Can Dizziness Indicate Angina in Elderly Patients?
Could dizziness be a sign of angina? My mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and underwent an electrocardiogram (ECG) test, which came back normal. Does this mean she does not have angina?
Dr. Li Han Reply:
Hello, regarding your question, "Could dizziness be a sign of angina?" Your mother is in her 80s and often experiences dizziness. She has visited a family medicine clinic and undergone an electrocardiogram (ECG), which returned normal results. However, your concern is w...[Read More] Can Dizziness Indicate Angina in Elderly Patients?
Understanding Heart Issues After Vaccination: A Patient's Journey
Questions after a hospital examination? Hello Doctor: Two years ago, after receiving the vaccine, I started experiencing heart discomfort two weeks later (I was perfectly fine a week prior). My heart rate often exceeds 200 beats per minute, and my blood pressure skyrockets to ove...
Dr. Wu Xueming Reply:
Based on your description, I cannot provide a diagnosis online. I recommend going to a hospital for further examination.[Read More] Understanding Heart Issues After Vaccination: A Patient's Journey
Understanding Left Chest Pain: When to Seek Medical Attention
Left chest pain? Hello, doctor. I have been taking Sertraline, which has caused side effects such as palpitations and high blood pressure. After starting Sertraline, I often experience body tremors that follow my heartbeat, making me live in constant fear of earthquakes. Recently...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of heart disease is low, and your symptoms do not resemble typical angina. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Vascular spasm and arrhythmia? I am the gentleman who fainted on September 6. I recently underwent cardiac catheterization and electrophysiological testing. I would like to ask Dr. He: On October 12, during the cardiac catheterization, it was checked whether the blood vessels wer...
Dr. He Dongjin Reply:
Hello, coronary artery spasm can vary in severity and can be quite dangerous. It's hard to say, but most of the time it resolves on its own. The entire situation, including medication, is a precautionary measure—who knows? Taking medication continuously is also a precaution;...[Read More] Understanding Coronary Vasospasm and Its Impact on Heart Rhythm Disorders
Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Chest tightness and increased shortness of breath after exercise compared to before? The exam was terminated at Stage 4 (10:09) due to dyspnea with angina. Max workload = 11.9 METs. Max HR: 157 bpm, 92% of MPHR. ST depression: 1.35 mm over V6 (horizontal). Hypotension: No. Other:...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows evidence of myocardial hypoxia; it is recommended to discuss treatment options with the outpatient physician.[Read More] Understanding Exercise-Induced Dyspnea and Chest Tightness: Key Insights
Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Blood pressure issues I have a habit of measuring my blood pressure in the morning and evening, and it has typically been in the range of 100-120/70-90. Recently, I have been experiencing unexplained pain in my left shoulder, left chest, left arm, and armpit. The pain is quite no...
Dr. Li Shengkai Reply:
Blood pressure is normal; if you measure an unusually high or low reading compared to your usual levels, it is recommended to rest and measure again. If blood tests show elevated lipid levels, dietary adjustments along with exercise can help lower them. If you continue to experie...[Read More] Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Regarding the simultaneous occurrence of leakage, nausea, cough, and wheezing? Hello, Director He. I had a stent placed in October 2013. About five months later, I began experiencing skipped beats (during times of stress), accompanied by vomiting (usually dry, but occasionally se...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysfunction. Do you have any arrhythmias? I recommend doing another 24-hour Holter monitor while walking and climbing stairs to see if there are any changes in the ECG during symptom episodes. If there are iss...[Read More] Understanding Palpitations, Nausea, Coughing, and Wheezing After Stent Placement
Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Arrhythmia or myocardial infarction? Dear Dr. He, On September 6th, I went hiking and climbed about 400 meters of stairs. While resting at noon, I suddenly lost consciousness and fainted for about 3-4 minutes. At that moment, I did not feel any chest tightness, chest pain, or si...
Dr. He Dongjin Reply:
Hello, on September 6th, it should not be a myocardial infarction. Myocardial infarction occurs when a blood vessel is blocked, which requires urgent intervention. Whether there is a blockage or not can only be determined after examination. Overall, it is recommended to proceed w...[Read More] Arrhythmia or Myocardial Infarction: Understanding Your Heart Health Concerns
Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Cardiac issues Hello: Since December of last year, I have been experiencing arrhythmia and shortness of breath. A 24-hour Holter monitor showed over 13,000 premature atrial contractions. I took Sotalol and Concor, but my discomfort did not improve. Later, I switched to Sotalol an...
Dr. Wu Xueming Reply:
The exercise electrocardiogram shows signs suggestive of hypoxia. Since it cannot be confirmed with absolute certainty, it is recommended to consult a cardiologist to discuss the possibility of further tests, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Atrial Premature Contractions and Myocardial Ischemia Risks
Understanding Chest Pain: Is It a Heart Condition or Something Else?
Chest pain I have been experiencing left chest pain for over a year. I visited two hospitals at that time, and they both said there was no problem. Recently, I have been feeling sharp pain in my left chest when taking deep breaths, and sometimes the pain suddenly occurs in my che...
Dr. He Dongjin Reply:
Hello, your symptoms are not indicative of a myocardial infarction or aortic dissection. These are both emergencies. Climbing from the first to the fifth floor without resting and only experiencing mild shortness of breath suggests that your heart is functioning well. The chest p...[Read More] Understanding Chest Pain: Is It a Heart Condition or Something Else?
Understanding Your Heart Ultrasound and Stress Test Results
Is the report normal? Hello, please assist in interpreting the echocardiogram and exercise electrocardiogram for any abnormalities. Thank you. Normal left atrial (LA) and left ventricular (LV) size. Good LV contractility (LVEF: 77% by M-mode). Probable LV diastolic dysfunction. ...
Dr. He Dongjin Reply:
Hello, the echocardiogram results are normal. The exercise electrocardiogram report may show some abnormalities based on your symptoms. For women, breast tissue can sometimes cause interference. It is advisable to monitor the situation for now. Changhua Hospital cares about your ...[Read More] Understanding Your Heart Ultrasound and Stress Test Results
Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Atrial fibrillation In May of this year, during a follow-up visit, I was diagnosed with arrhythmia, specifically paroxysmal atrial fibrillation and flutter. The doctor recommended proceeding with catheter ablation. After the follow-up in June, the treatment was adjusted to medica...
Dr. He Dongjin Reply:
Hello, you have nearly 40% atrial fibrillation. The treatment options include medication management and catheter ablation. If you are still feeling very uncomfortable with medication alone, it is important to seriously consider undergoing catheter ablation. Regardless of the appr...[Read More] Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Understanding Heart Palpitations and Pain in Teens: Causes and Concerns
Discomfort in the heart? Hello doctor, I am 17 years old. I was previously diagnosed with supraventricular tachycardia and have undergone two catheter ablation procedures (the most recent one was around 2022). The doctor mentioned that I should be fine now, but in the past six mo...
Dr. Wu Xueming Reply:
It is recommended to undergo a 24-hour Holter monitor test to check for episodes of supraventricular tachycardia.[Read More] Understanding Heart Palpitations and Pain in Teens: Causes and Concerns
Understanding Heart Issues: Questions for Your Cardiologist
Ask the doctor some questions? I experienced sudden heart discomfort, muscle cramps, shortness of breath, and chest tightness while working on June 14. I took a leave of absence and sought medical attention immediately. I am currently continuing follow-up visits. The doctor presc...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. The echocardiogram and exercise electrocardiogram reports show no abnormalities. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Understanding Heart Issues: Questions for Your Cardiologist
Assessing the Urgency of Ablation for Atrial Fibrillation Management
Atrial fibrillation In May of this year, I was diagnosed with atrial fibrillation and atrial flutter (with a heart rate reaching 150-160 bpm), and I have a history of mitral valve prolapse. I have been on medication, including Dronedarone, Amiodarone, Rivaroxaban, and Bisoprolol,...
Dr. Huang Yinghe Reply:
Hello: To conclude, atrial fibrillation or atrial flutter is a type of arrhythmia that can mostly be treated with medication. If the medication is ineffective and there are frequent uncomfortable symptoms, catheter ablation may be considered. Given your relatively young age, it i...[Read More] Assessing the Urgency of Ablation for Atrial Fibrillation Management
Understanding Left Chest and Back Pain: Is It Heart-Related?
Left chest pain and left back pain? I have been experiencing chest pain since the year before last, mostly on the left side of my chest. I visited two hospitals' cardiology departments. At the first hospital, I underwent a chest X-ray and an electrocardiogram (ECG), and the ...
Dr. He Dongjin Reply:
Hello, the X-rays and electrocardiograms from the first and second hospitals, as well as the 24-hour Holter monitor and exercise stress test, all showed normal heart function, indicating no significant issues with the heart. The pain in your back may be related to cervical nerve ...[Read More] Understanding Left Chest and Back Pain: Is It Heart-Related?
Could My Symptoms Indicate Myocarditis? Understanding Heart Health Concerns
Could this be myocarditis? Hello, Doctor. Since August 12, I've been feeling something unusual in my throat, and starting from August 13, I developed a sore throat. After visiting a doctor and receiving medication, the sore throat subsided. However, I experienced some discom...
Dr. Wu Xueming Reply:
Based on the symptoms you described, it does not appear to be myocarditis. However, if these symptoms persist without improvement, it is advisable to go to the hospital for further evaluation.[Read More] Could My Symptoms Indicate Myocarditis? Understanding Heart Health Concerns
Abdominal Discomfort and Heart Issues: Understanding the Connection
Abdominal distension and pain in the upper abdomen followed by discomfort in the heart the next day? Hello Doctor, I have the following symptoms: 1. One day I woke up feeling uncomfortable in my upper abdomen, with a sensation similar to chronic gastritis, experiencing a dull...
Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be an issue related to cardiovascular disease. If your symptoms do not improve, it is recommended that you visit an outpatient clinic for further evaluation.[Read More] Abdominal Discomfort and Heart Issues: Understanding the Connection
Understanding My Exercise ECG Report: Key Insights and Next Steps
Inquiring about my exercise electrocardiogram report? Conclusion: Positive Duke Treadmill Score: +1 (Low risk: +5; Intermediate risk: +4 to -10; High risk: < -10). Pre-exercise condition NYHA Class: Class II. Chest pain: Typical angina CCS Class: Class II. Resting ECG: normal....
Dr. Wu Xueming Reply:
If symptoms persist despite medication control, a myocardial perfusion imaging scan can be performed first to determine whether a cardiac catheterization is necessary.[Read More] Understanding My Exercise ECG Report: Key Insights and Next Steps
Chest Pain and Left Arm Numbness: Should You Worry About Heart Issues?
Chest tightness and stabbing pain, along with slight numbness in the left arm? Hello, doctor. I was recently diagnosed, and I have been experiencing occasional sharp pains in the center of my chest near the epigastric area and in my left upper back. The pain feels localized, like...
Dr. He Dongjin Reply:
Hello, 1. The symptoms do not seem to indicate a heart problem. 2. Women of this age are unlikely to experience myocardial infarction or vascular blockage, so there is no need to worry or overthink it. There is no need for further cardiac-related examinations. Changhua Hospital c...[Read More] Chest Pain and Left Arm Numbness: Should You Worry About Heart Issues?