Chest, Cardiology FAQ

Understanding Chest Tightness and Breathing Issues: When to See a Cardiologist

Chest tightness and breathing difficulties? Hello, doctor. I have mild blockage in my carotid artery, and a CT scan of my abdomen shows some calcifications in my arteries and heart. I sometimes experience chest tightness and shortness of breath, especially with even slight exerti...

Dr. He Dongjin Reply:
Hello, it is recommended that you come to the cardiology department for further examination. Changhua Hospital cares about you.

Understanding Your Echocardiogram Results: What They Mean for Heart Health

I would like to ask if there are any issues with the echocardiogram? Recently, I have been experiencing sharp pain and tightness in my chest. I went to the hospital for an examination, but the follow-up appointment is taking longer. The report has come out, and I would like to kn...

Dr. Cai Guiqin Reply:
We recommend that you first discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health!

Understanding Symptoms: Is It Muscle-Nerve Issues or Mitral Valve Prolapse?

#185281 Additional Questions and Symptoms First of all, thank you very much for your response, Doctor. I have a few questions regarding your reply. First, can symptoms help determine whether the issue is related to a neuromuscular problem or is caused by mitral valve prolapse? Se...

Dr. He Dongjin Reply:
Hello, first, it is not possible to determine solely from symptoms whether the issue is related to a neuromuscular problem or caused by mitral valve prolapse. Second, mitral valve prolapse is often congenital but may not always present with symptoms. Symptoms can arise due to aut...

Understanding Echocardiogram Results: Mitral Valve Insufficiency Insights

Echocardiogram report and mitral valve regurgitation? Hello Doctor, I have been experiencing recurrent chest pain over the past two years. I have received treatment at the clinic for some time, but the episodes continue to occur. The doctor mentioned that I am experiencing angina...

Dr. Wu Xueming Reply:
The report indicates that everything is normal except for mild tricuspid regurgitation.

Understanding Chest Discomfort and Fatigue: When to Seek Cardiology Help

Physical discomfort? Hello, doctor. I have a low body weight (BMI 14) and a relatively large appetite. My heart rate is somewhat elevated (around 100 beats per minute). I have undergone echocardiograms and thyroid-related tests at a major hospital, and all reports were normal. Ho...

Dr. Wu Xueming Reply:
It is recommended to consult a psychosomatic medicine specialist.

Electrophysiology vs. Medication: Weighing Risks for Heart Health

Electrocautery or Medication (Part 2) Thank you, Doctor, for your response. I would like to ask again: 1. You previously mentioned the risks associated with electrocautery to other patients. Given my situation (where my medication effects are inconsistent), do you think it is wor...

Dr. He Dongjin Reply:
Hello, regarding the issue of mitral and tricuspid valve prolapse, scheduling an echocardiogram can help determine if it's worth the risk to try. It's important to note that pain while sleeping and discomfort in the left lower back may not necessarily be caused by arrhy...

Understanding Rapid Heartbeat: Causes and Concerns for Hypertension Patients

Rapid heartbeat Hello, Doctor! I have hypertension, and when I wasn't on medication, I often experienced episodes of rapid heartbeat. However, since starting medication, my blood pressure has been controlled around 120/80 or lower, and I hadn't had any rapid heartbeat e...

Dr. He Dongjin Reply:
Hello, the echocardiogram report did not show any significant abnormalities. It is possible that some symptoms may be caused by autonomic nervous system dysfunction. If you continue to feel unwell, medication can be used for management. Changhua Hospital cares about your well-bei...

Understanding Premature Beats: Causes and Symptoms Explained

Regarding premature beats? Dear Dr. He, I have some questions regarding premature beats: Q1. Sometimes when I lean on my left side on the sofa, I occasionally experience premature beats. Could this phenomenon be triggered by the "posture" of leaning to the left, or is...

Dr. He Dongjin Reply:
Hello, the relationship between posture and palpitations is not necessarily direct. It's not that posture induces premature beats; rather, when leaning to the left side, the heart is closer to the chest wall, making it easier for individuals to feel these beats. Additionally...

Understanding Left Chest Pain: When to Seek Further Medical Evaluation

Left chest pain? Hello Doctor, I have been experiencing pain in my left chest since last week. The pain comes and goes, but it does not improve or worsen with breathing or lying down. When I am not in pain, everything feels normal, but when the pain occurs, it is very noticeable ...

Dr. He Dongjin Reply:
Hello, it could possibly be a neuromuscular issue or mitral valve prolapse. It is advisable to monitor the situation, and if symptoms worsen, please visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.

Managing Blood Pressure Fluctuations After Heart Procedures: A Patient's Journey

Hypertension and Blood Pressure Instability Hello, Doctor. In May 2015, I was diagnosed with coronary artery sclerosis. In July and October 2020, I underwent catheter ablation procedures for atrial flutter and atrial fibrillation, respectively. Currently, I am taking the followin...

Dr. Huang Yinghe Reply:
Hello: Electrophysiological procedures primarily affect the electrical conduction pathways within the heart, and blood pressure is generally not impacted or may be better controlled due to the improvement of post-operative arrhythmias. Blood pressure can fluctuate due to environm...

Can I Take Concor and Propranolol Together? Heart Medication Concerns Explained

Questions about cardiac medications? Can Concor (bisoprolol) 1.25 mg and propranolol 10 mg be taken together? I was originally taking propranolol, but my doctor switched me to Concor extended-release. After taking it for two days, I felt chest tightness. Can I switch back to what...

Dr. Wu Xueming Reply:
Both medications are beta-adrenergic blockers and are not recommended for concurrent use, although their mechanisms of action differ slightly. If used together, please be aware that heart rate may become excessively slow.

Understanding Heart Issues: Symptoms, Diagnosis, and Treatment Options

Cardiac issues Hello doctor, I previously experienced arrhythmia and underwent examinations at a major hospital, including blood tests, X-rays, electrocardiograms, a 24-hour Holter monitor, and echocardiography. All results were normal. The doctor mentioned I have mild mitral val...

Dr. Li Han Reply:
Hello, regarding your inquiry, beta-blockers are a type of sympatholytic agent. Generally, they are not suitable for individuals who are allergic to this medication, have asthma, or experience bradycardia. Overall, they are considered quite safe. Although you described multiple s...

Which Specialist to See for Left Upper Back Pain and Arm Numbness?

You should see a specialist in neurology or orthopedics for left upper back pain accompanied by hand numbness and a sensation of vascular pain in the arm? In the past two to three days, I have experienced a painful sensation in my left upper arm that feels like vascular pain (it ...

Dr. He Dongjin Reply:
Hello, it is recommended to see a neurologist. Changhua Hospital cares about you.

Can Eating Sweets Cause Heart Pain? Understanding Your Symptoms

Experiencing discomfort in the heart after consuming sweets? Hello Doctor, I have been experiencing a lot of stress lately, which has led to autonomic nervous system dysfunction and gastrointestinal discomfort. A few days ago, after eating chocolate-filled cookies, I felt stomach...

Dr. Li Han Reply:
Hello, regarding your inquiry, chest pain related to eating should primarily be considered in relation to gastrointestinal issues. However, if it is specifically associated with sweet foods, the reason is unclear. It is advisable to stay calm, as it is likely not a dangerous phys...

Understanding Heart Health: Symptoms and When to Seek Medical Advice

Medical consultation Hello, doctor! I often experience pale lips, occasional chest tightness and pain, and I have woken up suddenly while sleeping due to a sensation of my heart skipping beats and difficulty breathing. My heart rate is quite fast, often around 145 beats per minut...

Dr. He Dongjin Reply:
Hello, it is recommended to visit the outpatient clinic for an examination to understand what the issue is. Knowing the problem is essential to determine whether it may worsen. Ping An Changhua Hospital cares about you.

Understanding Echocardiogram Results: When to Seek a Second Opinion

Echocardiogram Hello Doctor: This is the echocardiogram M-MODE data I had a year ago before undergoing cardiac ablation surgery: M-MODE DATA: - Aortic Valve Opening (mm): (15-26) - Interventricular Septum (mm): 8 (6-10) - Aortic Root (mm): 22 (20-39) - Left Ventricular Post...

Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician to determine if additional treatment is necessary. Thank you, and we wish you good health!

Sudden Heart Racing During Naptime: Should You Be Concerned?

During my lunch break, I felt a sudden increase in my heart rate while sleeping on my side? Hello, Doctor. I consulted you a while ago regarding my VPC issues. A few days ago, I had a second Holter monitor test, and the results were completely normal with no issues related to VPC...

Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to occasionally experience some physical discomfort. Abnormal heartbeats such as VPCs (ventricular premature contractions) may occur more or less frequently, but they do not necessarily lead to organ damage or an increased risk of sudd...

Understanding Tricuspid Valve Insufficiency After Heart Procedures

Tricuspid valve insufficiency? Hello, doctor: Last July, I underwent catheter ablation for paroxysmal supraventricular tachycardia, and the procedure was successful. At that time, a cardiac ultrasound was performed, and everything was normal. Although this past year, my heart rat...

Dr. He Dongjin Reply:
Hello, the cause of tricuspid valve insufficiency is unknown, so let's just monitor it. As for whether to take medication, it's up to you; if you feel more comfortable taking it, then go ahead. Otherwise, simple observation should suffice. I believe the medication is in...

Understanding Aortic Regurgitation: Medication, Symptoms, and Treatment Options

Aortic regurgitation You have been diagnosed with moderate aortic regurgitation (AR) for about 5-6 years and have generally adhered to your medication regimen as prescribed. However, you occasionally experience mild chest discomfort and pain, and have been advised against receivi...

Dr. He Dongjin Reply:
Hello, the medication is for mild coronary artery stenosis and high cholesterol issues. Aortic regurgitation is generally monitored, as there are currently no effective treatment medications. Sarcopenia and aortic regurgitation are not directly related. I'm not sure how smal...

Post-Exercise Chest Tightness and Rapid Heartbeat: Understanding Arrhythmia

Chest tightness and rapid heartbeat after exercise? Recently, after wearing a mask while playing basketball, I started to feel chest tightness. Later, I went to a cardiologist for an exercise electrocardiogram and found that I had arrhythmia. Subsequently, I underwent a 24-hour H...

Dr. Wu Xueming Reply:
The report does not mention the phenomenon of ventricular tachycardia. If symptoms persist, it is recommended to visit a hospital for further detailed examinations.

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