Understanding Chest Pain: Insights on Heart Health and Testing
Chest discomfort issues? Hello Doctor: I have been experiencing chest tightness and rapid heartbeat for many years. I underwent an electrocardiogram (ECG) and a stress test, and the doctor said the results were normal. I was prescribed Concor 1.25 mg for the rapid heartbeat sympt...
Dr. Li Han Reply:
Hello, based on your inquiry regarding the symptoms of chest tightness and rapid heartbeat that you have experienced for many years, and considering that previous electrocardiograms (ECGs) and exercise stress tests showed no abnormalities, it is noteworthy that you have recently ...[Read More] Understanding Chest Pain: Insights on Heart Health and Testing
Understanding Chest Pain: Insights from Cardiovascular Specialists
Hello, Dr. He, regarding our last discussion..? I previously reported discomfort from the end of August until early October, and the symptoms have persisted. I experience a tight, pressing sensation in my chest that occasionally occurs, usually easing after about half a day. Howe...
Dr. He Dongjin Reply:
Hello, you can visit the neurology outpatient clinic to check on the tingling sensations that change locations, as they may resemble neuropathic pain. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: Insights from Cardiovascular Specialists
Why Am I Still Experiencing Chest Pain After Stent Placement?
Experiencing chest tightness and angina after stent placement? Hello doctor, I had three new absorbable stents placed on August 21, and it has been 1.5 months since then. However, I still experience angina almost every day, along with a tight sensation in my chest that sometimes ...
Dr. He Dongjin Reply:
Hello, your discomfort may not necessarily be related to angina. A stent cannot address issues other than coronary artery narrowing. It is advisable to discuss this with your attending physician. Changhua Hospital cares about you.[Read More] Why Am I Still Experiencing Chest Pain After Stent Placement?
Understanding Heart Pain: When to Seek Further Medical Evaluation
Cardiac issues Doctor, last year I experienced pain five centimeters to the right of my heart and five centimeters below it. I went to Kaohsiung Chang Gung Memorial Hospital for an examination, where I underwent an exercise electrocardiogram and echocardiogram. The report indicat...
Dr. He Dongjin Reply:
Hello, can this medication be taken long-term? What examinations should be done? I need to pay out of pocket for a 256-slice CT scan, but it's too expensive. To be honest, my symptoms are not typical of angina, but the exercise ECG shows abnormalities. If I still feel unwell...[Read More] Understanding Heart Pain: When to Seek Further Medical Evaluation
Understanding the Differences Between Myocardial Infarction and Angina Symptoms
Cardiac issues Dear Doctor He, Is it true that myocardial infarction and angina pectoris present the same symptoms? I have been taking antihypertensive medication and have experienced discomfort in my heart twice: once while sleeping and once after taking a shower. Last November...
Dr. He Dongjin Reply:
Hello, theoretically, myocardial infarction and angina pectoris present similar symptoms, but your symptoms do not appear to align with that. If you were at Chang Gung Memorial Hospital, the doctor would not have failed to prescribe medication for you. You can continue to be moni...[Read More] Understanding the Differences Between Myocardial Infarction and Angina Symptoms
Understanding Chest Pain and Symptoms in Angina Patients
Cardiovascular issues Hello Dr. Lin, I am a patient with angina and have been seeking medical care. However, I have asked two doctors who have examined me, and neither has answered this question: when I sleep on my left side, I immediately experience a feeling of pressure in my c...
Dr. Lin Jixiong Reply:
Hello: I apologize for any disappointment this may cause you, but I will also become one of the physicians unable to answer your questions. The symptoms you described may be related to your autonomic nervous system regulation, and it might be helpful to consult a neurologist. Dr....[Read More] Understanding Chest Pain and Symptoms in Angina Patients
Understanding Cholesterol: Good vs. Bad and the Latest Insights
High cholesterol Hello, Director He. Recently, I had a health check-up, and I noticed that "high-density lipoprotein cholesterol" (HDL-C) and "low-density lipoprotein cholesterol" (LDL-C) are commonly referred to as good and bad cholesterol, respectively. Howe...
Dr. He Dongjin Reply:
Currently, low-density lipoprotein (LDL) cholesterol remains a major culprit in atherosclerosis. Dietary restrictions on cholesterol have been relaxed compared to the past because approximately 80% of cholesterol is produced by the body, with only 20% coming from dietary sources....[Read More] Understanding Cholesterol: Good vs. Bad and the Latest Insights
Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Tachycardia Dear Dr. He, Thank you very much for your response. I would like to ask what beta-blockers are and what calcium channel blockers are. What are their pharmacological actions and effects? Can these two different classes of medications be used interchangeably for sympto...
Dr. He Dongjin Reply:
Beta-blockers have peripheral and central nervous pharmacological effects, which can slow the heart rate and decrease the contractility of the heart muscle. They are widely used in clinical practice for the treatment of hypertension, angina pectoris, arrhythmias, palpitations, an...[Read More] Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Understanding Heart Pain: Causes and Concerns for Your Symptoms
Chest pain Last year's health check revealed ventricular hypertrophy and elongated mitral valve (not angina), and I was advised not to take medication. Recently, I've been experiencing rapid heartbeat and shortness of breath, along with pain in the lower right side of m...
Dr. Lin Jixiong Reply:
Hello, you should pay attention to your diet and avoid foods and beverages with high caffeine content; be mindful not to stay up late or sleep too late; managing your stress and emotions on your own should help alleviate the symptoms. Dr. Lin Chi-Hsiung[Read More] Understanding Heart Pain: Causes and Concerns for Your Symptoms
Understanding Chest Pain After Meals: When to Seek Medical Advice
Doctor, may I ask? Doctor, I have a question. Over the past few days, I've experienced some sharp pain in my chest after walking quickly following meals. It feels better when I slow down. I also often feel this sharp pain while lifting things at work. For instance, today, wh...
Dr. He Dongjin Reply:
Hello, the symptoms do not resemble typical angina but are more akin to muscular or neurological discomfort, which is not concerning. Observation is sufficient; however, if discomfort persists, it is advisable to rule out atypical angina. It is recommended to visit a cardiology c...[Read More] Understanding Chest Pain After Meals: When to Seek Medical Advice
Managing Blood Pressure: Medication Concerns and Monitoring Issues
Blood pressure issues are related to medication problems? Dr. Li, I have been taking medication for hypertension for a long time, including 10 mg of Betaloc (metoprolol) extended-release tablets, 5 mg of Amlodipine (Amlodipine besylate), 160 mg of Perindopril (Perindopril erbumin...
Dr. Li Han Reply:
Hello Mr. Tsai, based on your description, you have hypertension, dyslipidemia, and "heart disease"—which may suggest coronary artery disease given the significant proportion of anti-anginal medications in your treatment regimen. You may also be experiencing "anxie...[Read More] Managing Blood Pressure: Medication Concerns and Monitoring Issues
Managing Heart Health: Concerns About Multiple Medications and Side Effects
Medication-related heart issues? Dear Dr. He, I have been taking medication for hypertension, including 10 mg of Betaloc (metoprolol), 5 mg of Amlodipine, and 160 mg of Perindopril. Three years ago, I added 10 mg of Rosuvastatin to my regimen. In October of last year, I experie...
Dr. He Dongjin Reply:
Hello, these medications are all related to cardiac treatment and generally can be taken together without significant interactions. However, if you experience headaches or dizziness, it could be concerning. It's difficult to determine whether this is angina or not. I recomme...[Read More] Managing Heart Health: Concerns About Multiple Medications and Side Effects
Understanding Variant Angina: The Link Between Coronary Spasms and the Nervous System
Thank you, doctor~ Variant angina? In that case, is coronary artery spasm more related to the nervous system? Since young people are less likely to have vascular sclerosis issues, I wanted to ask more about this. (Thank you, doctor!)
Dr. He Dongjin Reply:
Hello, some individuals with a more sensitive constitution may experience unexpected vascular spasms when exposed to stimuli or cold air. This is generally not related to issues with the nervous system or vascular sclerosis. It is advisable to take the previously prescribed medic...[Read More] Understanding Variant Angina: The Link Between Coronary Spasms and the Nervous System
Should You See a Cardiologist for Chest Pain and Breathing Issues?
Should a cardiology examination be conducted? Hello. For the past six months, I have been experiencing a sensation in the left side of my chest where it feels like blood is not flowing properly while I am breathing. It is accompanied by a sharp pain that lasts for about five to s...
Dr. Li Han Reply:
Hello, Sister Juan. Based on your description, many of the symptoms are not typical manifestations of angina; however, this does not rule out the possibility or risk of coronary artery disease. If these symptoms continue to trouble you, it may be worthwhile to consult with your t...[Read More] Should You See a Cardiologist for Chest Pain and Breathing Issues?
Understanding Symptoms and Medications in Cardiovascular Health
Questions about symptoms and medications? Initially, there was a noticeable temperature difference between the left and right sides of my body (the right side's limbs would turn black and purple, with a temperature difference of at least 3 degrees). I experienced muscle atro...
Dr. He Dongjin Reply:
Hello, it seems that you suspect the discomfort is caused by a sudden coronary artery spasm, so you are using sublingual nitroglycerin (NTG) effectively and less frequently? That's alright; it shouldn't lead to dependence. You might feel the need to use it quickly when ...[Read More] Understanding Symptoms and Medications in Cardiovascular Health
Should You Get Checked for Heart Pain? Key Questions to Ask Your Doctor
Should I get checked? In the past six months, I have been experiencing unexplained pain in the area on the left side of my heart, which feels like a blockage in the blood vessels. This pain lasts about three to five minutes. Occasionally, I also feel pain in my left rib cage. I h...
Dr. Li Han Reply:
Hello, based on your description, many of the symptoms are not typical manifestations of angina; however, this does not rule out the possibility or risk of coronary heart disease. Your responsibilities of "taking care of children, managing the household, working, and caring ...[Read More] Should You Get Checked for Heart Pain? Key Questions to Ask Your Doctor
Understanding Anemia and Heart Health During Pregnancy: What You Need to Know
Blood test I am currently a mother scheduled for a cesarean section, but since my first prenatal check-up, my blood test report indicated anemia. The prenatal nurse has consistently suspected that I have thalassemia. This time, my blood test results have all decreased, and the nu...
Dr. He Dongjin Reply:
Hello, I also suspect it may be Mediterranean anemia. It is advisable to consult a hematologist for further examination. Changhua Hospital cares about you.[Read More] Understanding Anemia and Heart Health During Pregnancy: What You Need to Know
Understanding Chest Pain and Tachycardia: Is It Pheochromocytoma?
Left chest pain with a heart rate of 110 beats per minute? Doctor, I have undergone a cardiac nuclear perfusion scan which showed 95% vessel patency, and my echocardiogram was normal. However, I have been experiencing chest pain all day with a heart rate of 110 beats per minute. ...
Dr. Li Han Reply:
Hello, based on your statement, "persistent pain in the precordial area all day, but the cardiac nuclear perfusion scan shows 95% vessel patency and the echocardiogram is normal," it is generally uncommon for angina to last all day. Since non-invasive tests do not fall ...[Read More] Understanding Chest Pain and Tachycardia: Is It Pheochromocytoma?
Understanding Angina: Symptoms, Severity, and What to Watch For
Angina pectoris? Hello: I have been diagnosed with hypertension, and recently I have been experiencing chest tightness and even a sensation like being pricked by a needle. The hospital conducted an electrocardiogram, and the doctor said I have angina. Is this condition serious? W...
Dr. He Dongjin Reply:
Hello, the sensation of being stabbed feels less like typical angina. It is advisable to undergo further examination, such as a stress electrocardiogram or a computed tomography coronary angiography, to clarify the cause. Changhua Hospital cares about your well-being.[Read More] Understanding Angina: Symptoms, Severity, and What to Watch For
Understanding the Urgency of Heart Symptoms: When to Seek Medical Help
The issue of timely medical attention for heart conditions? Hello, Doctor: I apologize for interrupting you during your busy schedule. I would like to ask about some recent symptoms I've been experiencing, including angina, chest tightness, shortness of breath, and dizziness...
Dr. Li Han Reply:
Hello, Cheng Yi-Chia. "Symptoms such as chest pain, chest tightness, shortness of breath, and dizziness, along with difficulty sleeping at times during the night," are all subjective symptoms that only you can know and feel. As for whether they resemble angina, the limi...[Read More] Understanding the Urgency of Heart Symptoms: When to Seek Medical Help