Understanding Chest Pain: When to Seek Further Cardiac Evaluation
Chest pain issues? Hello Doctor, I used to experience discomfort in my heart around February each year, but after undergoing an electrocardiogram (ECG), it seemed that no significant issues were found. The most recent ECG showed: 1. Normal sinus rhythm with sinus arrhythmia 2. Ea...
Dr. He Dongjin Reply:
Hello, given your age, it is normal to experience atrial fibrillation and early repolarization. As time goes on, the pain may intensify. It is advisable to visit a cardiologist for some examinations to ensure your peace of mind. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Seek Further Cardiac Evaluation
Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Should we ignore it or proceed with further examination? Hello, doctor! I am 30 years old, have a regular exercise habit, and do not have hypertension, diabetes, or hyperlipidemia. I have been smoking for over 15 years. I have anxiety and panic disorder due to discomfort in my he...
Dr. He Dongjin Reply:
Hello, I believe that observation is sufficient, but if you feel anxious and uneasy, you can consider getting a CT scan to check your blood vessels. Changhua Hospital cares about you.[Read More] Should I Ignore My Symptoms or Seek Further Heart Evaluation?
Understanding Myocardial Perfusion Scan Results and Next Steps
Myocardial perfusion imaging Hello, I would like to ask if the following test results confirm any heart issues, and whether a cardiac catheterization is necessary? Thank you for your response, I really appreciate it. PROCEDURE: 63674 MYOCARDIAL PERFUSION SCAN WITH SPECT STUDY R...
Dr. Wu Xueming Reply:
The report indicates mild myocardial ischemia; please discuss subsequent treatment with the outpatient physician.[Read More] Understanding Myocardial Perfusion Scan Results and Next Steps
Understanding ST Segment Changes in ECG: Insights for Heart Health
Interpretation of ST Segment in Electrocardiogram (ECG) Hello Dr. Wu, I apologize for the interruption. I do not have hypertension, diabetes, or hyperlipidemia. I am 172 cm tall and weigh 73 kg, and I usually have a habit of exercising. Recently, I have been recovering from APL a...
Dr. Wu Xueming Reply:
To determine the presence of coronary artery disease, it is recommended to perform an exercise electrocardiogram, as a resting electrocardiogram cannot assess non-specific ST changes.[Read More] Understanding ST Segment Changes in ECG: Insights for Heart Health
Post-Stent Surgery: Understanding Symptoms and Potential Risks
Condition after the installation of a cardiac stent? Hello doctor, it has been 2 months since I underwent stent surgery. Recently, I have been experiencing intermittent shortness of breath, as well as chest pain, back pain, and stomach pain (which can be relieved by pressing). La...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Post-Stent Surgery: Understanding Symptoms and Potential Risks
Understanding Left Chest Pain: When to Worry About Heart Issues
Left lateral chest pain? This morning, I was awakened by pain on the outer side of my left chest, which lasted for about an hour. There was no pain when I pressed on it. I did not experience any chest pain while sleeping last night, and I'm unsure if it was related to my sle...
Dr. He Dongjin Reply:
Hello, the heart is located in the center, and issues on the outer side of the chest are likely related to muscle or nerve problems, possibly due to your sleeping position. Please rest and observe your condition. Changhua Hospital cares about you.[Read More] Understanding Left Chest Pain: When to Worry About Heart Issues
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, just before sleeping, my heartbeat sounds very loud. I...
Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to muscular or neurological issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Intermittent Left Chest Pain: Should You Worry About Heart Issues?
Mild pain in the left chest? Hello Doctor: A few days ago, I suddenly experienced mild pain in my left chest (which I have not felt before). The pain was intermittent, occurring for a moment and then stopping for a few seconds to a few minutes, lasting for about three hours. Howe...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, as well as the atypical nature of your chest pain symptoms, your risk of heart disease is low. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Intermittent Left Chest Pain: Should You Worry About Heart Issues?
Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, before going to sleep, I notice my heartbeat is very l...
Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to musculoskeletal or nerve issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know
Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Chest pain Hello Dr. Huang, I have been experiencing chronic chest pain and intermittent palpitations, so I returned for an exercise electrocardiogram (ECG) examination. During the exercise, I felt fine, but after finishing, I went to have a meal and experienced several episodes...
Dr. Huang Yinghe Reply:
Hello: The results of the exercise electrocardiogram show no significant cardiac ischemia. For paroxysmal palpitations, a 24-hour Holter monitor or a wearable device (such as an Apple Watch) can be used to record the electrocardiogram to check for arrhythmias. Many non-cardiac ca...[Read More] Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Interpreting Echocardiogram Results: A Comprehensive Guide for Patients
Echocardiogram Interpretation Hello Doctor, The following is the ultrasound examination performed last year. Could you please help interpret it? Thank you. --------------------------------------------- Weight: 89 kg, Height: 185.00 cm, Body Surface Area: 2.13 m² [Clinical Im...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Interpreting Echocardiogram Results: A Comprehensive Guide for Patients
Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients
Myocardial perfusion imaging Hello Dr. Wu, I have a history of type B aortic dissection and have had an aortic stent placed for four and a half years. Over the years, I have occasionally experienced chest tightness and pain, which prompted me to undergo a myocardial perfusion stu...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows mild myocardial hypoxia. If symptoms persist despite pharmacological management, coronary angiography may be considered.[Read More] Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients
Understanding Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Chest pain and heart problems? Hello, doctor. Recently, I have experienced the following symptoms: 1. A sharp, intermittent pain in the middle of my chest, slightly to the left, lasting about 2 to 3 minutes. 2. I have felt a tingling sensation in my chest that lasted no more than...
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 advisable to...[Read More] Understanding Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Understanding ECG and Coronary Artery Tests for Hypertension Patients
Electrocardiogram (ECG) and coronary artery examination? Familial hypertension, currently managed with medication, occasionally experiences chest tightness and pressure. On New Year's Day, there were several instances of sharp chest pain. On January 9th, a follow-up visit in...
Dr. Wu Xueming Reply:
The electrocardiogram report shows right atrial enlargement and T-wave abnormalities. If you have risk factors for heart disease such as hypertension, diabetes, or smoking, it is recommended that you undergo further tests to confirm the presence of cardiovascular disease.[Read More] Understanding ECG and Coronary Artery Tests for Hypertension Patients
Understanding Your Exercise ECG Report: Key Insights and Next Steps
Exercise Electrocardiogram Report Hello: The exercise electrocardiogram report is as follows. No additional tests were performed, and the doctor recommends continuing aspirin therapy. I would like to seek a second opinion regarding the necessity of continuing this medication. C...
Dr. Li Han Reply:
Hello, based on your exercise electrocardiogram records, your clinical symptoms mainly include exertional wheezing (New York Heart Association classification) and exertional chest discomfort? Typical? (Canadian Cardiovascular Society classification). Angina pectoris is actually a...[Read More] Understanding Your Exercise ECG Report: Key Insights and Next Steps
Understanding Varicose Veins: Symptoms, Causes, and Treatment Options
Acute onset of varicose veins? Hello Doctor: Four months ago, after a long day of standing and walking during an outing, I realized that I may not have consumed enough fluids. Upon returning home, I experienced discomfort in my left calf, and a few days later, I suddenly noticed ...
Dr. Wu Xueming Reply:
Based on the examination report you described, your symptoms are not caused by deep vein thrombosis. Regarding the phenomenon of varicose veins, if it is mild, it is advisable to avoid prolonged sitting or standing. You may also wear compression stockings to enhance venous return...[Read More] Understanding Varicose Veins: Symptoms, Causes, and Treatment Options
Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Ventricular premature contraction (VPC) Hello, Doctor: Previously, I experienced issues such as shortness of breath, wheezing, palpitations, and chest pain. I went to a cardiologist for an examination (echocardiogram + 24-hour Holter monitor), and the doctor mentioned that there ...
Dr. He Dongjin Reply:
Hello, you can start by monitoring your condition for a day and take a small amount if you feel uncomfortable. Changhua Hospital cares about you.[Read More] Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Understanding Chest Pain: Is It Angina or Anxiety?
Angina pectoris, palpitations Hello, Doctor. First, thank you for taking the time to respond to me. For the past month, I have frequently felt discomfort around my heart. Sometimes, I get slightly short of breath just from climbing stairs (I don’t usually exercise). The pain vari...
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 daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable ...[Read More] Understanding Chest Pain: Is It Angina or Anxiety?
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have already had an ultrasound, and the doctor said there were no issues, but I often wake up at night sweating cold, my feet feel cold, and I experience chest tightness and pressure. Sometimes I can't sleep all night, and I have severe palpitati...
Dr. Wu Xueming Reply:
Typical angina occurs during physical activity or heavy lifting, presenting symptoms such as chest tightness or shortness of breath. Patients often have risk factors for heart disease, such as hypertension, diabetes, and smoking. It is recommended that you visit an outpatient cli...[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Heart rate issues Hello, Doctor. A few years ago, I underwent catheter-based medication treatment for cardiac spasms and have been taking autonomic nervous system medications long-term. I use a ventilator at night due to sleep apnea and also take cardiology medications including ...
Dr. He Dongjin Reply:
Hello, this symptom does not seem to indicate a heart problem and should be monitored. For heart spasms and chest pain, sublingual tablets should be administered first, followed by observation. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues: When to Seek Immediate Medical Attention