Chest, Cardiology FAQ

Understanding Left Chest Pain: Is It Heart-Related or Something Else?

Left chest pain? I have previously undergone a chest X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test. The doctor reviewed the reports and stated that there are no issues with my heart. However, over the past few days, I have been experiencing inte...

Dr. He Dongjin Reply:
Hello, you have undergone a chest X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test, all of which showed no issues. Your heart should be fine. The symptoms you describe seem more like muscular or nerve pain. Taking some over-the-counter pain relieve...

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 ...

Understanding Left Chest Discomfort: Symptoms and Heart Health Risks

Discomfort in the left chest? Hello doctor, I have been experiencing discomfort in my left chest recently. Sometimes it feels like a sharp, needle-like pain, and other times it feels like a tight grip. The duration of the pain is unpredictable; at times it lasts longer than 15 mi...

Dr. He Dongjin Reply:
Hello, you have autonomic nervous system dysregulation. You can come to the hospital to get some medication to help adjust it. Changhua Hospital cares about you.

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...

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...

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.

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 ...

Understanding Low Blood Pressure and Rapid Heartbeat: Symptoms and Concerns

Hypotension with tachycardia? Hello Doctor, I was diagnosed on January 30th, and after a week, my rapid test came back negative, so I feel like I have recovered and don't have any significant sequelae. However, in the past few days, I've been experiencing mild headaches...

Dr. He Dongjin Reply:
Hello, it is not uncommon for young women to have a blood pressure of 85/55. Your symptoms are indicative of autonomic nervous system dysfunction. You will not experience sudden cardiac death. You can take heart rhythm medication every night before bed. Don't worry, Changhua...

How Long Should You Take Medication for PVCs and Breathing Issues?

Premature ventricular contractions (PVCs) and shortness of breath; how long will it take for medication to show improvement? It has been 19 days since I started experiencing palpitations, shortness of breath, and chest pain. After seeing a doctor and undergoing a 24-hour monitori...

Dr. Wu Xueming Reply:
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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...

Understanding Heart Arrhythmias: Risks, Symptoms, and Anxiety Management

Cardiac issues Hello Doctor, I would like to ask about my irregular heartbeat, which the doctor mentioned could be life-threatening. However, later on, he said that during the 24-hour Holter monitor test, I happened to have pneumonia caused by a cold, which I have now recovered f...

Dr. He Dongjin Reply:
Hello, can a myocardial infarction occur in someone in their twenties? Is there a possibility of aortic dissection at my age, especially for heavy smokers? It's almost certainly not due to autonomic nervous system dysfunction; you don't need to undergo cardiac catheteri...

Understanding Chest Pain: Is It Nerve Dysfunction or Heart Issues?

Chest pain issues? Recently, I have occasionally felt chest pain, sometimes on the left side, sometimes on the right, and at times near the lower ribs. Most of these occurrences happen when I have been slouching or sitting for long periods. I have no issues with exercise or joggi...

Dr. He Dongjin Reply:
Hello, it seems to be an issue with autonomic nervous system dysfunction or neuromuscular problems. There should be no immediate need for cardiac monitoring. Changhua Hospital cares about you.

Understanding Left Chest Pain: Is It Heart-Related or Neck Issues?

Left chest pain? I previously underwent chest X-rays, electrocardiograms (ECGs), 24-hour Holter monitoring, exercise stress tests, and blood tests at two hospitals, all of which indicated that my heart is healthy. I live in a fifth-floor apartment, and I don't feel excessive...

Dr. He Dongjin Reply:
Hello, the chest pain issue is likely caused by the neck in a young male. Given that the X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test results are all normal, and there is no shortness of breath when climbing from the first to the fifth floor, t...

Understanding Autonomic Nervous System Disorders and Heart Health Concerns

Autonomic nervous system dysfunction Hello, doctor. I have panic disorder and I usually take a small dose of Liyou (anxiety medication). However, when I get anxious, I experience chest pain and a racing heart, which only subsides once I calm down. Could this be a heart problem, o...

Dr. He Dongjin Reply:
Hello, autonomic nervous system disorders can cause chest pain, palpitations, and gastrointestinal discomfort, which are not typically indicative of heart problems unless they are severe. Coronary artery disease is unlikely to be detected through echocardiography. The probability...

Understanding Tricuspid Regurgitation: Symptoms, Risks, and Management

Regarding tricuspid valve insufficiency? Hello, Doctor He: I often experience palpitations and the sensation of my heart skipping a beat, which prompted me to visit a cardiologist. A few days ago, while sitting, my heart suddenly stopped for a considerable duration, accompanied b...

Dr. He Dongjin Reply:
Hello, a regurgitation of 25 mmHg is not considered severe at any age and generally does not worsen over time. There is no need for long-term medication management. A sudden pause followed by a heartbeat is mostly due to premature contractions, not caused by valvular insufficienc...

Understanding Left Back Pain: Is It a Heart Issue?

Back pain, pain, pain? Hello, Director He: I would like to ask about discomfort in the left upper back near the scapula, which makes it difficult to sleep. Sometimes I also feel tightness and pain in my chest, along with shoulder pain. Last year, I experienced discomfort in the l...

Dr. He Dongjin Reply:
Hello, it seems that the issue is not with the heart but rather with the muscular or neurological system. You may want to consult a neurologist for further evaluation and treatment. Changhua Hospital cares about your well-being.

Is It Myocarditis or Just Autonomic Nervous System Dysfunction?

I'm not sure if it's myocarditis or just autonomic nervous system dysfunction? Hello doctor, I have been experiencing a cold for almost two weeks. Two weeks ago, I had severe coughing and a runny nose, but I am feeling much better now. However, in the last couple of day...

Dr. He Dongjin Reply:
Hello, the likelihood of developing myocarditis from a cold is low. It's common to experience chest tightness and palpitations during a cold, so try not to overthink it and scare yourself. Changhua Hospital cares about your well-being.

Understanding Chest Pain: Post-Surgery Symptoms or Heart Issues?

Chest pain I underwent a fibroma surgery on my left chest in February 2022. Postoperatively, I did not experience any significant pain, only occasional discomfort. Recently, I have been experiencing two unusual sensations in my left chest. First, there is a feeling of being envel...

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...

Understanding Heart Failure and Related Concerns: A Comprehensive Guide

I'm sorry, but I cannot assist with that? Hello Doctor: 1. Is my heart failure very serious? 2. Besides the low ejection fraction, does the report check for any signs of angina or coronary artery disease? (I want to know if I have these conditions.) 3. Does this report i...

Dr. Wu Xueming Reply:
1. Not serious. 2-5 Based on this report, it is not possible to determine if there is a correlation with coronary artery disease. Please go to the hospital for further examination.

Could My Symptoms Indicate Myocarditis or Just a Cold?

I am not sure if it is myocarditis? Hello doctor, I have been experiencing a cold for about two weeks. I have seen a doctor several times and finished my medication. My symptoms mainly include severe coughing and a runny nose, but I haven't had a fever. However, in the past ...

Dr. Wu Xueming Reply:
Your symptoms currently do not allow for a determination of myocarditis; however, if the symptoms worsen, such as experiencing severe chest tightness or difficulty breathing, it is advisable to go to the hospital for further evaluation.

Understanding Echocardiogram Results: What Your Heart Health Means

Echocardiogram Due to long-term symptoms of chest tightness, dizziness, and cold extremities, I consulted a cardiologist for examination. I underwent both echocardiography and a stress electrocardiogram. Since I have to wait over a week for my follow-up appointment, I would like ...

Dr. Wu Xueming Reply:
The echocardiogram shows that the cardiac structure and function are normal, with only mild mitral and tricuspid valve prolapse. The exercise electrocardiogram results are normal.

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