Understanding Chest Pain: When to Seek Help for Heart Issues
Cardiac issues Hello doctor, since June of this year, I have been experiencing sudden chest pain on the left side. Sometimes it lasts for one or two seconds, and other times it is a dull ache that can last from 10 minutes to an hour. I would like to ask the doctor how to handle t...
Dr. He Dongjin Reply:
Hello, there are many causes of chest pain. Given your age, mitral valve prolapse, gastroesophageal reflux disease (GERD), or musculoskeletal pain are quite common. It is advisable for you to visit a cardiology clinic for further evaluation. Changhua Hospital cares about your hea...[Read More] Understanding Chest Pain: When to Seek Help for Heart Issues
Understanding Heart Palpitations: When to Seek Medical Attention
Cardiac issues? Recently, I have been experiencing a resting heart rate that often exceeds 110 beats per minute, usually measured after feeling palpitations. Sometimes, during or after these palpitations, I also experience mild shortness of breath and chest pain, and the frequenc...
Dr. He Dongjin Reply:
Hello, you may be experiencing autonomic nervous system dysfunction and mitral valve prolapse, which could lead to tachycardia and chest pain. However, thyroid dysfunction cannot be ruled out. It is advisable for you to visit a cardiology clinic for further examination. Changhua ...[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Understanding Mitral Valve Prolapse: Symptoms, Risks, and Treatment Options
2nd degree prolapse Hello, Dr. He. Last year, I went to a hospital for an examination, and the doctor said I have mitral valve prolapse. What kind of condition is this? Is it serious? Are there any precautions I should take? Do I need surgery or medication? The doctor said I don&...
Dr. He Dongjin Reply:
Hello, at your age, experiencing chest pain symptoms or having mitral valve prolapse (MVP) is quite common and generally not a cause for significant concern. Typically, it is not serious; it is merely uncomfortable. Surgery is not necessary, and taking some medication can help al...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Treatment Options
Understanding Chest Pain: Causes Beyond Heart and Lung Issues
(Additional) Chest Pain Issues I still have questions to ask: In the situation I mentioned, aside from cardiac and pulmonary causes, what other reasons could be responsible for my chest pain?
Dr. He Dongjin Reply:
Hello, there are many causes of chest pain. Musculoskeletal pain is the most common issue at this age. Additionally, gastroesophageal reflux disease (GERD) is also quite common. Autonomic nervous system dysregulation and even growing pains can occur at this age. Changhua Hospital...[Read More] Understanding Chest Pain: Causes Beyond Heart and Lung Issues
Understanding Chest Pain: Insights from Cardiovascular Specialists
Chest pain issues? Hello. I am from Hong Kong. About a month ago, I ran home (which I don't do often), and since then, I have been experiencing strong heartbeats. Over the past month, I have also had persistent chest pain. I underwent an electrocardiogram (ECG) and X-ray at ...
Dr. He Dongjin Reply:
Hello, when you have insufficient physical activity, even a little exercise may lead to the symptoms mentioned above. Generally speaking, you are still quite young, and unless there is a congenital heart condition, the likelihood of heart issues is low. Moreover, you have already...[Read More] Understanding Chest Pain: Insights from Cardiovascular Specialists
Understanding Chest Pain: Mitral Valve Prolapse and Its Symptoms
Chest tightness or chest pain? I previously experienced frequent chest tightness and dizziness, so I went to the hospital for an examination. An echocardiogram revealed that I have mitral valve prolapse. I took medication for a while, which helped a bit, but recently, in addition...
Dr. He Dongjin Reply:
Hello, this is likely caused by poor posture. At this age, myofascial pain syndrome would not lead to angina, so there is no need to panic. Rheumatic heart disease is not a hereditary condition. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: Mitral Valve Prolapse and Its Symptoms
Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Chest pain? Hello doctor, I would like to ask on behalf of my friend, who is a male. He often stays up late and is overweight. Sometimes he experiences sharp chest pain, as if he is being stabbed, which is so severe that he cannot speak and also feels difficulty in breathing. Thi...
Dr. He Dongjin Reply:
Hello, the sensation of tingling is generally not associated with heart diseases. I recommend that your friend reduce late-night activities, avoid smoking, exercise regularly, and lose weight; these changes should significantly improve the symptoms. If there are still concerns, i...[Read More] Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Understanding Calf Vascular Obstruction: Causes, Symptoms, and Treatment Options
Calf vascular occlusion Hello Doctor, my son had a hard lump on the outer side of his right calf that was surgically removed during elementary school. Unfortunately, due to inadequate post-operative care, the condition did not improve. We consulted a dermatologist, and after appl...
Dr. Zhu Junyuan Reply:
Based on the situation you described, it differs from common lower limb vascular diseases. In the case of lower limb arterial occlusion, intermittent claudication is typically observed, most commonly affecting the calf muscles. If ischemic symptoms become more severe, resting pai...[Read More] Understanding Calf Vascular Obstruction: Causes, Symptoms, and Treatment Options
Understanding Arrhythmias: A Case Study of a Young Adult's Heart Health
Arrhythmia Hello, Doctor He: My son is a 22-year-old student, standing 180 cm tall and weighing 106 kg. He has no history of heart disease and no family history, but he is classified as obese. He smokes and has recently been staying up late playing online games. On June 28th at 6...
Dr. He Dongjin Reply:
Hello, the term "64-slice" refers to taking 64 images per second, while "800-slice" means taking 800 images per second. May I ask what the attending physician primarily wants to observe? If the focus is solely on the cardiac structure, 64-slice imaging should ...[Read More] Understanding Arrhythmias: A Case Study of a Young Adult's Heart Health
Seeking Treatment Advice for Suspected Myocardial Ischemia
Inquire about treatment recommendations for myocardial hypoxia? Hello Doctor: Recently, I have been experiencing frequent chest tightness and chest pain, so I visited a nearby cardiology clinic (not the original medical institution for my diagnosis). Today, I underwent a stress e...
Dr. Lin Jixiong Reply:
Hello: For a 15-year-old male, the likelihood of having coronary artery disease is relatively low. It is recommended to discuss further with your clinician whether additional tests should be arranged to clarify the condition. Sincerely, Dr. Lin Chi-Hsiung, Taoyuan Hospital, Depar...[Read More] Seeking Treatment Advice for Suspected Myocardial Ischemia
Understanding Post-Stent Surgery Care: Medication, Checkups, and Doctor Changes
Vascular stenting procedure My father underwent a vascular stent procedure at Cathay General Hospital four months ago. After the surgery, due to the poor attitude of the doctors at Cathay General Hospital, he decided to get his cardiovascular medication from the National Health I...
Dr. Lin Jixiong Reply:
Hello: 1. After undergoing vascular stenting surgery, it is essential to continue taking medication, and do not discontinue it without the physician's consent. 2. There are no strict regulations on how long after cardiovascular interventional procedures one should wait b...[Read More] Understanding Post-Stent Surgery Care: Medication, Checkups, and Doctor Changes
Confusion About Next Steps in Cardiovascular Treatment: Seeking Clarity
Feeling confused about the next steps in treatment? Hello Doctor: I have previously undergone an exercise electrocardiogram (with poor tolerance, my heart rate reached 206 and blood pressure was 189/142 after running for 3 minutes). I am not sure if the short duration of the run ...
Dr. He Dongjin Reply:
Hello, you may be able to find a nearby cardiologist to adjust your medication without the need for a cardiac catheterization, as it is unlikely to improve your symptoms. Most of the tests mentioned are normal, and your shortness of breath does not correlate with the findings, wh...[Read More] Confusion About Next Steps in Cardiovascular Treatment: Seeking Clarity
Managing Mild Mitral Valve Prolapse: The Importance of Periodontal Treatment
Mild mitral valve prolapse requires periodontal treatment? Hello Doctor: I have mild mitral valve prolapse, which was discovered during an echocardiogram in middle school. Since then, I have undergone about five echocardiograms over the past five years, all showing mild mitral va...
Dr. Ding Zhizhong Reply:
Hi Peter: Essentially, mitral valve prolapse is a quite common condition, and many people attribute unexplained palpitations or chest pain to it. However, so far, surgical treatment is only considered if there are significant symptoms (such as severe regurgitation affecting heart...[Read More] Managing Mild Mitral Valve Prolapse: The Importance of Periodontal Treatment
Understanding Premature Ventricular Contractions: Risks and Treatment Options
Ventricular premature contraction (VPC) Hello Doctor: I recently had a health check-up at my company, and the result of my electrocardiogram showed "ventricular premature contractions." Occasionally, I experience chest pain near my left ribcage, especially when lying do...
Dr. Bu Shiyun Reply:
Typically, premature ventricular contractions in young individuals are just an extra heartbeat and do not have significant effects. Pain near the left rib cage may be due to muscle or nerve soreness in that area. If there are concerns, it is advisable to consult a physician.[Read More] Understanding Premature Ventricular Contractions: Risks and Treatment Options
Understanding Mitral Valve Prolapse and Tricuspid Regurgitation: Impacts and Management
Inquiry about heart valve disease? Hello: I previously went to the emergency room due to sudden tinnitus, where my blood pressure and heart rate were routinely measured. The nurse measured it twice, and he thought he misread it (once upon entering and once upon exiting), but it w...
Dr. He Dongjin Reply:
Dear Stephanie, Actually, the two questions are quite similar, focusing on autonomic nervous system dysregulation, especially since you have sleep disturbances, which make it even harder to stabilize the autonomic nervous system. This can lead to the symptoms you mentioned. Pat...[Read More] Understanding Mitral Valve Prolapse and Tricuspid Regurgitation: Impacts and Management
Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Could you please assist me, as I am unsure of what to do? (Forwarded from the Director's mailbox) Hello. I need assistance because I don't know how to seek medical care! I discovered I had slightly high blood pressure six years ago, so I have been regularly taking antih...
Dr. Bu Shiyun Reply:
(1) You have been feeling unwell for the past two to three years, which is indeed troubling for you. However, based on your blood pressure records, there doesn't seem to be any significant hypertension or elevated readings after medication, indicating that your blood pressur...[Read More] Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Understanding Post-Heart Attack Symptoms: A Family's Struggle for Answers
Doctors must see. Thank you! Hello, doctor! Here’s the situation: My mother suffered a myocardial infarction last year and collapsed in the emergency room. The doctors in Penghu revived her with electric shocks, and three hours later, they arranged for a helicopter to transport h...
Dr. Bu Shiyun Reply:
There are many reasons for shortness of breath, and heart problems are just one of them. If a second catheterization has ruled out the issue of vascular stenosis, it is still necessary to consider the condition of heart function. If heart function is still good, it is possible th...[Read More] Understanding Post-Heart Attack Symptoms: A Family's Struggle for Answers
Understanding Sudden Chest Pain and Shortness of Breath in Seniors
Elderly individuals may experience sudden chest pain and shortness of breath? Hello, doctor! I would like to ask about my mother-in-law, who is about 73 years old and has no history of cardiovascular diseases. Over the past six months, she has experienced several episodes of ches...
Dr. He Dongjin Reply:
Dear Kelly, chest pain and shortness of breath should first rule out cardiac conditions such as angina or paroxysmal arrhythmias. It is advisable to consult a cardiologist for a detailed examination. A basic electrocardiogram may not always show abnormalities, and further tests s...[Read More] Understanding Sudden Chest Pain and Shortness of Breath in Seniors
Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Mitral valve prolapse Hello Doctor: I would like to ask, I had an ultrasound examination today, and the report indicated that I have mitral valve prolapse, which seems to be congenital. However, there is no medication treatment; is this okay? Do I need to have regular follow-ups?...
Dr. He Dongjin Reply:
When pressing the probe against the chest and sliding it back and forth, there may be a pain sensation, as if a heavy object is pressing down. This could indicate a muscular or neurological issue. As for mitral valve prolapse, it is often associated with tall and slender body typ...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Sudden Heart Pain: Understanding Symptoms and Seeking Medical Advice
Sudden chest pain? I apologize, but recently I have been experiencing sudden heart palpitations that I didn't feel before. They start with a deep breath and then I feel a brief pain with the heartbeat, although it's not very painful. I have looked at Q&A resources, ...
Dr. He Dongjin Reply:
Hello, at this age, it is generally uncommon to have major heart issues. Chest pain may be related to autonomic nervous system dysfunction causing mitral valve prolapse or paroxysmal arrhythmia. Additionally, growing pains, gastroesophageal reflux, and muscular nerve pain are als...[Read More] Sudden Heart Pain: Understanding Symptoms and Seeking Medical Advice