Persistent Left Chest Pain: Understanding Causes and Next Steps
Left chest tightness and pain? Hello Doctor: Six months ago, I experienced a sensation as if my heart was being tightly squeezed, accompanied by shortness of breath, dizziness, and weakness in my limbs. I went to the hospital for X-rays and both static and dynamic electrocardiogr...
Dr. He Dongjin Reply:
Hello, it feels like my heart is being tightly squeezed, making it hard to breathe, followed by dizziness, weakness in my limbs, and a persistent dull pain in my left chest. Sometimes the symptoms worsen, and I feel like I can't catch my breath, while at other times I experi...[Read More] Persistent Left Chest Pain: Understanding Causes and Next Steps
Understanding Heart Valve Insufficiency: Your Questions Answered
Heart valve insufficiency Hello, I have been experiencing chest pain for almost two weeks. I visited a large hospital and consulted a cardiologist, where I underwent X-rays, an electrocardiogram (ECG), and echocardiography. The doctor concluded that there is a "valve" t...
Dr. He Dongjin Reply:
The veterinarian said that the "valve" is not properly closed, causing a slight regurgitation, but the amount is minimal, so it is not a concern. The "valve" refers to the heart valve, specifically mitral valve prolapse accompanied by mild regurgitation, which...[Read More] Understanding Heart Valve Insufficiency: Your Questions Answered
Do Patients with Atrial Premature Contractions Need Long-Term Medication?
Do atrial premature contractions require long-term medication? I was diagnosed with atrial premature contractions (APCs) after undergoing a 24-hour Holter monitor. I initially thought I had an arrhythmia and had been taking medication (Inderal) for a long time. Since I found out ...
Dr. Lin Jixiong Reply:
Hello: Atrial premature contractions are different from atrial fibrillation. If atrial premature contractions occur frequently, Inderal can be used to control them. If the frequency is low, Inderal can be taken as needed when experiencing chest discomfort. Sincerely, Dr. Lin Chi-...[Read More] Do Patients with Atrial Premature Contractions Need Long-Term Medication?
Understanding Mitral Valve Prolapse and Its Connection to Autonomic Dysfunction
Regarding mitral valve prolapse? Hello, doctor: Is it common for mitral valve prolapse to be associated with autonomic dysfunction? Why is that? I consulted two doctors; one said I have mitral valve prolapse, while the other said I have autonomic dysfunction. I only feel uncomfor...
Dr. He Dongjin Reply:
Dear Y Mau, I have seen you in Chiayi. Your symptoms are typical manifestations of autonomic nervous system dysfunction combined with mitral valve prolapse, but we should also consider endocrine disorders, such as thyroid dysfunction. Please seek nearby medical attention for exam...[Read More] Understanding Mitral Valve Prolapse and Its Connection to Autonomic Dysfunction
Understanding Chest Pain and Its Connection to Heart Health
Chest pain? I have been experiencing unexplained chest tightness and pain, especially when I inhale, which feels more pronounced. Additionally, my left arm often becomes numb and sore shortly after. I know that heart issues can be related to the nerves in the left arm, but I'...
Dr. He Dongjin Reply:
Neck stiffness and numbness in the left hand may be related to the same issue, potentially caused by myofascial syndrome. Any discomfort in the body can lead to autonomic nervous system dysregulation, which may result in mitral valve prolapse and chest discomfort. During embryoni...[Read More] Understanding Chest Pain and Its Connection to Heart Health
Understanding Chest Tightness: Causes and Heart Health Concerns
Chest tightness Hello Doctor: I often feel a tightness in my chest and sometimes experience dizziness. Recently, I've been having heart pain that feels like a tight squeeze and usually lasts for a long time, about several minutes or more. Sometimes my heart races a few times...
Dr. He Dongjin Reply:
Dear Xiaoye, based on your description, it is possible that mitral valve prolapse is at play. It is advisable to visit a cardiology clinic for further examination. Changhua Hospital is concerned about your tall and slender physique, which is often the dream model figure for many ...[Read More] Understanding Chest Tightness: Causes and Heart Health Concerns
Can Mild Mitral Valve Regurgitation Heal Without Surgery or Medication?
Is there a way to heal mitral regurgitation without surgery? Hello, Doctor. I recently discovered that I have "mild mitral regurgitation" during my mandatory military physical examination. I have read many articles on this topic, but I am still not very clear about a fe...
Dr. He Dongjin Reply:
1. Mitral regurgitation, also known as mitral valve insufficiency, may not necessarily be congenital. 2. Mitral valve prolapse is often congenital, but it does not always lead to mitral regurgitation. 3. It is generally not possible to achieve a cure without surgical intervention...[Read More] Can Mild Mitral Valve Regurgitation Heal Without Surgery or Medication?
Is It a Heart Issue? Understanding Chest Pain and Symptoms
Is it a heart problem? Hello Doctor: Sometimes I feel a tightness in my chest, as if I can't get fresh air. When I take deep breaths, I occasionally experience a sudden sharp pain and also have inexplicable shooting pains. Additionally, I often feel dizzy and nauseous, and s...
Dr. He Dongjin Reply:
Based on your symptoms, it is highly likely that you have what is known as mitral valve prolapse (MVP). This condition can often be managed with medication to alleviate symptoms. The tall and slender physique associated with mitral valve prolapse is often considered the ideal mod...[Read More] Is It a Heart Issue? Understanding Chest Pain and Symptoms
Understanding Mitral Valve Prolapse: Symptoms and Heart Health Concerns
Mitral valve prolapse Hello Doctor, I am a young woman with mitral valve prolapse and mild regurgitation. There is a slight backflow of blood, but overall, my heart function remains within normal limits. Recently, I have been experiencing sudden dizziness and prolonged chest pain...
Dr. He Dongjin Reply:
DEAR GIGI, the symptoms mentioned above are mostly caused by autonomic nervous system dysfunction and are also related to mitral valve prolapse. It is advisable to use some medications for control and to visit a cardiology clinic for a detailed examination. Changhua Hospital is c...[Read More] Understanding Mitral Valve Prolapse: Symptoms and Heart Health Concerns
Understanding Heart Palpitations and Shortness of Breath: Causes and Concerns
excuse me? Why do I sometimes feel a heaviness in my chest and occasionally experience palpitations? I previously had an electrocardiogram that came back normal, but for the past 5 to 6 years, I have felt short of breath even with minimal exercise (at that time, my weight was nor...
Dr. He Dongjin Reply:
Dear Jane, based on your description, you likely have mitral valve prolapse. An electrocardiogram cannot diagnose this condition, but some simple medications may help control your symptoms. It is advisable for you to undergo further examination at Changhua Hospital. Your tall a...[Read More] Understanding Heart Palpitations and Shortness of Breath: Causes and Concerns
Understanding Atrial Fibrillation: Causes, Symptoms, and Concerns
Atrial fibrillation Hello, doctor. I previously had an electrocardiogram (ECG) screening at school, and the results indicated that I have atrial fibrillation. What does this condition mean? Additionally, I have a history of chest pain, although it doesn't occur very often. I...
Dr. Lin Liangyu Reply:
Hello: A 17-year-old female rarely has issues with atrial fibrillation, as this arrhythmia is more commonly seen in older individuals. In young people, it is important to rule out certain underlying causes such as thyroid dysfunction, drug use, or organic heart disease. It is rec...[Read More] Understanding Atrial Fibrillation: Causes, Symptoms, and Concerns
Understanding Atrial Fibrillation: Causes, Symptoms, and Treatment Options
Arrhythmia Hello. I have been diagnosed with mitral valve prolapse for about five years, and recently I have noticed arrhythmias, sometimes with pauses and sometimes with extra beats. During these episodes, I feel chest tightness, shortness of breath, and difficulty breathing. Af...
Dr. Zhong Yuxun Reply:
Hello, SPO users: Mitral valve prolapse is quite common, with an incidence of about 5%. It often coexists with autonomic nervous system disorders and arrhythmias, which may lead some patients to experience symptoms such as chest tightness, shortness of breath, and palpitations. I...[Read More] Understanding Atrial Fibrillation: Causes, Symptoms, and Treatment Options
Understanding the Connection Between Mitral Valve Prolapse and Rapid Heartbeat
Mitral valve prolapse and palpitations? Since I was in middle school, I have experienced episodes of my heart rate suddenly accelerating to 180 beats per minute. This usually occurs when there is a sudden change in activity, such as running after being still or sitting down after...
Dr. Chen Guifeng Reply:
Mitral valve prolapse is usually associated with mild arrhythmias, such as premature ventricular contractions. If the heart rate accelerates to 180 beats per minute, it is mostly due to supraventricular tachycardia or atrial fibrillation, and an electrocardiogram must be performe...[Read More] Understanding the Connection Between Mitral Valve Prolapse and Rapid Heartbeat
Understanding Atrial Fibrillation and Ventricular Premature Contractions
Atrial fibrillation and premature ventricular contractions? Hello Dr. Chong, I would like to ask about my health check-up report that indicates I have atrial fibrillation (AF) and ventricular premature contractions (VPC). What does this mean, and do I need to pursue further treat...
Dr. Zhong Yuxun Reply:
Hello Ross, Atrial fibrillation and premature ventricular contractions are both types of arrhythmias. There are many potential causes, and treatment and follow-up should be conducted after a thorough examination. Causes may include myocardial ischemia, rheumatic heart disease, ...[Read More] Understanding Atrial Fibrillation and Ventricular Premature Contractions
Understanding Atrial Fibrillation: Symptoms, Diagnosis, and Treatment Options
Arrhythmia (180-194 bpm) On December 21, 1992, at 10:00 AM, I experienced a heart rate of around 190 beats per minute, accompanied by cold sweats and dizziness, which lasted until I sought medical attention at 3:30 PM. My blood pressure was 127/97, and my heart rate was 194. I re...
Dr. Zhong Yuxun Reply:
Dear Jo, According to your letter, it appears to be paroxysmal tachycardia, most commonly paroxysmal supraventricular tachycardia (PSVT). The cause is typically an additional conduction pathway within the heart, leading to a reentrant circuit. This condition can be effectively t...[Read More] Understanding Atrial Fibrillation: Symptoms, Diagnosis, and Treatment Options
Post-Heart Valve Surgery Medication: Concerns and Considerations
Medications after heart valve replacement? Hello, Director Chen. A 26-year-old male friend was diagnosed with endocarditis last year. To prevent the detachment of vegetations, the physician recommended heart valve replacement surgery. Postoperatively, in addition to anticoagulant...
Dr. Chen Bairong Reply:
Hello, Xiaobao: 1. Anticoagulant medications are essential and should generally be continued in patients without overdose, gastrointestinal bleeding, or bleeding tendencies. 2. Digoxin is typically used in patients with atrial fibrillation. If there is no arrhythmia, considera...[Read More] Post-Heart Valve Surgery Medication: Concerns and Considerations
Understanding Irregular Heartbeats: Is It Atrial Fibrillation?
Irregular heartbeat I checked my pulse and noticed that my heartbeat feels irregular, but I don't experience any discomfort in my heart. I also don't exercise often, yet my stamina is significantly worse than that of others. Does this count as arrhythmia?
Dr. Zhong Yuxun Reply:
Hello! If the pulse is irregular, it may indicate arrhythmia, but it may not necessarily be felt by the patient. Confirmation should be made by a physician using a stethoscope or an electrocardiogram (ECG). Arrhythmia is not directly related to physical fitness; there are many ty...[Read More] Understanding Irregular Heartbeats: Is It Atrial Fibrillation?
Understanding Mitral Valve Prolapse and Atrial Fibrillation: Causes, Effects, and Treatment
Mitral Valve Prolapse & Atrioventricular Block Recently, I visited the doctor due to feeling unwell, and after a preliminary examination, I was diagnosed with mitral valve prolapse and sinus arrhythmia. What are the causes of these two conditions, and how do they affect overa...
Dr. Chen Guifeng Reply:
Mitral valve prolapse is a congenital condition characterized by a structurally lax mitral valve, leading to the prolapse phenomenon. It does not affect physiological functions unless there is significant mitral regurgitation. Sinus arrhythmia is a normal physiological phenomenon...[Read More] Understanding Mitral Valve Prolapse and Atrial Fibrillation: Causes, Effects, and Treatment
Can Heart Patients Safely Fly Long Distances?
Can individuals with heart disease fly on an airplane? I am 34 years old and currently have mitral valve stenosis with an area of 1.3 square centimeters and mild regurgitation, along with slight arrhythmia, which is being managed with medication. Is it safe for me to take a long-...
Dr. Huang Guosheng Reply:
Reply to Lin Li-Chia: Your mitral valve area of 1.3 square centimeters indicates moderate mitral stenosis, and you will need regular follow-up with echocardiograms. If the mitral valve area decreases to less than 1 square centimeter, surgical intervention (mitral valve replacemen...[Read More] Can Heart Patients Safely Fly Long Distances?