Understanding Heart Symptoms: VPC, Chest Pain, and Chronic Conditions
Cardiac Consultation Hello, Doctor. Previously, I asked you about the VPC issue, and I haven't been paying much attention to it lately. However, I've been frequently experiencing a dull ache and tingling in my left chest near the heart, and sometimes my hands feel tingl...
Dr. He Dongjin Reply:
Hello, I have a stabbing pain and numbness in my left chest, and sometimes my hand and buttocks also feel numb. It sounds like a nerve issue. Should I take some B vitamins to calm down the peripheral nerves? This doesn't seem related to angina or myocardial infarction. Is th...[Read More] Understanding Heart Symptoms: VPC, Chest Pain, and Chronic Conditions
Understanding Ventricular Premature Contractions: Symptoms, Treatment, and Concerns
Ventricular premature contractions (VPCs) At the end of May, I was worried about possibly being diagnosed with COVID-19. While having dinner and watching the news about "happy hypoxia," I suddenly felt like I couldn't breathe and sensed my pulse stopping, along wit...
Dr. He Dongjin Reply:
Hello, I believe that you can take medication when an episode occurs or is about to occur. What he said is correct; it only indicates a certain percentage is normal! No one can guarantee a hundred percent, but constantly undergoing tests for that extremely low probability is not ...[Read More] Understanding Ventricular Premature Contractions: Symptoms, Treatment, and Concerns
Understanding Cardiac CT and Exercise ECG: Key Insights for Heart Health
Cardiac Computed Tomography and Exercise Electrocardiogram? A relative underwent a health check-up and had abnormal findings on an electrocardiogram (ECG). They went to a major hospital for further evaluation, including a computed tomography coronary angiography (CT CAG) and a st...
Dr. Wu Xueming Reply:
1. If symptoms such as chest tightness persist despite medication treatment, a cardiac catheterization may be considered. 2. A 12-minute exercise electrocardiogram has met the required exercise load for the examination. 3. Chronic ischemic heart disease, unspecified indicates the...[Read More] Understanding Cardiac CT and Exercise ECG: Key Insights for Heart Health
Understanding Small Intramural Hematoma in the Aortic Root: What You Need to Know
Small hematoma in the anterior wall of the aortic root? The CT scan of the chest with CTA revealed focal wall thickening in the anterior wall of the aortic root, with differential diagnoses including intramural hematoma and motion artifact. The suspected lesion was consistently o...
Dr. He Dongjin Reply:
Hello, the CT scan and echocardiogram did not show any significant abnormalities, which may be due to artifacts. Without reviewing the report of the exercise electrocardiogram, I cannot make a definitive statement. Theoretically, a positive exercise electrocardiogram may indicate...[Read More] Understanding Small Intramural Hematoma in the Aortic Root: What You Need to Know
Impact of Priligy on Patients with Aortic Regurgitation: A Clinical Inquiry
What is the effect of Priligy on patients with aortic regurgitation? Hello Dr. Lee, I have moderate to severe aortic regurgitation, with a history of 30 years. I also have left bundle branch block, but the physician seems to consider this less significant. I have not undergone s...
Dr. Li Han Reply:
Hello, regarding your inquiry about "moderate-severe aortic regurgitation with a 30-year history, along with left bundle branch block, long-term medication (Valsartan) for control, LVIDD approximately 51, LVEF approximately 75%, and no issues with normal activities, includin...[Read More] Impact of Priligy on Patients with Aortic Regurgitation: A Clinical Inquiry
Vaccination Risks for Elderly with Chronic Conditions: Key Considerations
Issues with administering the AstraZeneca vaccine to the elderly? Hello, doctor. We have two elderly individuals who are expected to receive vaccinations soon. I would like to ask: 1. Does having certain chronic diseases increase the risk associated with vaccination? Are they sui...
Dr. Wu Xueming Reply:
These chronic medications do not need to be discontinued due to vaccination.[Read More] Vaccination Risks for Elderly with Chronic Conditions: Key Considerations
Understanding VPC: Impact on Heart Health and Symptoms Explained
Heart arrhythmia issues? Dr. He, thank you very much for your previous response. I would like to ask you a few more questions. If VPCs (ventricular premature contractions) occur 500-800 times a day, it feels like the heart is skipping beats. While a few occurrences may not be sig...
Dr. He Dongjin Reply:
Hello, you are right. It's like spending 30 dollars a day on drinks, which adds up to over ten thousand dollars a year and could exceed hundreds of thousands over a lifetime. Will I become poor? Probably not! At least you might not have considered this issue. Experts say tha...[Read More] Understanding VPC: Impact on Heart Health and Symptoms Explained
Understanding Exercise ECG: Addressing Heart Concerns and Anxiety
Exercise Electrocardiogram (Exercise ECG) Hello, doctor. I'm sorry to bother you again. I'm still feeling a bit uneasy, so I went for an exercise electrocardiogram and a cardiac ultrasound. This time I went to the Veterans General Hospital, making it four major hospital...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing symptoms similar to panic disorder. I recommend that you consult a psychiatrist and consider medication. The doctors you have seen at four medical centers have indicated that there is nothing wrong, so please try not to scare yourself fur...[Read More] Understanding Exercise ECG: Addressing Heart Concerns and Anxiety
Understanding EECP: Safety, Licensing, and Usage for Stroke Recovery
The application and safety issues of EECP (Enhanced External Counterpulsation)? Recently, there is a grandfather over 65 years old who has a history of stroke. He has been taking health supplements for six years and has shown improvement in his condition. Recently, he came across...
Dr. Huang Yinghe Reply:
EECP stands for Enhanced External Counterpulsation, a treatment that utilizes synchronized pressure applied to the legs in accordance with the heartbeat to improve blood circulation. Currently, the medical consensus primarily supports its application for alleviating symptoms of a...[Read More] Understanding EECP: Safety, Licensing, and Usage for Stroke Recovery
Understanding Heart Check-Up Concerns: When to Seek Further Testing?
Cardiac examination issues? Hello Doctor: Recently, I experienced sharp pain in my heart and left shoulder, so I underwent an echocardiogram, X-ray, and electrocardiogram. The doctor said there were no significant issues, but I still occasionally feel discomfort or pain in my hea...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of heart disease is low, and the tingling sensation is not a typical symptom of cardiovascular disease. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patt...[Read More] Understanding Heart Check-Up Concerns: When to Seek Further Testing?
Understanding Heart Pain: Is It Related to Mitral Valve Prolapse?
Cardiac pain Hello Doctor, a few years ago I saw a cardiologist who told me that I have mild mitral valve prolapse. Recently, I've been experiencing intermittent sharp chest pain that sometimes radiates to my back. Although I had an electrocardiogram and echocardiogram done,...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, the risk of developing heart disease is low, and the pain you are experiencing is not typical of angina. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or ...[Read More] Understanding Heart Pain: Is It Related to Mitral Valve Prolapse?
Intermittent Heart Pain and Upper Back Discomfort: Should You See a Cardiologist?
Chest pain with accompanying back pain? Hello, I had a cardiac ultrasound about a month ago, and the examining physician said that my heart's contraction was normal. However, in the past few days, I have been experiencing intermittent sharp pain in my heart, and I also have ...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Additionally, sharp pain is not a typical symptom of angina. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, o...[Read More] Intermittent Heart Pain and Upper Back Discomfort: Should You See a Cardiologist?
Understanding Your Myocardial Perfusion Report: Key Insights on Heart Health
Myocardial perfusion report Please help me interpret my myocardial perfusion report, thank you! Myocardial Perfusion Clinical Impression: Suspected CAD with angina equivalent (+ exercise treadmill test reported at an outside hospital); Hypertension; Smoker (smoking index >60...
Dr. He Dongjin Reply:
Hello, congratulations! Everything is fine. Changhua Hospital is concerned about you.[Read More] Understanding Your Myocardial Perfusion Report: Key Insights on Heart Health
Understanding Exercise ECG Results: What Your Heart Health Report Means
Interpretation of Exercise Electrocardiogram Previously, I occasionally experienced chest tightness while playing basketball. Recently, I had a sensation of chest pain even when I wasn't exercising, but there was no shortness of breath or sweating, and the pain did not radia...
Dr. He Dongjin Reply:
Hello, your creatine phosphokinase level is 429. Playing basketball may affect this value. Your low-density lipoprotein cholesterol is 137, which is not considered high cholesterol, and you do not need medication; dietary control is sufficient. According to the Duke treadmill sco...[Read More] Understanding Exercise ECG Results: What Your Heart Health Report Means
Understanding Left Chest Pain and Numbness: Heart Attack Insights
Left chest pain with numbness behind the elbow? 1. Pain in the left chest along with numbness in the outer part of the left elbow and little finger is usually caused by issues related to the heart, such as angina or myocardial infarction, but it can also be due to musculoskeletal...
Dr. Wu Xueming Reply:
1. It is recommended to consult a neurologist for an examination. 2. The risk factors include: Age: males > 45 years or females > 55 years; Gender: the incidence of atherosclerosis and myocardial infarction is higher in males than in females; Hypertension; Dyslipidemia; Dia...[Read More] Understanding Left Chest Pain and Numbness: Heart Attack Insights
Understanding Chest Pain: Heart-Related Symptoms You Shouldn't Ignore
Chest tightness or chest discomfort? Hello doctor, about five years ago I experienced a burning sensation in my chest that lasted for approximately 30 minutes. At that time, I felt cold all over and my lips turned pale, but after that incident, I didn't have any issues, so I...
Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be typical angina. It is recommended to adjust your lifestyle, engage in regular exercise, and if the symptoms persist without improvement, it is advisable to consult a cardiologist for further evaluation.[Read More] Understanding Chest Pain: Heart-Related Symptoms You Shouldn't Ignore
Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Cardiac catheterization Hello Dr. Huang, I previously inquired with another physician about my family member's symptoms of rapid breathing and a sensation of being pricked. My family member is 55 years old and has not yet reached menopause. The physician I consulted earlie...
Dr. Huang Yinghe Reply:
Hello: Based on your description, a 55-year-old female with a history of secondhand smoke exposure and no hypertension. If there is no history of diabetes or high cholesterol, and no family history of cardiovascular disease, the likelihood of coronary artery disease is indeed low...[Read More] Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Rapid Breathing and Sharp Chest Pain: Understanding Cardiovascular Concerns
Rapid breathing and a sensation of being pricked by a needle? Hello Doctor: My family member has been experiencing faster breathing over the past month, with a sensation in the center of the chest that feels like being pricked by a needle; it only hurts briefly and then goes away...
Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be typical angina. It is recommended to adjust your lifestyle, engage in regular exercise, and if the symptoms persist without improvement, it is advisable to consult a cardiologist for further evaluation.[Read More] Rapid Breathing and Sharp Chest Pain: Understanding Cardiovascular Concerns
Understanding ECG Reports: Sinus Rhythm and Heart Rate Concerns
Questions about electrocardiograms (ECGs) related to static electricity? I would like to ask the doctor about the electrocardiogram report, which mentions: Sinus Rhythm...normal P axis, V-rate 50-99 RSR' in V1 or V2, Right Ventricular Conduction Delay (RVCD) or Right Ventric...
Dr. Wu Xueming Reply:
1. Abnormalities in an electrocardiogram (ECG) must be assessed by a physician reviewing the original images for accurate judgment. 2. Chest pain can be categorized as psychogenic or non-psychogenic. Psychogenic chest pain, commonly referred to as angina, typically has the follo...[Read More] Understanding ECG Reports: Sinus Rhythm and Heart Rate Concerns
Understanding Heart Palpitations and Chest Pain: When to Seek Help
At night while lying down, I feel my heart beating very strongly, and I can hear the sound of my heartbeat (it sounds crisp) accompanied by pain in the left chest? Hello Doctor: On March 31st (Tuesday) evening, while rushing to catch a ride, I suddenly experienced a tearing and b...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary or if a referral to a cardiologist is needed. Thank you, and wishing you good health![Read More] Understanding Heart Palpitations and Chest Pain: When to Seek Help