Understanding Rapid Heartbeat and Chest Pain: Key Concerns for Women
Rapid heartbeat Hello Doctor: Recently, I have been experiencing occasional sharp, tearing pain in my left chest, and a persistent dull pain in the upper left back that is quite uncomfortable. My heart rate, when measured while sitting, is usually in the 90s, and sometimes I feel...
Dr. He Dongjin Reply:
Hello, your age is right around the menopausal period, and you may experience some symptoms such as systolic blood pressure in the 90s and a heart rate in the 90s. For women, this can be considered normal. As for the chest discomfort, it is difficult to say whether it is a heart ...[Read More] Understanding Rapid Heartbeat and Chest Pain: Key Concerns for Women
Understanding ECG Reports: Sinus Rhythm and Heart Rate Concerns
Questions about electrocardiograms (ECGs) related to static electricity? I would like to ask the doctor about the electrocardiogram report, which mentions: Sinus Rhythm...normal P axis, V-rate 50-99 RSR' in V1 or V2, Right Ventricular Conduction Delay (RVCD) or Right Ventric...
Dr. Wu Xueming Reply:
1. Abnormalities in an electrocardiogram (ECG) must be assessed by a physician reviewing the original images for accurate judgment. 2. Chest pain can be categorized as psychogenic or non-psychogenic. Psychogenic chest pain, commonly referred to as angina, typically has the follo...[Read More] Understanding ECG Reports: Sinus Rhythm and Heart Rate Concerns
Post-Meal Heart Palpitations: Causes and Concerns Explained
After meals, arrhythmia and missed beats? Hello, doctor. I recently visited a traditional Chinese medicine practitioner who noted that I have arrhythmia, which prompted me to pay attention to this phenomenon. Currently, after meals, regardless of the amount I eat, I experience sk...
Dr. Wu Xueming Reply:
Heart palpitations are not specifically related to diet unless caffeinated beverages are consumed. Chest pain or discomfort associated with a myocardial infarction can typically be characterized by the following features: 1. Lasting for several minutes (>20-30 minutes), with a...[Read More] Post-Meal Heart Palpitations: Causes and Concerns Explained
Understanding Panic Attacks: Impact on Heart Health and Biomarkers
Panic disorder emergency room visit (CPK and Troponin) Hello, cardiologist. I have been taking medication for panic disorder for over ten years (Xanax). On April 10, I went to the emergency room due to a panic attack, where my blood pressure was 177/133 and my heart rate was arou...
Dr. He Dongjin Reply:
Hello, a slightly elevated level may not necessarily be significant, so there's no need to worry. If there are no symptoms, and both the EKG and echocardiogram are normal, it is advisable to just monitor the situation. If you are constantly concerned about considering a self...[Read More] Understanding Panic Attacks: Impact on Heart Health and Biomarkers
Understanding Heart Issues: Symptoms and When to Seek Emergency Care
Cardiac issues Hello Doctor, my husband is 29 years old. During his health check-up last year, his cholesterol levels were elevated. Around mid-May of this year, he experienced chest discomfort and pain in his left arm, which eased after resting for 20-30 minutes. Over the next t...
Dr. He Dongjin Reply:
Hello, it's difficult to predict the warning signs of a myocardial infarction. If you experience chest pain and cold sweats, you should go to the emergency room. However, the emergency department only addresses acute issues and may not determine if there is a true abnormalit...[Read More] Understanding Heart Issues: Symptoms and When to Seek Emergency Care
Mitral Valve Prolapse: Dental Care and Endocarditis Prevention
Mitral valve prolapse, dental cleaning, prevention of endocarditis? I have been diagnosed with mild mitral valve prolapse and experience symptoms such as chest pain and arrhythmia. My primary physician mentioned that it is very mild, but I maintain a normal routine, and the sympt...
Dr. Wu Xueming Reply:
Patients with mitral regurgitation are at an increased risk of bacteremia, which can lead to bacterial endocarditis, especially when undergoing procedures that may cause bleeding. Therefore, prior to dental procedures such as teeth cleaning, tooth extraction, or dental implants, ...[Read More] Mitral Valve Prolapse: Dental Care and Endocarditis Prevention
Red Dots on Hands: Should You Be Concerned About Your Health?
Red dot-like spots on the hands? Hello, Dr. Tsai... I've been experiencing many health issues recently that have made me very anxious. In April, I had chest pain and was worried it might be related to COVID-19. After a doctor's evaluation, I was told it was a respirator...
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] Red Dots on Hands: Should You Be Concerned About Your Health?
Understanding Heart Palpitations and Chest Pain: When to Seek Help
At night while lying down, I feel my heart beating very strongly, and I can hear the sound of my heartbeat (it sounds crisp) accompanied by pain in the left chest? Hello Doctor: On March 31st (Tuesday) evening, while rushing to catch a ride, I suddenly experienced a tearing and b...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary or if a referral to a cardiologist is needed. Thank you, and wishing you good health![Read More] Understanding Heart Palpitations and Chest Pain: When to Seek Help
Left Chest Pain: Should You See a Doctor Now or Wait?
Left chest tightness and pain? 1. Recently, I'm not sure if it's due to the weather changes, but for the past week or two, I've been experiencing a persistent dull pain in my left chest. A few days ago, I also started feeling a similar dull pain a bit lower, near m...
Dr. He Dongjin Reply:
Hello, do you have congenital heart disease? What issues are you experiencing? The symptoms seem more like autonomic nervous system dysfunction triggered by changes in weather. With the presence of two mitral valve prolapses, it would be advisable to continue monitoring. If you s...[Read More] Left Chest Pain: Should You See a Doctor Now or Wait?
Breathing Difficulties, Dizziness, and Chest Pain While Biking: What to Know
Difficulty breathing, dizziness, and chest pain while cycling? Hello, Doctor. I love cycling, and I used to be fine, but recently I've been experiencing some issues. I'm not sure if it's due to a lack of exercise, the UBike, air quality, or the heat. During my rece...
Dr. Wu Xueming Reply:
1. Chest pain can be classified as cardiac or non-cardiac. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may feel like an elephant sitting on th...[Read More] Breathing Difficulties, Dizziness, and Chest Pain While Biking: What to Know
Post-Catheterization Hematoma: Concerns and Management Tips
Large hematoma after cardiac catheterization? Hello, doctor. I would like to ask about my condition. I had a cardiac catheterization 5-6 days ago, and currently, there is a large hematoma at the site where the catheter was inserted in my right leg, and I am experiencing increasin...
Dr. Huang Yinghe Reply:
1. Postoperative hematomas are quite common and typically resolve on their own within two to three weeks. In rare cases, if a pseudovascular tumor forms, further intervention may be necessary. Please have your physician examine the wound during your follow-up visit. If the hemato...[Read More] Post-Catheterization Hematoma: Concerns and Management Tips
Understanding Heart Health: Key Questions About Your Cardiovascular Checkup
Health Checkup Report Consultation Hello, Doctor. I have a few questions to ask. During a recent mountain climbing trip, I felt unwell, and the tour guide noticed that my blood oxygen level was low and my heart rate was high, suggesting that I go to the hospital for an examinatio...
Dr. Wu Xueming Reply:
1. Chest pain can be classified as cardiac or non-cardiac. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure-like, and may cause shortness of breath (like an elephant...[Read More] Understanding Heart Health: Key Questions About Your Cardiovascular Checkup
Understanding Heart Issues: When to See a Specialist for Symptoms
Cardiac issues Hello, I am the one who mentioned my heart rate exceeding 120 beats per minute. Which specialty should I consult? (My subsequent measurements were around 70 to 90 beats per minute.) Is it normal for chest pain to radiate to abdominal pain? Sorry for the trouble.
Dr. Wu Xueming Reply:
If the symptoms of rapid heartbeat persist, you should visit a cardiology outpatient clinic for evaluation.[Read More] Understanding Heart Issues: When to See a Specialist for Symptoms
Understanding Heart Palpitations: Causes and When to Seek Help
Cardiac issues Hello Doctor, I have recently been experiencing strong heartbeats while lying down at night, accompanied by a feeling of chest tightness. I also feel a pulling sensation in my chest that is somewhat painful, which seems to coincide with my heartbeat, and I can hear...
Dr. Wu Xueming Reply:
Chest pain can be classified as either cardiac or non-cardiac. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may cause shortness of breath (like...[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
Is it advisable to perform a cardiac catheterization for arrhythmia suspected to be caused by angina? Hello Doctor: I am a patient with antiphospholipid syndrome. I was diagnosed with optic nerve disc narrowing in April last year, and in August, I experienced central retinal vein...
Dr. Wu Xueming Reply:
"Ventricular premature contractions" (VPCs) are irregular heartbeats that occur when the ventricles contract on their own before receiving signals from the normal cardiac conduction system, representing a type of arrhythmia. If an echocardiogram shows normal cardiac fun...[Read More] Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
How to Differentiate Between Anxiety and Cardiovascular Issues in Chest Pain?
How can one distinguish whether chest tightness is due to emotional issues or cardiovascular problems? About a month ago, I started noticing a sensation of chest tightness. Here is a record of my medical visits: The next day, I went to a cardiology clinic for an electrocardiogram...
Dr. He Dongjin Reply:
Hello, you might be overthinking it; it should be fine. Given that you've had multiple check-ups over the years with no issues, the likelihood of a heart problem is low. Try to relax and get out to exercise more. Changhua Hospital cares about you.[Read More] How to Differentiate Between Anxiety and Cardiovascular Issues in Chest Pain?
Chest Pain, Shortness of Breath, and Sweating: When to Seek Help?
Back pain, chest tightness, sweating, and shortness of breath? Hello, doctor: Yesterday, I experienced sudden pain on the left side of my back, followed by chest tightness, shortness of breath, and sweating. These symptoms lasted for about 20 to 30 minutes and then disappeared. S...
Dr. Wu Xueming Reply:
Chest pain can be categorized into cardiac and non-cardiac types. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may cause shortness of breath (l...[Read More] Chest Pain, Shortness of Breath, and Sweating: When to Seek Help?
Uncertain Chest Pain: Understanding Heart Issues and Management
Chest pain (uncertain if it's cardiac) There has been a period of aching and stabbing pain (uncertain) in the upper middle part of my left chest, which comes and goes. Therefore, I went to see a cardiologist and underwent several tests (ultrasound and gastroscopy). The docto...
Dr. He Dongjin Reply:
Hello, it should not be heart-related since many tests have shown no issues, so there's no need to worry. It may be caused by a muscular or neurological problem. Changhua Hospital cares about you.[Read More] Uncertain Chest Pain: Understanding Heart Issues and Management
Understanding Mitral and Aortic Valve Insufficiency: Treatment and Exercise Tips
Valvular insufficiency Hello Doctor, a few days ago I experienced chest pain and difficulty breathing, so I visited a cardiologist and underwent an echocardiogram. The results showed that I have mitral valve regurgitation and aortic valve regurgitation, both of which are between ...
Dr. He Dongjin Reply:
Hello, for mild to moderate cases, observation is sufficient and there is no need for surgical valve replacement or repair. You can continue with your normal life and activities without worry. Changhua Hospital cares about you.[Read More] Understanding Mitral and Aortic Valve Insufficiency: Treatment and Exercise Tips
Sudden Left Chest Pain: Is It Anxiety or a Heart Issue?
Sudden pain in the left chest? Hello, doctor. Recently, I have been experiencing shortness of breath and palpitations, so I visited the hospital and consulted with a pulmonologist. I had a chest X-ray and an electrocardiogram, both of which showed no issues. I also had my thyroid...
Dr. Huang Yinghe Reply:
Hello: There are many causes of chest pain, including musculoskeletal pain from the chest wall, inflammation of the lungs or airways, heart problems, gastroesophageal reflux, endocrine disorders, or psychological stress, among others. Given your age, it is less likely to have sig...[Read More] Sudden Left Chest Pain: Is It Anxiety or a Heart Issue?