Understanding Fatigue: Mitral Valve Prolapse and Its Impact on Daily Life
Mitral valve issues can lead to easy fatigue? Hello, doctor. I apologize for bothering you. At the beginning of August, I experienced discomfort after walking a long distance and was diagnosed with mitral valve prolapse with regurgitation. The doctor prescribed me heart health me...
Dr. He Dongjin Reply:
Hello, it is mostly a problem related to the autonomic nervous system. If you feel worse after taking the medication, it may be a side effect of the medication. You might consider taking the medication before bedtime. If you still feel unwell, it is advisable to return to the out...[Read More] Understanding Fatigue: Mitral Valve Prolapse and Its Impact on Daily Life
Understanding Your Myocardial Perfusion Report: Key Insights on Heart Health
Myocardial perfusion report Please help me interpret my myocardial perfusion report, thank you! Myocardial Perfusion Clinical Impression: Suspected CAD with angina equivalent (+ exercise treadmill test reported at an outside hospital); Hypertension; Smoker (smoking index >60...
Dr. He Dongjin Reply:
Hello, congratulations! Everything is fine. Changhua Hospital is concerned about you.[Read More] Understanding Your Myocardial Perfusion Report: Key Insights on Heart Health
Is It a Panic Attack or Heart Disease? Understanding Your Symptoms
Panic attack? Heart disease? Hello, doctor. I have a history of panic disorder but have been able to manage it until recently when I had an argument and felt upset. I've been experiencing poor sleep and lack of rest. Yesterday, I drank a larger amount of oolong tea, and whil...
Dr. He Dongjin Reply:
Hello, this is a hyperventilation syndrome caused by panic attacks leading to autonomic nervous system dysregulation. There has been a history of hyperventilation, and it has occurred again. During an episode, try to relax and slow your breathing. Breathing into a paper bag over ...[Read More] Is It a Panic Attack or Heart Disease? Understanding Your Symptoms
Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Chest pain? Hello Doctor: Recently, I had a health check-up at the hospital, which included blood tests, a 24-hour Holter monitor, a treadmill stress test, and an echocardiogram. The results showed mitral valve prolapse, arrhythmia, and a slightly elevated level of a marker for h...
Dr. He Dongjin Reply:
Hello, please first consult an otolaryngologist for the treatment of your nosebleed. It seems that the panic caused by the nosebleed may have triggered symptoms related to autonomic nervous system dysregulation. You can observe the situation for now, and if you still feel unwell,...[Read More] Understanding Heart Pain: Causes, Symptoms, and When to Seek Help
Understanding Exercise ECG Results: What Your Heart Health Report Means
Interpretation of Exercise Electrocardiogram Previously, I occasionally experienced chest tightness while playing basketball. Recently, I had a sensation of chest pain even when I wasn't exercising, but there was no shortness of breath or sweating, and the pain did not radia...
Dr. He Dongjin Reply:
Hello, your creatine phosphokinase level is 429. Playing basketball may affect this value. Your low-density lipoprotein cholesterol is 137, which is not considered high cholesterol, and you do not need medication; dietary control is sufficient. According to the Duke treadmill sco...[Read More] Understanding Exercise ECG Results: What Your Heart Health Report Means
Understanding Left Chest Pain and Numbness: Causes and Relief Strategies
Left chest pain and numbness in the hand? 1. What methods can relieve left chest pain and a feeling of tightness in the chest, along with ulnar nerve numbness in the elbow? Note: This has been ongoing since last night. 2. Can someone without hypertension, diabetes, high choleste...
Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be a typical myocardial infarction. Given your young age and lack of chronic diseases, your risk of heart disease is very low. However, if the symptoms persist, it is still advisable to go to the hospital for further evaluation.[Read More] Understanding Left Chest Pain and Numbness: Causes and Relief Strategies
Understanding Left Chest Pain and Numbness: Heart Attack Insights
Left chest pain with numbness behind the elbow? 1. Pain in the left chest along with numbness in the outer part of the left elbow and little finger is usually caused by issues related to the heart, such as angina or myocardial infarction, but it can also be due to musculoskeletal...
Dr. Wu Xueming Reply:
1. It is recommended to consult a neurologist for an examination. 2. The risk factors include: Age: males > 45 years or females > 55 years; Gender: the incidence of atherosclerosis and myocardial infarction is higher in males than in females; Hypertension; Dyslipidemia; Dia...[Read More] Understanding Left Chest Pain and Numbness: Heart Attack Insights
Understanding Palpitations, Chest Discomfort, and Scoliosis in Teens
Palpitations, chest tightness, scoliosis? I experienced palpitations in the fifth and sixth grades, where my heart would suddenly beat strongly twice without any activity, but it didn't happen often. In middle school, it almost stopped, but it started again after I entered h...
Dr. He Dongjin Reply:
Hello, it is very likely that the feelings of palpitations and chest tightness you are experiencing are due to academic stress or the onset of puberty, which can cause some autonomic nervous system dysregulation. Most of the time, these symptoms are not indicative of heart diseas...[Read More] Understanding Palpitations, Chest Discomfort, and Scoliosis in Teens
Chest Discomfort: When to Seek Further Medical Evaluation?
Chest discomfort? Last week, I visited a clinic due to chest tightness. I underwent an electrocardiogram (ECG) and a chest X-ray. After reviewing the results, the doctor said there were no significant issues and advised me to monitor my condition without prescribing any medicatio...
Dr. He Dongjin Reply:
If you are still feeling unwell, it is advisable to visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.[Read More] Chest Discomfort: When to Seek Further Medical Evaluation?
Chest Tightness and Numbness: When to Seek Further Medical Evaluation
Chest tightness and hand numbness? I often feel anxious due to various matters and tend to overthink. Last week, I experienced chest tightness and went to a clinic for a check-up. I had an X-ray and an electrocardiogram, and the doctor said there were no abnormalities, advising u...
Dr. He Dongjin Reply:
Hello, the discomfort you are experiencing may be caused by autonomic nervous system dysfunction. It is advisable to monitor your condition; however, if the discomfort persists, it is recommended that you visit a cardiology clinic for further evaluation. Changhua Hospital cares a...[Read More] Chest Tightness and Numbness: When to Seek Further Medical Evaluation
Understanding Occasional Heart Palpitations: Causes and Concerns
Occasional heart palpitations? Hello Doctor: I have mitral valve prolapse with regurgitation symptoms, and sometimes I experience slight palpitations. My resting heart rate is generally a bit elevated (around the 90s). I regularly engage in weight training and aerobic exercise; d...
Dr. He Dongjin Reply:
Hello, it sounds like your paroxysmal arrhythmia may be related to being angry throughout the day. It is advisable to schedule a 24-hour Holter monitor test at a cardiology clinic for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Understanding Chest Pain: Heart-Related Symptoms You Shouldn't Ignore
Chest tightness or chest discomfort? Hello doctor, about five years ago I experienced a burning sensation in my chest that lasted for approximately 30 minutes. At that time, I felt cold all over and my lips turned pale, but after that incident, I didn't have any issues, so I...
Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be typical angina. It is recommended to adjust your lifestyle, engage in regular exercise, and if the symptoms persist without improvement, it is advisable to consult a cardiologist for further evaluation.[Read More] Understanding Chest Pain: Heart-Related Symptoms You Shouldn't Ignore
Managing Panic Attacks and Autonomic Nervous System Disorders
How to Adjust After Experiencing Autonomic Nervous System Dysregulation and Panic Attacks Dear Doctor, I hope you can help me (I hope you can read through this lengthy message). Since childhood, I have experienced sudden awakenings during sleep, feeling as if the objects around ...
Dr. He Dongjin Reply:
Hello, regarding issues with autonomic nervous system dysregulation and panic disorder, I suggest discussing it with a mental health specialist. The medication "Xinkang Le" (心康樂) is a low-dose option that can be taken as needed without any issues. I believe that using s...[Read More] Managing Panic Attacks and Autonomic Nervous System Disorders
Understanding Low Pulse Rates: Causes and Concerns for Your Heart Health
The health check report indicates a low pulse rate? Hello Doctor, I would like to consult regarding my recent health check report that shows a low pulse rate. Prior to the health check, I experienced dizziness, tinnitus, and occasional chest pain. I would like to know what migh...
Dr. Wu Xueming Reply:
Based on your symptom description, it is recommended that you visit a cardiology outpatient clinic for an electrocardiogram (ECG) examination.[Read More] Understanding Low Pulse Rates: Causes and Concerns for Your Heart Health
Understanding Ventricular Premature Contractions: Treatment Options and Concerns
Hello, doctor. I would like to ask about the issue of premature ventricular contractions (PVCs)? Hello Doctor, on the night of March 11th, I suddenly experienced a rapid heartbeat and went to the emergency room. After that, I visited a cardiologist in April. The echocardiogram wa...
Dr. He Dongjin Reply:
Hello, having around 200 ventricular premature contractions (VPCs) in a 24-hour Holter monitor is within the normal range and does not require medication. Occasional palpitations are also considered normal. While symptoms may cause discomfort, there is no life-threatening risk, a...[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Concerns
Understanding Chest Pain and Discomfort: When to Seek Cardiac Care
Chest pain and chest tightness? After the summer vacation, I have been staying at home quite often. Besides buying daily necessities, I rarely go out and often sit in front of the computer desk. Recently, for the past two days, I have been experiencing intermittent sharp pain in ...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is very low. However, if symptoms persist, it is still advisable to visit a cardiology department for further evaluation.[Read More] Understanding Chest Pain and Discomfort: When to Seek Cardiac Care
Understanding Dizziness and Heart Palpitations When Standing Up
When standing up, I experience a whiteout in my vision, a strong heartbeat, and feelings of dizziness and nausea? Hello doctor, when I stand up, my vision turns white and I feel a bit unsteady, but it returns to normal within 5-10 seconds. I experience dizziness and a sensation o...
Dr. He Dongjin Reply:
Hello, it is recommended to visit a cardiology outpatient clinic for further examination to check for any other abnormalities related to autonomic nervous system dysfunction. Changhua Hospital cares about your well-being.[Read More] Understanding Dizziness and Heart Palpitations When Standing Up
Understanding Heartbeat Variations While Sleeping on Your Side
Heartbeat issues Doctor, I have a question. When I lie flat while sleeping, my heartbeat is normal and I can feel it. However, when I turn to sleep on my left side, I can still feel my heartbeat, which is also normal and regular, but I can distinctly feel the apical impulse only ...
Dr. Wu Xueming Reply:
Sleeping on the left or right side does not affect heart rate; however, when sleeping on the left side, the heart is closer to the chest wall, making the heartbeat more noticeable.[Read More] Understanding Heartbeat Variations While Sleeping on Your Side
Understanding Chest Pain: When to See a Cardiologist
I have been experiencing chest pain frequently lately? Hello Doctor: I have been experiencing intermittent chest pain and tightness for the past few days, particularly on the left side, which has been quite severe. Sometimes it is accompanied by headaches and shoulder blade soren...
Dr. He Dongjin Reply:
Hello, the chest pain accompanied by headaches and scapular soreness is likely due to postural issues, possibly myofascial pain syndrome. It is advisable to observe the symptoms or use some pain relief medication. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to See a Cardiologist
Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Cardiac catheterization Hello Dr. Huang, I previously inquired with another physician about my family member's symptoms of rapid breathing and a sensation of being pricked. My family member is 55 years old and has not yet reached menopause. The physician I consulted earlie...
Dr. Huang Yinghe Reply:
Hello: Based on your description, a 55-year-old female with a history of secondhand smoke exposure and no hypertension. If there is no history of diabetes or high cholesterol, and no family history of cardiovascular disease, the likelihood of coronary artery disease is indeed low...[Read More] Understanding Cardiac Catheterization: Is It Necessary for Your Health?