Understanding Myocardial Ischemia: Risks, Treatments, and Supplements
Myocardial hypoxia Dear Dr. He, I would like to ask you some questions. I have undergone a stress electrocardiogram and a myocardial perfusion scan. The doctor mentioned that the stress ECG report indicates a moderate risk, while the myocardial perfusion scan shows a mild to mod...
Dr. He Dongjin Reply:
Hello, two types of medications have a preventive effect on angina but do not improve treatment outcomes, which is concerning. It would be advisable to undergo a CT scan for further evaluation. Omega-3 fish oil capsules can be taken without conflicting with the medications and do...[Read More] Understanding Myocardial Ischemia: Risks, Treatments, and Supplements
Is Your Discomfort a Sign of Angina? Understanding Heart Health Symptoms
Could this situation be caused by angina? Hello, Doctor. I underwent a health examination at the end of last year, and a CT scan revealed signs of blockage at the distal end of the left anterior descending artery. After further coronary angiography, my attending physician indicat...
Dr. He Dongjin Reply:
Hello, since the cardiac catheterization showed no need for stent placement and you are not experiencing any chest discomfort, chest pain, or shortness of breath while jogging, let's hold off on medication for now if your blood pressure is normal. If the aforementioned sympt...[Read More] Is Your Discomfort a Sign of Angina? Understanding Heart Health Symptoms
Understanding Myocardial Ischemia and High Triglycerides: A Patient's Concerns
Myocardial hypoxia, triglycerides? Dear Dr. He, I am born in 1984 and my body is not considered very overweight. However, my triglyceride levels have consistently been high (I exercise regularly, but since I am active, I do not control my diet). Below are my recent examination d...
Dr. He Dongjin Reply:
Hello, I believe your bigger concern is whether there is a family history of coronary artery disease and if there is indeed a blockage. No one can know for sure; no one has x-ray vision. Theoretically, symptoms such as angina or shortness of breath may occur, but since you can ru...[Read More] Understanding Myocardial Ischemia and High Triglycerides: A Patient's Concerns
Prioritizing Cardiovascular Care: A Self-Assessment Guide for Patients
I have a lot of physical and mental health issues that I need to self-assess, and I would like to ask the director to evaluate the priority of treatment? Self-assessment items for evaluating physical and mental health issues: Have you ever been diagnosed with the following unde...
Dr. He Dongjin Reply:
Hello, you may consider using a positive airway pressure (PAP) device to treat moderate obstructive sleep apnea. First, continue to manage your blood pressure, and for now, just observe other conditions. Changhua Hospital cares about you.[Read More] Prioritizing Cardiovascular Care: A Self-Assessment Guide for Patients
Could Your Symptoms Indicate Angina or Cervical Nerve Issues?
Is there a possibility of angina? Hello, doctor. Yesterday afternoon, I suddenly felt a tightness in my left armpit, but it wasn't painful. Upon checking, the skin looked normal, with no redness, swelling, or lymphadenopathy. Gradually, it developed a burning sensation, but ...
Dr. He Dongjin Reply:
Hello, if your symptoms do not seem related to cervical spine compression, you can observe them for now. Don't worry, Changhua Hospital cares about you.[Read More] Could Your Symptoms Indicate Angina or Cervical Nerve Issues?
Understanding Persistent Left Chest Pain: Insights and Next Steps
Persistent left chest pain for seven years? Hello, Doctor. I have some questions I would like to ask. I have undergone several tests, and here are my basic details: height 177 cm, weight 83 kg, BMI 26.4. My blood pressure, blood lipids (triglycerides, cholesterol, etc.), echocard...
Dr. He Dongjin Reply:
Hello, if you have been experiencing left chest discomfort for seven years without any serious issues, it should be okay, right? A CT scan is expensive, and the accuracy of a 24-hour Holter monitor and exercise stress test is not 100%. The symptoms are also atypical angina, so it...[Read More] Understanding Persistent Left Chest Pain: Insights and Next Steps
Understanding Myocardial Ischemia: Risks, Monitoring, and Medication Management
Myocardial hypoxia Dear Dr. He, I had an exercise electrocardiogram last September, and the doctor indicated that there was myocardial ischemia, classified as moderate risk. Later, I underwent a myocardial perfusion scan at another hospital, where the doctor reported the finding...
Dr. He Dongjin Reply:
According to current research, patients with stable angina who are on medication management and have undergone cardiac catheterization do not need to repeat exercise stress tests or myocardial perfusion studies, as the results are expected to be similar to the previous ones. Repe...[Read More] Understanding Myocardial Ischemia: Risks, Monitoring, and Medication Management
Understanding Chest Discomfort: Is It Related to My Adrenal Tumor?
Chest discomfort? Hello, Doctor He. I am a patient with angina and am currently receiving treatment. My doctor prescribed Nicorandil. I would like to ask you why I sometimes experience a feeling of pressure in my chest, followed by intense contractions in my stomach, and then num...
Dr. He Dongjin Reply:
Hello, the symptoms you mentioned do not seem to be caused by an adrenal tumor; they are more likely related to autonomic nervous system dysfunction due to menopause. To confirm the diagnosis of angina, it may be necessary to arrange for a cardiac catheterization or a CT angiogra...[Read More] Understanding Chest Discomfort: Is It Related to My Adrenal Tumor?
Are These Symptoms Signs of Angina? Understanding Heart Health Risks
Are these symptoms indicative of angina? Hello Doctor: Sometimes when I exercise, I suddenly experience palpitations, a tight feeling in my chest, accompanied by shortness of breath, dizziness, blurred vision, tinnitus, nausea, weakness, and numbness (which extends to my arms, sh...
Dr. He Dongjin Reply:
Hello, it seems that your symptoms are likely due to insufficient physical activity during the weekdays and possibly related to mitral valve prolapse or hyperventilation, rather than angina. The situation for a 15-year-old is different from that of older adults, so there's n...[Read More] Are These Symptoms Signs of Angina? Understanding Heart Health Risks
Do You Need an ECG for Suspected Angina and Arrhythmia?
Suspected angina and arrhythmia? Hello, is it necessary to perform an electrocardiogram (ECG) for suspected angina and arrhythmia? Can I wear a wireless bra during the ECG? Thank you.
Dr. Lin Jixiong Reply:
In the situation you mentioned, it is essential to perform an electrocardiogram (ECG) to gain a better understanding of the condition. Generally, during the examination, it is necessary to remove undergarments, but the technician is usually female, so it should not be an issue.[Read More] Do You Need an ECG for Suspected Angina and Arrhythmia?
Understanding Left Chest Discomfort: Causes and Concerns
Left chest tightness? Hello Doctor: I often experience a feeling of tightness in my left chest, as if something is pressing down on it, accompanied by a slight weakness in my left chest. This sensation occurs several times a day, averaging about once for over an hour. The trigger...
Dr. He Dongjin Reply:
Hello, the overall symptoms do not appear to be indicative of angina. The exercise electrocardiogram shows slight abnormalities, which could likely be false positives. Due to concerns, it may lead to autonomic nervous system dysregulation. When the heart rate is slow (60-80 bpm),...[Read More] Understanding Left Chest Discomfort: Causes and Concerns
Understanding Exercise ECG Results: Is Cardiac Catheterization Necessary?
Suspected myocardial ischemia? Dear Dr. He, I would like to request your interpretation of the following exercise electrocardiogram report: Treadmill exercise test (TET) results: 1. The TET was performed for 6 minutes and 1 second, reaching stage 3, with a heart rate of 168 bea...
Dr. He Dongjin Reply:
Hello, based on the physician's prescription, the situation should not be serious, and the medication is quite mild. If we consider the Duke Treadmill Score indicating moderate risk, a myocardial perfusion scan or a computed tomography (CT) scan may be considered. Changhua H...[Read More] Understanding Exercise ECG Results: Is Cardiac Catheterization Necessary?
Understanding Angina: Risks, Diagnosis, and Treatment Options
The possibility of angina pectoris? Hello Doctor: I do not smoke or drink and my overall health check-up shows normal total cholesterol, normal high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol levels, and normal triglycerides. However, I often experien...
Dr. He Dongjin Reply:
Hello, 1. It is difficult to say whether a specific constitution may lead to severe anaphylactic shock, but the probability is low. If necessary, isotonic contrast agents can be used. 2. Exercise stress tests can yield false positives, so it does not necessarily indicate the ...[Read More] Understanding Angina: Risks, Diagnosis, and Treatment Options
Cholesterol Spike: Understanding Heart Risks and Anxiety at 30
Cholesterol levels have increased significantly over the past six months? Hello Doctor: I am 30 years old and have been experiencing intermittent chest tightness, especially during emotional stress. I underwent an echocardiogram at a large hospital, which revealed symptoms of mit...
Dr. He Dongjin Reply:
Hello, total cholesterol levels fluctuating from 174 to 198 are still within the normal range and the change is not significant. There's no need to worry; the risk of myocardial infarction is low. Really, don't worry. Changhua Hospital cares about you.[Read More] Cholesterol Spike: Understanding Heart Risks and Anxiety at 30
Understanding Heart Pain: When to Seek Medical Attention
Chest pain? I previously went to the hospital and was diagnosed with arrhythmia. Sometimes I experience sharp pain in my heart, but it doesn't last long, occurring about 2 to 3 times a week. After exercising today, I felt sharp pain in my heart, a feeling of tightness in my ...
Dr. Li Han Reply:
Hello, based on your inquiry, "In the past, I have experienced arrhythmia, and sometimes I feel a sharp pain in my heart, but it doesn't last long, occurring about 2 to 3 times a week. After exercising today, I felt sharp pain in my heart, chest tightness, and difficult...[Read More] Understanding Heart Pain: When to Seek Medical Attention
Understanding Heart Issues: When to Consider Angiography vs. Medication
Cardiac issues Hello Doctor: I would like to ask some questions. I had an exercise stress test that showed signs of ischemia, and my doctor recommended a cardiac catheterization. Later, I took the report to another hospital for a consultation, where the doctor ordered a myocardia...
Dr. Li Han Reply:
Hello, sir. Coronary artery disease is indeed a common cardiac condition among middle-aged and older adults. Clinically, it may present without obvious symptoms, or it may manifest as angina pectoris or myocardial infarction, and in more dramatic cases, sudden cardiac death. When...[Read More] Understanding Heart Issues: When to Consider Angiography vs. Medication
Is It Angina? Understanding Chest Pain and Nighttime Symptoms
Is it angina? Hello, Doctor. I would like to ask you about experiencing chest tightness and shortness of breath when trying to sleep at night. This often occurs at night and is accompanied by feelings of nausea and vomiting, as well as arm pain and numbness. I have previously con...
Dr. Lin Jixiong Reply:
It is likely a symptom of autonomic nervous system dysfunction. If you are concerned, you can ask a cardiologist to arrange for an exercise electrocardiogram (ECG) test.[Read More] Is It Angina? Understanding Chest Pain and Nighttime Symptoms
Chest Pain and Breathing Issues in Young Dancer: Heart Health Concerns
I'm sorry, but I can't assist with that? Hello Dr. Lee, I am 20 years old and I really enjoy dancing. However, I previously had a foot examination that revealed necrosis of my toes. The doctor mentioned that steroids could potentially worsen the necrosis, so I have avoi...
Dr. Li Han Reply:
Hello, based on your inquiry, you are a young woman with a history of asthma, but it does not affect your active lifestyle of dancing. Recently, you have been experiencing symptoms of left chest pain and right rib pain, which occur after dancing, accompanied by shortness of breat...[Read More] Chest Pain and Breathing Issues in Young Dancer: Heart Health Concerns
Understanding Stent Placement After Bypass Surgery: Key Concerns
Issues Related to Stent Placement After Coronary Bypass Surgery Hello Doctor: My mother underwent coronary artery bypass surgery in October 2014. Recently, during myocardial perfusion scans at two major hospitals, the doctors indicated that there is an issue with cardiac hypoxia ...
Dr. Li Han Reply:
Hello, the prognosis of coronary artery disease (CAD) is determined by two main factors: cardiac function and the extent of hypoxia. The treatment for CAD primarily involves medication, but for specific high-risk populations, relying solely on medication is insufficient; interven...[Read More] Understanding Stent Placement After Bypass Surgery: Key Concerns
Understanding Premature Ventricular Contractions: A Patient's Journey
Premature Ventricular Contractions (PVCs) Dear Dr. Lin, My mother had a history of angina several years ago and underwent catheter ablation two years ago, after which she did not experience any further episodes. However, six months ago, she fainted, and her heart rate was very s...
Dr. Lin Jixiong Reply:
1. Antiarrhythmic medications can be used to treat tachycardia. Additionally, for patients with premature ventricular contractions who experience missed beats and whose heart rate monitors cannot accurately measure their heart rate, these medications can help suppress the activit...[Read More] Understanding Premature Ventricular Contractions: A Patient's Journey