Chest Tightness, Dizziness, and Heart Discomfort: When to Seek Help?
Chest tightness, dizziness, and discomfort in the heart? Hello Doctor, since the beginning of the year 111, I have been experiencing chest tightness. I have a long history of gastroesophageal reflux disease (GERD) and have undergone an upper gastrointestinal examination and endos...
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 consumption of caffeinated beverages. It is advis...[Read More] Chest Tightness, Dizziness, and Heart Discomfort: When to Seek Help?
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 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 FDP (Dimer) Levels: Interpretation and Implications for Patients
How to interpret FDP (D-dimer) data? Hello Dr. Wu, my mother is 81 years old and has a history of pulmonary embolism and lung cancer. She underwent cardiac catheterization last July and received three drug-eluting stents. Currently, she takes antithrombotic medication (保栓通) every...
Dr. Wu Xueming Reply:
The primary diagnosis of pulmonary embolism is based on computed tomography, while blood tests serve as supplementary tools. If there are symptoms of chest tightness and shortness of breath, it is recommended to go to the hospital for further evaluation.[Read More] Understanding FDP (Dimer) Levels: Interpretation and Implications for Patients
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 Discomfort and Sleep Issues: A Cardiovascular Perspective
Chest tightness and inability to sleep? Hello, doctor. I apologize for the previous message being incomplete due to formatting issues on my phone. I would like to ask for your guidance again. Thank you. I would like to inquire about what type of heart disease my condition may fal...
Dr. He Dongjin Reply:
Hello, the coronary catheterization shows 10% blockage, which does not affect functional capacity. Overall, there seems to be no cardiac issues; it is likely related to anxiety and autonomic nervous system dysregulation. It is recommended to visit a psychosomatic medicine special...[Read More] Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
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 Mitral Valve Prolapse and Its Impact on Heart Health
Mild mitral valve prolapse + exercise electrocardiogram? Hello Doctor: My cholesterol level is 241, and my low-density lipoprotein (LDL) cholesterol is 171. I have not taken any lipid-lowering medications for five years. My father has a history of hypertension, diabetes, and hype...
Dr. Li Han Reply:
Hello, regarding your inquiry, you are experiencing chest tightness and stabbing pain; however, the exercise electrocardiogram was able to complete the fourth stage of the BRUCE protocol, showing only exercise-induced dyspnea without the aforementioned chest tightness symptoms. F...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. After falling ...
Dr. He Dongjin Reply:
Hello, it doesn't seem to be a heart issue. A cardiac catheterization showed that one blood vessel is 10% blocked, which is not concerning. It may be related to cervical spine issues or autonomic nervous system problems. I recommend seeing a neurologist for further evaluatio...[Read More] Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Myocardial perfusion scan report / Please consult the director on whether a cardiac catheterization is necessary? REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN CLINICAL HISTORY: A 31-year-old male presents with recent chest tightness and has been ref...
Dr. Wu Xueming Reply:
The examination report indicates the presence of myocardial hypoxia. Please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Understanding Valve Insufficiency and Vaccination Concerns
Valvular insufficiency and vaccines? Hello Doctor: I have a few reports of incomplete closure as follows: 2023/05/06 BP 104/63 mmHg PR 66 2023/01/10 BP 96/64 mmHg PR 64 S: Intermittent dyspnea on exertion for months. STILL INTERMITTENT chest tightness (TET: POSITIVE by Song...
Dr. Wu Xueming Reply:
Mild valve prolapse will not affect vaccination. If you experience side effects after receiving the vaccine, please rest more and stay hydrated.[Read More] Understanding Valve Insufficiency and Vaccination Concerns
Understanding Sudden Heart Rate Increases: Causes and Risks
Sudden increase in heart rate? Hello Doctor, in August this year, I woke up feeling chest tightness. On my way to work, my heart suddenly raced to about 150 beats per minute, accompanied by dizziness and difficulty breathing, lasting for about an hour. I went to the hospital wher...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any dangerous arrhythmias, so there is no need to worry.[Read More] Understanding Sudden Heart Rate Increases: Causes and Risks
Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...
Dr. Wu Xueming Reply:
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Understanding Your Echocardiogram: Key Insights for Heart Failure Patients
Cardiac Ultrasound Report Hello, Doctor. I am a heart failure patient and also have arrhythmia issues. Yesterday, my doctor arranged for another echocardiogram, but they scheduled a follow-up appointment in three months to review the results. I am very concerned that my heart con...
Dr. Huang Yinghe Reply:
Hello, Mao Mao: The examination results show that your left ventricular ejection fraction (LVEF) is 50%, which is considered a borderline value. There is moderate mitral regurgitation, and given your age, your cardiac function is slightly impaired. You should be taking some heart...[Read More] Understanding Your Echocardiogram: Key Insights for Heart Failure Patients
Understanding Heart Health: Implications of ECG Findings and Next Steps
Consultation for examination Hello Dr. He: Recently, I experienced chest tightness and a sensation of missed heartbeats, so I visited a cardiologist. I underwent an X-ray and an electrocardiogram (ECG), and the physician said everything looked fine. I reviewed my health records, ...
Dr. He Dongjin Reply:
If you're unsure and feeling anxious about any abnormalities, it's best to visit a cardiology outpatient clinic for a cardiac ultrasound examination. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Health: Implications of ECG Findings and Next Steps
Understanding Heart Palpitations and Chest Discomfort: Key Insights
Arrhythmia and chest tightness? Sometimes when I wake up, I experience discomfort in my heart, with a strong and rapid heartbeat. A few years ago, I had a pain in my heart that felt like it was being squeezed. I occasionally experience chest tightness and shortness of breath, esp...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Heart Palpitations and Chest Discomfort: Key Insights
Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
The estimated systolic pulmonary artery pressure is 34 mmHg. Should this be monitored? Hello Doctor, I visited the cardiology department last year due to chest tightness and palpitations. The examination report at that time is as follows, and I would like to know if I should retu...
Dr. Li Shengkai Reply:
According to the definition, pulmonary hypertension is indicated when the pulmonary artery pressure exceeds 25 mmHg at rest or 30 mmHg during exercise. Based on your echocardiogram report, the result was 34 mmHg, which should be monitored further. Additionally, the report mention...[Read More] Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
Understanding Blood Pressure: When to Worry and Medication Insights
Blood pressure issues Based on your description, it seems that you are experiencing elevated blood pressure readings during certain activities, with values exceeding 149/99 mmHg and a heart rate between 100-130 beats per minute. This could indicate hypertension, especially since ...
Dr. Wu Xueming Reply:
According to the guidelines for hypertension treatment, if blood pressure consistently exceeds 140/90 mmHg despite regular lifestyle modifications, dietary changes, and exercise, it is recommended to initiate pharmacological therapy for blood pressure control.[Read More] Understanding Blood Pressure: When to Worry and Medication Insights
Understanding Early Ventricular Contractions and Heart Rhythm Changes
Palpitations with early ventricular contractions? Hello Dr. Wu, this is my examination report before changing my medication. I am currently on medication, but I still often feel my heartbeat noticeably shaking, along with chest tightness and difficulty breathing. Could you please...
Dr. Wu Xueming Reply:
The report indicates that there are no other cardiac issues aside from a few occasional premature contractions. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Early Ventricular Contractions and Heart Rhythm Changes
Understanding Holter Monitor Results: Heart Health Tips and Insights
Electrocardiogram Interpretation and Precautions Thank you, doctor, for taking the time to clarify my concerns. Below is the recent 24-hour electrocardiogram: Holter Report: Clinical Diagnosis: Palpitations Test Date: 2023/09/26 Analysis Date: 2023/09/27 Recording Time: 21 ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not detect any dangerous arrhythmias. Many factors in daily life can cause these symptoms, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in ...[Read More] Understanding Holter Monitor Results: Heart Health Tips and Insights