Understanding Arrhythmia: Insights on Heart Health and Symptoms
Arrhythmia Hello, Director. At the beginning of January, I woke up in the middle of the night due to a sharp pain in my jaw, which was accompanied by left chest discomfort, making it difficult for me to sleep the entire night. The next day, I immediately consulted a cardiologist,...
Dr. He Dongjin Reply:
Hello, actually everyone has some degree of arrhythmia, and you are within the normal range of arrhythmias. That's why your doctor prescribed medication to take as needed rather than requiring you to take it regularly. There is no myocardial infarction, and there is no cardi...[Read More] Understanding Arrhythmia: Insights on Heart Health and Symptoms
Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Issues with the internal jugular vein after cardiac stenting? My father, who is 55 years old, underwent a cardiac catheterization procedure at the end of last year due to chest discomfort, during which a drug-eluting stent was placed in the left anterior descending artery. He is ...
Dr. Li Han Reply:
Hello, regarding your question about jugular vein distension? Essentially, after your father's cardiac catheterization, he has not experienced any chest discomfort or shortness of breath, and follow-up echocardiograms indicate that his heart function is generally normal with...[Read More] Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Understanding Palpitations: Could They Be Related to Roemheld Syndrome?
Please provide the content you would like me to translate into English? Dear Dr. He, Thank you very much for your responses and explanations regarding my inquiries in "<a href='https://adoctor.tw/article/191822'>#191822</a>" and "<a href=&...
Dr. He Dongjin Reply:
Hello, transient palpitations and premature beats may be related to gastrocardiac syndrome. Gastroesophageal reflux can indeed cause premature beats; however, it is also possible that the symptoms are due to muscle strain in the chest or esophageal spasms. Until evidence is obtai...[Read More] Understanding Palpitations: Could They Be Related to Roemheld Syndrome?
Understanding Palpitations, Chest Tightness, and Fatigue: A Cardiovascular Perspective
Palpitations, chest tightness, fatigue? Doctor, thank you for your hard work. I have been experiencing palpitations and chest tightness since September of last year. Initially, it was somewhat uncomfortable but did not significantly affect me. However, about five days ago, it sud...
Dr. He Dongjin Reply:
Hello, the cold weather may have an impact, so it's advisable to have your parents take you to the hospital for a check-up for peace of mind. Changhua Hospital cares about you.[Read More] Understanding Palpitations, Chest Tightness, and Fatigue: A Cardiovascular Perspective
Understanding Your Echocardiogram: Key Insights on Heart Valve Issues
Echocardiogram Hello Doctor, last year I had an echocardiogram due to chest tightness. During my follow-up visit, the doctor mentioned that aside from the heart valve being somewhat elongated, there were no significant issues and no need for further monitoring. Recently, I checke...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral valve prolapse accompanied by mild mitral regurgitation and tricuspid regurgitation.[Read More] Understanding Your Echocardiogram: Key Insights on Heart Valve Issues
Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Follow-up question #191818 Inquiry Consultation Dear Dr. He, Thank you very much for your response and explanation in the inquiry consultation #191818. I have generally understood your points. I would like to ask you the following questions: Q1. Regarding the sudden "drop&...
Dr. He Dongjin Reply:
Hello, Q1: You may indeed be experiencing premature beats; however, it is also possible that it could be another cardiac issue, which is why an electrocardiogram (ECG) is needed for diagnosis. Q2: Based on your description, your condition may likely be premature beats. Q3: ...[Read More] Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Managing Side Effects After Heart Stent Placement: A Guide for Patients
Inquire about post-stent issues for father? Dear Doctor, My father (55 years old) underwent the placement of a drug-eluting stent due to LAD stenosis last December. Postoperatively, the doctor prescribed DAPT (aspirin + Plavix) along with propranolol to be taken daily. However, ...
Dr. He Dongjin Reply:
Hello, if the father is not experiencing an acute myocardial infarction, he can temporarily refrain from taking INDERAL and observe whether the symptoms resolve. If the symptoms disappear, it is likely a side effect of the medication, and he should stop taking it and discuss it w...[Read More] Managing Side Effects After Heart Stent Placement: A Guide for Patients
Understanding Occasional Heart Palpitations: Causes and Management
Inquiry Consultation Dear Dr. He, First of all, I wish you a Happy Lunar New Year! I would like to share that I have recently experienced occasional premature ventricular contractions (PVCs), where I feel a sudden "pause" in my chest accompanied by some palpitations. T...
Dr. He Dongjin Reply:
Hello, Q1 is difficult to say; it may require an electrocardiogram for confirmation. Q2, fatigue or anxiety and panic can more easily lead to autonomic nervous system dysregulation, which can trigger premature heartbeats. Q3, that's correct; subconscious anxiety and panic ca...[Read More] Understanding Occasional Heart Palpitations: Causes and Management
Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Exercise electrocardiogram Hello Doctor, I have recently experienced occasional palpitations. I underwent an echocardiogram and a 24-hour Holter monitor, both of which showed no significant abnormalities. I then arranged for a stress test, and the report is as follows. I would li...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) are positive. If you continue to experience symptoms of chest tightness or chest pain, please visit the outpatient clinic to discuss with your physician whether further testing is necessary.[Read More] Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Understanding Myocardial Perfusion Scans: Insights on Ischemia and Treatment Options
Echocardiogram Hello Dr. He, I previously inquired about the nuclear medicine report for the Tl-201 Myocardial Perfusion Scan: The patient has recently experienced chest tightness. A Tl-201 myocardial perfusion scan was performed with dipyridamole stress. Dipyridamole 0.57 mg/kg ...
Dr. He Dongjin Reply:
Hello, my suggestion is to manage your condition with medication. Changhua Hospital cares about you.[Read More] Understanding Myocardial Perfusion Scans: Insights on Ischemia and Treatment Options
Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Examination Report Hello Dr. Lee, this is my examination report. I would like to ask if it would be better to proceed with a cardiac catheterization. Thank you! TI-201 Myocardial Perfusion Scan: The patient has experienced recent chest tightness. A Tl-201 myocardial perfusion sc...
Dr. Li Han Reply:
Hello, based on your inquiry, the abnormal Tl-201 myocardial perfusion scan indicates suspected mild ischemic changes in the apical inferior wall and the basal anterior septal region, but myocardial contraction is normal and there are no other high-risk features. The nuclear medi...[Read More] Understanding Your Heart Health: Insights from Your Myocardial Perfusion Scan
Understanding Mitral Valve Insufficiency and Caffeine Sensitivity
Valvular insufficiency Doctor, I have a pre-existing condition of mitral valve prolapse, and usually I just feel fatigued and have a heavy sensation on the left side of my head, but it's manageable with rest. I was unaware that I shouldn't consume strong tea, and during...
Dr. Wu Xueming Reply:
Caffeine is not absorbed through the lungs.[Read More] Understanding Mitral Valve Insufficiency and Caffeine Sensitivity
Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension
Hypertensive heart disease and pulmonary hypertension? Hello: I have hypertension and recently experienced palpitations, fatigue, occasional chest tightness and pain, and difficulty breathing, which leads to easy tiredness. I visited a cardiologist (ultrasound + electrocardiogram...
Dr. Huang Yinghe Reply:
Hello: The symptoms mentioned are likely related to hypertension. If your blood pressure is usually high, your doctor will likely prescribe medication, so please take it as directed. It is recommended to actively control blood pressure to below 130/80 mmHg, as good blood pressure...[Read More] Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension
Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Examination report content? Hello, Director He. I would like to understand the following report. On December 26, I felt chest tightness and went to the emergency room, but the X-ray, electrocardiogram, and blood tests were all normal. Later, on January 10, I underwent the followi...
Dr. He Dongjin Reply:
Hello, regarding mild ischemia, my recommendation is to start with medication and observe. Changhua Hospital cares about you.[Read More] Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Understanding Your Myocardial Perfusion Scan Results: Key Insights
Examination Report Hello Dr. Wu, this is my examination report, and I would like to ask about the content of the report. Thank you! TI-201 Myocardial Perfusion Scan: The patient has been experiencing chest tightness recently. A Tl-201 myocardial perfusion scan was performed with...
Dr. Wu Xueming Reply:
The report indicates mild hypoxia in the apical inferior wall and the basal anterior septal wall.[Read More] Understanding Your Myocardial Perfusion Scan Results: Key Insights
Understanding Mild Stress-Induced Ischemia in Heart Perfusion Tests
Is the myocardial perfusion scan report normal? Thank you? Clinical history: Rule out coronary artery disease (CAD). Procedures: Following the intravenous injection of 2 mCi of Tl-201 chloride under stress conditions induced by Dipyridamole (0.56 mg/kg IV), stress SPECT imaging...
Dr. Huang Yinghe Reply:
Hello: The result indicates mild myocardial ischemia, which typically does not require special treatment. If you experience chest discomfort or shortness of breath, please return for a follow-up consultation with your physician.[Read More] Understanding Mild Stress-Induced Ischemia in Heart Perfusion Tests
Understanding Cardiovascular Health: Essential Tests and Concerns
Cardiovascular Health Consultation Hello, Doctor. Recently, during daily walking, climbing stairs, and exercising, or when I am emotionally agitated, I occasionally experience nausea, throat tightness, and chest discomfort. I also noticeably feel my heart racing, my body feels co...
Dr. He Dongjin Reply:
Hello, it seems that your grandfather has autonomic nervous system dysfunction and your sister has a different type of heart disease. If you want to understand your own cardiovascular condition, you might consider opting for a self-funded exercise stress test or a 24-hour Holter ...[Read More] Understanding Cardiovascular Health: Essential Tests and Concerns
Understanding Chest Pain and Palpitations: When to Seek Help
Chest pain and palpitations? Hello, doctor. I have read many articles and found several situations similar to mine, but none seem to fully capture my condition. Since these issues seem to be related to the heart, I decided to ask here. Since starting high school, I have been unde...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are primarily caused by autonomic nervous system dysregulation due to high stress. Given your age, unless there is a congenital heart condition, the likelihood of heart issues is quite low. However, the chances of discomfort due to stress ...[Read More] Understanding Chest Pain and Palpitations: When to Seek Help
Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Dizziness while showering, orthostatic hypotension, palpitations, and chest tightness? Hello doctor, I experienced severe menstrual cramps and abdominal pain on the first day of my period during high school. It came on suddenly, and while walking, I suddenly felt faint and had to...
Dr. Wu Xueming Reply:
Based on your description, it seems more like postural hypotension. Please slow down when changing positions and increase your fluid intake.[Read More] Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Understanding Sudden Chest Discomfort and Breathing Issues: When to Seek Help
Chest tightness, difficulty breathing, and feeling faint? In December 2022, while driving, I suddenly felt a heaviness in my epigastric area and then started to feel dizzy. I didn't experience vertigo, but I felt like I couldn't get enough air and was about to faint. I ...
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 daily routine and engage in regular exercise. However, if symptoms persist, it is recommen...[Read More] Understanding Sudden Chest Discomfort and Breathing Issues: When to Seek Help