Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Myocardial perfusion imaging Hello, Doctor. I have been experiencing chest tightness. Both static and exercise electrocardiograms showed no arrhythmias, but the blood pressure during the exercise test was only 140. Subsequently, a myocardial perfusion scan was arranged. The atten...
Dr. He Dongjin Reply:
Hello, I don't have your other medical history, so it's hard to say if the myocardial perfusion scan shows any abnormalities. An electrocardiogram (ECG) during exercise is okay, but we also need to consider your symptoms to determine the next steps. It would be best to ...[Read More] Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
If you are unsure which specialty to consult for your symptoms? Hello, doctor. Last night I experienced some symptoms resembling a cold. After doing some research, I'm uncertain if it's just a simple cold and which specialty I should prioritize when seeking medical atte...
Dr. Wu Xueming Reply:
Please schedule an appointment with either Internal Medicine or Family Medicine.[Read More] Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Managing Medication Side Effects: Tremors and Heart Rate Concerns
The side effects of psychotropic medications include body tremors (shaking hands) and discomfort from anti-side effect medications such as heart rhythm pills or Kankun? Hello, Doctor: I am currently taking psychiatric medications (lithium, SSRIs, and other mood stabilizers). The ...
Dr. Wu Xueming Reply:
A heart rate maintained between 60 to 100 beats per minute is considered acceptable. For other concerns, it is advisable to consult a psychiatrist.[Read More] Managing Medication Side Effects: Tremors and Heart Rate Concerns
Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Dizziness and chest tightness issues? Hello, doctor. Since April of last year, I have been experiencing chest tightness and nausea. I consulted a cardiologist and underwent an electrocardiogram, X-ray, and echocardiogram. The doctor concluded that there were no significant issues...
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 recom...[Read More] Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Chronic chest tightness and difficulty breathing? Since the year before last, I have been experiencing shortness of breath and chest tightness, with my heart rate frequently around 100 beats per minute. Occasionally, I also have palpitations and chest pain. During a military serv...
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 intake of caffeinated beverages. It is advisable to adju...[Read More] Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Understanding Heart Palpitations: When to See a Cardiologist
Cardiac examination Hello, doctor. I would like to inquire about my condition. I frequently experience tachycardia accompanied by chest tightness and pain, as well as stiffness in my shoulders and neck, and sometimes sharp pain. I have visited many major hospitals and undergone n...
Dr. Huang Yinghe Reply:
Hello: There are many causes of chest tightness. Besides heart disease, conditions such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress can also trigger it. If all the mentioned tests are normal, it indicates that there should not be any signific...[Read More] Understanding Heart Palpitations: When to See a Cardiologist
Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Palpitations, chest tightness, skin tingling, sensation of a foreign body in the throat, and poor blood circulation? Hello, Doctor. About 2-3 months ago, I started experiencing symptoms such as a slight tremor in my beard area, a sensation of a foreign body in my throat, palpitat...
Dr. Huang Yinghe Reply:
Hello: Although palpitations and chest tightness may indicate a heart problem, the likelihood of cardiovascular issues at the age of 19 is low. Based on the symptoms you described, it is difficult to determine the exact nature of the problem. The presence of unusual facial hair, ...[Read More] Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Understanding the Link Between Coughing and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. I am a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia. I do not smoke or drink alcohol, am slightly underweight, exercise occasionally, and do ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Coughing and Pulmonary Hypertension in Women
Understanding the Link Between Cough and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. My background is a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia, non-smoker, non-drinker, slightly underweight, engages in minimal exercise, ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Cough and Pulmonary Hypertension in Women
Understanding Adenosine Use in Emergency Heart Rate Management
Injection issues Hello, Doctor. I apologize for asking you a question. The other day, I went to the emergency room with a heart rate of 180, but there was no evidence of PSVT. Does that mean I likely do not have PSVT? Additionally, I would like to ask if the doctors administered ...
Dr. He Dongjin Reply:
Hello, ADENOSINE has a very short duration of action; it is metabolized within minutes and does not remain in the body, so it will not cause any issues. There's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Adenosine Use in Emergency Heart Rate Management
Is Hitting Your Chest Safe for Heart Pain Relief? Risks and Consequences
Patients experiencing chest pain should not pound their chest forcefully to relieve the pain, as this can lead to several adverse consequences. Such actions may exacerbate the underlying condition, potentially causing further injury to the heart or surrounding tissues. It could a...
Dr. Wu Xueming Reply:
Patients with heart disease should promptly go to the hospital for further evaluation if they experience any discomfort in the chest, and should not repeatedly pound their chest.[Read More] Is Hitting Your Chest Safe for Heart Pain Relief? Risks and Consequences
Understanding Mitral Valve Prolapse: Symptoms, Risks, and Echo Results Explained
Echocardiogram Hello, I am a patient with mitral valve prolapse. I had an echocardiogram, and I would like to know if this is serious. I experience shortness of breath, chest tightness, and sometimes my heart races. What impact will this have on my heart in the future? Will it re...
Dr. Li Han Reply:
Hello, based on the findings, there is mild mitral valve prolapse without significant valve insufficiency. The cardiac structure and function are generally normal, and clinical follow-up is recommended. It is advised to consult with your trusted physician at Changhua Hospital, Mi...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Echo Results Explained
Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Chest tightness and difficulty breathing? Hello, Doctor. I would like to inquire about an incident that occurred in March this year. While exercising, I suddenly felt unable to breathe, as if my airways were blocked. After resting for a while, my condition improved. I went to a h...
Dr. Huang Yinghe Reply:
Hello: Based on the symptoms you described, multiple hospital examinations have shown no cardiovascular or pulmonary issues. The purpose of these tests was to rule out any life-threatening conditions or significant organ abnormalities. Other less dangerous conditions that may cau...[Read More] Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Understanding Cardiovascular Reports: Key Insights from Doppler and Stress Tests
Examination Report Hello Director: Please help me review these two reports for any abnormalities. Thank you! (Doppler Color Flow Imaging of the Heart) MEASUREMENTS: 1. IVS: 11 mm (normal range: 6-11) 2. LVPW: 10 mm (normal range: 6-11) 3. LVEDD: 49 mm (normal range: 36-52) ...
Dr. He Dongjin Reply:
Hello, regarding the report format issue, I cannot clearly see the report and am unable to provide feedback. It is advisable to discuss this directly with the attending physician. Changhua Hospital cares about you.[Read More] Understanding Cardiovascular Reports: Key Insights from Doppler and Stress Tests
Understanding Aortic Regurgitation: Risks, Symptoms, and When to Seek Help
Aortic regurgitation Hello doctor, I am 23 years old. I would like to ask about my condition. At such a young age, I have been diagnosed with moderate to severe aortic regurgitation, moderate tricuspid regurgitation, and mild mitral regurgitation. Currently, I occasionally experi...
Dr. Wu Xueming Reply:
Moderate to severe aortic regurgitation, if it has already caused cardiac enlargement or functional abnormalities, is recommended to consult a cardiac surgeon to evaluate the need for surgical intervention.[Read More] Understanding Aortic Regurgitation: Risks, Symptoms, and When to Seek Help
Understanding Static ECG and Myocardial Ischemia: Key Insights
Static electrocardiogram myocardial ischemia Hello Director Wu: On May 9, I was diagnosed with heart discomfort. I had an electrocardiogram (ECG) at Clinic A, which was normal. On May 12, I had another ECG at Clinic B, and the internist said there was evidence of myocardial ische...
Dr. Wu Xueming Reply:
A resting electrocardiogram (ECG) cannot definitively determine the presence of myocardial ischemia; it is recommended to perform a stress test to confirm.[Read More] Understanding Static ECG and Myocardial Ischemia: Key Insights
Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Respiratory issues, chest tightness, chest pain, and dizziness? Hello Doctor, I am 21 years old. Every morning when I wake up, I almost always experience chest tightness, and sometimes I feel sharp pain in the left side of my chest or in the center, which radiates to my shoulder ...
Dr. Huang Yinghe Reply:
Hello: Given your age, unless there is a congenital heart defect, it is unlikely to have serious heart problems. If all the tests you mentioned are normal, it is less likely to be a psychosomatic issue. There are many causes for chest tightness and shortness of breath, aside from...[Read More] Understanding Chest Pain and Breathing Issues: A Young Adult's Journey
Chest Discomfort and Numbness: Understanding Cardiovascular Symptoms
Chest tightness with mild pain, soreness in the cervical and sacral regions, and numbness in the hands and feet? Hello, Doctor. Around the end of March, I started experiencing discomfort. Previously, in mid-March, I had an episode of chest tightness and pain on the right side aft...
Dr. He Dongjin Reply:
Hello, the neurology examination regarding cervical artery dissection is not related to you. The symptoms are completely different, and aortic dissection is an emergency that would not be delayed for so long. Changhua Hospital cares about you.[Read More] Chest Discomfort and Numbness: Understanding Cardiovascular Symptoms
Understanding Irregular Heartbeats: Insights from a Cardiologist
Inquiry Consultation Dear Dr. He, Recently, I have been using a mobile app called "Rhythm Cam" to monitor my heart rate and rhythm. Today, I recorded an instance of "irregular heartbeat" without experiencing any discomfort (such as palpitations, chest tightne...
Dr. He Dongjin Reply:
Hello, I do not recommend using the Love Heart Monitor as its accuracy may not be reliable and is related to the sensitivity of the device. Both overly sensitive and less sensitive devices can yield different results. Additionally, detecting irregular heart rhythms does not equat...[Read More] Understanding Irregular Heartbeats: Insights from a Cardiologist