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 Heart Palpitations: When to Worry and How to Manage
Chest tightness? Hello, Doctor. I apologize for asking you again. In March, my echocardiogram was normal, but recently I've been feeling my heartbeat more prominently when I wake up in the morning. When lying down, I can feel my heart beating more strongly. Is this considere...
Dr. He Dongjin Reply:
Hello, not seeing anything abnormal means that the sensations in your chest and heart are likely symptoms of anxiety. Experiencing heart pain in cold or hot weather can also be related to anxiety. Continuous anxiety can lead to an increased heart rate. If there are no abnormal fi...[Read More] Understanding Heart Palpitations: When to Worry and How to Manage
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 Back Pain: Stress, Heart Health, and Medication Effects
Back pain I'm sorry to hear that you've been feeling unwell due to stress. It sounds like you've been experiencing discomfort throughout your body, along with gastroesophageal reflux. Last Saturday, you underwent an electrocardiogram and ultrasound, which indicated...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Additionally, your symptoms are not typical of heart disease. It is recommended that you consult with an orthopedic or neurosurgery specialist.[Read More] Understanding Back Pain: Stress, Heart Health, and Medication Effects
Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects
Acute myocarditis Hello Dr. Wu, I was hospitalized recently due to chest pain, and my blood test showed a troponin level exceeding 1900, while the normal range is below 20, which is more than 85 times higher. Additionally, my CK level was 328. I later underwent a cardiac catheter...
Dr. Wu Xueming Reply:
1. Is it safe to be discharged if the levels have not yet returned to normal? Yes, it is safe. 2. Does this mean that my heart has been damaged? An echocardiogram is needed to determine that. 3. Will there be any long-term effects? Mild myocarditis typically does not result in lo...[Read More] Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects
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: Analyzing T Wave Abnormalities and Ischemia
Static Electrocardiogram (ECG) Hello, Director. Here are the results of my static electrocardiogram taken during my confirmed fever: Normal sinus rhythm with T wave abnormality, consider anterior ischemia. The internal medicine physician mentioned it could be myocardial ischemia?...
Dr. Wu Xueming Reply:
The above actions will not cause any abnormalities in the electrocardiogram (ECG).[Read More] Understanding Static ECG: Analyzing T Wave Abnormalities and Ischemia
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 Cardiovascular Symptoms: Expert Insights on Treatment and Management
Inquiry Consultation Dear Dr. He, I would like to express my gratitude for your previous guidance regarding my mother's health concerns. I have some additional questions I would like to ask you. To provide a brief overview of my mother's condition: she is 68 years old...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are typical of autonomic nervous system dysfunction. Labtal has therapeutic effects on the autonomic nervous system and can be used regularly and long-term. However, Diovan 160mg does not have effects on the autonomic nervous system, which...[Read More] Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management
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
Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination
Can I learn scuba diving if I have sinus bradycardia? Hello Dr. Huang, I would like to ask if I can practice scuba diving with sinus bradycardia. Will it affect the efficiency of nitrogen elimination?
Dr. Huang Yinghe Reply:
Hello: Scuba diving is an activity that requires a significant amount of oxygen and may impact the heart and circulatory system, increasing the risk of cardiovascular events. Individuals with confirmed structural heart disease, severe arrhythmias, or symptoms related to cardiovas...[Read More] Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination
Understanding Chest Discomfort: When to Seek Further Heart Evaluations
Regarding chest numbness and chest pain? Hello Doctor: Since mid-last year, I have been experiencing a sensation of numbness in the center of my chest (esophagus), along with discomfort in my neck, pain in my shoulders and arms, tooth pain, facial numbness, and head numbness. I u...
Dr. He Dongjin Reply:
Hello, the reports from both examinations are almost identical, indicating normal symptoms that do not seem to suggest a heart problem. It may be related to autonomic nervous system issues. You might consider consulting a psychosomatic medicine specialist. Peace and care from Cha...[Read More] Understanding Chest Discomfort: When to Seek Further Heart Evaluations
Understanding Body Tremors: Anxiety, Heart Issues, or Something Else?
Body tremors? Thank you, Doctor, for sharing so much knowledge about ventricular premature contractions (VPCs) with me. I have undergone 24-hour Holter monitoring five times, with the number of VPCs ranging from 55 to over 400, and my most recent result was 77 VPCs. I was genuine...
Dr. He Dongjin Reply:
Hello, experiencing several dozen VPCs (ventricular premature contractions) in a day is really not a big deal and is absolutely not life-threatening. The shaky feeling you are experiencing is likely caused by panic and anxiety. This type of trembling is not dangerous and is not r...[Read More] Understanding Body Tremors: Anxiety, Heart Issues, or Something Else?
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
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 Heart Palpitations: When to Seek Medical Attention
Heartbeat issues Recently, I had a check-up with a cardiologist where I underwent a standard electrocardiogram, a stress test, and an echocardiogram. The doctor indicated that I only have mitral valve prolapse and no significant issues. After that, I started engaging in higher-in...
Dr. He Dongjin Reply:
Hello, a slow heart rate is a good thing as it indicates strong cardiac output. Therefore, a slower heartbeat is sufficient, and this is a normal phenomenon that does not require medical attention. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
Please provide the content you would like me to translate into English? Dear Dr. Huang, Thank you for your previous response. My father underwent a cardiac catheterization in mid-March, which revealed that all three coronary arteries were blocked. The cardiologist referred him t...
Dr. Huang Yinghe Reply:
Hello: Symptoms of leg weakness generally require ruling out nutritional issues (electrolyte imbalances), medication effects (muscle relaxants, diuretics, psychiatric medications), or other internal medicine conditions (liver or kidney dysfunction, infections), among others. If t...[Read More] Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
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 Rapid Heartbeat: Anxiety or Heart Issues?
Rapid heartbeat can be frightening? The director went to Jiuzhou with his family yesterday and suddenly experienced a rapid heartbeat of over 170. After taking one tablet of Xanax and half a tablet of a heart rhythm medication, his heart rate gradually stabilized. Can these two m...
Dr. He Dongjin Reply:
Hello, it's good that your heart rate varies between fast and slow. If two medications can manage it, that's reassuring. The heart is not as fragile as one might think; otherwise, how could it keep beating for decades? Occasionally missing a beat is like not scoring 100...[Read More] Understanding Rapid Heartbeat: Anxiety or Heart Issues?