Understanding Panic Disorder and Health Anxiety in Cardiac Patients
Panic disorder? Hypochondriasis? Hello, Director He. I had a stent placed twelve years ago, and all follow-up examinations (including carotid ultrasounds) have shown no significant issues as long as I take my medication regularly, regardless of any other discomfort I experienced ...
Dr. He Dongjin Reply:
Hello, panic disorder caused by autonomic nervous system dysfunction can be managed with medication. Don't worry. Changhua Hospital cares about you.[Read More] Understanding Panic Disorder and Health Anxiety in Cardiac Patients
Understanding VPC Couplet: Risks and Management After Heart Procedures
7-Day Cardiac Monitor Hello, Doctor. I underwent radiofrequency ablation for PSVT in January of this year. The 24-hour ECG after the procedure showed: Sinus rhythm. Rare sinus bradycardia at midnight. One PVC. No significant tachyarrhythmia or long pauses. After the ablation, I o...
Dr. He Dongjin Reply:
Hello, one pair of VPC couplets occurred only once, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding VPC Couplet: Risks and Management After Heart Procedures
Understanding Heart Palpitations: Risks and Effects on Heart Function
Heart skip beats? Recently, I have been experiencing a very high frequency of missed beats, averaging about one missed beat every four beats, accompanied by chest pain. I would like to know if this is dangerous and whether it will affect heart function.
Dr. He Dongjin Reply:
Hello, it is recommended to have a thorough examination at the cardiology outpatient clinic before discussing any potential risks and whether it may affect heart function. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Risks and Effects on Heart Function
Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide
Regarding heart discomfort and issues related to the face and head? Hello, Doctor. A year and a half ago, I experienced numbness in my chest, sharp pain in my jaw, pain in my left shoulder and left arm, and severe wrist pain in my left hand. Subsequently, I developed numbness on ...
Dr. He Dongjin Reply:
Hello, the reports are all good, and the symptoms do not seem to indicate a heart problem. It may be worth considering cervical spine issues or autonomic nervous system disorders. It would be advisable to follow up with a neurologist. Changhua Hospital cares about your well-being...[Read More] Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide
Understanding Mild Tricuspid Regurgitation: Key Insights from Your Echocardiogram
Echocardiogram Report Hello, Doctor: Recently, I experienced chest tightness and felt like I couldn't breathe. I sought medical attention and underwent a cardiac ultrasound examination. The results are as follows, with mention of Mild Tricuspid Regurgitation (TR). I would li...
Dr. Wu Xueming Reply:
The report indicates that the heart structure and contractile function are normal, with only mild tricuspid regurgitation.[Read More] Understanding Mild Tricuspid Regurgitation: Key Insights from Your Echocardiogram
Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health
Poor R-wave progression Hello Doctor: I recently had a physical examination, and the electrocardiogram (ECG) report showed: sinus arrhythmia, poor R-wave progression, and counterclockwise rotation of the heart axis. The ECG was performed right after I had my blood drawn, and I fe...
Dr. Huang Yinghe Reply:
Hello: The results of this electrocardiogram indicate a slight deviation in the electrical conduction of the heart, which does not necessarily indicate any disease and may not affect heart function. However, if you experience persistent dizziness, chest discomfort, or other sympt...[Read More] Understanding Poor R Wave Transition in ECG: What It Means for Your Heart Health
Understanding Your Heart CT Report: What Does It Mean for Your Health?
Cardiac CT Report Hello Dr. Lee, I underwent a cardiac multi-slice computed tomography (CT) coronary angiography at the hospital, and the final summary report states: impression: partially calcified plaques at the left anterior descending artery (LAD) with mild stenosis. No signi...
Dr. Li Han Reply:
Hello, regarding your inquiry, "There are calcified plaques in the proximal left anterior descending artery, but no significant stenosis," this can be interpreted as a current state of luminal narrowing that does not pose a limitation to blood flow and will not cause my...[Read More] Understanding Your Heart CT Report: What Does It Mean for Your Health?
Understanding Heart Health: Insights from Recent Cardiac Tests
Examination Report Due to chest pain a few months ago, I underwent a Doppler echocardiogram and a stress electrocardiogram at the hospital this month. The doctor mentioned that there is arrhythmia and mild mitral regurgitation. They suggested that I consider paying out of pocket ...
Dr. He Dongjin Reply:
Hello, the information you provided is normal. As for why a cardiac CT needs to be self-paid, I'm not sure. It would be best to discuss his thoughts with the physician. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Insights from Recent Cardiac Tests
Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Chest tightness, chest pain, back pain, and limb weakness? Hello, starting from the end of February, I have been experiencing persistent chest tightness, dizziness, weakness in my limbs, left chest and back pain, shortness of breath, and fatigue. After seeking medical attention, ...
Dr. Wu Xueming Reply:
The echocardiogram and 24-hour Holter monitor did not show any significant abnormalities. If the chest discomfort persists, it is recommended to consult a physician in the outpatient clinic to see if an exercise stress test can be arranged.[Read More] Understanding Chest Pain, Weakness, and Heart Health: Key Insights
Understanding Chest Pain: Muscle Strain or Heart Issues?
Chest pain and tightness? Hello Doctor, today while sitting, I suddenly felt an itch on my back (the clothing label was bothering me). When I reached back with my left hand to scratch my back, I felt a sharp pain halfway through, as if I had twisted something. This isn't the...
Dr. Li Han Reply:
Hello, based on your description, it is most likely non-cardiac pain, so there is no need for excessive concern! Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Chest Pain: Muscle Strain or Heart Issues?
Chest Discomfort When Lying Down: Heart or Lung Issues?
Experiencing chest tightness when lying down? Experiencing chest tightness or pain while lying down, particularly in the middle and slightly to the left, along with some difficulty breathing, could indicate a potential cardiac issue or a problem related to the thoracic cavity. Wh...
Dr. Cai Guiqin Reply:
Hello! It is recommended to seek medical consultation. Wishing you good health![Read More] Chest Discomfort When Lying Down: Heart or Lung Issues?
Understanding Sudden Heart Rate Changes: Causes and Concerns
Heart rate issues Hello, doctor. My usual heart rate measured by my watch is between 80-90 beats per minute, but today it suddenly dropped to around 67, and I feel a tightness in my chest along with awareness of my heartbeat. Could you please explain why my heart rate might have ...
Dr. Chen Jili Reply:
We recommend you seek medical consultation. Wishing you good health. Thank you![Read More] Understanding Sudden Heart Rate Changes: Causes and Concerns
Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...
Dr. He Dongjin Reply:
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Understanding Chest Discomfort: When to Worry About Heart Symptoms
Chest tightness, chest pain, palpitations? Hello, Doctor. I usually experience chest tightness and discomfort in my heart. It's not very severe pain, but it does affect my daily life to some extent. The frequency is not consistent; I don't feel pain continuously for 24 ...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Chest Discomfort: When to Worry About Heart Symptoms
Understanding Anemia: Analyzing Blood Test Results and Heart Health
Anemia blood test hemoglobin? Hello Doctor, here are my blood test results. There are several abnormal values; could you please help analyze them? I would like to ask if I have a specific type of anemia. Does this indicate iron deficiency anemia? What should I pay attention to? ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any significant arrhythmias; mild mitral valve prolapse is not likely to cause chest tightness or pain. The issue of anemia should be addressed with a hematologist.[Read More] Understanding Anemia: Analyzing Blood Test Results and Heart Health
Understanding Recent Back and Chest Pain: Is It Heart-Related?
Recent frequent back pain and sharp pain near the heart on the left side of the chest? Hello Doctor: I am 175 cm tall and weigh 70 kg. About a month ago, I first experienced pain in the area of my back near the spine. A week later, I started having chest pain and difficulty breat...
Dr. He Dongjin Reply:
Hello, it sounds more like a neuromuscular issue leading to autonomic nervous system dysfunction rather than being related to heart disease. Please start with some stretching and flexibility exercises, and monitor your condition. If you still feel unwell, consider visiting a card...[Read More] Understanding Recent Back and Chest Pain: Is It Heart-Related?
Understanding Myocardial Perfusion Imaging Results for Heart Health
Myocardial perfusion scan report issues? Hello Dr. Wu, I would like to consult you regarding my father's heart examination (76 years old). He needs to rest after walking 200 meters and feels weak when opening a bottle cap. The myocardial perfusion imaging report is as follow...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows normal results with no signs of hypoxia, indicating that normal exercise is permissible.[Read More] Understanding Myocardial Perfusion Imaging Results for Heart Health
Understanding Myocardial Ischemia: When to Consider Angiography?
Myocardial hypoxia Hello Doctor, I occasionally experience chest tightness and chest pain. I arranged for an exercise electrocardiogram, and the report is as follows: METs: 10.80, HR: 101%, ST change during exercise stage 4, 9:33. Flat ST depression at II (-2.90), III (-2.20), aV...
Dr. Wu Xueming Reply:
If symptoms can be improved under medication control, it may not be necessary to perform a cardiac catheterization.[Read More] Understanding Myocardial Ischemia: When to Consider Angiography?
Understanding Positive Exercise ECG Results: What You Need to Know
The exercise electrocardiogram is positive? Previously, the resting electrocardiogram (ECG) was normal. In early April, during a health check-up, a flat T wave was observed, prompting a referral for a treadmill exercise test. Based on the report dated April 23, 2024, the findings...
Dr. Wu Xueming Reply:
A positive exercise electrocardiogram (ECG) may indicate the possibility of coronary artery disease. If you have risk factors for heart disease, such as diabetes, hypertension, smoking, etc., along with typical symptoms of chest discomfort, it is recommended to consult with a phy...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Understanding Sudden Heart Discomfort: Insights from a Cardiologist
I experienced a sudden strong sensation in my heart; I would like to consult a physician for their opinion? Hello Doctor, I am a university student with no history of heart disease or relevant family history. I have a habit of staying up late and experience symptoms of anxiety. T...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Sudden Heart Discomfort: Insights from a Cardiologist