Understanding Sudden Heart Rate Increases: When to Seek Medical Advice
Sudden increase in heart rate? Recently, when measuring my heart rate with a Xiaomi device, it sometimes suddenly exceeds 100, reaching as high as 190. It also spikes over 100 during the night, and I don't feel any discomfort or notice an increased heartbeat at that time. Oc...
Dr. He Dongjin Reply:
Hello, your heart rate exceeds 100, with a maximum of 190. It is difficult to determine if there is an arrhythmia. It is advisable to follow up with a cardiologist for further evaluation. Ping An Changhua Hospital cares about you.[Read More] Understanding Sudden Heart Rate Increases: When to Seek Medical Advice
Vaccination Considerations for Seniors with Chronic Conditions
Three Highs and Vaccine Administration Hello, doctor. A 73-year-old female patient has chronic conditions including E1165 type 2 diabetes with hyperglycemia, E780 pure hypercholesterolemia, J441 chronic obstructive pulmonary disease with (acute) exacerbation, I119 hypertensive he...
Dr. Li Han Reply:
Hello, regarding your concerns about COVID-19 vaccination, the chronic comorbidities you mentioned are not contraindications for receiving the COVID-19 vaccine (including AstraZeneca). In fact, age and these comorbidities may increase your risk of contracting the virus during the...[Read More] Vaccination Considerations for Seniors with Chronic Conditions
Understanding Occasional Heart Palpitations: Causes and Concerns
Premature heartbeats Dear Dr. He, I have issues with gastroesophageal reflux disease (GERD) and bloating, which occasionally lead to feelings of chest tightness and chest pain. Recently, I have experienced a new symptom where I occasionally feel a "heavy thump" in my h...
Dr. He Dongjin Reply:
Hello, 1. There is a high probability of premature ventricular contractions, but a diagnosis requires evidence of the arrhythmia. 2. Gastroesophageal reflux and gastric bloating can increase the likelihood of premature contractions due to any discomfort. 3. Occasional premature c...[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Can You Stop Heart Rhythm Medication If Symptoms Improve?
Discontinuation of antiarrhythmic medication? Hello Doctor, a few days ago I went to the hospital due to chest pain and palpitations. I underwent a cardiac examination, including an electrocardiogram, and the doctor diagnosed it as normal. I suspect it might be due to recent stre...
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] Can You Stop Heart Rhythm Medication If Symptoms Improve?
Post-AZ Vaccine: Concerns About Chest Pain and Blood Clots
After receiving the AZ vaccine? Hello, Doctor He. I received my first dose of the AZ vaccine on June 5, 2021, and experienced fever and body aches afterward. Since then, I have had some mild shortness of breath and chest pain. I am currently taking medication for diabetes and hav...
Dr. He Dongjin Reply:
Hello, please visit the hematology department. You should continue using your asthma medications and inhalers. Changhua Hospital cares about you.[Read More] Post-AZ Vaccine: Concerns About Chest Pain and Blood Clots
Understanding Chest Pain: When to Worry About Heart Issues
Chest pain? Hello Doctor, over the past week or two, I have experienced occasional pain in my left chest with a distinct tender point, but it does not lead to shortness of breath. The symptoms are not continuous, lasting only a few seconds, occurring at least once a day. Yesterda...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction along with some neuromuscular issues, rather than a heart condition. It is not a precursor to a myocardial infarction. Just observe your condition for now. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: When to Worry About Heart Issues
Understanding Chest Pain: Is It Related to VPC or Heart Issues?
Sharp pain in the heart area? Hello Director He, first of all, thank you for clarifying doubts for the public! I am 23 years old and was diagnosed with around 600 VPCs (ventricular premature contractions) when I was 22, which led to a feeling of missed beats. The doctor said ther...
Dr. He Dongjin Reply:
Hello, experiencing a tingling sensation around 600 beats per minute is not indicative of a heart attack, and there is no need for a cardiac CT or MRI. The tingling is mostly related to muscle or nerve issues. Don't worry about the heart's condition; based on the inform...[Read More] Understanding Chest Pain: Is It Related to VPC or Heart Issues?
Vaccination Risks for Elderly with Chronic Conditions: Key Considerations
Issues with administering the AstraZeneca vaccine to the elderly? Hello, doctor. We have two elderly individuals who are expected to receive vaccinations soon. I would like to ask: 1. Does having certain chronic diseases increase the risk associated with vaccination? Are they sui...
Dr. Wu Xueming Reply:
These chronic medications do not need to be discontinued due to vaccination.[Read More] Vaccination Risks for Elderly with Chronic Conditions: Key Considerations
Is Your Chest Pain Due to Autonomic Dysfunction or Heart Issues?
Could you please clarify whether the symptoms are related to autonomic nervous system dysfunction or a heart-related condition? Hello, doctor. I have a history of panic disorder. A few days ago, I experienced chest tightness all day and went to the hospital's psychiatry depa...
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] Is Your Chest Pain Due to Autonomic Dysfunction or Heart Issues?
Understanding Myocardial Ischemia: Symptoms, Diagnosis, and Next Steps
Probability of myocardial ischemia Hello Doctor, since November of last year, I have been experiencing intermittent chest pain in the center of my heart for a few seconds to about five minutes, along with feelings of chest tightness. I initially went to Hospital A for a 24-hour H...
Dr. He Dongjin Reply:
Hello, the likelihood of myocardial ischemia in typical autonomic nervous system disorders is indeed low. Your decision to undergo a 256-slice CT scan is entirely for peace of mind. If you still have doubts about your health, go ahead and get it done. Changhua Hospital cares abou...[Read More] Understanding Myocardial Ischemia: Symptoms, Diagnosis, and Next Steps
Understanding Chest Pain in Athletes: Causes and Concerns
Chest issues? Recently, due to the pandemic, doctors have been staying at home. As an athlete, I also need to train at home. Today, while practicing, I was doing high knees, and halfway through, I felt a sudden pain in my left chest and left back, around the area of my heart. I c...
Dr. He Dongjin Reply:
Hello, it seems that your posture might be off, which could have caused a strain in a muscle, leading to pain. It's best to observe the situation for now, or you can take B vitamins and muscle relaxants, and continue to monitor your condition. Changhua Hospital cares about y...[Read More] Understanding Chest Pain in Athletes: Causes and Concerns
Understanding Chest Pain in Athletes: Causes and Concerns
Chest issues? Recently, due to the pandemic, doctors have been staying at home. As an athlete, I also need to train at home. Today, while practicing, we were doing high knees. Halfway through, I felt a sudden pain in my left chest and left back, around the area of the heart. I co...
Dr. He Dongjin Reply:
Hello, chest pain may be due to issues with your environment that prevent you from performing properly, leading to poor posture and inflammation of a muscle. Please rest and avoid doing push-ups. Consider taking B vitamins or muscle relaxants, and monitor your condition. Take car...[Read More] Understanding Chest Pain in Athletes: Causes and Concerns
Understanding Chest Pain Near the Heart: Causes and Concerns
Sharp pain and tightness near the left chest, close to the heart? Recently, I have been experiencing a dull, sharp pain under my left collarbone, which is concerning since it's near the heart. This has caused me a lot of anxiety and has affected my work, leading me to take m...
Dr. He Dongjin Reply:
Hello, the sharp pain below the clavicle may be related to nerve pain. The heart is not located there; it is situated in the so-called epigastric region, which is much more centrally located and lower. What you are experiencing is likely due to poor posture, leading to shoulder a...[Read More] Understanding Chest Pain Near the Heart: Causes and Concerns
Understanding Heart Health: Navigating Hypertension and Cardiac Concerns
Cardiac examination results indicate myocardial ischemia. There is atheromatous arteriosclerosis, but the coronary artery calcium score is between 0 and 10? Hello, Doctor. I have a history of hypertension for about 7-8 years. I have been experiencing chest pain (at rest), so my c...
Dr. He Dongjin Reply:
Hello, C - The results of the coronary CT angiography are most accurate - no significant stenosis means there is nothing to worry about. The accuracy of nuclear medicine tests is lower than that of CT scans. Risk factors include not only hypertension, and we are human, not machin...[Read More] Understanding Heart Health: Navigating Hypertension and Cardiac Concerns
Understanding Chest Pain and Breathing Issues in Kawasaki Disease Patients
Sharp pain in the left chest during deep breathing, with increased frequency? Hello Doctor, I have a history of Kawasaki disease with coronary artery aneurysm and have been taking aspirin regularly. I find that I need to take deep breaths frequently, and occasionally I experience...
Dr. He Dongjin Reply:
Hello, the tingling sensation is mostly caused by muscle nerve issues or mitral valve prolapse, which poses no life-threatening danger. Please don't worry and consider a follow-up visit after the pandemic. Changhua Hospital cares about you.[Read More] Understanding Chest Pain and Breathing Issues in Kawasaki Disease Patients
Understanding Chest Pain: Heart Health Concerns and Test Results Explained
Recently, I have been experiencing sharp pain under my left clavicle, and I am concerned about potential heart and vascular issues? Total cholesterol (132) Triglycerides (57) Fasting blood glucose (107) Uric acid (8.6) Creatinine (1.18) eGFR (76.0) Sodium (140) Potassium (...
Dr. He Dongjin Reply:
Hello, a 32-year-old male has a very low risk of heart issues. Total cholesterol, triglycerides, blood sugar, creatinine, sodium, potassium, liver function, low-density lipoprotein, and thyroid levels are all normal. The stabbing pain under the left clavicle is likely due to musc...[Read More] Understanding Chest Pain: Heart Health Concerns and Test Results Explained
Understanding Shortness of Breath: Causes and When to Seek Help
Dyspnea I have been experiencing slight dizziness when standing up suddenly for several years, but recently the duration and intensity of the dizziness have increased. One time, when I quickly stood up from lying flat on the bed, I even experienced blackouts and felt like I could...
Dr. Wu Xueming Reply:
Based on your description, orthostatic hypotension could be a possible cause of the symptoms. However, if the symptoms persist, it is still advisable to go to the hospital for further evaluation.[Read More] Understanding Shortness of Breath: Causes and When to Seek Help
Understanding Left Chest Pain: Causes and When to Seek Help
Left chest pain? About two weeks ago, I occasionally felt chest pain when taking deep breaths, which varied in intensity. Today, I suddenly experienced severe pain without a specific point of tenderness. The pain occurs when I breathe or exert myself, especially when sitting or l...
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 Left Chest Pain: Causes and When to Seek Help
Understanding Left Chest Pain: When to Seek Medical Attention
Left chest tightness and pain? Hello Doctor, recently the weather has changed significantly, and I've suddenly felt a tightness in my left chest. Sometimes when I change positions, I experience a sharp pain in one area of my heart, but it's not a constant pain; however,...
Dr. He Dongjin Reply:
Hello, pain in certain areas when changing positions is often caused by poor posture or muscle strain. If the symptoms have persisted for three days, it is advisable to rest and observe the situation. Avoid heavy training for now. If discomfort continues, please visit a cardiolog...[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Rapid Heartbeat and Breathing Difficulties After Exercise
Rapid heartbeat with a feeling of shortness of breath? Hello Doctor: I often experience prolonged episodes of rapid heartbeat after exercising, accompanied by symptoms of chest tightness and chest pain. These symptoms can last for 2 to 3 class periods after exercise. My physical ...
Dr. He Dongjin Reply:
Hello, an increased heart rate when not exercising may be due to autonomic nervous system dysregulation, which is common at this age. Experiencing prolonged rapid heart rate after exercise and having significantly lower stamina compared to peers suggests insufficient physical act...[Read More] Understanding Rapid Heartbeat and Breathing Difficulties After Exercise