How to Communicate Heart Health Concerns to Your Doctor Effectively
After seeing a cardiologist hundreds of times, the problem still remains unresolved? I often experience shortness of breath, cold sweats, and dizziness when I exercise, to the point where I feel like I might faint. I've reported this to my doctor multiple times, but he only ...
Dr. Wu Xueming Reply:
If there is no arrhythmia or severe heart failure, the likelihood of having a thrombus in the heart is extremely low. Generally, a normal echocardiogram is sufficient, and there is no need for concern.[Read More] How to Communicate Heart Health Concerns to Your Doctor Effectively
Struggling with Heart Issues: Seeking Effective Diagnosis and Treatment
After spending countless amounts of money, the problem still remains unresolved? Every time I go out to eat, I start experiencing chest tightness, shortness of breath, and difficulty breathing. I feel unsteady and almost faint, along with arrhythmia. However, when I described my ...
Dr. Wu Xueming Reply:
If you are concerned about blockages or thrombosis in the coronary arteries, a high-resolution computed tomography (CT) scan can increase the diagnostic rate. If all other tests are normal and you still have concerns, you can opt to pay out of pocket for this examination. If you ...[Read More] Struggling with Heart Issues: Seeking Effective Diagnosis and Treatment
Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Myocardial ischemia, exercise electrocardiogram? Hello Doctor, I have noticed significant differences in the test results from a clinic and a large hospital, and I hope you can assist in interpreting them. Thank you! **[Clinic A]** 1. **24-Hour Holter Monitor:** - 402.10 HYPE...
Dr. He Dongjin Reply:
Hello, I trust large hospitals. I cannot make a judgment without seeing the relevant images, but I believe it is better to observe first. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Understanding Heart Palpitations and Anxiety Medication Withdrawal
Hello, I would like to inquire about antiarrhythmic medications? Hello, I previously took medication for anxiety, but I had to stop because I have asthma and cannot take those medications. I'm not sure if I stopped too quickly, as I only took them for two days before discont...
Dr. Huang Yinghe Reply:
Hello: Rhythm control medications belong to the class of beta-adrenergic blockers, commonly used to alleviate symptoms of chest tightness and palpitations. Not taking the medication may lead to more frequent symptoms, but it is unlikely to cause severe complications. This medicat...[Read More] Understanding Heart Palpitations and Anxiety Medication Withdrawal
Understanding Multiple Discomforts: When to Seek Cardiac Care
Generalized discomfort throughout the body? I have been experiencing discomfort in multiple areas of my body. Initially, I had gastrointestinal issues and consulted a gastroenterologist, undergoing an endoscopy and ultrasound. The diagnosis revealed a mild duodenal ulcer and mode...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing symptoms related to autonomic nervous system dysregulation. The pain when pressing on the ribs could be due to muscle or nerve pain, and the strong twitching sensation you describe may also be related. If you are experiencing palpitat...[Read More] Understanding Multiple Discomforts: When to Seek Cardiac Care
Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Experiencing a rapid heartbeat and dizziness after eating? Hello Doctor: I am 19 years old, do not have hypertension, diabetes, or hyperlipidemia, but I have thalassemia and am underweight. Last week, I was diagnosed and have had little appetite; I often start feeling full after ...
Dr. He Dongjin Reply:
Hello, after being diagnosed, it is common to experience heart rhythm issues, which can be monitored initially. If discomfort persists, you should visit a cardiology clinic for further evaluation. A heart rate of 50 to 55 beats per minute before sleep is considered normal; monito...[Read More] Post-Meal Rapid Heartbeat and Dizziness: Understanding Your Symptoms
Understanding Chest Pain: When to Seek Further Heart Evaluation
Similar to angina pectoris? I have been experiencing shortness of breath, chest tightness, and cold sweats whenever I walk, exercise, or climb stairs. I feel so exhausted that I can hardly muster the energy to see a doctor. However, the doctor keeps saying that my electrocardiogr...
Dr. Wu Xueming Reply:
To confirm whether angina is due to coronary artery disease, a stress electrocardiogram or a nuclear myocardial perfusion scan can be arranged. It is advisable to visit an outpatient clinic to discuss this with a physician.[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Suspected myocardial ischemia? Hello, I am the patient who just asked about angina. It seems that patients with frequent angina attacks cannot undergo nuclear medicine myocardial perfusion imaging. I get short of breath when I exercise and I'm a bit afraid of the exercise st...
Dr. Wu Xueming Reply:
A 24-hour electrocardiogram is not very helpful in assessing myocardial ischemia. Current medications, if they can control symptoms, are recommended to be continued.[Read More] Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have been experiencing chest tightness, cold sweats, shortness of breath, and palpitations after exercising recently. These symptoms can last all day, not just for a few minutes or hours. However, my doctor said I have autonomic nervous system dysfunc...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further evaluation.[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Understanding Pulmonary Hypertension: Symptoms, Diagnosis, and Management
Suspected pulmonary hypertension? I have been experiencing shortness of breath and chest tightness when walking or climbing stairs for the past year. After eating, I feel particularly breathless and have chest discomfort to the point where I can't speak. Even when my family ...
Dr. Wu Xueming Reply:
A measurement of 22 mmHg does not meet the criteria for a diagnosis of pulmonary hypertension; it is recommended to undergo further detailed examinations at a hospital.[Read More] Understanding Pulmonary Hypertension: Symptoms, Diagnosis, and Management
Understanding Heart Issues Triggered by Hot Weather: Symptoms and Solutions
Hello, I would like to ask about heart disease caused by hot weather? Hello, I have been experiencing something unusual lately. My heart beats very strongly every day, and I feel short of breath (this is not occasional anxiety). It is completely different from how I used to feel....
Dr. He Dongjin Reply:
Hello, the heart disease caused by hot weather seems more like symptoms related to menopause, which can lead to autonomic nervous system dysregulation and discomfort due to heat intolerance. Please discuss with your physician about trying some medications for autonomic nervous sy...[Read More] Understanding Heart Issues Triggered by Hot Weather: Symptoms and Solutions
Does Drinking Coffee Cause Heart Discomfort or Breathing Issues?
Can drinking coffee cause discomfort in the heart? I had a large cup of coffee between 8 and 9 PM tonight. After a while, I felt some mild discomfort in my upper abdomen, but it wasn't severe pain. When I went to bed at 10:30 PM, I noticed difficulty breathing and chest tigh...
Dr. He Dongjin Reply:
Hello, can drinking coffee cause discomfort in the heart? It is possible, but your symptoms sound more like gastroesophageal reflux disease (GERD). It might be best to avoid it in the future. Changhua Hospital cares about your well-being.[Read More] Does Drinking Coffee Cause Heart Discomfort or Breathing Issues?
Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Hello, I would like to inquire about pulmonary hypertension caused by the sedative Amberning? Hello, I would like to ask about my situation. I accidentally took a sedative called Ambien along with an antihistamine, and since then, I have been experiencing increasing shortness of ...
Dr. Wu Xueming Reply:
Medications do not cause pulmonary hypertension; it is recommended that you go to the hospital for further evaluation.[Read More] Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Understanding Echocardiogram Results: Insights for Chest Discomfort
Interpretation of Echocardiography Recently, I have been experiencing chest tightness and difficulty breathing frequently, with a sensation of heaviness on my chest. I have visited several clinics, but no issues have been identified. I would like to ask the doctor about the inter...
Dr. He Dongjin Reply:
Hello, everything is normal except for mild mitral valve prolapse. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Echocardiogram Results: Insights for Chest Discomfort
Understanding Myocardial Perfusion Imaging Results: A Guide for Patients
Could you please provide Dr. Huang's recommendations based on the ultrasound and myocardial perfusion results? Thank you very much? Taipei Medical University Hospital REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN Chart No: 13531711 Date: 08...
Dr. Huang Yinghe Reply:
Hello: The main abnormality in the examination results is mild to moderate myocardial hypoxia. The management approach varies depending on the symptoms and the level of risk. In severe cases, consideration may be given to performing a cardiac catheterization. Please return for a ...[Read More] Understanding Myocardial Perfusion Imaging Results: A Guide for Patients
Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights
Mild mitral and tricuspid regurgitation? Hello, do I need to undergo treatment for this? My father was recently diagnosed with Fabry disease, and he is currently receiving enzyme replacement therapy. He has issues with myocardial infarction, cardiac hypertrophy, and hypertension....
Dr. Wu Xueming Reply:
Mild mitral and tricuspid regurgitation do not require treatment.[Read More] Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights
Understanding Heart Health: Key Insights from Your Echocardiogram Report
Health Examination Report Hello Doctor: Initially, I only experienced general chest tightness, but later I began to have dizziness, palpitations, and swelling in my lower limbs. I would like to ask if there are any issues with the ultrasound report. I feel that the same pair of s...
Dr. Wu Xueming Reply:
The echocardiogram report indicates that there are no significant severe abnormalities in heart function and structure. Given your young age and absence of chronic diseases, your risk of heart disease is low. Many factors in daily life can contribute to this condition, such as em...[Read More] Understanding Heart Health: Key Insights from Your Echocardiogram Report
Understanding Your Heart Health: Key Insights from Your Echo Report
Please help, doctor? Normal left atrial (LA) and left ventricular (LV) size with good left ventricular contractility (LVEF: 67% by M-mode). Mild mitral regurgitation (MR) and mild tricuspid regurgitation (TR). M-mode LVEF: 67% 2D LVEF: % LV mass: 78 g Aorta: 26 mm (normal ra...
Dr. Wu Xueming Reply:
The report indicates only mild mitral and tricuspid regurgitation, with all other findings normal.[Read More] Understanding Your Heart Health: Key Insights from Your Echo Report
Understanding Chest Discomfort: Mitral Valve Prolapse or Heart Issues?
Chest tightness, valve prolapse, shortness of breath? Hello, doctor. I had a nuclear medicine cardiac imaging, echocardiogram, and exercise electrocardiogram three months ago, and the doctor said everything was fine, except for mild mitral valve prolapse. Recently, I've star...
Dr. Huang Yinghe Reply:
Hello Mr. Yang: Given your age, the likelihood of a myocardial infarction is quite low. Mild mitral valve prolapse does not affect cardiac function, and since your cardiac evaluations are normal, there is no need for excessive concern. Symptoms such as chest tightness and palpita...[Read More] Understanding Chest Discomfort: Mitral Valve Prolapse or Heart Issues?
Understanding Exercise ECG Reports: Insights into Cardiac Health
Exercise Electrocardiogram Report PH: Chest pain. Please help me check for any abnormalities, thank you. RESTING ECG: Sinus rhythm, non-specific ST-T changes. PREVIOUS EXERCISE TEST: Nil. SUMMARY OF EXERCISE TEST: - PROTOCOL: Treadmill Standard Bruce - MHR-PREDICTED: Abov...
Dr. He Dongjin Reply:
Hello, your exercise electrocardiogram report is positive, indicating a suspicion of angina pectoris. The Duke treadmill score is +1, which indicates a medium risk. If you have no significant symptoms but are still concerned, you may consider paying out of pocket for a CT scan. I...[Read More] Understanding Exercise ECG Reports: Insights into Cardiac Health