxun reply Cardiology
Hello, HuaHua: Your symptoms are quite complex. Firstly, your chest pain does not resemble angina; it is more akin to neuropathic pain and worsens with changes in posture. This may be caused by autonomic nervous system dysfunction, which can also lead to shortness of breath or wh...[Read More] Understanding Chest Pain and Discomfort: When to Seek Heart Care
Understanding Hemangiomas: Diagnosis and Specialist Consultation
Hemangioma Hello doctor, I had a health check-up a year ago and found four hemangiomas in my right abdomen. Additionally, I have discovered a vascular tumor in my right thigh. Could you please advise whether these are typically benign tumors or related to vascular obstruction? Wh...
Dr. Zhong Yuxun reply Cardiology
Hello Mr. Chen: A hemangioma is not a vascular obstruction; please visit a plastic surgery department for treatment. Dr. Chung Yu-Hsuan[Read More] Understanding Hemangiomas: Diagnosis and Specialist Consultation
How Often Should You Get a Heart Ultrasound Exam?
Regarding echocardiography examination? Hello Dr. Chung: I had a cardiac ultrasound examination at the end of last year. How long should I wait before having another check-up? Thank you!
Dr. Zhong Yuxun reply Cardiology
Hello Mr. Dong: I would like to know why you underwent an echocardiogram at that time and what the results were. The interval for your next examination should be determined by your attending physician based on your condition. Dr. Zhong Yuxuan[Read More] How Often Should You Get a Heart Ultrasound Exam?
Understanding Heart Clots: Risks, Treatments, and Concerns
It seems there is a blood clot in the heart!!?? Hello, doctor. I previously went to seek medical attention due to symptoms of arrhythmia, chest tightness, and stabbing pain. The doctor diagnosed me with mild mitral valve prolapse. Later, due to a military service physical examina...
Dr. Zhong Yuxun reply Cardiology
Hello Mr. Chang: Mitral valve prolapse may sometimes be associated with tricuspid valve prolapse and insufficiency. First, you need to confirm whether there are any blood clots (thrombus) or other tumors in the right atrium, which can be further evaluated with a transesophageal e...[Read More] Understanding Heart Clots: Risks, Treatments, and Concerns
Emergency Transfer of Heart Patients from Mainland China to Taiwan
Emergency transfer to a hospital in mainland China? I'm sorry to hear about your father's condition. It is crucial to consult with a medical professional who can assess his specific situation and provide personalized advice. If your father is experiencing a heart rate o...
Dr. Zhong Yuxun reply Cardiology
Hello: A slow heart rate can lead to chest discomfort and dizziness, and in severe cases, it may result in fainting or temporary loss of consciousness. The first principle of management is to identify the underlying cause, as some cases may be drug-induced. A "temporary pace...[Read More] Emergency Transfer of Heart Patients from Mainland China to Taiwan
Understanding Left Axis Deviation: Causes, Risks, and Treatment Options
Left axis deviation Hello Dr. Zhong: My aunt is 53 years old. This year, she underwent a health check-up, and the hospital's report indicated an issue: "The resting electrocardiogram shows left axis deviation, suspected left anterior fascicular block." What does th...
Dr. Zhong Yuxun reply Cardiology
Hello, Min: The electrical conduction in the heart's ventricles is divided into the right and left bundle branches, with the left bundle branch further divided into the anterior and posterior fascicles. The diagnosis of "left anterior fascicular block" (which inclu...[Read More] Understanding Left Axis Deviation: Causes, Risks, and Treatment Options
Understanding Frequent Palpitations: Causes and Dietary Tips
Palpitations are becoming increasingly frequent? Hello Doctor: My girlfriend used to experience occasional strong heartbeats, but recently it has become more frequent, with her heart beating normally and then suddenly skipping a beat before continuing. Could this be arrhythmia or...
Dr. Zhong Yuxun reply Cardiology
Dear Jakic, What you mentioned in your letter is a type of "arrhythmia." Clinically, it can present as palpitations or a sensation of the heart skipping a beat. Stimulant foods (such as coffee or tea) can trigger episodes and should be avoided. Please seek a diagnosis...[Read More] Understanding Frequent Palpitations: Causes and Dietary Tips
Understanding High and Low Blood Pressure: Causes and Precautions
Regarding high and low blood pressure? Dear Doctor: What are the causes of high blood pressure or low blood pressure? If blood pressure is high or low, what should one pay attention to in daily life? Thank you, Doctor!
Dr. Zhong Yuxun reply Cardiology
Hello, Miss Jiang: Everyone's blood pressure varies, with the normal range for most individuals being approximately 120/80 mmHg (millimeters of mercury). Generally, younger individuals may have lower readings, even as low as 90/60 mmHg, which is still considered normal. A ...[Read More] Understanding High and Low Blood Pressure: Causes and Precautions
Understanding QT Interval Prolongation: Causes and Implications
Electrocardiogram-related issues? Hello Dr. Zhong: Thank you for your previous clarification. May I ask you again, if the QT interval on an electrocardiogram shows prolongation, what potential issues or diseases could this indicate? Thank you!
Dr. Zhong Yuxun reply Cardiology
Hello, Ling: The "QT interval" in an electrocardiogram (ECG) is influenced by heart rate; as the heart rate increases, the QT interval lengthens, and vice versa. Therefore, the QT interval should be corrected for heart rate. There are many causes of prolonged QT interva...[Read More] Understanding QT Interval Prolongation: Causes and Implications
Understanding Pseudoaneurysms: Treatment Options and Surgical Considerations
Pseudoaneurysm Doctor: I recently had a scan done abroad, and the doctor discovered a pseudoaneurysm approximately six centimeters in size near the heart in my left chest. It is believed to have been caused by a car accident three years ago, during which only a pneumothorax and h...
Dr. Zhong Yuxun reply Cardiology
Dear Miao, I understand from your letter that you are suffering from a pseudoaneurysm of the thoracic aorta, which was caused by trauma. Given that it measures 6 centimeters and is symptomatic, it should be addressed as soon as possible. The treatment for a pseudoaneurysm typic...[Read More] Understanding Pseudoaneurysms: Treatment Options and Surgical Considerations
Understanding QT and PQ Intervals in ECG: Significance and Normal Values
Interpretation of Electrocardiogram (ECG) Dear Dr. Zhong: What do QT and PQ represent in an electrocardiogram, and what are their normal values? Thank you!
Dr. Zhong Yuxun reply Cardiology
Hello, Ling: In the interpretation of electrocardiograms (ECGs), the term "PR interval" is commonly used instead of "PQ interval." The PR interval represents the time taken for conduction between the atria and ventricles, with a normal range of 0.12 to 0.20 ...[Read More] Understanding QT and PQ Intervals in ECG: Significance and Normal Values
Understanding Left Chest Discomfort: Is It Mitral Valve Prolapse or Something Else?
Left chest tightness? Hello Doctor, I often feel a tightness in my left chest accompanied by a sense of weakness. Sometimes it feels as if my entire left chest is empty. During these episodes, I instinctively press on my left chest and feel very dizzy and uncomfortable. My hands ...
Dr. Zhong Yuxun reply Cardiology
Dear Xiaofang, Based on your letter, it seems that the symptoms you are experiencing are likely due to mitral valve prolapse. Mitral valve prolapse is often associated with autonomic nervous system dysregulation, which can lead to systemic symptoms. In addition to the commonly u...[Read More] Understanding Left Chest Discomfort: Is It Mitral Valve Prolapse or Something Else?
Understanding Heart Issues in Aging Fathers: Diabetes and Smoking Risks
Father's heart condition? I would like to consult a physician. My father, who is 56 years old and has been smoking for over 30 years, has diabetes and is regularly taking medication to control his blood sugar levels, which are maintained at around 180 mg/dL after meals. He h...
Dr. Zhong Yuxun reply Cardiology
Hello, Xiaoyou: Right atrial enlargement is relatively uncommon, and its causes are often related to pulmonary conditions, so smoking may be a contributing factor; it is advisable to quit smoking as soon as possible. As for whether pericardial disease is related to right atrial e...[Read More] Understanding Heart Issues in Aging Fathers: Diabetes and Smoking Risks
Can Arrhythmia Cause Numbness in the Left Ring Finger?
Does arrhythmia cause.......? Hello Dr. Zhong, recently I've been experiencing numbness and tingling in my left ring finger. Could this be related to arrhythmia? (A traditional Chinese medicine practitioner told me that the left middle finger is related to the heart; is this...
Dr. Zhong Yuxun reply Cardiology
Hello: Arrhythmia is not related to finger numbness; it may be associated with computer work. It is recommended to consult a neurologist or a rehabilitation physician for diagnosis and treatment. Dr. Chung Yu-Hsuan, Department of Cardiology, Taoyuan Hospital, Ministry of Health a...[Read More] Can Arrhythmia Cause Numbness in the Left Ring Finger?
Understanding Left Axis Deviation and Left Anterior Fascicular Block in ECG
Left axis deviation and left anterior fascicular block? Dear Dr. Zhong, The electrocardiogram (ECG) report from our stationed technical personnel indicates "left axis deviation and left anterior fascicular block." Could you please explain what these findings signify in...
Dr. Zhong Yuxun reply Cardiology
Hello, Gaoou netizen: The three findings in the electrocardiogram report you mentioned are commonly found in general health check-up reports; even normal individuals may exhibit these findings. Therefore, if the examinee has no symptoms or discomfort, these findings are likely no...[Read More] Understanding Left Axis Deviation and Left Anterior Fascicular Block in ECG