Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Could you please assist me, as I am unsure of what to do? (Forwarded from the Director's mailbox) Hello. I need assistance because I don't know how to seek medical care! I discovered I had slightly high blood pressure six years ago, so I have been regularly taking antih...
Dr. Bu Shiyun Reply:
(1) You have been feeling unwell for the past two to three years, which is indeed troubling for you. However, based on your blood pressure records, there doesn't seem to be any significant hypertension or elevated readings after medication, indicating that your blood pressur...[Read More] Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Understanding Sudden Chest Pain and Shortness of Breath in Seniors
Elderly individuals may experience sudden chest pain and shortness of breath? Hello, doctor! I would like to ask about my mother-in-law, who is about 73 years old and has no history of cardiovascular diseases. Over the past six months, she has experienced several episodes of ches...
Dr. He Dongjin Reply:
Dear Kelly, chest pain and shortness of breath should first rule out cardiac conditions such as angina or paroxysmal arrhythmias. It is advisable to consult a cardiologist for a detailed examination. A basic electrocardiogram may not always show abnormalities, and further tests s...[Read More] Understanding Sudden Chest Pain and Shortness of Breath in Seniors
Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Mitral valve prolapse Hello Doctor: I would like to ask, I had an ultrasound examination today, and the report indicated that I have mitral valve prolapse, which seems to be congenital. However, there is no medication treatment; is this okay? Do I need to have regular follow-ups?...
Dr. He Dongjin Reply:
When pressing the probe against the chest and sliding it back and forth, there may be a pain sensation, as if a heavy object is pressing down. This could indicate a muscular or neurological issue. As for mitral valve prolapse, it is often associated with tall and slender body typ...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Causes and Symptoms of Coronary Artery Spasms Explained
Coronary artery What are the causes of coronary artery spasm? What are the symptoms?
Dr. Lin Jixiong Reply:
Hello: The causes of coronary artery spasm are closely related to increased sympathetic nervous system activity, and it mostly occurs in coronary arteries that already have mild stenosis. The symptoms produced are similar to those of angina, including chest tightness, chest pain,...[Read More] Causes and Symptoms of Coronary Artery Spasms Explained
Is Cardiac Catheterization Necessary for My Father's Angina?
Is it necessary to undergo cardiac catheterization? Hello Doctor: Recently, my father underwent a physical examination. After reviewing his electrocardiogram (ECG) and exercise ECG, the doctor diagnosed him with angina and recommended a cardiac catheterization. What is the purpos...
Dr. Lin Jixiong Reply:
Hello: Cardiac catheterization is a procedure designed to assess the coronary arteries and the physiological conditions of the heart. It can help determine if there are any blockages in the coronary arteries and evaluate whether the pressures in the heart's chambers, includi...[Read More] Is Cardiac Catheterization Necessary for My Father's Angina?
Understanding Tricuspid Valve Issues: Symptoms, Risks, and Management
Tricuspid valve issues? I have had heart problems since childhood and undergo annual check-ups. Today, during my follow-up appointment, the doctor mentioned that my condition has worsened compared to before. The mitral valve is off by 2.xx millimeters, and the degree of prolapse ...
Dr. He Dongjin Reply:
Your medical history is somewhat complex and should be evaluated alongside a physical examination. The symptoms you describe do not seem to indicate a simple prolapse, so it is advisable to seek an examination at a major hospital and discuss your condition with a physician on-sit...[Read More] Understanding Tricuspid Valve Issues: Symptoms, Risks, and Management
Understanding Chest Pain and Left Shoulder Discomfort: Causes and Concerns
Chest pain and left shoulder tightness? Dear Doctor, A few years ago, I sought medical attention for chest pain, but by the time I arrived at the hospital, I had no symptoms, and the tests showed no issues. Recently, I have been experiencing frequent feelings of chest tightness...
Dr. He Dongjin Reply:
It is likely that the discomfort symptoms caused by mitral valve prolapse occur occasionally. It is recommended to arrange for an echocardiogram at the outpatient clinic. Changhua Hospital cares about your tall and slender figure, which is the model body shape that many girls dre...[Read More] Understanding Chest Pain and Left Shoulder Discomfort: Causes and Concerns
Persistent Left Chest Pain: Understanding Causes and Next Steps
Left chest tightness and pain? Hello Doctor: Six months ago, I experienced a sensation as if my heart was being tightly squeezed, accompanied by shortness of breath, dizziness, and weakness in my limbs. I went to the hospital for X-rays and both static and dynamic electrocardiogr...
Dr. He Dongjin Reply:
Hello, it feels like my heart is being tightly squeezed, making it hard to breathe, followed by dizziness, weakness in my limbs, and a persistent dull pain in my left chest. Sometimes the symptoms worsen, and I feel like I can't catch my breath, while at other times I experi...[Read More] Persistent Left Chest Pain: Understanding Causes and Next Steps
Managing Angina: Understanding Symptoms and Treatment Options
Angina pectoris Dear Director He, I have been experiencing symptoms of angina for the past few months. The symptoms have been intermittent, and I have undergone X-rays, an electrocardiogram (ECG), and an echocardiogram. The doctor prescribed medication, which I have been taking ...
Dr. He Dongjin Reply:
Hello, first of all, I'm not sure if your symptoms are truly angina. Generally speaking, angina is less common at your age, but chest tightness is quite common. It is advisable to undergo an exercise electrocardiogram, nuclear medicine imaging, or even a 64-slice computed to...[Read More] Managing Angina: Understanding Symptoms and Treatment Options
Understanding Mitral Valve Prolapse and Its Connection to Autonomic Dysfunction
Regarding mitral valve prolapse? Hello, doctor: Is it common for mitral valve prolapse to be associated with autonomic dysfunction? Why is that? I consulted two doctors; one said I have mitral valve prolapse, while the other said I have autonomic dysfunction. I only feel uncomfor...
Dr. He Dongjin Reply:
Dear Y Mau, I have seen you in Chiayi. Your symptoms are typical manifestations of autonomic nervous system dysfunction combined with mitral valve prolapse, but we should also consider endocrine disorders, such as thyroid dysfunction. Please seek nearby medical attention for exam...[Read More] Understanding Mitral Valve Prolapse and Its Connection to Autonomic Dysfunction
Post-Cardiac Catheterization Complications: Understanding Risks and Symptoms
Post-catheterization complications? Hello Doctor: My father underwent coronary stenting and balloon angioplasty in mid-August this year due to an acute myocardial infarction. He has been taking his medications on schedule and attending regular follow-up appointments. However, he ...
Dr. He Dongjin Reply:
Dear Jiun, The prognosis after acute myocardial infarction (AMI) surgery differs from that after surgery for simple angina. AMI involves myocardial necrosis, and factors such as which artery is occluded, the location of the infarction, the time taken to receive medical attention...[Read More] Post-Cardiac Catheterization Complications: Understanding Risks and Symptoms
Understanding Chest Pain and Its Connection to Heart Health
Chest pain? I have been experiencing unexplained chest tightness and pain, especially when I inhale, which feels more pronounced. Additionally, my left arm often becomes numb and sore shortly after. I know that heart issues can be related to the nerves in the left arm, but I'...
Dr. He Dongjin Reply:
Neck stiffness and numbness in the left hand may be related to the same issue, potentially caused by myofascial syndrome. Any discomfort in the body can lead to autonomic nervous system dysregulation, which may result in mitral valve prolapse and chest discomfort. During embryoni...[Read More] Understanding Chest Pain and Its Connection to Heart Health
Understanding Chest Tightness: Causes and Heart Health Concerns
Chest tightness Hello Doctor: I often feel a tightness in my chest and sometimes experience dizziness. Recently, I've been having heart pain that feels like a tight squeeze and usually lasts for a long time, about several minutes or more. Sometimes my heart races a few times...
Dr. He Dongjin Reply:
Dear Xiaoye, based on your description, it is possible that mitral valve prolapse is at play. It is advisable to visit a cardiology clinic for further examination. Changhua Hospital is concerned about your tall and slender physique, which is often the dream model figure for many ...[Read More] Understanding Chest Tightness: Causes and Heart Health Concerns
Can Mild Mitral Valve Regurgitation Heal Without Surgery or Medication?
Is there a way to heal mitral regurgitation without surgery? Hello, Doctor. I recently discovered that I have "mild mitral regurgitation" during my mandatory military physical examination. I have read many articles on this topic, but I am still not very clear about a fe...
Dr. He Dongjin Reply:
1. Mitral regurgitation, also known as mitral valve insufficiency, may not necessarily be congenital. 2. Mitral valve prolapse is often congenital, but it does not always lead to mitral regurgitation. 3. It is generally not possible to achieve a cure without surgical intervention...[Read More] Can Mild Mitral Valve Regurgitation Heal Without Surgery or Medication?
Is It a Heart Issue? Understanding Chest Pain and Symptoms
Is it a heart problem? Hello Doctor: Sometimes I feel a tightness in my chest, as if I can't get fresh air. When I take deep breaths, I occasionally experience a sudden sharp pain and also have inexplicable shooting pains. Additionally, I often feel dizzy and nauseous, and s...
Dr. He Dongjin Reply:
Based on your symptoms, it is highly likely that you have what is known as mitral valve prolapse (MVP). This condition can often be managed with medication to alleviate symptoms. The tall and slender physique associated with mitral valve prolapse is often considered the ideal mod...[Read More] Is It a Heart Issue? Understanding Chest Pain and Symptoms
Understanding Mitral Valve Prolapse: Symptoms and Heart Health Concerns
Mitral valve prolapse Hello Doctor, I am a young woman with mitral valve prolapse and mild regurgitation. There is a slight backflow of blood, but overall, my heart function remains within normal limits. Recently, I have been experiencing sudden dizziness and prolonged chest pain...
Dr. He Dongjin Reply:
DEAR GIGI, the symptoms mentioned above are mostly caused by autonomic nervous system dysfunction and are also related to mitral valve prolapse. It is advisable to use some medications for control and to visit a cardiology clinic for a detailed examination. Changhua Hospital is c...[Read More] Understanding Mitral Valve Prolapse: Symptoms and Heart Health Concerns
Understanding Heart Palpitations and Shortness of Breath: Causes and Concerns
excuse me? Why do I sometimes feel a heaviness in my chest and occasionally experience palpitations? I previously had an electrocardiogram that came back normal, but for the past 5 to 6 years, I have felt short of breath even with minimal exercise (at that time, my weight was nor...
Dr. He Dongjin Reply:
Dear Jane, based on your description, you likely have mitral valve prolapse. An electrocardiogram cannot diagnose this condition, but some simple medications may help control your symptoms. It is advisable for you to undergo further examination at Changhua Hospital. Your tall a...[Read More] Understanding Heart Palpitations and Shortness of Breath: Causes and Concerns
Understanding Left Chest Pain: Is It Mitral Valve Prolapse or Angina?
Severe pain in the left chest? I would like to ask the doctor: I have undergone a resting electrocardiogram, a stress electrocardiogram, a 24-hour Holter monitor, and an echocardiogram. After these tests, the doctor indicated that I have mitral valve prolapse, but everything else...
Dr. He Dongjin Reply:
Based on your description, it does not seem like angina, and the exercise electrocardiogram showed no abnormalities. Gastroesophageal reflux cannot be ruled out, so you may want to consult a gastroenterologist for further evaluation. The most likely cause of your discomfort is st...[Read More] Understanding Left Chest Pain: Is It Mitral Valve Prolapse or Angina?
Understanding Heart Surface Decay: Causes and Quick Treatment Options
The deterioration of the heart's exterior can be attributed to several factors, including coronary artery disease, myocardial infarction, infections such as endocarditis, or degenerative conditions like cardiomyopathy. These conditions can Why does the surface of the heart d...
Dr. Lin Yongguo Reply:
In response to your question: 1. Have you ever seen a heart with its exterior decayed? Could you please elaborate? However, if the heart is affected by conditions such as myocardial ischemia, infarction, inflammation, or infection, it may lead to myocardial damage. Treatment meth...[Read More] Understanding Heart Surface Decay: Causes and Quick Treatment Options
Understanding Heart Symptoms: What to Do When You Can't Breathe
excuse me? If you experience difficulty breathing or a feeling of tightness in your chest, it is important to take the following steps: 1. **Stay Calm**: Try to remain as calm as possible, as anxiety can worsen the symptoms. 2. **Sit Upright**: Find a comfortable position, prefe...
Dr. Huang Guosheng Reply:
Hello: The causes of heart palpitations and chest tightness can include angina, heart failure, lung diseases, emotions, and stress. Generally speaking, if the palpitations and chest tightness are heart-related, they tend to worsen with physical activity and improve with rest. Giv...[Read More] Understanding Heart Symptoms: What to Do When You Can't Breathe