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?
Chest Discomfort After COVID Vaccine: When to Seek Medical Attention?
Chest tightness after receiving the COVID-19 vaccine? Today, about three hours after receiving the fourth dose of the Moderna vaccine, I started experiencing a dull pain in the left side of my chest and in the center of my chest. The pain is not severe, but it comes and goes. I h...
Dr. Wu Xueming Reply:
If symptoms persist without improvement, it is recommended to visit a hospital for further evaluation.[Read More] Chest Discomfort After COVID Vaccine: When to Seek Medical Attention?
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 Atherosclerotic Calcification: What It Means for Your Health
Chest X-ray examination shows arteriosclerosis (calcification)? Dear Doctor, I have been undergoing monthly chest X-ray examinations since July this year due to my myasthenia gravis and malignant thymoma. According to the information from the National Health Insurance app, the X...
Dr. Huang Yinghe Reply:
Hello: The examination results indicate aortic sclerosis, which is associated with age and high blood cholesterol levels. The treatment approach may vary depending on the specific circumstances, so it is recommended that you visit a cardiology outpatient clinic for a comprehensiv...[Read More] Understanding Atherosclerotic Calcification: What It Means for Your Health
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 Irregular Chest Pain: Causes and When to Seek Help
Recent episodes of irregular chest pain? Hello Doctor, I am 19 years old. During my university entrance health check last year, I did not have any issues related to hypertension, diabetes, or hyperlipidemia, but I was diagnosed with Mediterranean anemia. Recently, I have been exp...
Dr. He Dongjin Reply:
Hello, at this age, the likelihood of heart issues is very low. It is more likely to be caused by poor posture leading to musculoskeletal or nerve problems, or possibly mitral valve prolapse, which is usually not related to the heart. The pain in the upper left side of the body i...[Read More] Understanding Irregular Chest Pain: Causes and When to Seek Help
Do I Need a Cardiac Catheterization After Abnormal Stress Test Results?
Cardiac catheterization Hello, I am 64 years old and have always been healthy. I engage in plenty of exercise, both in the mountains and at sea, maintain a balanced diet, and have no history of wheezing or chest pain. My blood pressure is normal, below 130, and my biochemical tes...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wish you good health![Read More] Do I Need a Cardiac Catheterization After Abnormal Stress Test Results?
Understanding Chest Pain and Fainting After Stretching: A Cardiovascular Perspective
Experiencing chest and abdominal pain while stretching, followed by sudden fainting? Hello Doctor: A few days ago, while I was sitting at home and stretching, I suddenly experienced severe pain in my diaphragm, followed by difficulty breathing (I struggled to take deep breaths an...
Dr. Wu Xueming Reply:
Your symptoms are not related to heart disease.[Read More] Understanding Chest Pain and Fainting After Stretching: A Cardiovascular Perspective
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 Mitral Valve Regurgitation and Chest Pain Concerns
Cardiac issues Hello Doctor, I would like to ask about something. Two weeks ago, I underwent an electrocardiogram, echocardiogram, and blood tests due to concerns about heart issues. The results showed no major problems, only a slight mitral valve regurgitation. However, in the p...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wishing you go...[Read More] Understanding Mitral Valve Regurgitation and Chest Pain Concerns
Understanding Complications After Stent Placement: Risks and Recovery
Emergency Management During Stent Placement and Re-occlusion Dear Dr. Huang, On the morning of August 20, I thought I was experiencing gastroesophageal reflux and went to the emergency department of a municipal hospital. However, the electrocardiogram and blood test results indi...
Dr. Huang Yinghe Reply:
Hello Mr. Chen: Recent studies indicate that at least one-third of patients with acute myocardial infarction die before reaching the hospital. Among those who survive to receive treatment, the mortality rate within a year due to various complications of the disease remains at 5-1...[Read More] Understanding Complications After Stent Placement: Risks and Recovery