Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
I always feel uncomfortable at night? Hello Doctor, I have been experiencing palpitations and chest tightness almost every day since September of last year, especially at night when I lie down in bed, which often makes me feel worse. Sometimes it’s manageable, but there have been...
Dr. He Dongjin Reply:
Hello, you may be experiencing panic disorder related to puberty. It is advisable to visit a psychosomatic medicine department and consider medication. Changhua Hospital cares about your well-being.[Read More] Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
Understanding Positive Exercise ECG Results: What You Need to Know
Positive exercise electrocardiogram (ECG) Hello, Doctor He: Last month, I experienced chest tightness and shortness of breath, so I went to the hospital for an examination. The doctor performed a resting electrocardiogram (ECG) and echocardiogram, both of which were normal. Howev...
Dr. He Dongjin Reply:
Hello, it is certainly possible to have a false positive. Your Duke Treadmill Score of +5 indicates low risk, and the chance of having an issue is really low at 99% over the next five years. However, who knows? If you want peace of mind and prefer to avoid a cardiac catheterizati...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Exercise Treadmill Test and Myocardial Perfusion Report Hello Doctor, I have been experiencing chest tightness and palpitations for the past year. I underwent two types of examinations at the hospital, and the recent myocardial perfusion scan report indicated blockage in the term...
Dr. He Dongjin Reply:
Hello, the myocardial perfusion report is abnormal. It's hard to say if there is a problem; it is very likely that there is no issue, but without further examination, who can know? If you take cardiovascular-related medications, you don't necessarily have to take them f...[Read More] Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Understanding Atrial Fibrillation: Treatment Options and Concerns
Atrial Fibrillation Issues Hello, Doctor: I have been suffering from atrial fibrillation for about 10 years and am currently under continuous monitoring at a cardiology clinic. I take 5 mg of Concor (bisoprolol) daily and 2.5 mg of Eliquis (apixaban) as an anticoagulant. However,...
Dr. Wu Xueming Reply:
If atrial fibrillation is not effectively managed with medication and symptoms persist, catheter ablation may be considered as a treatment option. It is recommended to consult a cardiologist specializing in electrophysiology.[Read More] Understanding Atrial Fibrillation: Treatment Options and Concerns
Understanding Your Echocardiogram Results: Key Insights for Heart Health
Echocardiogram Hello Doctor, I would like you to take a look at this echocardiogram for any issues, thank you. Result: TAPE NO. < EPIQ2 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < > BP: < > / < > mmHg C...
Dr. Huang Yinghe Reply:
Hello: The examination results indicate mitral valve prolapse with mild regurgitation and tricuspid valve mild to moderate regurgitation. If you experience symptoms such as chest tightness or shortness of breath, please consult your physician for further treatment.[Read More] Understanding Your Echocardiogram Results: Key Insights for Heart Health
Understanding Coronary CT Angiography Results: What They Mean for Heart Health
Coronary CT Angiography Dear Doctor, My father is 75 years old and today he underwent some examinations. The report is as follows: Coronary artery plain scan shows calcification in the left anterior descending artery, diagonal branch, and right coronary artery, with calcifica...
Dr. Huang Yinghe Reply:
Hello: The examination results indicate moderate to severe stenosis of the coronary arteries. It is recommended to initiate at least medication therapy. If there are frequent symptoms of chest tightness or shortness of breath, consider undergoing catheterization treatment. Please...[Read More] Understanding Coronary CT Angiography Results: What They Mean for Heart Health
Persistent Chest Discomfort for a Month: Should I See a Cardiologist?
Persistent chest tightness for one month? Hello, doctor. Since February 18, I have been experiencing daily chest tightness, usually in the evening. During the first week, I had 30-50 episodes of gastric discomfort and palpitations each day. I consulted my family doctor, who diagn...
Dr. He Dongjin Reply:
Hello, it still sounds like a gastrointestinal issue. If you're concerned, it would be a good idea to get a check-up with a cardiologist. Changhua Hospital cares about your well-being.[Read More] Persistent Chest Discomfort for a Month: Should I See a Cardiologist?
Understanding Low Blood Pressure: Causes and Heart Health Tips
Hypotension issues I have seen a cardiologist and do not have a history of hypertension or diabetes. I am not overweight, and my blood pressure usually does not exceed 110, mostly staying below 100! I have multiple valve regurgitations and have taken a calcium channel blocker (ha...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the aforementioned issues. Thank you, and wishing you good health.[Read More] Understanding Low Blood Pressure: Causes and Heart Health Tips
Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Do I have blood clots in my blood vessels? I have had issues detected in both sides of my carotid arteries during the examination? I used to sit for long periods every day, combined with smoking and a diet high in salt and oil. For the past six months, I have been eating a lighte...
Dr. Li Shengkai Reply:
Hello, based solely on the information you provided, it is not possible to determine if there are any blood clots. If examinations reveal carotid artery stenosis, regular follow-up is recommended. Based on your situation, if there are no significant issues with cardiac-related te...[Read More] Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Understanding Your 24-Hour ECG: Insights into Heart Health Concerns
24-hour Holter monitor? Hello, doctor: (I usually have a pulse rate of over 100 at school or the hospital, and it beats very strongly (almost every day). I also experience chest tightness, chest pain, and have difficulty breathing, which often leads to shortness of breath...) A p...
Dr. He Dongjin Reply:
Hello, the report is completely normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour ECG: Insights into Heart Health Concerns
Understanding Echocardiograms: Key Insights for Heart Health Monitoring
Echocardiogram Since receiving the first dose of the AstraZeneca vaccine last year, I have reported adverse reactions and have been attending immunology follow-ups. I was recently diagnosed with suspected lupus erythematosus. Previously, I experienced occasional shortness of brea...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral valve prolapse with mild mitral regurgitation, tricuspid regurgitation, and mild pulmonary hypertension. If you continue to experience discomfort, please follow up at the hospital outpatient clinic.[Read More] Understanding Echocardiograms: Key Insights for Heart Health Monitoring
Chest Tightness: Is It a Heart Issue or Anxiety?
Chest tightness issues? Hello doctor, a few months ago I experienced severe panic anxiety disorder. My symptoms have improved a bit, but whenever I feel down or start to feel anxious, I experience tightness in my left chest. When I'm in a good mood, I don't have any iss...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is a...[Read More] Chest Tightness: Is It a Heart Issue or Anxiety?
Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Palpitations after COVID-19 vaccination? Hello Doctor: I received my fifth dose of the COVID-19 vaccine (Moderna) on March 7th. Starting on March 9th, I began experiencing irregular heartbeats, with my resting heart rate increasing from the usual 72-73 to 84-90. As of March 11th,...
Dr. Wu Xueming Reply:
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination.[Read More] Post-COVID Vaccine Palpitations: When to Seek Medical Attention?
Understanding High Cholesterol: Symptoms, Risks, and Treatment Options
High cholesterol can lead to fatigue? Hello, Doctor: Recently, I have been experiencing worsening fatigue, along with persistent body aches, dizziness, chest tightness, shortness of breath, and palpitations. I also tend to show signs of inflammation and often experience severe co...
Dr. Wu Xueming Reply:
Please engage in regular exercise and avoid high-fat foods. After three months, have your blood drawn for follow-up. If levels are still not within normal range, medication treatment is recommended.[Read More] Understanding High Cholesterol: Symptoms, Risks, and Treatment Options
Unexplained Chest Pain and Tightness: Seeking Answers for Persistent Symptoms
Chest tightness, chest pain, pain in the center of the chest, and inability to control emotions? I have consulted multiple doctors and undergone hospital examinations, all of which indicated no issues. However, I still cannot identify the cause of my daily chest tightness and pai...
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Unexplained Chest Pain and Tightness: Seeking Answers for Persistent Symptoms
Understanding Rapid Heartbeat: Causes and Concerns for Your Health
Tachycardia Hello, doctor. Thank you for taking the time to answer my questions despite your busy schedule. I am 42 years old and have been experiencing sudden dizziness, a heavy feeling in my head, chest tightness, and heavy breathing for the past year. I have undergone neurolog...
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 Rapid Heartbeat: Causes and Concerns for Your Health
Understanding Rapid Heartbeat: When to Seek Further Medical Evaluation
Rapid heartbeat A few months after being diagnosed last September, I discovered that I had a rapid heartbeat, and I also experienced severe insomnia after the diagnosis, which I had never encountered before. I underwent echocardiography and CT scans of the heart and lungs, but th...
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 Rapid Heartbeat: When to Seek Further Medical Evaluation
Understanding Sinus Bradycardia: Should You Be Concerned?
Sinoatrial bradycardia Hello, Director. I had a comprehensive health check-up at the health examination center on February 2nd this year. The blood test results and other physical conditions were normal, but the electrocardiogram showed sinus bradycardia. Occasionally, I feel a b...
Dr. He Dongjin Reply:
Hello, a sinus bradycardia of 53 is quite good, right? It doesn't increase the risk of sudden death, does it? No, that's not the case. There's no need for further outpatient visits; there's nothing to worry about. Just quit smoking, and take care. Changhua Hos...[Read More] Understanding Sinus Bradycardia: Should You Be Concerned?
Understanding Medication Withdrawal Symptoms After Heart Treatment
Medication consultation Hello Doctor, I previously experienced chest tightness and discomfort, so I consulted a cardiologist. A nuclear medicine scan showed mild ischemia, and I subsequently underwent echocardiography and a stress electrocardiogram. The doctor prescribed me Conco...
Dr. Wu Xueming Reply:
If the coronary computed tomography angiography shows that the vessels are not blocked or narrowed, the patient may not need to take medication.[Read More] Understanding Medication Withdrawal Symptoms After Heart Treatment
Am I Suffering from Economy Class Syndrome? Understanding Heart Health Risks
Am I experiencing economy class syndrome? Prolonged sitting for an entire day, combined with smoking and a diet high in salt and fat, leads to significant discomfort for me. After sitting for more than an hour, I experience heat in my upper body, particularly in the back of my ne...
Dr. Li Han Reply:
Hello, regarding your inquiry, symptoms of clinical discomfort can be improved by simply "getting up and moving around." It may be beneficial to start with lifestyle changes, such as increasing physical activity and eliminating unhealthy habits like smoking. This might ...[Read More] Am I Suffering from Economy Class Syndrome? Understanding Heart Health Risks