Managing Heart Rate Irregularities and Decreased Physical Fitness
Heart rate instability and decreased physical performance? Hello Doctor, I am currently facing some issues and I really don't know what to do. I sincerely request your assistance and advice. 1. Due to the pandemic restrictions on swimming pools from the year before to last...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular daily routine and engage in regular exercise.[Read More] Managing Heart Rate Irregularities and Decreased Physical Fitness
Understanding Exercise ECG Results: Insights on Heart Oxygen Deprivation
Exercise Electrocardiogram (ECG) - Cardiac Hypoxia Hello Doctor, recently I have been experiencing chest tightness when standing, but it does not occur when sitting or lying down. Therefore, I went to a medical center for an exercise electrocardiogram, and the report is as follow...
Dr. He Dongjin Reply:
Hello, the results of your exercise electrocardiogram look fine. It seems that observation is sufficient, and there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results: Insights on Heart Oxygen Deprivation
Understanding Mitral Valve Prolapse and Autonomic Nervous System Issues
Mitral valve prolapse with autonomic dysfunction? In July of this year, one morning I woke up suddenly feeling unable to breathe and unable to feel my heartbeat. I was terrified; my hands and feet began to tingle. In August, I went to the emergency room due to palpitations and ha...
Dr. He Dongjin Reply:
Hello, have you experienced a side effect? If not, there's no need to worry; not everyone experiences it. Don't scare yourself unnecessarily. It's not so important how to eat, but rather how to eat in a way that makes you feel more comfortable. Taking medication ha...[Read More] Understanding Mitral Valve Prolapse and Autonomic Nervous System Issues
Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Rapid heartbeat, chest pain, and low blood pressure? Hello doctor, I am 183 cm tall and weigh about 125 kg. I have had a long-standing blood pressure of 130-140 over 90-100, and my heart rate has been between 100-105. Recently, I have been feeling unwell, experiencing chest pain,...
Dr. Wu Xueming Reply:
It is recommended that you visit the cardiology outpatient clinic for further evaluation.[Read More] Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Post-COVID Heart Issues: Understanding Rapid Heart Rate After Recovery
Post-COVID heart complications? Dear Dr. Wu, I was diagnosed and recovered from COVID-19 on September 2nd. Since mid-October, I have been experiencing a resting heart rate of 80-100 beats per minute while sitting, but it increases to over 100 beats per minute when I stand, somet...
Dr. Wu Xueming Reply:
If your palpitations are still severe, it is recommended to undergo a 24-hour Holter monitor to check for any arrhythmias.[Read More] Post-COVID Heart Issues: Understanding Rapid Heart Rate After Recovery
Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Suspected myocarditis Hello, I suspect I have myocarditis, but I have undergone an echocardiogram and blood tests, which did not reveal anything significant. However, recently, whenever I eat, my heart becomes very short of breath, I experience chest tightness, and I feel weak—of...
Dr. He Dongjin Reply:
Hello, it is not myocarditis. Myocarditis can be diagnosed with an ultrasound. It sounds more like autonomic dysfunction. We can start with medication and consider MRI, exercise testing, or a CT scan later. There's no rush. Take care from Changhua Hospital.[Read More] Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Understanding Chest Pain, Shortness of Breath, and Heart Palpitations
Chest tightness, pain, shortness of breath, numbness in hands, palpitations? Hello Doctor, I am 22 years old and have a low body weight (BMI of 16-17). Since the beginning of this year, I have been experiencing shortness of breath when climbing stairs, along with occasional chest...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended ...[Read More] Understanding Chest Pain, Shortness of Breath, and Heart Palpitations
Understanding Heart Ultrasound Results: Common Concerns and Clarifications
Questions about echocardiography? Hello, doctor. Recently, I experienced chest pain and numbness, so I visited a cardiologist. At the first hospital, I underwent X-ray, ECG, and echocardiogram. 1. Chest PA view shows: - Cardiac size is within normal limits. - Mild increas...
Dr. He Dongjin Reply:
Hello, both examinations showed similar results with no significant issues. The TR and PR are both very mild. The eyelid twitching is not related to the heart; it is likely due to autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Heart Ultrasound Results: Common Concerns and Clarifications
Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Mild myocardial ischemia Hello, Doctor He. I have had high blood pressure since I was 18 years old, and after turning 30, I started taking antihypertensive medication. I am currently 40 years old and take Amlodipine 5/80 daily. In November 2010, during a health check-up, the repo...
Dr. He Dongjin Reply:
Hello, mild myocardial ischemia. It is advisable to follow your attending physician's recommendations to maintain the current status. Blood pressure, dietary control, and exercise are sufficient. Changhua Hospital cares about you.[Read More] Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Which Specialist to See for Heart-Related Symptoms?
Which specialty should I see for my presenting symptoms? Hello, Doctor. I apologize for bothering you, but I have a few symptoms that I would like to ask which specialty I should consult. 1. Fever (occasionally accompanied by chest pain) 2. Shortness of breath 3. Mild diarrhea 4....
Dr. Wu Xueming Reply:
Due to the complexity of the symptoms, it is recommended that a physician assess the possible conditions based on the examination results.[Read More] Which Specialist to See for Heart-Related Symptoms?
Understanding Myocardial Perfusion Test Results: A Guide for Patients
Myocardial perfusion scan results? Hello Doctor, I have had high blood pressure since childhood, and after turning 30, I have been taking antihypertensive medication. Currently, I take Amlodipine 5/80 daily without interruption. In November 2010, during a health check-up, the rep...
Dr. Wu Xueming Reply:
Please engage in regular exercise and maintain a light diet, attend follow-up appointments regularly, and take your medication. If there are no symptoms, continue with routine monitoring.[Read More] Understanding Myocardial Perfusion Test Results: A Guide for Patients
Can This Blood Test Indicate Mediterranean Anemia?
I would like to inquire if this test report indicates thalassemia? RBC: 5.77 x 10^6/uL WBC: 5.57 x 10^3/uL Hb: 13.9 g/dL Hct: 42.5% PLT: 271 x 10^3/uL MCV: 73.7 fL MCH: 24.1 pg MCHC: 32.7 g/dL HbH: Negative HbA2: 2.1% HbA1: 97.9% RDW: 33.8% HbF: <0.5% ...
Dr. Li Shengkai Reply:
According to the blood test report you provided, the levels do not indicate anemia; however, the red blood cells are smaller than normal, and since there is no iron deficiency in the body, it raises the suspicion of being a carrier of thalassemia.[Read More] Can This Blood Test Indicate Mediterranean Anemia?
Understanding Chest Pain and Fainting After Stretching: A Cardiovascular Perspective
Experiencing chest and abdominal pain while stretching, followed by sudden fainting? Hello Doctor: A few days ago, while I was sitting at home and stretching, I suddenly experienced severe pain in my diaphragm, followed by difficulty breathing (I struggled to take deep breaths an...
Dr. Wu Xueming Reply:
Your symptoms are not related to heart disease.[Read More] Understanding Chest Pain and Fainting After Stretching: A Cardiovascular Perspective
Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights
Mild mitral and tricuspid regurgitation? Hello, do I need to undergo treatment for this? My father was recently diagnosed with Fabry disease, and he is currently receiving enzyme replacement therapy. He has issues with myocardial infarction, cardiac hypertrophy, and hypertension....
Dr. Wu Xueming Reply:
Mild mitral and tricuspid regurgitation do not require treatment.[Read More] Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights
Understanding Mitral Valve Regurgitation and Chest Pain Concerns
Cardiac issues Hello Doctor, I would like to ask about something. Two weeks ago, I underwent an electrocardiogram, echocardiogram, and blood tests due to concerns about heart issues. The results showed no major problems, only a slight mitral valve regurgitation. However, in the p...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wishing you go...[Read More] Understanding Mitral Valve Regurgitation and Chest Pain Concerns
Understanding Complications After Stent Placement: Risks and Recovery
Emergency Management During Stent Placement and Re-occlusion Dear Dr. Huang, On the morning of August 20, I thought I was experiencing gastroesophageal reflux and went to the emergency department of a municipal hospital. However, the electrocardiogram and blood test results indi...
Dr. Huang Yinghe Reply:
Hello Mr. Chen: Recent studies indicate that at least one-third of patients with acute myocardial infarction die before reaching the hospital. Among those who survive to receive treatment, the mortality rate within a year due to various complications of the disease remains at 5-1...[Read More] Understanding Complications After Stent Placement: Risks and Recovery
Understanding Rapid Heartbeat: Causes, Symptoms, and Diagnosis
Rapid heartbeat Hello, doctor! I have previously experienced occasional episodes of tachycardia with a heart rate over 100 bpm. I underwent a 24-hour Holter monitor test, which indicated that my heart rate was within normal limits. However, this past year, the frequency of my rap...
Dr. He Dongjin Reply:
Hello, a heart rate of around 100 to 120 beats per minute is generally considered a normal variant of tachycardia and is unlikely to cause any diseases. If there are symptoms, an electrocardiogram (ECG) would provide a more accurate assessment. Blood tests to evaluate thyroid fun...[Read More] Understanding Rapid Heartbeat: Causes, Symptoms, and Diagnosis
Understanding Heart Pain: Symptoms, Causes, and When to Seek Help
Chest pain? Doctor, last Thursday while I was taking a nap, I suddenly woke up feeling like I was being pressed down by a ghost. At that moment, I felt a tightness in my chest and experienced tinnitus. Since that day, I've been experiencing health anxiety, feeling tense ever...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Heart Pain: Symptoms, Causes, and When to Seek Help
Understanding Medication and Hiccups After Myocardial Infarction
Medications for myocardial infarction and symptoms of hiccups? Hello Dr. Lee, My mother recently went to the emergency room on September 6 due to upper abdominal pain and chest pain. After blood tests showed elevated cardiac enzymes, she was diagnosed with acute myocardial infa...
Dr. Li Han Reply:
Hello, regarding your inquiry, first of all, hiccups are not a typical symptom of angina. If this symptom persists, it may be necessary to consider other systemic disorders, especially since the antiplatelet medication aspirin, commonly used in patients with coronary heart diseas...[Read More] Understanding Medication and Hiccups After Myocardial Infarction
Understanding Beta Thalassemia: Should My Child Undergo Further Testing?
Beta thalassemia with low hemoglobin levels? Hello doctor, my 4-year-old child had a cold recently that led to pneumonia and required hospitalization. During the hospital stay, a blood test showed a hemoglobin (Hb) level of 8.8. After 4 days, upon discharge, another test showed a...
Dr. Li Han Reply:
Hello, regarding your inquiry, it is recommended to consult a pediatric hematologist for a more accurate diagnosis and treatment, as well as education on future healthy childbirth. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Beta Thalassemia: Should My Child Undergo Further Testing?