Understanding Atrial Flutter and Supraventricular Tachycardia: Your Questions Answered
Arrhythmia Hello, Doctor. I have been experiencing palpitations (premature beats and rapid heart rate) since around May of last year. Initially, it occurred a few times a week, but later it became a daily occurrence (mainly at night, in episodes lasting several hours). During tim...
Dr. Wu Xueming Reply:
Atrial flutter and supraventricular tachycardia are primarily diagnosed through an electrocardiogram (ECG). If the ECG is not conclusive, an electrophysiological study may be performed. In terms of treatment, medication is typically the first line of management, along with lifest...[Read More] Understanding Atrial Flutter and Supraventricular Tachycardia: Your Questions Answered
Understanding Left Ventricular Enlargement: Causes and Implications for Hypertension
Cardiomegaly and hypertension? Hello Doctor, I have a running habit (40-50K per week), usually for about an hour each time. I started this in 2016, but earlier this year I began experiencing issues with high blood pressure (systolic over 140). Recently, I visited a cardiologist f...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Left Ventricular Enlargement: Causes and Implications for Hypertension
Understanding Chest Pain: Can Heart Attack Be Ruled Out?
Regarding the report? Doctor, thank you for your hard work. I would like to ask a question. About two weeks ago, I experienced chest tightness and pain along with left shoulder pain, which led me to visit the emergency room. Over the past two weeks, I have undergone several tests...
Dr. He Dongjin Reply:
Hello, myocardial infarction and aortic dissection are both emergencies. Since you are currently fine, it is not likely to be the case. X-rays, electrocardiograms, echocardiograms, and blood tests have shown no issues. However, the presence or absence of aortic dissection is a se...[Read More] Understanding Chest Pain: Can Heart Attack Be Ruled Out?
Understanding Rapid Heartbeat: Causes, Concerns, and Next Steps
Rapid heartbeat, unable to obtain data? Occasionally, I experience episodes of rapid heartbeat that cause my whole body to shake, and I feel slightly short of breath, but I have no other discomfort. When my heart rate suddenly increases, I remain very calm. Blood tests have shown...
Dr. He Dongjin Reply:
Hello, please come to the major hospital for a detailed examination to check for paroxysmal arrhythmia. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Next Steps
Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Chest tightness, dizziness, and rapid heartbeat? Hello Doctor, for the past month, I have been experiencing persistent left chest tightness that comes and goes. Sometimes, I also feel my heart racing, and it feels quite strong, especially when I am sitting. This is often accompan...
Dr. He Dongjin Reply:
Hello, it is recommended to see a gastroenterologist to rule out gastroesophageal reflux disease (GERD), as it may be related to stress and there is a high likelihood of autonomic nervous system dysfunction. We pray for your peace and well-being. Changhua Hospital cares about you...[Read More] Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective
In the past six months, I have occasionally experienced palpitations at night that affect my sleep? Hello Dr. Huang, In the first half of this year, my company's health check revealed a normal chest X-ray. The physical examination indicated "rapid heart rate with hear...
Dr. Huang Yinghe Reply:
Hello Wayne: Generally, if there are no significant abnormalities in the electrocardiogram (ECG), exercise stress test, or echocardiogram, there is no need for regular follow-ups. Given your current age, a follow-up every two to three years should be sufficient unless new symptom...[Read More] Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective
Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
Sudden rapid heartbeat? Hello Doctor, I have recently experienced episodes of rapid heartbeat, usually around 70-80 bpm, but during these episodes, my Xiaomi band recorded rates of 130-140 bpm. The episodes occur approximately every 4 to 7 days, mostly at night, and last about 5 ...
Dr. He Dongjin Reply:
Hello, it seems you are experiencing an acute autonomic nervous system disorder. Resting and practicing slow breathing may help alleviate your symptoms. Alternatively, you may ask your physician to prescribe some medication for relief during acute episodes. For sudden situations,...[Read More] Understanding Sudden Rapid Heartbeat: Causes and When to Seek Help
Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
High blood pressure and issues related to a 24-hour Holter monitor? Thank you, doctor, for taking the time to respond. I would like to ask about an incident that occurred around 3 or 4 AM one night when I was still awake. Suddenly, I felt anxious, had difficulty breathing, and my...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your lifestyle, avoid overly salty diets, and engage in regular exercise. However, if bl...[Read More] Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
Understanding Chest Tightness and Heart Palpitations: Key Insights
I feel a tightness in my chest, and I can clearly sense that my heart is beating more forcefully. I'm experiencing some shortness of breath, but it's not severe? Hello Dr. Wu, I have already read some previous articles, but I couldn't find anything similar to my sy...
Dr. Wu Xueming Reply:
Due to your long-term smoking habit, it is recommended to undergo a thorough examination by a cardiologist and a pulmonologist.[Read More] Understanding Chest Tightness and Heart Palpitations: Key Insights
Understanding Blood Test Results: Do They Indicate Anemia?
Two blood tests? Hello, in March of this year, my blood test report from the health check center showed the following results: Red blood cell count: 4.67 million cells/µL, Hemoglobin: 13.6 g/dL, Hematocrit: 41%, Mean Corpuscular Volume (MCV): 87 fL. In August, I had another blood...
Dr. Cai Guiqin Reply:
It is advisable for you to return to the original hospital to consult with the physician and discuss the aforementioned situation. Thank you, and wishing you good health![Read More] Understanding Blood Test Results: Do They Indicate Anemia?
Understanding Blood Test Results: Anemia Concerns Explained
Two blood test reports? Hello, in March of this year, my blood test report from the health check center showed the following results: red blood cell count: 4.67 million cells/μL, hemoglobin: 13.6 g/dL, hematocrit: 41%, mean corpuscular volume (MCV): 87 fL. In August, I had anothe...
Dr. Chen Jili Reply:
It is advisable to consult the original hospital's health check-up unit and discuss the aforementioned situation. Thank you, and wishing you good health![Read More] Understanding Blood Test Results: Anemia Concerns Explained
Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Chest pain? Hello Doctor: Recently, I had a health check-up at the hospital, which included blood tests, a 24-hour Holter monitor, a treadmill stress test, and an echocardiogram. The results showed mitral valve prolapse, arrhythmia, and a slightly elevated level of a marker for h...
Dr. He Dongjin Reply:
Hello, please first consult an otolaryngologist for the treatment of your nosebleed. It seems that the panic caused by the nosebleed may have triggered symptoms related to autonomic nervous system dysregulation. You can observe the situation for now, and if you still feel unwell,...[Read More] Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Understanding Exercise ECG Results: What Your Heart Health Report Means
Interpretation of Exercise Electrocardiogram Previously, I occasionally experienced chest tightness while playing basketball. Recently, I had a sensation of chest pain even when I wasn't exercising, but there was no shortness of breath or sweating, and the pain did not radia...
Dr. He Dongjin Reply:
Hello, your creatine phosphokinase level is 429. Playing basketball may affect this value. Your low-density lipoprotein cholesterol is 137, which is not considered high cholesterol, and you do not need medication; dietary control is sufficient. According to the Duke treadmill sco...[Read More] Understanding Exercise ECG Results: What Your Heart Health Report Means
Heart Health Check: Managing Cholesterol and Lifestyle Changes at 55
Health Check Report Hello, doctor! I am 55 years old and going through menopause. I exercise regularly every day, maintain a light diet, and weigh 50 kg. Two years ago, my blood test for EBV-VCA (IgA) was 8.9, and this year it is 8.8. Should I undergo further testing? (ENT?) Two ...
Dr. He Dongjin Reply:
Hello, high cholesterol is related to your constitution. If you do not have diabetes or hypertension, an LDL level below 160 is considered normal. There's no need to worry; you should be able to manage it with lifestyle and dietary control without the need for medication. Yo...[Read More] Heart Health Check: Managing Cholesterol and Lifestyle Changes at 55
Am I at Risk for Prediabetes? Understanding Blood Sugar Levels and Health
Afraid of developing diabetes? Hello Doctor, let me describe my situation: Three years ago during a physical examination, my fasting blood glucose was 85 mg/dL, with no signs of diabetes, and everything else was normal. I had a military physical examination in the summer, which d...
Dr. He Dongjin Reply:
Hello, I see that there is no issue; you are still far from prediabetes. My own data is even higher than yours, so there's no need to worry. Just maintain regular exercise and a stable routine, and you will be fine. I pray for you, and Changhua Hospital cares about you.[Read More] Am I at Risk for Prediabetes? Understanding Blood Sugar Levels and Health
Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Cardiac catheterization Hello Dr. Huang, I previously inquired with another physician about my family member's symptoms of rapid breathing and a sensation of being pricked. My family member is 55 years old and has not yet reached menopause. The physician I consulted earlie...
Dr. Huang Yinghe Reply:
Hello: Based on your description, a 55-year-old female with a history of secondhand smoke exposure and no hypertension. If there is no history of diabetes or high cholesterol, and no family history of cardiovascular disease, the likelihood of coronary artery disease is indeed low...[Read More] Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Understanding Blood Pressure Readings: When to Start Medication and Trust Your Device
Is a blood pressure of 160/94 an indication for medication treatment? Which blood pressure reading should be considered as the standard when values differ? Hello, at the beginning of June, I visited a family medicine clinic due to hand numbness and dizziness. My blood pressure wa...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Blood Pressure Readings: When to Start Medication and Trust Your Device
Understanding Sudden Heart Pain: When to Seek Further Evaluation
Sudden chest pain? Hello Doctor, I would like to ask you about my condition. I started experiencing intermittent chest pain about three to four years ago. When measured by the school nurse, it was noted that when my heart rate was very fast (around 120 bpm), my blood oxygen level...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is very low. However, if symptoms persist, it is still advisable to visit a hospital for further evaluation.[Read More] Understanding Sudden Heart Pain: When to Seek Further Evaluation
Understanding Calcified Aortic Aneurysms: Symptoms and Next Steps
Calcified Aneurysm of the Aorta Hello Doctor: I have a health-related question to ask you. Last week, after having lunch, I suddenly experienced abdominal pain, an urge to defecate, and nausea. I then lost consciousness and fainted for about ten seconds, hitting my head on the gr...
Dr. Wu Xueming Reply:
Due to your slightly elevated cholesterol levels, it is recommended to follow a light diet and maintain regular exercise.[Read More] Understanding Calcified Aortic Aneurysms: Symptoms and Next Steps
Understanding Panic Disorder: Heart Risks and Management Strategies
Autonomic nervous system dysfunction (severe panic disorder) raises concerns about its impact on the heart? Hello Doctor, I experienced my first panic attack at the age of 20 while studying in Hualien, which led to an ambulance ride to Tzu Chi Hospital. After a series of tests, t...
Dr. He Dongjin Reply:
Hello, it is normal for panic to cause high blood pressure. If multiple heart examinations show no issues, there is theoretically no need for concern. The computer can produce false positives easily, and not every red flag indicates an abnormality. Doctors also fear serious condi...[Read More] Understanding Panic Disorder: Heart Risks and Management Strategies