Understanding Heart Check-Up Concerns: When to Seek Further Testing?
Cardiac examination issues? Hello Doctor: Recently, I experienced sharp pain in my heart and left shoulder, so I underwent an echocardiogram, X-ray, and electrocardiogram. The doctor said there were no significant issues, but I still occasionally feel discomfort or pain in my hea...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of heart disease is low, and the tingling sensation is not a typical symptom of cardiovascular disease. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patt...[Read More] Understanding Heart Check-Up Concerns: When to Seek Further Testing?
Understanding Myocardial Perfusion Imaging: Safety and Considerations
Myocardial perfusion imaging Hello Doctor: Recently, my blood pressure has been elevated, around the 130s/90s. I experience numbness in my left hand when I get angry, and sometimes I have chest pain when climbing stairs or feeling anxious. I went to see a doctor, and they arrange...
Dr. Wu Xueming Reply:
The radiotracer used in myocardial perfusion imaging is Tc-99m (Technetium-99m methylene diphosphonate), which has a radiation dose of approximately 11 millisieverts, roughly three times the amount of radiation a person receives in a year. However, this dose is considered safe an...[Read More] Understanding Myocardial Perfusion Imaging: Safety and Considerations
Understanding Heart Pain: Is It Related to Mitral Valve Prolapse?
Chest pain Hello Doctor, a few years ago I saw a cardiologist who told me that I have mild mitral valve prolapse. Recently, I have been experiencing intermittent sharp chest pain, which is also accompanied by back pain. However, after undergoing an electrocardiogram and echocardi...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low, and mitral valve prolapse does not cause these symptoms. Many factors in life can contribute to this situation, such as emotions, stress, irregular routines, or excessive inta...[Read More] Understanding Heart Pain: Is It Related to Mitral Valve Prolapse?
Understanding Heart Pain: Is It Related to Mitral Valve Prolapse?
Cardiac pain Hello Doctor, a few years ago I saw a cardiologist who told me that I have mild mitral valve prolapse. Recently, I've been experiencing intermittent sharp chest pain that sometimes radiates to my back. Although I had an electrocardiogram and echocardiogram done,...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, the risk of developing heart disease is low, and the pain you are experiencing is not typical of angina. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or ...[Read More] Understanding Heart Pain: Is It Related to Mitral Valve Prolapse?
Understanding Chest Pain During Exercise: What You Need to Know
Chest pain during exercise? Hello doctor, I am currently 17 years old, 165 cm tall, and weigh 74 kg. There is no history of heart disease in my family. Yesterday, while doing spinning exercise, I suddenly experienced chest pain that felt like a tight grip, and my back also starte...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing cardiovascular disease is low. The chest pain caused by aortic dissection is intense and persistent, which does not match your symptoms. However, if the symptoms occur again, it is still advisable ...[Read More] Understanding Chest Pain During Exercise: What You Need to Know
Is There a Link Between Dorsal Vein Distension and Deep Vein Thrombosis?
Is there a strong association between dorsal venous dilation and deep vein thrombosis? Hello, doctor. I previously visited a vascular specialist for an ultrasound, and the doctor informed me that there was only mild reflux in my left leg. The recommendation was to wear compressio...
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 wish you good health![Read More] Is There a Link Between Dorsal Vein Distension and Deep Vein Thrombosis?
Is There a Strong Link Between Dorsal Vein Distension and Deep Vein Thrombosis?
Is there a strong association between dorsal venous dilation and deep vein thrombosis? Hello, doctor. I previously had an ultrasound examination at a vascular clinic, and the doctor informed me that there was only mild reflux in my left leg. The recommendation was to wear compres...
Dr. Wu Xueming Reply:
Based on your description, it does not seem like deep vein thrombosis; it appears more like varicose veins. It is recommended to visit a vascular surgeon for further evaluation.[Read More] Is There a Strong Link Between Dorsal Vein Distension and Deep Vein Thrombosis?
Chest Pain and Upper Back Discomfort: When to See a Cardiologist?
Chest pain with accompanying back pain? Hello, I had a cardiac ultrasound about a month ago, and the doctor said my heart contractions were normal. However, I've been experiencing intermittent sharp pains in my heart over the past few days, and I also have pain in my upper l...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low, and the pain you are experiencing is not a typical symptom of cardiovascular disease. Many factors in daily life can contribute to this situation, such as emotions, stress, ir...[Read More] Chest Pain and Upper Back Discomfort: When to See a Cardiologist?
Chest Pain and Upper Back Discomfort: When to See a Cardiologist?
Chest pain with accompanying back pain? Hello, I had a cardiac ultrasound about a month ago, and the doctor said my heart contractions were normal. However, in the past few days, I've been experiencing intermittent sharp pains in my heart, and I also have pain in my upper le...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of heart disease is low, and the pain you are experiencing is not a typical manifestation of cardiovascular disease. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular slee...[Read More] Chest Pain and Upper Back Discomfort: When to See a Cardiologist?
Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Chest tightness, dizziness, and rapid heartbeat? Hello Doctor, for the past month, I have been experiencing persistent left chest tightness that comes and goes. Sometimes, I also feel my heart racing, and it feels quite strong, especially when I am sitting. This is often accompan...
Dr. He Dongjin Reply:
Hello, it is recommended to see a gastroenterologist to rule out gastroesophageal reflux disease (GERD), as it may be related to stress and there is a high likelihood of autonomic nervous system dysfunction. We pray for your peace and well-being. Changhua Hospital cares about you...[Read More] Understanding Chest Pain, Dizziness, and Rapid Heartbeat: Possible Causes
Understanding Increased Palpitations: When to Seek Medical Attention
Increased heart palpitations? Hello Doctor, three months ago I sought medical attention due to palpitations (feeling of strong heartbeats). I underwent a 24-hour Holter monitor test, and the doctor mentioned that I had over 1000 episodes in a day, but they were benign. Later, an ...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recomme...[Read More] Understanding Increased Palpitations: When to Seek Medical Attention
Understanding Myocardial Ischemia: Treatment Options and Next Steps
Degree of myocardial hypoxia Hello, doctor! I underwent an exercise electrocardiogram, and my attending physician mentioned myocardial ischemia, recommending either a cardiac catheterization or a CT scan. However, another doctor suggested that it is mild and that medication would...
Dr. He Dongjin Reply:
Hello, based on a Duke Treadmill Score of -3, you are classified as moderate risk. The next steps should depend on your symptoms and any changes in your electrocardiogram (ECG), which I have not seen. Based solely on the report, it indicates moderate risk. If you are asymptomatic...[Read More] Understanding Myocardial Ischemia: Treatment Options and Next Steps
Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective
In the past six months, I have occasionally experienced palpitations at night that affect my sleep? Hello Dr. Huang, In the first half of this year, my company's health check revealed a normal chest X-ray. The physical examination indicated "rapid heart rate with hear...
Dr. Huang Yinghe Reply:
Hello Wayne: Generally, if there are no significant abnormalities in the electrocardiogram (ECG), exercise stress test, or echocardiogram, there is no need for regular follow-ups. Given your current age, a follow-up every two to three years should be sufficient unless new symptom...[Read More] Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective
Understanding PVCs: Risks, Management, and Lifestyle Tips
Premature contractions Hello, doctor. I have a question about experiencing over 300 premature ventricular contractions (PVCs) per day. If I ignore them for a while, will they resolve on their own? Occasionally, I feel a sudden pause in my chest; could this be dangerous? What shou...
Dr. He Dongjin Reply:
Hello, having over 300 premature ventricular contractions (PVCs) is unlikely to resolve on its own and may pose some risks. Don't worry, but it's important to reduce stimulants. As you mentioned, avoid alcohol, coffee, and smoking. Changhua Hospital cares about your wel...[Read More] Understanding PVCs: Risks, Management, and Lifestyle Tips
Does Roemheld Syndrome Affect Echocardiogram Results?
Ultrasound Interpretation Questions In addition to being underweight affecting the results, could Roemheld syndrome (RS) also influence ultrasound results? I have a severe bloating issue and have been diagnosed with irritable bowel syndrome, which causes pain in my chest. I have ...
Dr. He Dongjin Reply:
Hello, theoretically, a severe reflux should not have a significant impact, while a normal one seems quite unusual. It is advisable to seek further examination at a medical center. Changhua Hospital cares about your well-being.[Read More] Does Roemheld Syndrome Affect Echocardiogram Results?
Understanding Ventricular Premature Contractions: Treatment Options and Insights
Ventricular premature contraction (VPC) Hello, Doctor. I would like to ask about the 24-hour Holter monitor that recorded around 300 VPCs. Although the doctors say it's mild, I can really feel a thumping sensation in my chest. Can I opt for catheter ablation or cryoablation ...
Dr. He Dongjin Reply:
Hello, in my opinion, a VPC count around 300 is within the normal range for healthy individuals, so there's no need to worry about it. VPCs can fluctuate and may appear suddenly in such small amounts. Whether through radiofrequency ablation or cryoablation, the effectiveness...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Insights
Understanding Chest X-Ray Results: Do You Need Surgery for Aortic Changes?
Chest X-ray examination Hello, doctor. I have been experiencing hypertension for over 20 years and have been managing it well with medication. Last month, I had a chest X-ray, and the report indicated: "Chest film shows normal heart size. Mild increased lung markings over bo...
Dr. He Dongjin Reply:
Hello, there are no significant issues; just observation is needed. No medication or surgery is required. Changhua Hospital cares about you.[Read More] Understanding Chest X-Ray Results: Do You Need Surgery for Aortic Changes?
Understanding Arrhythmia: Managing Symptoms and Medication Effectively
Arrhythmia The young girl usually experiences chest tightness, but it has been occurring more frequently recently. On November 11, she visited a cardiologist and underwent an electrocardiogram. The doctor indicated that there was a clear arrhythmia and mentioned that there was ve...
Dr. Li Han Reply:
Hello, regarding your inquiry, "I usually experience chest discomfort, but it has become more frequent recently." You have previously sought medical attention and were informed of "ventricular premature contractions," for which you started taking "Metrpro...[Read More] Understanding Arrhythmia: Managing Symptoms and Medication Effectively
Is There a Link Between Valve Regurgitation and Hypertension?
Is there a relationship between mitral valve prolapse with regurgitation and high blood pressure? Hello Dr. He, I was diagnosed with mitral valve prolapse in my thirties and have not taken any medication, only returning to the hospital for check-ups occasionally. Two years ago,...
Dr. He Dongjin Reply:
Hello, valve insufficiency can lead to ventricular hypertrophy and heart failure. It is difficult to determine the severity of the insufficiency based solely on the valve issue, and there is no direct causal relationship between valve problems and hypertension. Changhua Hospital ...[Read More] Is There a Link Between Valve Regurgitation and Hypertension?
Understanding Chest Pain: Is It Time to See a Doctor?
Sharp pain in the heart area? Hello, doctor. About six years ago, I experienced my first episodes of sharp chest pain and discomfort during my pregnancy. At that time, due to stress, I sought medical attention, and the doctor diagnosed me with "mitral valve prolapse" af...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 to adju...[Read More] Understanding Chest Pain: Is It Time to See a Doctor?