Understanding Ectopic Atrial Rhythm: Should You See a Doctor?
Questions about static electrocardiograms? Hello, doctor! Previously, I experienced chest pain during emotional fluctuations, and sometimes I felt a strong awareness of my heartbeat. I went for a health check-up because I needed to get vaccinated. The electrocardiogram report men...
Dr. Wu Xueming Reply:
Atrial ectopic rhythm does not require any treatment; however, if you experience uncomfortable symptoms, it is still recommended to visit a cardiology clinic for further evaluation.[Read More] Understanding Ectopic Atrial Rhythm: Should You See a Doctor?
Understanding Left Shoulder and Chest Pain: When to Seek Medical Attention
Sharp pain below the left clavicle and in the left upper back near the scapula? Hello Doctor, I have recently noticed intermittent sharp pain on the inner side of my left upper arm, extending to the left side of my chest and the upper back near the scapula. The pain comes and goe...
Dr. Li Han Reply:
Hello, if your symptoms are triggered or worsened by traction movements or joint activities of the left upper back - scapula, it may be caused by muscle or fascia issues. If your symptoms worsen with activity or exercise and then improve with rest, it is recommended that you seek...[Read More] Understanding Left Shoulder and Chest Pain: When to Seek Medical Attention
Understanding Palpitations: When to Seek Medical Attention
Feeling a strong heartbeat for several beats? I have been experiencing a heavy heartbeat for a long time. My mother told me it was palpitations and not to worry too much, so I didn't pay much attention to it. One day, after noticing that I had palpitations all day, I went to...
Dr. Cai Guiqin Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Palpitations: When to Seek Medical Attention
Understanding Persistent Fatigue and Palpitations After Vaccination: When to See a Cardiologist
Drowsiness, palpitations, and fatigue are symptoms that can indicate various medical conditions. These may include anemia, thyroid disorders, anxiety, or cardiovascular issues. It is important to consult a healthcare professional for a proper diagnosis and treatment plan? I recen...
Dr. Wu Xueming Reply:
Please drink plenty of water and get plenty of rest. If symptoms do not improve, please go to the hospital for further evaluation.[Read More] Understanding Persistent Fatigue and Palpitations After Vaccination: When to See a Cardiologist
Distinguishing Between Stress Symptoms and Myocarditis After COVID Vaccine
Questions about the side effects of the COVID-19 vaccine? Hello, Doctor. I am scheduled to receive the BNT vaccine tomorrow, but recently I have been experiencing palpitations and chest tightness, possibly due to my schedule and academic pressure. I also noticed that myocarditis,...
Dr. Wu Xueming Reply:
Symptoms of myocarditis typically include severe shortness of breath and chest pain, which may progressively worsen. If such symptoms occur, it is important to seek medical attention at a hospital as soon as possible.[Read More] Distinguishing Between Stress Symptoms and Myocarditis After COVID Vaccine
Post-Vaccine Chest Tightness and Palpitations: When to Seek Help?
After receiving the vaccine, I experience chest tightness and shortness of breath while walking, along with occasional palpitations? Hello doctor, I just received the BNT vaccine on September 24th. Two hours later, I experienced shortness of breath while brisk walking, along with...
Dr. Wu Xueming Reply:
If symptoms persist and do not improve, it is recommended to go to the hospital for further evaluation.[Read More] Post-Vaccine Chest Tightness and Palpitations: When to Seek Help?
Unexplained Chest Pain After Drug-Eluting Stent: A Sleep Disruption Dilemma
Unexplained chest pain after the completion of a drug-eluting stent procedure, leading to an inability to sleep? The patient is a 55-year-old female who, two months after undergoing coronary catheterization with drug-eluting stent placement, continues to experience unexplained ch...
Dr. Li Han Reply:
Hello, there are many causes of chest pain. The responsibility of a cardiologist is to identify potentially life-threatening chest pain. This may involve evaluating symptoms or utilizing diagnostic tools such as electrocardiograms, X-rays, stress tests, ultrasounds, or advanced i...[Read More] Unexplained Chest Pain After Drug-Eluting Stent: A Sleep Disruption Dilemma
Understanding Premature Heartbeats: Causes, Symptoms, and Management Tips
Consultation for Premature Contractions (Premature Beats) Dear Dr. He, I experienced another episode of suspected premature beats this evening (September 22). Over the past month or two, I have accumulated about five instances of what I believe to be premature beats, each charac...
Dr. He Dongjin Reply:
Premature beats caused by organic lesions often occur more frequently during exercise or physical exertion, while premature beats not associated with organic lesions tend to occur more frequently at rest. I disagree with this statement; cardiac examinations show no significant ab...[Read More] Understanding Premature Heartbeats: Causes, Symptoms, and Management Tips
Managing Heart Rhythm Issues: Concerns with KanKen and Persistent Cough
Currently taking half a tablet of Kankin 5mg and half a tablet of Xinsuping once a day? I recently sought medical attention for arrhythmia and am currently taking 5 mg of Concor (bisoprolol) half a tablet and half a tablet of Xinsheping (a medication for anxiety) every morning. I...
Dr. Wu Xueming Reply:
Your cough symptoms should not be directly related to the medications you are currently taking. It is recommended that you visit a hospital for further evaluation.[Read More] Managing Heart Rhythm Issues: Concerns with KanKen and Persistent Cough
Understanding Shortness of Breath: Heart and Vascular Concerns
Difficulty breathing Recently, I have been experiencing the need to take deep breaths and yawn throughout the day. I feel like I can only breathe properly after taking deep breaths, and my chest often feels tight and constricted. Sometimes, I also experience palpitations and a se...
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 intake of caffeinated beverages. It is advisable ...[Read More] Understanding Shortness of Breath: Heart and Vascular Concerns
Understanding Borderline Abnormalities in Exercise ECG Tests
Exercise Electrocardiogram Critical Abnormalities Patient Name: LIU Y.N DOB: 1981/09/18 Patient ID: 22188275-81361 Age: 39 yrs Height: 157 cm Gender: FEMALE Weight: 63 kg Race: Study Date: 2021/09/14 Referring Physician: D48997 Test Type: -- Attending Physic...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Borderline Abnormalities in Exercise ECG Tests
Understanding Rapid Heartbeat: When to Seek Medical Advice
Rapid heartbeat Hello, doctor. Recently, I have been experiencing a sensation of my heart pounding occasionally, but when measured, my heart rate is always between 80-100 beats per minute. After resting for a while, it gradually improves. Occasionally, I have difficulty falling a...
Dr. He Dongjin Reply:
Hello, a heart rate of 80-100 is still within the normal range. What you are experiencing as palpitations may be caused by autonomic nervous system dysregulation. You can monitor your symptoms, and if you continue to feel unwell or are concerned, you can visit a cardiology clinic...[Read More] Understanding Rapid Heartbeat: When to Seek Medical Advice
Understanding Heart Palpitations: Causes and When to Seek Help
A sudden thump in the chest? Dear Dr. He, Hello. In the past two weeks, I have experienced a noticeable sensation of a "thump" in my chest, occurring approximately four times. This happens while I am in a stationary position (standing, sitting, or lying down) and not d...
Dr. He Dongjin Reply:
Hello, it sounds like there is a higher likelihood of premature ventricular contractions (PVCs). Any discomfort, including stomach pain or mouth ulcers, could potentially trigger the occurrence of PVCs. As age increases, the likelihood of experiencing PVCs may also rise. If you f...[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Understanding Occasional Chest Pain: When to Worry About Heart Issues
Occasional mild chest pain? Hello Doctor, I would like to ask a question. Recently, I went to a large hospital for a cardiac ultrasound and blood tests for hypertension, diabetes, and hyperlipidemia, and there were no significant issues. However, I still occasionally experience c...
Dr. He Dongjin Reply:
Hello, if you frequently experience chest tightness and pain on the left side, along with tightness and pain in the left shoulder and neck, it is most commonly related to muscular or neurological issues. In modern times, many people who spend a lot of time looking down may have s...[Read More] Understanding Occasional Chest Pain: When to Worry About Heart Issues
Understanding Exercise ECG Results: What to Expect After Testing
Exercise Electrocardiogram Interpretation Hello, I have an issue with arrhythmia. Recently, I fainted suddenly, so I underwent an exercise electrocardiogram and blood tests. Aside from a cholesterol level of 190 and a fasting blood glucose level of 101, there don't seem to b...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram need to be interpreted in conjunction with clinical symptoms indicative of cardiovascular disease, and the positive predictive value is approximately 60 to 70 percent. Therefore, additional tests are still required to determine if you...[Read More] Understanding Exercise ECG Results: What to Expect After Testing
Understanding Frequent Chest Pain in Teens with Mitral Valve Prolapse
Chest pain? Hello Doctor, I would like to ask about my daughter. She is 17 years old and has been experiencing occasional sharp pains in her left chest. Two years ago, she was diagnosed with mitral valve prolapse, and the doctor indicated that there were no significant issues and...
Dr. Wu Xueming Reply:
Mitral valve prolapse typically does not cause such troubling symptoms. 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 enga...[Read More] Understanding Frequent Chest Pain in Teens with Mitral Valve Prolapse
Understanding Heart Palpitations: Are They Related to Gastroesophageal Issues?
Is it a missed shot or a gastroesophageal issue? Hello Director He, I am writing on behalf of a friend and would greatly appreciate your guidance. The patient had a stent placed in 2013. 1. They occasionally experience missed beats, which can vary in severity and may last inte...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing discomfort related to premature ventricular contractions (PVCs). Feeling full after a meal or discomfort in any part of the body can potentially trigger PVCs, including gastroesophageal reflux disease (GERD). The discomfort is often felt...[Read More] Understanding Heart Palpitations: Are They Related to Gastroesophageal Issues?
Understanding Your ECG Report: What You Need to Know About Heart Health
Electrocardiogram Report Consultation Hello Director He, Recently, I went to the hospital for examinations due to chest tightness and palpitations. During the electrocardiogram (ECG), I overheard the nurse mentioning that there was a bit of an issue. Later, I asked the attending...
Dr. He Dongjin Reply:
Hello, everything is normal. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Your ECG Report: What You Need to Know About Heart Health
Should You Continue Taking Medications for Heart Failure After Vaccination?
Should heart failure medications be continued? After receiving the Moderna vaccine, on the fourth day, I experienced irregular heartbeats and shortness of breath. The doctor prescribed Kankun 1.25 mg and Erispan 0.25 mg. I also take Crestor 10 mg daily. I have undergone a resting...
Dr. Wu Xueming Reply:
If blood pressure is not elevated, it is recommended to discontinue the use of Concor and discuss this with the prescribing physician during an outpatient visit.[Read More] Should You Continue Taking Medications for Heart Failure After Vaccination?
Managing High Blood Pressure: Understanding Medication and Heart Health Concerns
Hypertension medication issues? Due to issues with benign prostatic hyperplasia, I visited a urologist and discovered my blood pressure was over 180/112. This led me to consult a cardiologist for hypertension. I have been smoking for over 30 years and started feeling anxious at t...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Managing High Blood Pressure: Understanding Medication and Heart Health Concerns