Left Chest Pain When Breathing: When to Seek Further Heart Evaluation
Pain in the left chest when breathing or moving? Hello Doctor: I underwent surgery for transposition of the great vessels at birth and have been returning for annual check-ups, including electrocardiograms and echocardiograms. During my follow-up appointment at the end of August ...
Dr. He Dongjin Reply:
Hello, the symptoms you described seem more like discomfort caused by neuromuscular issues. The electrocardiogram report shows no significant abnormalities, so it is advisable to monitor the situation. Changhua Hospital cares about your well-being.[Read More] Left Chest Pain When Breathing: When to Seek Further Heart Evaluation
Understanding Cardiac Catheterization: Insights on Myocardial Ischemia Detection
Cardiac catheterization Dear Doctor, In January 2018, I was diagnosed with moderate mitral valve regurgitation. In September 2019, I experienced chest tightness and difficulty breathing, leading to a myocardial perfusion scan, which revealed moderate ischemia in the anterior wal...
Dr. He Dongjin Reply:
Hello, cardiac catheterization can detect myocardial ischemia. This procedure provides information about cardiovascular status, including the presence of any stenosis. A normal result indicates that there are no issues, so there is no need to worry. Changhua Hospital cares about ...[Read More] Understanding Cardiac Catheterization: Insights on Myocardial Ischemia Detection
Do I Need a Heart Catheterization After Abnormal Exercise ECG Results?
Hello, Doctor He. I would like to ask if it is necessary to perform a cardiac catheterization based on the data from an exercise electrocardiogram? Hello Doctor, At the beginning of November, I went to the emergency room due to chest tightness and difficulty breathing. The init...
Dr. He Dongjin Reply:
Hello, in Recovery Stage 1, the data shows ST -2.00 mm. What level of myocardial ischemia does this indicate? It's hard to say; it depends on how long you have been exercising. Given your situation, I recommend getting evaluated, especially since you are traveling abroad. Me...[Read More] Do I Need a Heart Catheterization After Abnormal Exercise ECG Results?
Understanding Heart Rate: When to Seek Medical Advice for Fast Heartbeats
Heart rhythm issues The normal heart rate for adults is typically between 60 to 100 beats per minute at rest. If you find that your heart rate is consistently higher than this range, especially during minimal activity like walking or climbing stairs, and you experience symptoms s...
Dr. He Dongjin Reply:
Hello, everyone's resting heart rate is different. For those with a faster heart rate, even a short walk or climbing stairs can cause shortness of breath and an increased heart rate. This is normal and may not necessarily require a doctor's visit. Ping An Changhua Hospi...[Read More] Understanding Heart Rate: When to Seek Medical Advice for Fast Heartbeats
Understanding Mitral Valve Prolapse and Its Impact on Heart Rhythm
Mitral valve prolapse with regurgitation and tachycardia? In the third year of junior high school, I experienced rapid heartbeat and chest tightness, so I visited a clinic. The doctor detected a heart murmur, my heart rate was 130, the electrocardiogram (ECG) was normal, and the ...
Dr. Cai Guiqin Reply:
It is recommended that you: 1. Discuss the above medical condition further with your attending physician. 2. Alternatively, seek consultation at another cardiology medical facility. Wishing you good health![Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Rhythm
Understanding Heart Palpitations and Chest Pain: Key Concerns
Increased heart rate and mild pain in the left chest? Hello, Doctor He! In September 2019, I underwent an examination at a general cardiology clinic, where I was found to have mild hypertension (142/90 mm Hg) and mild diabetes (hemoglobin A1c 7.1). The doctor prescribed BISO 5 mg...
Dr. He Dongjin Reply:
Hello, based on your description, it is not possible to determine whether there is coronary artery obstruction or myocardial ischemia. It is recommended that your physician arrange for a stress electrocardiogram or a self-paid computed tomography scan to better understand the sit...[Read More] Understanding Heart Palpitations and Chest Pain: Key Concerns
Understanding Arrhythmias and Blood Pressure Issues: A Patient's Journey
Arrhythmia and blood pressure issues? Hello, Doctor He: First of all, thank you very much for your response. Today, I had an electrocardiogram (ECG), and the results showed nothing abnormal. The doctor prescribed me with Uxin enteric-coated tablets, Paoan tablets, Mianlv tablets,...
Dr. He Dongjin Reply:
Hello, you are too anxious, which has led to excessive autonomic nervous system excitement. Medications like Youxinmoyin, Paoan tablet, and Mianlv tablet can help alleviate this. Just monitor your blood pressure as measured at the hospital; this is not high blood pressure, so the...[Read More] Understanding Arrhythmias and Blood Pressure Issues: A Patient's Journey
Understanding Heart Palpitations: When to See a Cardiologist
Chest tightness? Hello, Doctor He: I would like to ask about experiencing a sensation where my heart skips a beat and then continues to beat (there is a noticeable thump in my chest). Is this a sign of heart disease? I've had this issue for several years, but it has improved...
Dr. He Dongjin Reply:
Hello, it seems that you may have benign arrhythmia, possibly caused by social gatherings and alcohol consumption. If you need to get checked, you can directly visit the cardiology department at Pingan Changhua Hospital. We care about your health.[Read More] Understanding Heart Palpitations: When to See a Cardiologist
Understanding Ventricular Premature Contractions: When to Seek Medical Advice
Ventricular premature contraction (VPC) Hello, doctor. Previously, I felt a missed heartbeat and went to the cardiology department at Shin Kong Hospital for an examination. I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram. The doctor said I ...
Dr. Huang Yinghe Reply:
Hello: Premature ventricular contractions are related to autonomic nervous system activity and physical stress. They may occur more frequently during states of anxiety or fatigue. If there are no significant issues found in cardiac structural and functional examinations, there is...[Read More] Understanding Ventricular Premature Contractions: When to Seek Medical Advice
Assessing the Necessity of Cardiac Catheterization: Risks and Benefits
Necessity of Examination Hello, I have been experiencing shortness of breath during exercise and occasional chest tightness. I have undergone an electrocardiogram (ECG) and a 3D echocardiogram, both of which were normal. However, the exercise ECG showed mild hypoxia. A myocardial...
Dr. Lin Jixiong Reply:
Hello: Undergoing cardiac catheterization carries certain risks. If you frequently experience symptoms such as chest tightness or chest pain, and the frequency of these episodes has increased, you may consider having a cardiac catheterization. However, if you are currently on med...[Read More] Assessing the Necessity of Cardiac Catheterization: Risks and Benefits
Understanding Arrhythmia and Autonomic Nervous System Disorders
Arrhythmia and autonomic nervous system dysfunction? Hello, doctor. I am currently studying in Hsinchu. I first experienced arrhythmia at the end of 2016, when I was taken to Mackay Memorial Hospital's emergency room, where my heart rate was about 200 beats per minute. Howev...
Dr. He Dongjin Reply:
Hello, if you feel that your blood pressure and heart rate are normal, it does not count as arrhythmia. It may be caused by autonomic nervous system dysfunction, leading to elevated cholesterol and triglycerides, which do not affect the improvement of this issue. Engaging in fitn...[Read More] Understanding Arrhythmia and Autonomic Nervous System Disorders
Understanding the Risks of Misinterpretation in Echocardiograms
Questions about echocardiography? Is there a possibility of misinterpretation with echocardiograms? In my personal experience, I underwent examinations at different hospitals during my early years, often experiencing chest tightness and dizziness. I had transesophageal echocardio...
Dr. Huang Yinghe Reply:
Hello: The operation and interpretation of ultrasound are related to the physician's experience and can sometimes be limited by the patient's unique conditions (such as obesity, being underweight, lung issues, etc.), which may affect image quality. There is no guarantee...[Read More] Understanding the Risks of Misinterpretation in Echocardiograms
Expert Insights on Nonrheumatic Mitral Valve Disorder and Management
Please provide the content you would like me to translate? Hello Director: Thank you for your previous response. I have now downloaded the examination report. Could you please provide me with your opinion again? Thank you! Echocardiogram (including single and dual views) Exami...
Dr. He Dongjin Reply:
Hello, there is an issue with your mitral valve. Regardless of whether surgery or medication is chosen, the goal is to remain asymptomatic. Currently, if you are taking medication and do not have any symptoms or discomfort, it is advisable to continue with the medication and moni...[Read More] Expert Insights on Nonrheumatic Mitral Valve Disorder and Management
Understanding Rheumatic Heart Disease: Surgical Options for Elderly Patients
Rheumatic heart disease Hello, Doctor. My mother is 85 years old and has been suffering from rheumatic heart disease for a long time. Last year, she experienced heart failure and atrial fibrillation, which led to pulmonary edema, requiring hospitalization. After recovering, she h...
Dr. He Dongjin Reply:
Hello, regardless of medication management or surgery, the goal is to ensure the patient is safe and asymptomatic. If the patient appears to have no significant symptoms under medication management, it may be advisable to observe first and initiate treatment as needed. Changhua H...[Read More] Understanding Rheumatic Heart Disease: Surgical Options for Elderly Patients
Understanding Cardiac Catheterization: Is It Necessary After Abnormal Imaging?
Cardiac catheterization? If a myocardial perfusion scan shows 5% of the area with hypoxia, and both the electrocardiogram and echocardiogram are normal, is this considered serious? Is it necessary to undergo a coronary catheterization? What is the likelihood of needing a stent du...
Dr. Huang Yinghe Reply:
Hello: If there are no symptoms such as chest tightness or shortness of breath, the general approach is to manage diet and exercise, along with medication for hypertension, hyperlipidemia, and diabetes. If the aforementioned symptoms are present and medication is not effectively ...[Read More] Understanding Cardiac Catheterization: Is It Necessary After Abnormal Imaging?
Morning Urgency and Rapid Heartbeat: Understanding Anxiety and Autonomic Dysfunction
Waking up in the morning with a sudden urge to urinate and experiencing a rapid heartbeat? Hello, doctor! I have anxiety and panic issues, which may be related to autonomic nervous system dysfunction... Ever since my symptoms flared up after staying up late, I often experience pa...
Dr. He Dongjin Reply:
Hello, experiencing urgency to urinate and waking up suddenly to rush to the bathroom can lead to a strong and rapid heartbeat. This is a normal response, so there's no need to worry. Changhua Hospital cares about your well-being.[Read More] Morning Urgency and Rapid Heartbeat: Understanding Anxiety and Autonomic Dysfunction
Understanding Tightness in Chest and Back: Heart Health Concerns
The chest and back often feel tight? Hello, Dr. Huang. 1. I often wake up feeling a tightness in my entire back. 2. I also experience this tightness in my back (and even in my chest) while sitting in the car. 3. When I go out to exercise in the early morning, my chest and bac...
Dr. Huang Yinghe Reply:
Hello: There are many causes for tightness in the chest or back, ranging from serious, life-threatening conditions such as cardiovascular obstruction, aortic dissection, and pulmonary embolism, to less dangerous but bothersome issues like bronchial inflammation, gastroesophageal ...[Read More] Understanding Tightness in Chest and Back: Heart Health Concerns
Understanding Morning Chest Pain: Causes and Solutions for Better Sleep
Waking up in pain frequently in the morning? For the past two months, I have been waking up in pain almost every day after about 5 to 6 hours of sleep. The pain usually subsides within an hour. Initially, for over a month, I experienced pain in my entire upper back, specifically ...
Dr. He Dongjin Reply:
Hello, it seems that the issue is related to muscle and nerve problems or possibly internal organ issues, which are generally unrelated to posture. If you experience pain when turning over, try eating some bananas, take B vitamins, and use muscle relaxants or pain relievers. Let&...[Read More] Understanding Morning Chest Pain: Causes and Solutions for Better Sleep
Low Oxygen Levels in Blood Test: Understanding Your Cardiovascular Health
In the blood test report, the partial pressure of oxygen and oxygen saturation are below the standard values? Hello, doctor. The symptoms include chest tightness. Please analyze the blood test report. Thank you. PH: 7.334 PCO2: 49.5 PO2: 17.7 HCO3: 25.7 BE: -0.8 O2 Sat...
Dr. He Dongjin Reply:
Hello, the venous blood sample drawn is not suitable for assessing oxygen saturation. Overall, everything is fine. Changhua Hospital cares about you.[Read More] Low Oxygen Levels in Blood Test: Understanding Your Cardiovascular Health
Understanding Mitral Valve Prolapse: Symptoms and Concerns
Mitral valve prolapse Hello, doctor! Recently, I've been experiencing frequent chest tightness and palpitations. I was diagnosed with mitral valve prolapse and have been taking medication to lower my heart rate. However, I still experience chest tightness, palpitations, naus...
Dr. He Dongjin Reply:
Hello, it seems that having valve prolapse along with autonomic nervous system dysfunction is normal. You can manage symptoms by taking medication when they occur. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Concerns