Post-Stent Care: Addressing Concerns After Heart Procedure
Post-stent placement follow-up Hello Dr. Lee, First of all, thank you for taking the time to clarify my concerns. To avoid wasting your time, I will present my questions in order of importance. Thank you. a. Last October, I had a stent placed in the emergency department. In De...
Dr. Li Han Reply:
Hello Mr. Lee, based on your statement, it seems that you experienced a myocardial infarction last October and underwent emergency percutaneous coronary intervention (PCI) to open the blocked artery and place a stent. This procedure is both appropriate and necessary in the case o...[Read More] Post-Stent Care: Addressing Concerns After Heart Procedure
Understanding Persistent Heart Pain: When to Seek Emergency Care
Persistent heart pounding? Hello, Doctor! I have a history of atrial septal defect, but my heart has started to have recurrent issues. It feels like my heart is having episodes; I've been experiencing sharp chest pains for three days now, lasting almost a minute each time. T...
Dr. Lin Jixiong Reply:
Hello, your situation is a bit special. I recommend that you return to the outpatient clinic and discuss it with your cardiologist. If you are feeling very distressed, it would be safer to go to the emergency department for evaluation. Dr. Lin Chi-Hsiung, Taoyuan General Hospital...[Read More] Understanding Persistent Heart Pain: When to Seek Emergency Care
Understanding Post-Heart Attack Symptoms After Angioplasty: A Patient's Journey
Concerns about physical condition after cardiac catheterization following acute myocardial infarction? Hello Doctor, On December 18, 2013, around 4:30 PM, I went to the emergency room of a hospital in northern Taiwan due to symptoms such as chest tightness and upper body weaknes...
Dr. He Dongjin Reply:
Hello, after the second stent placement, are you no longer in pain? Your question is very good. Why are the catheter reports different after three procedures within two months? I suggest you copy the catheter images and take them to another medical center in the northern region f...[Read More] Understanding Post-Heart Attack Symptoms After Angioplasty: A Patient's Journey
Understanding Chest Pain: When to Seek Help for Heart Issues
Chest pain Hello Doctor, during the New Year, I started experiencing chest pain and tightness, occasionally accompanied by fatigue. I also feel like my heart skips a beat (this has happened three times since the New Year). However, when I measure my blood pressure and heart rate,...
Dr. Li Han Reply:
Hello Mr. Tsai, based on your description, there are two issues. The first is the symptom of chest pain, which is difficult to determine due to its brevity. However, if the symptoms are localized to the chest area (slightly left of the midline), about the size of a fist, with a d...[Read More] Understanding Chest Pain: When to Seek Help for Heart Issues
Do Patients with Coronary Heart Disease Need Hospitalization and Testing?
Symptoms of coronary heart disease? Hello, I would like to ask if patients with stable coronary artery disease need to be hospitalized for observation? What tests are required for diagnosis? Additionally, what tests should be performed to confirm that the symptoms of coronary art...
Dr. He Dongjin Reply:
Hello, coronary heart disease refers to the narrowing of the coronary arteries that supply nutrients to the heart muscle, leading to insufficient blood supply and myocardial hypoxia. If it results in unstable angina or a myocardial infarction, hospitalization is required. A diagn...[Read More] Do Patients with Coronary Heart Disease Need Hospitalization and Testing?
Understanding Sudden Heart Pain: When to Seek Medical Attention
Chest pain? Hello doctor, I would like to inquire about some issues related to the heart. In my daily life, there are times when I experience sudden sharp pain in my heart that lasts from a few seconds to a minute. It feels similar to a blockage in a pipe, and I suddenly have dif...
Dr. Li Han Reply:
Hello Mr. Lai, based on your description—sometimes you experience sudden sharp pain in your heart lasting from a few seconds to a minute, similar to a blocked pipe, and you feel like you can't breathe, but after a few seconds, it feels like something passes through your hear...[Read More] Understanding Sudden Heart Pain: When to Seek Medical Attention
Understanding Anesthesia Risks for Patients with Arrhythmia History
Arrhythmia Hello doctor, about 8 years ago I underwent catheter ablation for arrhythmia and maintained follow-up for 2 years, all of which were normal. Recently, I need to undergo a hysteroscopy that requires general intravenous anesthesia. For safety reasons, I would like to ask...
Dr. Li Han Reply:
Hello, regarding your question, "I underwent catheter ablation for arrhythmia about 8 years ago and maintained follow-up for 2 years, all of which was normal. Recently, I need to undergo a hysteroscopy that requires general intravenous anesthesia. For safety reasons, I would...[Read More] Understanding Anesthesia Risks for Patients with Arrhythmia History
Understanding Chest Discomfort and PVCs: What You Need to Know
Chest tightness, ventricular premature contractions? Over the past month, I have been experiencing a feeling of heaviness in my left chest, and pressing on my chest causes pain. I went to a cardiologist, and after undergoing a chest X-ray and a resting electrocardiogram, both tes...
Dr. He Dongjin Reply:
Hello, based on your description, your symptoms do not resemble those of angina. Considering your age and risk factors such as hypertension, diabetes, smoking, age, family history, and hyperlipidemia, the likelihood of coronary heart disease appears to be relatively low. However,...[Read More] Understanding Chest Discomfort and PVCs: What You Need to Know
Understanding Chest Discomfort: Possible Causes and Concerns
Chest discomfort Hello, doctor! I used to have a habit of swimming, but about six months ago, shortly after getting into the water, I began to feel discomfort in my chest. Initially, it happened in a cold water pool during the summer, and later I experienced the same sensation in...
Dr. He Dongjin Reply:
Hello, please visit the cardiology outpatient clinic for further examination of symptoms suspected to be related to angina. An exercise electrocardiogram or a computed tomography scan may be necessary. Changhua Hospital cares about you.[Read More] Understanding Chest Discomfort: Possible Causes and Concerns
Understanding the Impact of Angina and Osteoporosis on Heart Health
Angina and osteoporosis? Dear Director He, Earlier this year, I underwent surgery for primary hyperparathyroidism due to severe osteoporosis and high blood calcium levels, and my calcium levels returned to normal postoperatively. I have been taking calcium supplements and vitami...
Dr. He Dongjin Reply:
Hello, as far as I know, these medications can affect calcium absorption or parathyroid function. You may consider undergoing a 64-slice CT scan or cardiac catheterization to assess your cardiovascular status. If there are no significant issues, the related medications can be red...[Read More] Understanding the Impact of Angina and Osteoporosis on Heart Health
Understanding Cardiac CT Scans: Are They Necessary for Your Heart Health?
Cardiac CT scan I had an examination at Taipei Tia'an Hospital, where my diabetes physician noted that my pulse was relatively high (around 100, just under 110, but it dropped to about 80 after resting). He recommended that I undergo a cardiac evaluation. Subsequently, I und...
Dr. Lin Jixiong Reply:
Hello: Based on your description, your exercise electrocardiogram test likely showed a "positive response," which indicates that there may be narrowing of the coronary arteries. During high levels of exercise, there could be signs of myocardial ischemia. To further conf...[Read More] Understanding Cardiac CT Scans: Are They Necessary for Your Heart Health?
Understanding Shortness of Breath: Heart Health Concerns for Seniors
Shortness of breath? My grandfather underwent a cardiac catheterization a few years ago, and recently the doctor has recommended another surgery, but he does not want to proceed. What problems could arise from this decision? He has been waking up at night due to shortness of brea...
Dr. Li Han Reply:
Hello Mr. Squirrel, regarding your inquiry—your grandfather has a history of coronary intervention and has recently experienced symptoms of wheezing and nocturnal dyspnea... This indicates that he has a history of coronary artery disease, also known as ischemic heart disease. The...[Read More] Understanding Shortness of Breath: Heart Health Concerns for Seniors
Understanding Chest Pain: Mitral Valve Prolapse and Its Symptoms
Chest tightness or chest pain? I previously experienced frequent chest tightness and dizziness, so I went to the hospital for an examination. An echocardiogram revealed that I have mitral valve prolapse. I took medication for a while, which helped a bit, but recently, in addition...
Dr. He Dongjin Reply:
Hello, this is likely caused by poor posture. At this age, myofascial pain syndrome would not lead to angina, so there is no need to panic. Rheumatic heart disease is not a hereditary condition. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: Mitral Valve Prolapse and Its Symptoms
Post-Dinner Head and Neck Pain: Seeking Solutions for Heart Patients
Experiencing pain in the head and neck after dinner every day? My mother has a history of stroke, coronary artery disease, and peripheral artery disease in both legs. She is currently taking antihypertensive medications, cardiac medications, and aspirin. A few years ago, she expe...
Dr. Zhu Junyuan Reply:
Common antihypertensive medications such as diuretics, calcium channel blockers, ACE inhibitors/ARBs, and nitroglycerin, which is often used for angina in coronary artery disease, can potentially cause headaches. The severity of these headaches varies from person to person and ma...[Read More] Post-Dinner Head and Neck Pain: Seeking Solutions for Heart Patients
Understanding Exercise-Related Symptoms in Mitral Valve Prolapse Patients
Issues with Exercise in Individuals with Mitral Valve Prolapse Doctor: Six years ago, I was diagnosed with mitral valve prolapse when I visited a physician. Previously, I only experienced discomfort when staying up late or drinking coffee. The pain at that time felt like a sudden...
Dr. He Dongjin Reply:
Hello, regarding your symptoms, it is indeed not possible to completely rule out the possibility of angina. However, given your age, the likelihood of experiencing angina is relatively low. I recommend that you start taking medication for mitral valve issues and monitor your symp...[Read More] Understanding Exercise-Related Symptoms in Mitral Valve Prolapse Patients
Understanding Myocardial Bridge: Symptoms, Diagnosis, and Treatment Options
Myocardial bridge symptoms Hello, Doctor. Four years ago, I often experienced chest tightness, so I went to Cathay General Hospital for an examination. The standard electrocardiogram (ECG) was normal, but the echocardiogram showed mitral valve prolapse. During the exercise ECG, t...
Dr. He Dongjin Reply:
Based on your description, it's advisable to quit smoking first. At your age, the likelihood of angina is low, unless smoking is a contributing factor. The overall symptoms sound like mitral valve prolapse, and the previous physician likely made a similar assessment, which i...[Read More] Understanding Myocardial Bridge: Symptoms, Diagnosis, and Treatment Options
Is It a Heart Problem? Understanding Symptoms and When to Seek Help
Suspected heart problem? Hello, Dr. He! I previously experienced an acute medical condition described as follows: "I first had difficulty breathing and catching my breath; there was some chest tightness accompanied by slight numbness in my hands, followed by cold sweats.&quo...
Dr. He Dongjin Reply:
Hello, there is a possibility of angina; it is advisable to seek treatment from a cardiologist nearby. Please consider quitting smoking as soon as possible. Changhua Hospital cares about you.[Read More] Is It a Heart Problem? Understanding Symptoms and When to Seek Help
Managing Skin Rash from Hypertension Medications: What You Need to Know
Side effects of antihypertensive medications - rash? If you are experiencing side effects such as a rash and darkening and itching of the soles of your feet and calves while taking hypertension medications like Diltiazem HCl, Aprovel FC 150mg, and Ismo-20, it is important to cons...
Dr. Zhu Junyuan Reply:
Diltiazem is classified as an antianginal and antiarrhythmic medication, with a modest effect on lowering blood pressure. Side effects may include dizziness or lightheadedness, facial flushing (sensation of warmth), headache, extreme fatigue, bradycardia, gastrointestinal discomf...[Read More] Managing Skin Rash from Hypertension Medications: What You Need to Know
Are There Restrictions on Heart Tests After Balloon Angioplasty?
Is there a restriction on performing cardiac examinations within six months after balloon dilation surgery? Hello, my father has no history of heart disease but has a family history. In November 2009, he experienced chest discomfort while cycling and sought medical attention, whe...
Dr. Lin Jixiong Reply:
Hello: After undergoing balloon angioplasty, patients generally experience restenosis due to their physical condition within about six months. If a patient continues to experience chest discomfort after the procedure, they should proactively inform their attending physician durin...[Read More] Are There Restrictions on Heart Tests After Balloon Angioplasty?
Understanding Mitral Valve Prolapse and Tricuspid Regurgitation: Impacts and Management
Inquiry about heart valve disease? Hello: I previously went to the emergency room due to sudden tinnitus, where my blood pressure and heart rate were routinely measured. The nurse measured it twice, and he thought he misread it (once upon entering and once upon exiting), but it w...
Dr. He Dongjin Reply:
Dear Stephanie, Actually, the two questions are quite similar, focusing on autonomic nervous system dysregulation, especially since you have sleep disturbances, which make it even harder to stabilize the autonomic nervous system. This can lead to the symptoms you mentioned. Pat...[Read More] Understanding Mitral Valve Prolapse and Tricuspid Regurgitation: Impacts and Management