Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Myocardial ischemia, exercise electrocardiogram? Hello Doctor, I have noticed significant differences in the test results from a clinic and a large hospital, and I hope you can assist in interpreting them. Thank you! **[Clinic A]** 1. **24-Hour Holter Monitor:** - 402.10 HYPE...
Dr. He Dongjin Reply:
Hello, I trust large hospitals. I cannot make a judgment without seeing the relevant images, but I believe it is better to observe first. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Understanding Heart Palpitations and Anxiety Medication Withdrawal
Hello, I would like to inquire about antiarrhythmic medications? Hello, I previously took medication for anxiety, but I had to stop because I have asthma and cannot take those medications. I'm not sure if I stopped too quickly, as I only took them for two days before discont...
Dr. Huang Yinghe Reply:
Hello: Rhythm control medications belong to the class of beta-adrenergic blockers, commonly used to alleviate symptoms of chest tightness and palpitations. Not taking the medication may lead to more frequent symptoms, but it is unlikely to cause severe complications. This medicat...[Read More] Understanding Heart Palpitations and Anxiety Medication Withdrawal
Understanding Chest Pain: When to Seek Further Heart Evaluation
Similar to angina pectoris? I have been experiencing shortness of breath, chest tightness, and cold sweats whenever I walk, exercise, or climb stairs. I feel so exhausted that I can hardly muster the energy to see a doctor. However, the doctor keeps saying that my electrocardiogr...
Dr. Wu Xueming Reply:
To confirm whether angina is due to coronary artery disease, a stress electrocardiogram or a nuclear myocardial perfusion scan can be arranged. It is advisable to visit an outpatient clinic to discuss this with a physician.[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Suspected myocardial ischemia? Hello, I am the patient who just asked about angina. It seems that patients with frequent angina attacks cannot undergo nuclear medicine myocardial perfusion imaging. I get short of breath when I exercise and I'm a bit afraid of the exercise st...
Dr. Wu Xueming Reply:
A 24-hour electrocardiogram is not very helpful in assessing myocardial ischemia. Current medications, if they can control symptoms, are recommended to be continued.[Read More] Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Understanding Heart Issues Triggered by Hot Weather: Symptoms and Solutions
Hello, I would like to ask about heart disease caused by hot weather? Hello, I have been experiencing something unusual lately. My heart beats very strongly every day, and I feel short of breath (this is not occasional anxiety). It is completely different from how I used to feel....
Dr. He Dongjin Reply:
Hello, the heart disease caused by hot weather seems more like symptoms related to menopause, which can lead to autonomic nervous system dysregulation and discomfort due to heat intolerance. Please discuss with your physician about trying some medications for autonomic nervous sy...[Read More] Understanding Heart Issues Triggered by Hot Weather: Symptoms and Solutions
Understanding Medication and Hiccups After Myocardial Infarction
Medications for myocardial infarction and symptoms of hiccups? Hello Dr. Lee, My mother recently went to the emergency room on September 6 due to upper abdominal pain and chest pain. After blood tests showed elevated cardiac enzymes, she was diagnosed with acute myocardial infa...
Dr. Li Han Reply:
Hello, regarding your inquiry, first of all, hiccups are not a typical symptom of angina. If this symptom persists, it may be necessary to consider other systemic disorders, especially since the antiplatelet medication aspirin, commonly used in patients with coronary heart diseas...[Read More] Understanding Medication and Hiccups After Myocardial Infarction
Understanding Exercise ECG Reports: Insights into Cardiac Health
Exercise Electrocardiogram Report PH: Chest pain. Please help me check for any abnormalities, thank you. RESTING ECG: Sinus rhythm, non-specific ST-T changes. PREVIOUS EXERCISE TEST: Nil. SUMMARY OF EXERCISE TEST: - PROTOCOL: Treadmill Standard Bruce - MHR-PREDICTED: Abov...
Dr. He Dongjin Reply:
Hello, your exercise electrocardiogram report is positive, indicating a suspicion of angina pectoris. The Duke treadmill score is +1, which indicates a medium risk. If you have no significant symptoms but are still concerned, you may consider paying out of pocket for a CT scan. I...[Read More] Understanding Exercise ECG Reports: Insights into Cardiac Health
Understanding Echocardiogram Results: Mitral Valve Insufficiency Insights
Echocardiogram report and mitral valve regurgitation? Hello Doctor, I have been experiencing recurrent chest pain over the past two years. I have received treatment at the clinic for some time, but the episodes continue to occur. The doctor mentioned that I am experiencing angina...
Dr. Wu Xueming Reply:
The report indicates that everything is normal except for mild tricuspid regurgitation.[Read More] Understanding Echocardiogram Results: Mitral Valve Insufficiency 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 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?
Understanding Right Coronary Artery Blockage and Mitral Valve Regurgitation
Inquiry about right coronary artery branch occlusion issues? Dear Dr. Wu, My mother is 68 years old. At the end of last year, she experienced pleural effusion for the first time in her life. An echocardiogram revealed moderate to severe mitral valve regurgitation, which caused f...
Dr. Wu Xueming Reply:
If the heart's contractile function is poor and symptoms of heart failure and pulmonary congestion remain uncontrolled despite medication, it is advisable to address the issue of vascular obstruction. Surgical bypass surgery will only be considered when catheter-based interv...[Read More] Understanding Right Coronary Artery Blockage and Mitral Valve Regurgitation
Understanding Heart Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in my left fingertips. Last night, the numbness persisted for several hours, extending from my fingertips to my upper arm. I have been concerned that this might be atypical angina....
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there is no need to worry too much. You may consider taking B vitamins or visiting...[Read More] Understanding Heart Symptoms: When to Seek Further Testing
Understanding Heart-Related Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in the fingertips of my left hand. Last night, the numbness persisted for several hours, spreading from my fingertips to my upper arm. I have been concerned that this might be atyp...
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there's no need to worry too much. You may consider taking B vitamins or visi...[Read More] Understanding Heart-Related Symptoms: When to Seek Further Testing
Understanding Palpitations: When to Seek Further Cardiac Evaluation
Questions related to palpitations? Hello Doctor, Since receiving my two vaccine doses six months ago, I have been experiencing intermittent palpitations and chest tightness. During this time, I visited a cardiologist and underwent a stress electrocardiogram, a 24-hour Holter mo...
Dr. He Dongjin Reply:
Hello, it sounds like you might be experiencing symptoms of autonomic nervous system dysfunction, such as persistent anxiety related to stable angina pectoris at 50%. It would be advisable to undergo a self-funded cardiac CT scan to gain a clearer understanding. Changhua Hospital...[Read More] Understanding Palpitations: When to Seek Further Cardiac Evaluation
Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
Chest pain, coronary artery obstruction, myocardial ischemia, myocardial bridge? Hello, please help me interpret the report and advise on further treatment or examination directions. Thank you, doctor. A few years ago, I underwent radiofrequency ablation for PSVT and have a myoca...
Dr. He Dongjin Reply:
Hello, at this age, it is common to experience chest pain due to autonomic nervous system issues during menopause. However, a positive result from an extreme cycling exercise test still raises suspicion for angina, particularly with the presence of a myocardial bridge in the left...[Read More] Understanding Chest Pain: Insights on Myocardial Ischemia and Treatment Options
Understanding Rapid Heartbeat and Fainting: When to Seek Medical Help
Several instances of rapid heartbeat leading to fainting? I have been experiencing shallow sleep and poor rest over the past few weeks. On December 31st, during the New Year celebration, I consumed about 150ml of 6% fruit wine. Shortly after, my heart rate increased, and I though...
Dr. He Dongjin Reply:
Hello, it doesn't sound like angina with a fast heartbeat and feeling faint. You should consult a doctor to check for arrhythmia or vasovagal syncope. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat and Fainting: When to Seek Medical Help
Post-Cardiac Catheterization: Understanding Symptoms and Concerns
Post-cardiac catheterization? Hello Doctor: On November 21, I underwent cardiac catheterization and had two stents placed. The reason for the stent placement was that during a health check, a 70% stenosis was found in the left anterior descending coronary artery, although I did n...
Dr. Li Han Reply:
Hello, regarding your inquiry about your wheezing, chest tightness, and "heart pain" sensations... honestly, there are many potential underlying causes, but it doesn't quite resemble typical angina symptoms. An evaluation can be conducted from both physiological an...[Read More] Post-Cardiac Catheterization: Understanding Symptoms and Concerns
Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
In severe cases, the heart may race very quickly, and there can be significant discomfort in the chest, headaches, dizziness, overall weakness, difficulty breathing, throat discomfort, and feelings of nausea? I did not have these symptoms at first. About a month before I enlisted...
Dr. He Dongjin Reply:
Hello, you have been hospitalized before and no abnormalities were found, so there is no need for further hospitalization at this time. It appears that your panic disorder is caused by autonomic nervous system dysfunction, which will not lead to sudden death, so there is no need ...[Read More] Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
Managing High Blood Pressure: Understanding Medication and Heart Health Concerns
Hypertension medication issues? Due to issues with benign prostatic hyperplasia, I visited a urologist and discovered my blood pressure was over 180/112. This led me to consult a cardiologist for hypertension. I have been smoking for over 30 years and started feeling anxious at t...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Managing High Blood Pressure: Understanding Medication and Heart Health Concerns
Post-Catheterization Chest Discomfort During Exercise: What to Know
Post-cardiac catheterization exercise-related chest discomfort issues? Hello, Dr. Huang! I underwent my second cardiac catheterization on August 17, where a third stent was placed. The first procedure was on August 12, during which two stents were inserted. However, during the pl...
Dr. Huang Yinghe Reply:
Hello: It is quite common to feel some chest tightness or discomfort one to two weeks after undergoing coronary angioplasty with stenting. The stent opens the blood vessel, but it takes time for the vessel to heal. As long as there is no acute embolism leading to a myocardial inf...[Read More] Post-Catheterization Chest Discomfort During Exercise: What to Know