Managing Side Effects of Heart Medications: When to Consider a Change
Medication issues Dear Dr. He, I would like to inquire about heart medications. Three years ago, I had an abnormal exercise electrocardiogram that indicated myocardial ischemia, and my heart rate was around 110 beats per minute. My doctor prescribed Bisoprolol 100 mg and Concor ...
Dr. He Dongjin Reply:
Hello, yes, it is true that Concerta can have side effects related to sexual dysfunction. If you have been taking it for three years, did you experience these side effects before? If they have only recently appeared, they may not necessarily be related to the medication. Changing...[Read More] Managing Side Effects of Heart Medications: When to Consider a Change
Managing Myocardial Bridge: Medication Insights and Patient Concerns
Medications for myocardial bridge? Dear Dr. He, I was diagnosed with myocardial bridge 11 years ago through a CT scan, located at the proximal segment of the left anterior descending artery. I have been consistently taking medication and managing my hypertension, hyperlipidemia,...
Dr. He Dongjin Reply:
Hello, myocardial bridge does not necessarily worsen with age. In Taiwan, the final proportion of patients undergoing bypass surgery is 0. Medication should primarily focus on controlling the three highs (hypertension, hyperlipidemia, and diabetes). Currently, there are no effect...[Read More] Managing Myocardial Bridge: Medication Insights and Patient Concerns
Understanding Chest Pain in Teens: When to Seek Medical Attention
I have a slight pain in my chest? Hello, doctor. I am 16 years old, and my blood pressure is normal, but sometimes I feel pain in my chest. Sometimes it’s on the left side, and sometimes on the right side, but I don’t have shortness of breath. Today, I even felt weakness and numb...
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 recommended to ad...[Read More] Understanding Chest Pain in Teens: When to Seek Medical Attention
Understanding Your 24-Hour ECG Results: Key Insights and Next Steps
24-hour Holter monitor? Hello Doctor: Recently, I have been experiencing chest tightness, difficulty breathing, dizziness, and occasional heart pauses. I visited the hospital, and the doctor arranged for a 24-hour electrocardiogram (ECG), with the report results as follows: 1. Si...
Dr. He Dongjin Reply:
Hello, this electrocardiogram report is within the normal range, so there is no need for concern. You should observe your condition for now and there is no need for further testing or medication at this time. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour ECG Results: Key Insights and Next Steps
Understanding Heart Rate and Pulse: Should You Be Concerned?
Heart rate and pulse? Hello Doctor, I am 16 years old. Previously, my blood pressure and pulse were around 70-80, but recently I have been measuring in the 60s, and sometimes even in the 50s, while both my diastolic and systolic pressures are normal. A few days ago, I was playing...
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 consumption of caffeinated beverages. It is advis...[Read More] Understanding Heart Rate and Pulse: Should You Be Concerned?
Understanding Myocarditis Symptoms After COVID-19 Infection
Symptoms of myocarditis? Dear Doctor, I am currently studying abroad and it is not convenient for me to seek medical attention. I apologize for asking, but I tested positive for COVID-19 14 days ago and have not experienced any symptoms, so I have been isolating at home. However...
Dr. Wu Xueming Reply:
Your symptoms do not appear to be indicative of myocarditis. However, if the symptoms persist and worsen, it is advisable to go to the hospital for further evaluation.[Read More] Understanding Myocarditis Symptoms After COVID-19 Infection
Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
High blood pressure and issues related to a 24-hour Holter monitor? Thank you, doctor, for taking the time to respond. I would like to ask about an incident that occurred around 3 or 4 AM one night when I was still awake. Suddenly, I felt anxious, had difficulty breathing, and my...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your lifestyle, avoid overly salty diets, and engage in regular exercise. However, if bl...[Read More] Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
The Impact of Frequent Blood Pressure Monitoring on Vascular Health
The impact of frequent blood pressure monitoring on blood vessels? Hello Doctor, in August of this year, I experienced chest tightness and palpitations, and my physician advised me to monitor my blood pressure daily (I consistently measure it on my right arm). Recently, I noticed...
Dr. Huang Yinghe Reply:
Hello: The visible veins on the arm are superficial veins that are closer to the skin. The degree of visibility varies from person to person, and it is more pronounced in individuals with a slimmer physique or those who frequently lift heavy objects. Additionally, prolonged perio...[Read More] The Impact of Frequent Blood Pressure Monitoring on Vascular Health
Managing Mitral Valve Prolapse and Aortic Regurgitation: Treatment Options
Mitral valve prolapse, aortic valve insufficiency, and mitral and tricuspid valve regurgitation? Hello Doctor: I have been experiencing chest pain and intermittent pain on the left side of my heart. After a check-up with a cardiologist, I was diagnosed with mild mitral valve prol...
Dr. He Dongjin Reply:
Hello, Kang Ken 1.25 and Zanano 0.5 are primarily used to treat mild autonomic nervous system disorders associated with mitral valve prolapse and regurgitation. Generally, observation is sufficient, and no treatment is necessary. You can try taking Kang Ken 1.25, one tablet in th...[Read More] Managing Mitral Valve Prolapse and Aortic Regurgitation: Treatment Options
Understanding Occasional Chest Discomfort and Heart Palpitations
Chest tightness with mild pain? Hello doctor, recently I have been experiencing occasional episodes of palpitations, and sometimes I feel my heartbeat is very strong. I also have chest pain that varies in location, but it is mostly on the left side of my chest. The pain does not ...
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 consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Occasional Chest Discomfort and Heart Palpitations
Understanding Fast Heartbeat and Chest Discomfort: When to Seek Help
Palpitations and chest tightness? Hello Doctor, I was diagnosed with arrhythmia when I was young (but the doctor only recommended observation and no medication). There is a family history of heart disease (my grandmother and aunt both have it). In early August of this year, I exp...
Dr. He Dongjin Reply:
Hello, during childhood, if you experienced arrhythmia, it is recommended to monitor it, which indicates that it is not serious. A fast heartbeat and a normal electrocardiogram suggest that everything is fine. Before a heart attack, symptoms such as back pain and arm pain may occ...[Read More] Understanding Fast Heartbeat and Chest Discomfort: When to Seek Help
Understanding Chest Tightness and Heart Palpitations: Key Insights
I feel a tightness in my chest, and I can clearly sense that my heart is beating more forcefully. I'm experiencing some shortness of breath, but it's not severe? Hello Dr. Wu, I have already read some previous articles, but I couldn't find anything similar to my sy...
Dr. Wu Xueming Reply:
Due to your long-term smoking habit, it is recommended to undergo a thorough examination by a cardiologist and a pulmonologist.[Read More] Understanding Chest Tightness and Heart Palpitations: Key Insights
Understanding Your ECG Report: When to See a Cardiologist
Electrocardiogram (ECG) Questions Hello doctor, I previously had an electrocardiogram, and the report indicated Sinus tachycardia, Incomplete Right Bundle Branch Block (IRBBB), old myocardial infarction, and low voltage in the chest leads. Currently, I am experiencing palpitation...
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 Your ECG Report: When to See a Cardiologist
Chest Tightness During Climbing and Swimming: When to Seek Further Evaluation?
Chest tightness during climbing or swimming? Hello, doctor. I have been experiencing chest tightness while swimming for over a decade. I visited a major hospital where I underwent a chest X-ray and an electrocardiogram (ECG), and the results were normal. The most recent ECG was t...
Dr. He Dongjin Reply:
Hello, recently I've been experiencing chest tightness while hiking and swimming, and I'm concerned there may be something abnormal. It is advisable to return for further examination. Take care from Changhua Hospital.[Read More] Chest Tightness During Climbing and Swimming: When to Seek Further Evaluation?
Understanding Palpitations and Associated Symptoms: A Cardiovascular Perspective
Palpitations and systemic symptoms? Hello, doctor. I am currently in the ninth grade. I first noticed my heart racing suddenly while at rest when I was in the seventh grade, but I didn't pay much attention to it. Now, I have frequent pain in my lower jaw and teeth, along wit...
Dr. He Dongjin Reply:
Hello, don't overthink it. If you're worried, please visit a cardiology clinic for further evaluation. At your age, it's unlikely to be a myocardial infarction; the symptoms are more likely caused by mitral valve prolapse. Changhua Hospital cares about you.[Read More] Understanding Palpitations and Associated Symptoms: A Cardiovascular Perspective
Understanding Chest Pain and Discomfort: When to Seek Medical Help
Chest tightness and chest pain? I have been experiencing chest pain, tightness, weakness, and shortness of breath for the past six months. Occasionally, I feel nauseous. Previous examinations showed mild arrhythmia and tachycardia. There have been several instances where I experi...
Dr. He Dongjin Reply:
Hello, please come to the cardiology outpatient clinic for further examination. Changhua Hospital cares about you.[Read More] Understanding Chest Pain and Discomfort: When to Seek Medical Help
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Hello doctor, a few months ago I experienced dizziness, chest tightness, difficulty breathing, rapid heartbeat, and discomfort in my stomach, which led me to visit the emergency room several times. I have been examined by both gastroenterology...
Dr. He Dongjin Reply:
Hello, it is indeed a situation of autonomic nervous system dysregulation with hyperventilation. You can continue to see a gastroenterologist and a cardiologist. Don't overthink it; there is nothing serious to worry about. Praying for your peace. Changhua Hospital cares abou...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Mitral Valve Prolapse: Symptoms and Concerns for Young Adults
Mitral valve insufficiency Hello doctor, I am a 19-year-old female, a non-smoker and non-drinker, with mitral valve prolapse accompanied by regurgitation. I often feel fatigued, especially when I don't sleep well. For example, I feel very tired when walking to catch a bus, a...
Dr. He Dongjin Reply:
Hello, the symptoms mentioned above are caused by excessive stress affecting mitral valve prolapse, leading to hyperventilation. Surgery is not necessary, so try not to worry too much. Wishing you peace and well-being. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Concerns for Young Adults
Occasional Palpitations: When to Seek Medical Attention?
Occasional palpitations? I would like to ask the doctor, because I don't experience palpitations often and I've noticed they don't occur under specific circumstances. I've looked through a lot of information and occasionally feel palpitations, but each time th...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, 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] Occasional Palpitations: When to Seek Medical Attention?
Understanding Heart Vibrations: Causes and When to Seek Help
A slight vibration sensation in the heart (sounds like a mechanical operating noise)? Hello Dr. Wu: Recently, I have been experiencing occasional vibrations in my heart that last no longer than 10 seconds. The intervals between these episodes are somewhat irregular, but they are ...
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 Heart Vibrations: Causes and When to Seek Help