Chest Pain and Irregular Heartbeat: When to Seek Medical Attention?
Chest pain? Since last year, I initially experienced some arrhythmia, where my heart would suddenly race when I stood up or got out of bed, but it would return to normal after about 10 seconds. Later, I had a few episodes of sudden severe chest pain, which then resolved. Now, I h...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adj...[Read More] Chest Pain and Irregular Heartbeat: When to Seek Medical Attention?
Can Dietary Changes Improve Arrhythmia? Understanding Heart Health
Is there no way to improve arrhythmia? Is it related to dietary issues? Hello Doctor: I have been experiencing occasional heart discomfort and a rapid heart rate (120 beats per minute, which has recently decreased to just over 100 after jogging). After undergoing blood tests and ...
Dr. Wu Xueming Reply:
Please maintain a normal lifestyle with a regular schedule, avoid beverages containing caffeine, and if symptoms do not improve, medication can be used for control.[Read More] Can Dietary Changes Improve Arrhythmia? Understanding Heart Health
Understanding Sinus Bradycardia: Should You Be Concerned?
Sinoatrial bradycardia Hello, Director. I had a comprehensive health check-up at the health examination center on February 2nd this year. The blood test results and other physical conditions were normal, but the electrocardiogram showed sinus bradycardia. Occasionally, I feel a b...
Dr. He Dongjin Reply:
Hello, a sinus bradycardia of 53 is quite good, right? It doesn't increase the risk of sudden death, does it? No, that's not the case. There's no need for further outpatient visits; there's nothing to worry about. Just quit smoking, and take care. Changhua Hos...[Read More] Understanding Sinus Bradycardia: Should You Be Concerned?
Understanding Blood Pressure Variability: When to Worry About Hypertension?
How to determine if you have high blood pressure? Hello, Doctor. Six months ago, during a hospital visit, my blood pressure was measured at around 140/90. The doctor advised me to monitor my blood pressure daily at home. I measure it in the morning after waking up, before going t...
Dr. He Dongjin Reply:
Hello, measuring your blood pressure in the morning and evening is sufficient. It's normal for your readings to fluctuate throughout the day due to activity. If you measure too frequently, it may cause anxiety and lead to dysregulation of your autonomic nervous system. You&#...[Read More] Understanding Blood Pressure Variability: When to Worry About Hypertension?
Understanding Myocardial Infarction: Signs, Symptoms, and Young Adults
Myocardial infarction Hello, Doctor. How can I determine if I have a myocardial infarction? I am 28 years old and recently visited a cardiologist due to heart murmurs. I underwent an electrocardiogram (ECG), blood tests, echocardiogram, and a CT scan (for my lungs). Does a cardia...
Dr. He Dongjin Reply:
Hello, if you're really not at ease about not having a myocardial infarction, consider paying for a CT angiography for reassurance. Don't scare yourself unnecessarily; not all discomforts are due to a myocardial infarction. Changhua Hospital cares about you.[Read More] Understanding Myocardial Infarction: Signs, Symptoms, and Young Adults
Understanding Left Chest Pain: Is It Heart-Related or Neck Issues?
Left chest pain? I previously underwent chest X-rays, electrocardiograms (ECGs), 24-hour Holter monitoring, exercise stress tests, and blood tests at two hospitals, all of which indicated that my heart is healthy. I live in a fifth-floor apartment, and I don't feel excessive...
Dr. He Dongjin Reply:
Hello, the chest pain issue is likely caused by the neck in a young male. Given that the X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test results are all normal, and there is no shortness of breath when climbing from the first to the fifth floor, t...[Read More] Understanding Left Chest Pain: Is It Heart-Related or Neck Issues?
Understanding Myocardial Infarction: Diagnosis and Follow-Up Care
Myocardial infarction Hello, Doctor He. I understand that a myocardial infarction is an emergency, but isn't there a certain percentage of blood vessel blockage that requires catheter intervention? Can the blockage be detected through blood tests or echocardiograms? If I hav...
Dr. He Dongjin Reply:
Hello, a myocardial infarction is caused by a 100% blockage. Blood tests can indicate the extent of the blockage, but only catheterization can accurately assess the degree of obstruction. At 27 years old, you shouldn't worry too much, as this condition typically affects olde...[Read More] Understanding Myocardial Infarction: Diagnosis and Follow-Up Care
Understanding Heart Health: Common Concerns and Check-Up Guidelines
Cardiac concerns? Hello Doctor, I am 27 years old, I smoke half a pack a day and rarely drink alcohol, you could say I don't really drink. I would like to ask a question: I was hospitalized last month due to pneumonia and have now recovered, but the pulmonologist mentioned a...
Dr. He Dongjin Reply:
Hello, a myocardial infarction is an emergency. If the electrocardiogram (ECG), 24-hour Holter monitor, and echocardiogram are all normal at the moment, there is no need to worry. As for pneumonia, it's normal to experience some discomfort as your body has not fully recovere...[Read More] Understanding Heart Health: Common Concerns and Check-Up Guidelines
Understanding Arrhythmia: Insights on Heart Health and Symptoms
Arrhythmia Hello, Director. At the beginning of January, I woke up in the middle of the night due to a sharp pain in my jaw, which was accompanied by left chest discomfort, making it difficult for me to sleep the entire night. The next day, I immediately consulted a cardiologist,...
Dr. He Dongjin Reply:
Hello, actually everyone has some degree of arrhythmia, and you are within the normal range of arrhythmias. That's why your doctor prescribed medication to take as needed rather than requiring you to take it regularly. There is no myocardial infarction, and there is no cardi...[Read More] Understanding Arrhythmia: Insights on Heart Health and Symptoms
Understanding Persistent Heartbeat Sensations: Causes and Concerns
Persistent sensation of heartbeat? Hello, Director. I originally had no cardiovascular disease, but about 1.5 years ago, I experienced episodes of arrhythmia (atrial fibrillation) that were quite severe, occurring frequently and irregularly. The rapid heartbeat was so intense tha...
Dr. He Dongjin Reply:
Hello, the reasons for continuously feeling the heartbeat can vary. Is it serious? If it persists for a long time? If you have already undergone cryoablation and your heart rhythm has returned to normal, it is very likely related to menopause and autonomic nervous system dysregul...[Read More] Understanding Persistent Heartbeat Sensations: Causes and Concerns
Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Examination report content? Hello, Director He. I would like to understand the following report. On December 26, I felt chest tightness and went to the emergency room, but the X-ray, electrocardiogram, and blood tests were all normal. Later, on January 10, I underwent the followi...
Dr. He Dongjin Reply:
Hello, regarding mild ischemia, my recommendation is to start with medication and observe. Changhua Hospital cares about you.[Read More] Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Understanding Sudden Chest Discomfort and Breathing Issues: When to Seek Help
Chest tightness, difficulty breathing, and feeling faint? In December 2022, while driving, I suddenly felt a heaviness in my epigastric area and then started to feel dizzy. I didn't experience vertigo, but I felt like I couldn't get enough air and was about to faint. I ...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is recommen...[Read More] Understanding Sudden Chest Discomfort and Breathing Issues: When to Seek Help
Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Chest tightness, difficulty breathing, and feeling faint? In December 2022, while driving, I suddenly felt a tightness in the epigastric area, followed by dizziness. I didn't experience vertigo, but I felt like I couldn't get enough air and was about to faint. I pulled ...
Dr. Wu Xueming Reply:
It is recommended that you visit a hospital for a consultation and undergo a 24-hour Holter monitor test.[Read More] Understanding Chest Tightness and Breathing Difficulties: When to Seek Help
Understanding Chest Tightness and Dizziness: When to Seek Help
Chest tightness and dizziness? Hello, Doctor. Recently, I went to the emergency room due to chest tightness and dizziness. At that moment, I felt a wave of coolness rushing up my upper body, followed by intermittent chest tightness and dizziness that lasted about 20 seconds, with...
Dr. He Dongjin Reply:
Hello, this may be related to the autonomic nervous system. It is recommended that you visit the neurology outpatient clinic for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Tightness and Dizziness: When to Seek Help
Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Post-exercise body issues, mitral valve prolapse, autonomic nervous system dysfunction, chest tightness, palpitations? Hello, Doctor. Thank you for taking the time to read my message and assist with my questions! I would like to describe my current situation as follows: 1. I ex...
Dr. He Dongjin Reply:
Hello, your symptoms are primarily related to autonomic nervous system issues combined with anxiety, which has led to some panic problems. You can consider increasing the dosage of your medication; if there is no improvement, you may want to visit a psychosomatic medicine clinic ...[Read More] Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation
Chest Pain and Discomfort: Heart Issues or Neck Problems?
Chest tightness and chest pain? Previously, there were episodes of chest tightness and chest pain. However, after visiting the cardiovascular department at the municipal hospital and undergoing an electrocardiogram (ECG), chest X-ray, and blood tests, as well as going to the Tri-...
Dr. He Dongjin Reply:
Hello, since all your heart examinations are normal, it is likely that the issue is related to nerve compression in the neck. It would be advisable to undergo rehabilitation. Changhua Hospital cares about your well-being.[Read More] Chest Pain and Discomfort: Heart Issues or Neck Problems?
Understanding D-Dimer Levels: Implications for Pulmonary Embolism
D-dimer blood test Hello Director Wu, my D-dimer blood test result is 1.51 mg/L. Does this indicate that I have a pulmonary embolism? What treatment do you think should be done to bring this value back to normal? Thank you!
Dr. Wu Xueming Reply:
A high d-Dimer level can indicate conditions other than pulmonary embolism, and further examination at a hospital is necessary.[Read More] Understanding D-Dimer Levels: Implications for Pulmonary Embolism
Managing Heart Palpitations: Medication Interactions and Health Tips
Medication consultation. Heart rate issues. Drug interactions? Hello, doctor. I have been experiencing heart palpitations for the past two weeks. On the first day, I had two episodes of palpitations before bed, and the next evening, I experienced several more episodes. I went to ...
Dr. Li Shengkai Reply:
Hello, based on your description, the treatment and management provided by your physician are logical. Your condition is commonly seen in patients with mitral valve prolapse or autonomic nervous system disorders. It is recommended to continue taking the medications prescribed by ...[Read More] Managing Heart Palpitations: Medication Interactions and Health Tips
Understanding Rapid Heartbeat in Adolescents: Causes and Solutions
Rapid heartbeat Hello, doctor. My daughter is in the ninth grade this year. According to her, the first time she experienced a forceful and rapid heartbeat was in the first grade, and the second time was in the fourth grade. Since then, these episodes have occurred intermittently...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing paroxysmal arrhythmia. I recommend that you go to the emergency department as soon as possible during an episode to get an electrocardiogram (ECG) so that we can understand what is happening and determine the appropriate follow-up car...[Read More] Understanding Rapid Heartbeat in Adolescents: Causes and Solutions
Understanding Arrhythmia Symptoms and Medication Concerns: A Patient's Guide
Questions related to the symptoms of arrhythmia and medication? Hello, recently I have been experiencing episodes of sudden, forceful, and rapid heartbeats that last for about 30 seconds, or rapid heartbeats that are not as forceful but are accompanied by chest tightness and shor...
Dr. He Dongjin Reply:
Hello, both medications are used for arrhythmias and belong to different categories; there is no question of one being stronger than the other. Heart Kangle can help stabilize the autonomic nervous system, but it is not a psychiatric medication. Currently, it is acceptable to tak...[Read More] Understanding Arrhythmia Symptoms and Medication Concerns: A Patient's Guide