Understanding the Costs of WPW Treatment: Insurance and Out-of-Pocket Expenses
Cost of WPW (Wolff-Parkinson-White) syndrome ablation procedure? Hello Doctor: A few years ago, I was diagnosed with Wolff-Parkinson-White (WPW) syndrome during an examination following a car accident. The doctor recommended catheter ablation treatment, but I did not undergo the ...
Dr. He Dongjin Reply:
Hello, this treatment is covered by health insurance. Of course, if you have health insurance, the resident physician will suggest that it will be handled by the insurance. If it were out-of-pocket, it would be clearly stated in advance. Since it is covered by health insurance, y...[Read More] Understanding the Costs of WPW Treatment: Insurance and Out-of-Pocket Expenses
Hiccups and Chest Pain: Understanding Cardiac and Gastrointestinal Symptoms
Hiccups and chest pain? Hello Dr. Lee, I had a stent placed in October 2014, and since then, I have occasionally experienced symptoms of chest tightness and pain. However, all the necessary follow-up examinations have shown no abnormalities. Recently, over the past two months, I ...
Dr. Li Han Reply:
Hello Mr. Zhang, I can roughly understand your concerns: 1. The follow-up examinations show no abnormalities (I assume this refers to cardiovascular assessments?), and as long as you consistently take your medication on time, there shouldn't be any major issues, right? --- H...[Read More] Hiccups and Chest Pain: Understanding Cardiac and Gastrointestinal Symptoms
Managing Arrhythmia: Can It Improve Over Time?
Arrhythmia Hello Doctor, I have been undergoing treatment for arrhythmia for two years and also have thalassemia. I often experience chest tightness, palpitations, shortness of breath, and sharp, burning pain in my heart that can be unbearable. I wake up at night feeling startled...
Dr. He Dongjin Reply:
Hello, based on your description, it seems that the symptoms of arrhythmia may be caused by mitral valve prolapse combined with autonomic nervous system dysregulation. Will the arrhythmia improve? It depends on the type, but there is a possibility of improvement. Patients with mi...[Read More] Managing Arrhythmia: Can It Improve Over Time?
Understanding Stress Tests: When to Repeat Perfusion Scans and Exercise Options
Perfusion scan Dear Doctor, I would like to ask a few questions. I had a perfusion scan done last July; how long should I wait before having another one (or can I request one sooner)? Additionally, does the exercise stress test have to be done by running, or can I do it by brisk ...
Dr. He Dongjin Reply:
Hello, the timing and type of examinations are generally determined based on your clinical symptoms and in discussion with your attending physician. If your condition is post-infarction, the aforementioned two tests are likely to yield positive results, making it difficult to det...[Read More] Understanding Stress Tests: When to Repeat Perfusion Scans and Exercise Options
Understanding Unexplained Palpitations: Causes and Solutions
Palpitations of unknown origin? Hello doctor, about a month ago, one night I suddenly felt my heart racing and couldn't sleep (I had been smoking and it was almost 4 AM). I went to the emergency room where the doctor gave me a sedative so I could go home and sleep. The next ...
Dr. He Dongjin Reply:
Hello, please stop scaring yourself. You are experiencing anxiety, not a heart disease. You have undergone all necessary heart examinations, and everything is fine. The symptoms you are experiencing are due to panic attacks. You should visit a mental health specialist and conside...[Read More] Understanding Unexplained Palpitations: Causes and Solutions
Understanding Heart Pain During Exercise: Risks and Recommendations
Pain in the heart area after exercising? (I usually lack exercise) I used to experience chest pain after exercising. Last month, after feeling pain, I continued to run and after about a week, the pain seemed to ease, allowing me to run longer before it started again. However, tod...
Dr. He Dongjin Reply:
Hello, this is likely due to a decline in cardiopulmonary function caused by a lack of exercise, which should improve with adaptation. If you are still concerned, please visit a cardiologist to arrange for an exercise electrocardiogram (ECG) test. There is no need to worry about ...[Read More] Understanding Heart Pain During Exercise: Risks and Recommendations
Understanding Sudden Chest Pain: Insights from Cardiovascular Specialists
Supplementary question? Hello, doctor. I just sent an email with a question and would like to add something I forgot to mention: I occasionally experience sudden chest tightness, but it doesn't last long and usually resolves within ten seconds.
Dr. He Dongjin Reply:
Hello, being able to run 6-10 km indicates that your cardiovascular fitness is quite good. Since your blood pressure is already low, exercising can cause blood to be redistributed to the periphery, which may lead to orthostatic hypotension when you stand up after squatting, exace...[Read More] Understanding Sudden Chest Pain: Insights from Cardiovascular Specialists
Understanding Heart Palpitations and Breathing Difficulties: A Patient's Guide
Persistent chest tightness, difficulty breathing, and palpitations throughout the day? Hello Doctor, I have a problem with arrhythmia. For the past month, I have been experiencing difficulty breathing in the morning and during daily activities, along with occasional chest pain an...
Dr. He Dongjin Reply:
Hello, you are experiencing psychosomatic symptoms caused by stress and anxiety. This is generally due to autonomic nervous system dysregulation. It is recommended that you visit a psychosomatic medicine clinic for treatment. Arrhythmias do not necessarily require medication. Cha...[Read More] Understanding Heart Palpitations and Breathing Difficulties: A Patient's Guide
Understanding Mild Chest Pain: Is It a Heart Issue?
Mild chest pain? Good day: I occasionally experience mild chest pain, which becomes more noticeable after light exercise (not intense, just jogging). I also tend to feel fatigued easily. Could this be a heart-related issue?
Dr. He Dongjin Reply:
Hello, it sounds like you may have mitral valve prolapse. If you are still feeling unwell, please visit a cardiology clinic for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Mild Chest Pain: Is It a Heart Issue?
Understanding Post-Stent Care: Addressing Patient Concerns and Communication
Post-Stent Placement P2 The system seems to be malfunctioning. My email is correct, yet I am not receiving replies and cannot select satisfaction ratings. Regarding the previous question: 1. Currently, my physician, although not the original attending doctor, possesses expertise,...
Dr. Li Han Reply:
Hello Mr. Lee, I have not received a response to your previous inquiry, which I find puzzling. However, I will reflect this matter from the hospital's side regarding the persistent chest pain and elevated blood pressure that have been troubling you. I can imagine your anxiet...[Read More] Understanding Post-Stent Care: Addressing Patient Concerns and Communication
Post-Stent Care: Addressing Concerns After Heart Procedure
Post-stent placement follow-up Hello Dr. Lee, First of all, thank you for taking the time to clarify my concerns. To avoid wasting your time, I will present my questions in order of importance. Thank you. a. Last October, I had a stent placed in the emergency department. In De...
Dr. Li Han Reply:
Hello Mr. Lee, based on your statement, it seems that you experienced a myocardial infarction last October and underwent emergency percutaneous coronary intervention (PCI) to open the blocked artery and place a stent. This procedure is both appropriate and necessary in the case o...[Read More] Post-Stent Care: Addressing Concerns After Heart Procedure
Understanding Heart Symptoms: When to Seek Medical Advice
The heart feels strange? Hello, Doctor! In the past, I experienced sharp chest pain a couple of times when I bent down to pick something up after eating. I often go to the hospital to check my heart rate, which is almost always around 120 beats per minute, and I'm not sure i...
Dr. Lin Jixiong Reply:
Hello, the symptoms you mentioned may be related to autonomic nervous system dysfunction, which can include palpitations, shortness of breath, chest tightness, and dizziness. Beverages with high caffeine content, as well as insufficient sleep, stress, and emotional factors, can a...[Read More] Understanding Heart Symptoms: When to Seek Medical Advice
Monitoring Heart Enzymes: Understanding Abnormal Results and Next Steps
Cardiac enzymes Hello, if a family member's cardiac enzyme test results are abnormal but there are no typical chest pains, only shortness of breath and throat pain, and it was later found that the BNP levels are also abnormal, the doctor mentioned that the cardiac enzymes ha...
Dr. He Dongjin Reply:
Hello, based on your description, it seems to be ischemic cardiomyopathy leading to heart failure. The key focus should be identifying the underlying cause and providing symptomatic treatment, which may include medication or interventional therapy. Monitoring indices is the physi...[Read More] Monitoring Heart Enzymes: Understanding Abnormal Results and Next Steps
Understanding Chest Pain: Is It Always a Sign of Heart Issues?
Chest pain related to the heart? Hello, does chest pain from a myocardial infarction always refer to pain in the chest area? Is it possible to only experience discomfort in the throat and not have chest pain? Thank you!
Dr. He Dongjin Reply:
Hello, typical chest pain is still possible but very rare. If you have no other symptoms and only experience discomfort in your throat or neck, please consider other issues. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: Is It Always a Sign of Heart Issues?
Understanding Persistent Heart Pain: When to Seek Emergency Care
Persistent heart pounding? Hello, Doctor! I have a history of atrial septal defect, but my heart has started to have recurrent issues. It feels like my heart is having episodes; I've been experiencing sharp chest pains for three days now, lasting almost a minute each time. T...
Dr. Lin Jixiong Reply:
Hello, your situation is a bit special. I recommend that you return to the outpatient clinic and discuss it with your cardiologist. If you are feeling very distressed, it would be safer to go to the emergency department for evaluation. Dr. Lin Chi-Hsiung, Taoyuan General Hospital...[Read More] Understanding Persistent Heart Pain: When to Seek Emergency Care
Understanding Post-Heart Attack Symptoms After Angioplasty: A Patient's Journey
Concerns about physical condition after cardiac catheterization following acute myocardial infarction? Hello Doctor, On December 18, 2013, around 4:30 PM, I went to the emergency room of a hospital in northern Taiwan due to symptoms such as chest tightness and upper body weaknes...
Dr. He Dongjin Reply:
Hello, after the second stent placement, are you no longer in pain? Your question is very good. Why are the catheter reports different after three procedures within two months? I suggest you copy the catheter images and take them to another medical center in the northern region f...[Read More] Understanding Post-Heart Attack Symptoms After Angioplasty: A Patient's Journey
Managing Atrial Septal Defect and Arrhythmia: Seeking Effective Treatment
Arrhythmia Hello, Doctor! I have arrhythmia and an atrial septal defect, and my heart issues have started again. When I walk, my heart suddenly races, and I experience chest pain and tightness, along with shortness of breath, which is very uncomfortable. I almost fainted on the s...
Dr. He Dongjin Reply:
Hello, you may want to schedule a 24-hour Holter monitor test to check for any arrhythmias and determine if medication adjustments are necessary. May God grant you peace and joy. Changhua Hospital cares about you.[Read More] Managing Atrial Septal Defect and Arrhythmia: Seeking Effective Treatment
Understanding Chest Pain: When to Seek Help for Heart Issues
Chest pain Hello Doctor, during the New Year, I started experiencing chest pain and tightness, occasionally accompanied by fatigue. I also feel like my heart skips a beat (this has happened three times since the New Year). However, when I measure my blood pressure and heart rate,...
Dr. Li Han Reply:
Hello Mr. Tsai, based on your description, there are two issues. The first is the symptom of chest pain, which is difficult to determine due to its brevity. However, if the symptoms are localized to the chest area (slightly left of the midline), about the size of a fist, with a d...[Read More] Understanding Chest Pain: When to Seek Help for Heart Issues
Understanding Arrhythmia: Symptoms, Treatment, and Management
Arrhythmia Hello! Doctor, I started feeling my heart racing last week, which is very uncomfortable. I also experience chest pain, sweating, shortness of breath, dizziness when walking, and a strong urge to vomit, all of which are very distressing (these symptoms can occur even wh...
Dr. Lin Jixiong Reply:
Hello: If you are feeling very unwell, you can discuss with your physician about taking medication to alleviate your symptoms. However, the fundamental approach is to pay attention to your diet and lifestyle, avoiding high-caffeine foods and beverages (such as coffee, tea, alcoho...[Read More] Understanding Arrhythmia: Symptoms, Treatment, and Management
Understanding Coronary Angiography Results: What Do They Mean for Heart Health?
Coronary Angiography Hello, I would like to ask about the results of my family member's coronary angiography (they were hospitalized due to chest pain). The doctor mentioned that the left anterior descending artery shows atherosclerosis, the diagonal branch is 2/3 occluded i...
Dr. He Dongjin Reply:
Hello, congratulations! This report indicates that your vascular condition is good, and no further examination is needed. Changhua Hospital cares about you.[Read More] Understanding Coronary Angiography Results: What Do They Mean for Heart Health?