Understanding Incomplete Right Bundle Branch Block and Its Impact on Judo Training
Incomplete right bundle branch block I usually practice judo, and currently, I have pain in my right chest, but it doesn't hurt all day. An orthopedic doctor said it is caused by a cervical vertebra pressing on a nerve, and it won't affect my breathing or daily activiti...
Dr. Lin Jixiong Reply:
Incomplete right bundle branch block generally does not present with significant clinical symptoms, so treatment is not necessary. Patients with accompanying symptoms often exhibit clinical manifestations of underlying diseases, which require treatment of the primary condition. C...[Read More] Understanding Incomplete Right Bundle Branch Block and Its Impact on Judo Training
Understanding Rapid Heartbeat: Causes and Solutions for Young Adults
Tachycardia Hello, doctor. I am currently 19 years old and have autonomic nervous system dysfunction and panic disorder. Before experiencing these symptoms, my heart rate was 85 beats per minute, but now during a panic attack, I experience palpitations, and my heart rate can incr...
Dr. Lin Jixiong Reply:
Tachycardia, defined as a heart rate exceeding 100 beats per minute, is often referred to as "sinus tachycardia" and is usually benign. Factors such as stress, consumption of tea, alcohol, tobacco, coffee, hyperthyroidism, or heightened sympathetic or vagal nerve activi...[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Young Adults
Understanding Left Chest Pain: Causes and Concerns for Young Adults
Left chest pain? Hello Doctor, my height/weight is 164 cm/52 kg. I underwent catheter ablation for supraventricular tachycardia at the age of 18, and my follow-up three years ago showed everything was fine. During the surgery, I was informed of mild mitral valve prolapse, but it ...
Dr. He Dongjin Reply:
Hello, it sounds like a neuromuscular issue that may be caused by exercise, anxiety, or cold weather, rather than a heart problem. It would be advisable to monitor the situation for now. Changhua Hospital cares about your well-being.[Read More] Understanding Left Chest Pain: Causes and Concerns for Young Adults
Managing Fast Heart Rate and Chest Pain: Key Questions for Your Cardiologist
Continuing from 151996? Dear Dr. He, Thank you for your previous response. I have a few more questions to ask you. During my follow-up appointment with the cardiologist on February 6, I was informed that my heart rate is still elevated (measured at 95 bpm the first time and 85 ...
Dr. He Dongjin Reply:
Hello, a blood pressure of 95/85 is slightly elevated, and medication adjustment may not be necessary. A reading of 90/50 is too low and could cause discomfort. Since you have had a cardiac ultrasound and a CTA with no issues, the likelihood of heart problems is extremely low. It...[Read More] Managing Fast Heart Rate and Chest Pain: Key Questions for Your Cardiologist
Managing Nighttime Chest Pain: Tips for Better Sleep and Heart Health
Chest pain and difficulty sleeping? Hello Doctor: For the past year and a half, I have been experiencing occasional burning pain in the center of my chest. At first, it happened only once every six months, but in the last two months, I can only hope it doesn't occur. I have ...
Dr. He Dongjin Reply:
Hello, it is recommended that you see a cardiologist for a thorough examination. Once it is confirmed that there are no issues, it may be related to gastroesophageal reflux or cardiovascular spasms. The doctor will prescribe relevant medications for further evaluation. Changhua H...[Read More] Managing Nighttime Chest Pain: Tips for Better Sleep and Heart Health
Chest Pain, Breathing Issues, and Rapid Heartbeat: Flu or Side Effects?
Chest tightness, difficulty breathing, and rapid heartbeat? Yesterday, I went to an ENT specialist due to a fever of 39 degrees Celsius, sore throat, body aches, a little runny nose, and nasal congestion. The doctor said I have a flu-like illness, so I took medication for a day. ...
Dr. He Dongjin Reply:
Hello, it seems that the symptoms are mostly due to the side effects of the medication. For the mitral and tricuspid valve prolapse symptoms, it is advisable to observe them first. Unlike severe influenza, there is no need to panic. Changhua Hospital cares about you.[Read More] Chest Pain, Breathing Issues, and Rapid Heartbeat: Flu or Side Effects?
Understanding Mitral Valve Issues: When to Consider Coronary Angiography?
Follow-up question #152180 regarding the mitral valve? Dear Dr. He, Thank you very much for your explanation; I have greatly benefited from it. Regarding the article "<a href='https://adoctor.tw/article/152180'>#152180 on Electrocardiograms and Echocardiogra...
Dr. He Dongjin Reply:
Based on my experience, your heart is healthy, and the valve regurgitation is considered normal. Regardless of whether it is the mitral valve or tricuspid valve, if you experience chest pain during intense exercise, then coronary angiography should be considered. Changhua Hospita...[Read More] Understanding Mitral Valve Issues: When to Consider Coronary Angiography?
Understanding Left Chest Pain: Heart Issues or Anxiety?
Left chest pain? Hello Doctor, I am 179 cm tall, weigh 86 kg, and am 35 years old. I haven't exercised for a while. In mid-November, I experienced chest tightness and went to see a doctor. After performing an exercise electrocardiogram, the doctor noted abnormalities indicat...
Dr. He Dongjin Reply:
Hello, anxiety has triggered autonomic nervous system dysregulation, leading to poor appetite and sensations of breathlessness and sharp pain, which are generally not related to the heart. It is possible that this is due to neuropathic pain from the autonomic nervous system, as t...[Read More] Understanding Left Chest Pain: Heart Issues or Anxiety?
Understanding Left Chest Pain: Causes, Diagnosis, and Next Steps
Left chest pain? Hello, Doctor. I started experiencing stomach pain in July, specifically in the epigastric area. I went to Chang Gung Memorial Hospital for an endoscopy, and while nothing significant was found, I tested positive for Helicobacter pylori, which was subsequently tr...
Dr. He Dongjin Reply:
Hello, if you are jogging regularly, it is actually quite normal and does not seem to indicate a heart problem, especially since previous examinations were normal. If you are still concerned, you may consider undergoing a coronary CT angiography for further reassurance. Ping An C...[Read More] Understanding Left Chest Pain: Causes, Diagnosis, and Next Steps
Mitral Valve Prolapse: Understanding Symptoms and Anxiety Connection
Mitral valve prolapse, suspected autonomic nervous system dysfunction? Hello Doctor, at the beginning of November, I experienced left chest pain and discomfort in my back (which I believe is around the shoulder blade area, but that area has been sore for a long time). I also had ...
Dr. He Dongjin Reply:
Hello, it seems that your anxiety and overthinking may have led to autonomic nervous system dysregulation. Both your exercise electrocardiogram and resting electrocardiogram are normal, indicating that your heart is fine. There's no need to worry about sudden issues; just re...[Read More] Mitral Valve Prolapse: Understanding Symptoms and Anxiety Connection
Understanding Mitral Valve Insufficiency: Treatment, Concerns, and Lifestyle Tips
Valvular insufficiency After checking the electrocardiogram and ultrasound, the doctor said that three of my four heart valves have moderate regurgitation. However, he did not specify which three valves are affected. Last week, during my first visit to the cardiologist, the docto...
Dr. He Dongjin Reply:
Hello, your inquiry is unclear, and I do not understand which three types of incompetence you are referring to. I apologize for not being able to provide suitable advice. I recommend discussing this with your attending physician during your next visit. Changhua Hospital cares abo...[Read More] Understanding Mitral Valve Insufficiency: Treatment, Concerns, and Lifestyle Tips
Left Chest Pain When Breathing: When to Seek Further Heart Evaluation
Pain in the left chest when breathing or moving? Hello Doctor: I underwent surgery for transposition of the great vessels at birth and have been returning for annual check-ups, including electrocardiograms and echocardiograms. During my follow-up appointment at the end of August ...
Dr. He Dongjin Reply:
Hello, the symptoms you described seem more like discomfort caused by neuromuscular issues. The electrocardiogram report shows no significant abnormalities, so it is advisable to monitor the situation. Changhua Hospital cares about your well-being.[Read More] Left Chest Pain When Breathing: When to Seek Further Heart Evaluation
Understanding Heart Palpitations and Chest Pain: Key Concerns
Increased heart rate and mild pain in the left chest? Hello, Doctor He! In September 2019, I underwent an examination at a general cardiology clinic, where I was found to have mild hypertension (142/90 mm Hg) and mild diabetes (hemoglobin A1c 7.1). The doctor prescribed BISO 5 mg...
Dr. He Dongjin Reply:
Hello, based on your description, it is not possible to determine whether there is coronary artery obstruction or myocardial ischemia. It is recommended that your physician arrange for a stress electrocardiogram or a self-paid computed tomography scan to better understand the sit...[Read More] Understanding Heart Palpitations and Chest Pain: Key Concerns
Assessing the Necessity of Cardiac Catheterization: Risks and Benefits
Necessity of Examination Hello, I have been experiencing shortness of breath during exercise and occasional chest tightness. I have undergone an electrocardiogram (ECG) and a 3D echocardiogram, both of which were normal. However, the exercise ECG showed mild hypoxia. A myocardial...
Dr. Lin Jixiong Reply:
Hello: Undergoing cardiac catheterization carries certain risks. If you frequently experience symptoms such as chest tightness or chest pain, and the frequency of these episodes has increased, you may consider having a cardiac catheterization. However, if you are currently on med...[Read More] Assessing the Necessity of Cardiac Catheterization: Risks and Benefits
Understanding Rheumatic Heart Disease: Surgical Options for Elderly Patients
Rheumatic heart disease Hello, Doctor. My mother is 85 years old and has been suffering from rheumatic heart disease for a long time. Last year, she experienced heart failure and atrial fibrillation, which led to pulmonary edema, requiring hospitalization. After recovering, she h...
Dr. He Dongjin Reply:
Hello, regardless of medication management or surgery, the goal is to ensure the patient is safe and asymptomatic. If the patient appears to have no significant symptoms under medication management, it may be advisable to observe first and initiate treatment as needed. Changhua H...[Read More] Understanding Rheumatic Heart Disease: Surgical Options for Elderly Patients
Understanding Morning Chest Pain: Causes and Solutions for Better Sleep
Waking up in pain frequently in the morning? For the past two months, I have been waking up in pain almost every day after about 5 to 6 hours of sleep. The pain usually subsides within an hour. Initially, for over a month, I experienced pain in my entire upper back, specifically ...
Dr. He Dongjin Reply:
Hello, it seems that the issue is related to muscle and nerve problems or possibly internal organ issues, which are generally unrelated to posture. If you experience pain when turning over, try eating some bananas, take B vitamins, and use muscle relaxants or pain relievers. Let&...[Read More] Understanding Morning Chest Pain: Causes and Solutions for Better Sleep
Understanding Heart Health: Insights on Medications and Testing for Chest Pain
I would like to consult with a doctor? I have been experiencing chest and back discomfort, sometimes accompanied by a sensation of my heartbeat. After visiting a cardiologist, the doctor arranged for a 24-hour Holter monitor, a stress test, and an echocardiogram. The doctor menti...
Dr. He Dongjin Reply:
Hello, you may be experiencing issues with your autonomic nervous system. Xin Kang Le and Yu Li Shu Pan are treatments for autonomic nervous system disorders. Personally, I believe that a CT scan is not necessary, but it can provide peace of mind. If you are still feeling uneasy,...[Read More] Understanding Heart Health: Insights on Medications and Testing for Chest Pain
Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Incomplete membranous closure Hello, recently I experienced palpitations and sharp chest pain, so I went to the hospital for a cardiac ultrasound. The doctor said that I do not have mitral valve prolapse, but there is slight incomplete closure of the mitral valve. In the past two...
Dr. Huang Yinghe Reply:
Hello: Echocardiography is a highly precise examination. Mild mitral regurgitation detected through ultrasound is quite common in the middle-aged and elderly population; however, most individuals are asymptomatic. Symptoms of moderate to severe mitral regurgitation typically incl...[Read More] Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Does Caffeine and Late Nights Worsen Mitral and Tricuspid Valve Insufficiency?
Does caffeine and late-night sleeping have an impact on mitral and tricuspid valve insufficiency? I previously underwent a Doppler color ultrasound that confirmed issues with mitral and tricuspid valve regurgitation. The doctor advised me to avoid strenuous activities and other p...
Dr. Chen Jili Reply:
I recommend that you try to maintain a regular schedule, avoid excessive fatigue, and wish you good health and success in your exams.[Read More] Does Caffeine and Late Nights Worsen Mitral and Tricuspid Valve Insufficiency?
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and shortness of breath, worse than before the surgery? Hello, Dr. Huang! My brother underwent a cardiac catheterization due to chest tightness, which revealed 50% blockage at the ostium of the left main coronary artery ...
Dr. Huang Yinghe Reply:
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a blood vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. Typic...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?