Dr. Zhuang Junbin reply Cardiology Question

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Understanding Heart-Related Back Pain: Causes and Solutions

Chest pain radiating to the back? Hello Dr. Chuang, thank you for your previous response. Following your advice, my heart pain has decreased. I would like to ask you about something: in the past, I experienced heart pain that radiated to my back, and now, although my heart does n...


Dr. Zhuang Junbin reply Cardiology
Hello, Coeur: There are many causes of back pain, with common ones being muscle soreness or issues related to the spinal nerves. If the back pain is caused by the heart, further examination and diagnosis are necessary, as it is difficult to determine the cause based solely on ver...

[Read More] Understanding Heart-Related Back Pain: Causes and Solutions


Understanding Mild Heart Conditions: Managing Symptoms Without Medication

The symptoms of heart disease are becoming increasingly severe? Hello, Doctor. I was recently diagnosed with mitral valve prolapse with mild mitral regurgitation, mild aortic regurgitation, mild tricuspid regurgitation, and probable pulmonary hypertension. The doctor prescribed I...


Dr. Zhuang Junbin reply Cardiology
Hello Coeur, 1. If you experience any reactions due to side effects from other medications after taking your prescribed drugs, you can return for a follow-up consultation with your physician. Based on the symptoms reported by the patient, the current treatment with Inderal (10 m...

[Read More] Understanding Mild Heart Conditions: Managing Symptoms Without Medication


Understanding Heart Hypertrophy: Causes, Dietary Tips, and Complications

Cardiomegaly What are the causes of cardiac hypertrophy? What dietary considerations should be taken into account? Can it lead to other health complications?


Dr. Zhuang Junbin reply Cardiology
Hello: Common causes of cardiac hypertrophy include hypertension, hypertrophic cardiomyopathy, valvular heart disease, and athlete's heart. Among these, hypertension is the most prevalent and should be managed with regular antihypertensive medication and follow-up visits to ...

[Read More] Understanding Heart Hypertrophy: Causes, Dietary Tips, and Complications


Understanding Sensitivity: Heart Rate Concerns After Anesthesia

Sensitive constitution Since I had an endoscopy, I may have a sensitive constitution and am allergic to anesthetics and muscle relaxants. Now, without exercising, my heart rate can reach 116 beats per minute in the morning, and it usually stays around 90, whereas it used to be on...


Dr. Zhuang Junbin reply Cardiology
Hello: Most cases of palpitations or increased heart rate may be caused by tension or anxiety. If it is indeed of a pathological nature, it is advisable to check for underlying medical conditions such as anemia or hyperthyroidism. I recommend visiting an internal medicine clinic....

[Read More] Understanding Sensitivity: Heart Rate Concerns After Anesthesia


Understanding Heart Murmurs: What to Expect After Your Check-Up

Physical examination Today, during my physical examination, I was found to have a heart issue, and the doctor did not clear me. He noted the reason as "systolic heart murmur," but he also mentioned that it should not have a significant impact. The examination took place...


Dr. Zhuang Junbin reply Cardiology
If it is a functional heart murmur (a type of systolic heart murmur), you should be able to serve, so there is no need to worry too much.

[Read More] Understanding Heart Murmurs: What to Expect After Your Check-Up


Understanding Periodic Rapid Heartbeat in Elderly Patients

Periodic increase in heart rate? Hello Doctor: My father is 82 years old and lives in a rural area. He was in good health until his seventies. About last summer, he suddenly had difficulty eating for several days (approximately 3-4 days), then returned to normal for about 7-8 day...


Dr. Zhuang Junbin reply Cardiology
1. According to your description, your father may be experiencing paroxysmal arrhythmia, which could explain the periodic recurrence of symptoms. His cardiac function may not be optimal, raising concerns about low cardiac output. 2. The symptoms appear to be indicative of gout....

[Read More] Understanding Periodic Rapid Heartbeat in Elderly Patients


Do You Need an Echocardiogram for Chest Pain and Dizziness?

Cardiac issues Hello Doctor, I would like to ask you about occasional discomfort and tightness in my left chest. I have had a chest X-ray that showed no abnormalities, and my blood pressure is within normal range. However, I have a history of fainting and experienced a sudden dro...


Dr. Zhuang Junbin reply Cardiology
Hello: It may be mitral valve prolapse. Sincerely, Dr. Chuang Jun-bin, Cardiologist.

[Read More] Do You Need an Echocardiogram for Chest Pain and Dizziness?


Understanding Shortness of Breath While Taking Inderal: Causes and Solutions

Wheezing..? Doctor: Hello! I am taking Inderal for certain reasons, but I don't understand why I experience shortness of breath whenever I take this medication. The more medication I take, the more I feel like I can't catch my breath. Could you please explain the reason...


Dr. Zhuang Junbin reply Cardiology
Hello, Xiao Hui: If a patient has bronchial asthma, it is generally not advisable to use Inderal (propranolol). I recommend that you visit the pulmonary medicine clinic to check if you have an asthmatic condition. Dr. Chuang Jun-bin.

[Read More] Understanding Shortness of Breath While Taking Inderal: Causes and Solutions


Post-Blood Draw Concerns: Inflammation and Infection Risks Explained

The puncture site after a blood draw..? After my blood draw during the newborn check-up, the puncture site has not healed, and there are signs of inflammation the day after the blood draw. I attended a class in the basement, where I tend to have some allergic reactions. Then, in ...


Dr. Zhuang Junbin reply Cardiology
Hello: If there is inflammation at the puncture site after a blood draw (redness, swelling, heat, pain), it is advisable to visit an outpatient clinic to determine if there are signs of infection. Dr. Chuang Jun-bin.

[Read More] Post-Blood Draw Concerns: Inflammation and Infection Risks Explained


Understanding Forceful Heartbeats: Causes and Concerns

Palpitations that are so strong that one can feel the vibrations themselves? Hello doctor, I often feel that my heartbeat is unusually strong, causing my body to experience significant vibrations. Sometimes, when I lean my chest against a table, the surface shakes quite a bit, an...


Dr. Zhuang Junbin reply Cardiology
Hello: 1. The sensation of a forceful heartbeat is medically referred to as palpitations; you may have an arrhythmia issue, and it would be advisable to get an electrocardiogram (ECG) at the hospital. 2. Are you perhaps too thin? This could cause the vibrations of your heartbeat ...

[Read More] Understanding Forceful Heartbeats: Causes and Concerns


Understanding Exercise ECG: Is Your Heart Truly Healthy?

What would you like to know about exercise electrocardiograms? Hello Doctor: Recently, I have been feeling something unusual with my heart. Once, while riding in a car up a mountain (to Qingjing, I was just sitting in the car), I suddenly experienced dizziness and shortness of br...


Dr. Zhuang Junbin reply Cardiology
Hello: It is likely mitral valve prolapse or autonomic nervous system disorder. Further testing may not be necessary. Dr. Chuang Jun-bin

[Read More] Understanding Exercise ECG: Is Your Heart Truly Healthy?


Understanding Mitral Valve Prolapse: Conflicting Echo Results Explained

Different results? Dear Doctor: Last year, I went to the hospital due to physical discomfort and underwent a cardiac ultrasound. I visited the cardiology departments at Hsinchu Hospital and Veterans General Hospital, both of which reported only mild mitral valve prolapse. The doc...


Dr. Zhuang Junbin reply Cardiology
1. It is normal for healthy individuals to have mild tricuspid regurgitation, so most cases are considered normal. 2. Individuals with mitral valve prolapse may also exhibit prolapse of the tricuspid valve; however, the presence or absence of prolapse is not significant, as it i...

[Read More] Understanding Mitral Valve Prolapse: Conflicting Echo Results Explained


Unusual Chest Sounds: Understanding Heart-Related Concerns

There seems to be an unusual sound in the thoracic cavity? Hello Dr. Chuang, I would like to ask about something I noticed over a month ago. I suddenly discovered that in a very quiet environment, I could hear a strange sound frequency in my chest that seemed similar to my heartb...


Dr. Zhuang Junbin reply Cardiology
Hello: The frequency that is similar to the heartbeat may be related to arterial blood flow or turbulence. An echocardiogram might be helpful. Dr. Chuang Jun-bin.

[Read More] Unusual Chest Sounds: Understanding Heart-Related Concerns


Understanding Nighttime Heart Palpitations: Causes and Solutions

Experiencing an increased heart rate during sleep? Recently, at night while sleeping, I sometimes suddenly feel like I'm about to die. My chest feels tight, and then my heart starts racing. When I touch my chest, it feels like it's pounding like a drum, and my heartbeat...


Dr. Zhuang Junbin reply Cardiology
Hello, Xiaomin: It could be arrhythmia, or it might be due to anxiety. If it occurs daily, you may consider undergoing a 24-hour Holter monitor test. Dr. Zhuang Junbin.

[Read More] Understanding Nighttime Heart Palpitations: Causes and Solutions


Understanding Heart Issues: When to Seek Medical Attention

Heart problems? Hello Doctor: A friend of mine told me that sometimes he can feel his heart contracting, and his breathing becomes very irregular. Additionally, when he eats, his heart rate increases, and he feels like he can't get enough air and wants to take deep breaths. ...


Dr. Zhuang Junbin reply Cardiology
Hello, concerned netizen: It is recommended to visit a clinic first. If it's just a basic electrocardiogram (ECG) examination, health insurance can cover the cost, so you won't have to spend money. However, you will need to pay the registration fee and the portion of th...

[Read More] Understanding Heart Issues: When to Seek Medical Attention


Understanding Low Blood Pressure and Its Impact on Heart Health

Blood pressure seems to be low? My platelet count is around 80,000. It was first discovered six years ago when I was pregnant with my first child. Before delivery, it dropped to a low of 25,000. During my pregnancy, I regularly consulted a hematologist. About a year ago, I starte...


Dr. Zhuang Junbin reply Cardiology
Dear Concerned Individual, 1. The abnormal sounds detected through the stethoscope may indicate arrhythmia or heart murmurs; however, it is also possible that this is not the case. It is advisable to consult a cardiologist for further evaluation. 2. The sudden sharp pain in you...

[Read More] Understanding Low Blood Pressure and Its Impact on Heart Health


Managing High Blood Pressure and Cholesterol: Dietary Guidelines

Foods for Hypertension and High Cholesterol Is it necessary to take medication long-term if my blood pressure is often around 160? (I have seen a doctor, but they only prescribed a diuretic.) My cholesterol levels are still within the normal range; should I restrict my intake of ...


Dr. Zhuang Junbin reply Cardiology
Hello: 1. If your systolic blood pressure is around 160 mmHg and cannot be lowered through dietary control and increased physical activity, it is recommended to consider pharmacological treatment. 2. It is best to limit daily cholesterol intake to no more than 300 milligrams. Foo...

[Read More] Managing High Blood Pressure and Cholesterol: Dietary Guidelines


Understanding Blood Pressure Readings: Causes of Low Diastolic and Heart Valve Issues

For example, a systolic blood pressure of 120, diastolic blood pressure of 43, and a pulse rate of 56 could indicate several potential causes. This combination may suggest a condition known as isolated diastolic hypotension, where the diastolic pressure is significantly lower tha...


Dr. Zhuang Junbin reply Cardiology
Hello: 1. Please measure your blood pressure several times and bring the records to your doctor for reference. 2. Two valves are not functioning properly; one is likely the mitral valve (due to prolapse). Sincerely, Dr. Chuang Jun-bin, Internal Medicine.

[Read More] Understanding Blood Pressure Readings: Causes of Low Diastolic and Heart Valve Issues


Understanding Sinus Bradycardia: When to Seek Medical Attention

Palpitations Dear Dr. Zhong, what are the disadvantages of sinus bradycardia, and should one see a doctor? Is sinus bradycardia an occasional phenomenon? My grandmother is 83 years old, and she has difficulty walking and experiences weakness in her legs. Recently, she has mention...


Dr. Zhuang Junbin reply Cardiology
Hello, if you are experiencing a slow heart rate along with symptoms such as dizziness, chest pain, or difficulty breathing, it is advisable to consult a cardiologist. Some individuals naturally have a slower heart rate, which is often seen in athletes. Bradycardia can be tempora...

[Read More] Understanding Sinus Bradycardia: When to Seek Medical Attention


Health Risks of Prolonged Sitting: Understanding Chest Discomfort

The issues related to prolonged sitting? Hello, I would like to ask some medical questions because I am currently abroad. Previously, while I was in my school dormitory, I spent more than 7 to 8 hours a day sitting in front of the computer for several months continuously. Then, d...


Dr. Zhuang Junbin reply Cardiology
Hello: Your issue is most likely due to muscle strain caused by poor posture. It is recommended that you avoid sitting in the same position for too long, and occasionally get up to move around and stretch your muscles. Engaging in more physical activity can help alleviate the pai...

[Read More] Health Risks of Prolonged Sitting: Understanding Chest Discomfort