Understanding Abnormal Q Waves: What They Mean for Your Heart Health
Abnormal Q wave sign Hello Doctor: I would like to ask about the results of a resting electrocardiogram (E.K.G.) from a health check-up, which showed abnormal findings (2+), specifically abnormal Q waves. What does this mean? Is there a problem with the heart? Thank you for your ...
Dr. He Dongjin Reply:
Hello, the physician who prepared the report has not seen you in person and suspects that there may be a case of angina. If you have concerns, it is advisable to visit a cardiology clinic for further examination. Changhua Hospital cares about you.[Read More] Understanding Abnormal Q Waves: What They Mean for Your Heart Health
Understanding Chest Discomfort: Insights on Angina and Treatment
Chest discomfort issues? Hello, Doctor. In August of this year, I experienced chest tightness and difficulty breathing, which improved after I stood up and walked around. In November, the symptoms recurred, and I sought medical attention at Renai Hospital in Taipei. I was diagnos...
Dr. Li Han Reply:
Hello Mr. Chang, based on your description, your initial physician suspected angina due to your symptoms of chest tightness and pain, and subsequently arranged for a stress electrocardiogram, which returned normal results. Overall, the likelihood of significant coronary artery di...[Read More] Understanding Chest Discomfort: Insights on Angina and Treatment
Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Chest pain or heart pain? Hello Doctor, I apologize for the interruption. I am a 35-year-old male, non-smoker and non-drinker, with a height of 170 cm and weight of 83 kg. I do not have hypertension, diabetes, or hyperlipidemia; my total cholesterol is 163 and triglycerides are 1...
Dr. Li Han Reply:
Hello Mr. Chen, regarding your statement, the clinical presentation does not resemble angina, and the objective non-invasive tests show no abnormalities. Regardless of the insignificant changes on the electrocardiogram, I personally suggest that you should not delve into the &quo...[Read More] Understanding Chest Pain: Causes, Symptoms, and When to Seek Help
Chest Pain During Exercise: Understanding Heart Issues and Next Steps
The CT scan results are normal, but I still experience chest pain when walking quickly or climbing stairs? Dr. He: Hello, on July 18, 2015, I consulted you about experiencing chest pain after brisk walking for a few minutes or climbing four to five flights of stairs. My original ...
Dr. He Dongjin Reply:
Hello, the total coronary artery calcium score is 0. There are no abnormal findings in the coronary artery lumen diameter changes. Left ventricular function shows no abnormalities, including cardiac vascular and systolic function. There should be no issues. It is advisable to con...[Read More] Chest Pain During Exercise: Understanding Heart Issues and Next Steps
Understanding Angina Symptoms: Can They Occur During Daily Activities?
Symptoms of angina pectoris? I would like to ask if this condition can cause chest tightness even when not in a severe episode? For example, during activities like taking a shower, feeling stressed, during menstruation, or when fatigued, it lasts for about half an hour. Could it ...
Dr. He Dongjin Reply:
Hello, experiencing chest tightness can occur during showering, when feeling down, during menstruation, or when fatigued. You may try using glycerin to see if it alleviates the chest tightness. If it does improve and you experience frequent episodes of chest tightness, it is advi...[Read More] Understanding Angina Symptoms: Can They Occur During Daily Activities?
Recognizing Heart Issues: When to Seek Medical Help for Chest Pain
How to differentiate? I have a history of hypertension, asthma, and peptic ulcers, and I occasionally experience sudden chest tightness and mild pain. Each time, the chest tightness is followed by significant soreness in my jaw and back, but after a few minutes, I feel completely...
Dr. He Dongjin Reply:
Hello, it is recommended that you undergo a thorough examination at the hospital when you are feeling well to rule out issues such as angina and to investigate the possibility of coronary artery vasospasm. Changhua Hospital cares about your health.[Read More] Recognizing Heart Issues: When to Seek Medical Help for Chest Pain
Understanding Heart Rate in Patients with Mild Angina: What You Need to Know
Heart rate per minute in patients with angina pectoris? Last month, I was diagnosed with mild angina. I would like to ask the doctor if heart rate is related to this condition. During my follow-up visit, my heart rate was around 83 beats per minute, so the nurse asked me to rest ...
Dr. Lin Jixiong Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist. Hello: A heart rate between 70 to 90 beats per minute is generally tolerable. If the heart rate is too fast, it may lead to discomfort. Even mild angina ...[Read More] Understanding Heart Rate in Patients with Mild Angina: What You Need to Know
Can Angina Be Completely Cured? Understanding Treatment and Management
Can angina be completely cured? I would like to ask the doctor a few questions: 1. Can angina be completely cured? 2. If not, will I need to take medication for life to manage it? 3. During my last follow-up appointment, the doctor mentioned that I currently do not need to underg...
Dr. He Dongjin Reply:
Hello, first it should be confirmed whether it is angina. If it is not, then there is no concern regarding a cure. Currently, there is no need for coronary angiography; you should be fine and not overly anxious. Angina can potentially worsen, so controlling the three highs (hyper...[Read More] Can Angina Be Completely Cured? Understanding Treatment and Management
Understanding Rapid Heartbeat: When to Seek Medical Attention
Recently, I've been experiencing a rapid heartbeat along with some other issues? Hello, I am currently 23 years old and have issues with being overweight and high blood pressure. Recently, I have noticed that my heart rate has increased significantly; it used to be around 50...
Dr. Li Han Reply:
Hello Mr. Lin, based on your inquiry, you are taking medication for hypertension and have recently experienced chest pain and a rapid heartbeat. However, your previous echocardiogram results were generally normal, which typically indicates no major issues. Angina can indeed prese...[Read More] Understanding Rapid Heartbeat: When to Seek Medical Attention
Managing Mitral Valve Prolapse: Symptoms and Treatment Options
Mitral valve prolapse Hello, I have mitral valve prolapse. A few days ago, I tried doing squats, but after just a few, I felt something strange near my heart, like a hand tightly gripping my left chest. It has been three to four days, and despite taking my mitral valve medication...
Dr. Li Han Reply:
Hello, based on your inquiry, chest pain is one of the common complaints among patients with mitral valve prolapse syndrome, although its mechanism is unclear. The chest tightness and pain triggered after squatting could have various causes. If it can be induced by repetitive mov...[Read More] Managing Mitral Valve Prolapse: Symptoms and Treatment Options
Understanding Slow Heart Rate: When to Seek Medical Attention
Bradycardia Mother originally had a follow-up appointment with the cardiologist every three months. Recently, due to symptoms (chest tightness and chest pain), her medications were adjusted (previous medications included bisoprolol 1 mg once daily and Adalat 1 mg once daily). A n...
Dr. Li Han Reply:
Hello, based on your description, "Your mother originally had a scheduled follow-up with the cardiology department every three months. Recently, due to symptoms (chest tightness and chest pain), her medication was adjusted (she was previously on bisoprolol 1 mg once a day an...[Read More] Understanding Slow Heart Rate: When to Seek Medical Attention
Understanding Chest Tightness and Breathing Difficulties: A Cardiovascular Perspective
Chest tightness and difficulty breathing? Doctor, I would like to consult about my condition. I've been experiencing tightness in my left chest for three weeks, sometimes accompanied by numbness, itching, and soreness, but rarely pain. Additionally, I occasionally feel short...
Dr. He Dongjin Reply:
Hello, please temporarily stop doing push-ups. The symptoms you are experiencing, including the sensation of a foreign body in the throat, difficulty breathing, and overall weakness, are likely caused by autonomic nervous system dysfunction. If you are truly concerned about angin...[Read More] Understanding Chest Tightness and Breathing Difficulties: A Cardiovascular Perspective
Understanding Heart Contractions: Insights for Seniors with Stents
Regarding heart palpation? Hello Dr. Lee, the following questions are from a 73-year-old man, and I am writing on his behalf (actually, his symptoms are quite similar to mine). Three years ago, he had two stents placed. A year after the procedure, he began experiencing sudden hea...
Dr. Li Han Reply:
Hello Mr. Lee, regarding your inquiry, the sudden onset of constrictive pain and shortness of breath after meals or when climbing stairs, without similar chest pain occurring, are likely not typical manifestations of angina. If non-invasive cardiac stress testing shows no evidenc...[Read More] Understanding Heart Contractions: Insights for Seniors with Stents
Sudden Heart Pain: Should You See a Cardiologist?
Sudden sharp pain in the heart? Hello, doctor. Last night, I followed an online tutorial and sat on my bed to practice deep breathing, slowly exhaling afterward. After doing two sets (five times each) and resting for a while, I didn't feel anything unusual. However, later be...
Dr. He Dongjin Reply:
Hello, if you experience a sudden sharp pain in your heart, it could be a symptom of premature contractions or nerve pain, which is not typical of angina. You likely do not need to undergo an exercise stress test. Please avoid excessive breathing exercises, as they may lead to hy...[Read More] Sudden Heart Pain: Should You See a Cardiologist?
Is It Typical Angina? Understanding Myocardial Ischemia Risks
Is it typical angina? Is it very likely that I have myocardial ischemia? Dr. He: Hello, I am a 57-year-old male, weighing approximately 66 kg and standing 166 cm tall. I experience significant discomfort and even pain in my chest after brisk walking for a few minutes or climbing ...
Dr. He Dongjin Reply:
Hello, your condition resembles typical angina. There is a possibility of myocardial ischemia. I recommend further evaluation with a myocardial perfusion scan. Yes, it does involve radiation; however, the radioactive material will be eliminated from your body and should not have ...[Read More] Is It Typical Angina? Understanding Myocardial Ischemia Risks
Understanding Chest Pain: Is It Angina or Myocardial Ischemia?
Am I experiencing typical angina? Do I have myocardial ischemia? Dr. He: Hello, I asked a question on July 15, and today, since you haven't responded yet, I made some slight modifications to my question. I apologize. I am a 57-year-old male, weighing approximately 66 kg and ...
Dr. He Dongjin Reply:
Hello, a myocardial perfusion scan is like examining which area of the field has poor soil quality, while a 256-slice cardiac CT scan is used to check for blockages in the irrigation channels, essentially functioning as angiography. If you're worried, getting a 256-slice car...[Read More] Understanding Chest Pain: Is It Angina or Myocardial Ischemia?
Assessing Treatment Options for LBBB Post-AMI in a 61-Year-Old Patient
Persistent LBBB on ECG after AMI? Hello! I would like to inquire about my father's condition and whether there is a possibility of needing to change his treatment plan. AGE: 61 years, Hx: Hypertension for 20 years. Two years ago, he was diagnosed with acute coronary syndrome...
Dr. Lin Jixiong Reply:
Hello: If the electrocardiogram (ECG) continues to show left bundle branch block (LBBB) after a myocardial infarction, it may be due to ischemic injury causing ECG abnormalities. It is advisable to discuss the need for coronary artery bypass grafting (CABG) with a cardiothoracic ...[Read More] Assessing Treatment Options for LBBB Post-AMI in a 61-Year-Old Patient
Hiccups and Chest Pain: Understanding Cardiac and Gastrointestinal Symptoms
Hiccups and chest pain? Hello Dr. Lee, I had a stent placed in October 2014, and since then, I have occasionally experienced symptoms of chest tightness and pain. However, all the necessary follow-up examinations have shown no abnormalities. Recently, over the past two months, I ...
Dr. Li Han Reply:
Hello Mr. Zhang, I can roughly understand your concerns: 1. The follow-up examinations show no abnormalities (I assume this refers to cardiovascular assessments?), and as long as you consistently take your medication on time, there shouldn't be any major issues, right? --- H...[Read More] Hiccups and Chest Pain: Understanding Cardiac and Gastrointestinal Symptoms
Managing Severe Dizziness from Beta Blockers: Safe Medication Options
Dizziness preventing the ability to sit up? If a patient has experienced a significant drop in heart rate to around 50 beats per minute due to long-term use of beta-blockers, resulting in severe dizziness (unable to sit up and only able to lie down), it is important to consult a ...
Dr. He Dongjin Reply:
Hello, first it is important to distinguish whether the slow heart rate is causing discomfort. What is the heart rate per minute when you are feeling well, and how does it change when you feel unwell? If the heart rate significantly slows down and then you feel discomfort, it may...[Read More] Managing Severe Dizziness from Beta Blockers: Safe Medication Options
Understanding Heart Pain During Exercise: Risks and Recommendations
Pain in the heart area after exercising? (I usually lack exercise) I used to experience chest pain after exercising. Last month, after feeling pain, I continued to run and after about a week, the pain seemed to ease, allowing me to run longer before it started again. However, tod...
Dr. He Dongjin Reply:
Hello, this is likely due to a decline in cardiopulmonary function caused by a lack of exercise, which should improve with adaptation. If you are still concerned, please visit a cardiologist to arrange for an exercise electrocardiogram (ECG) test. There is no need to worry about ...[Read More] Understanding Heart Pain During Exercise: Risks and Recommendations