Persistent Chest Discomfort: Should I Continue Medication for Heart Issues?
Chest tightness has been present since April? Hello Doctor, I have issues with mitral and tricuspid valve prolapse. In April, I suddenly experienced severe chest tightness upon waking up, so I went for a follow-up with a cardiologist. The doctor advised me to exercise more and to...
Dr. He Dongjin Reply:
Hello, experiencing chest tightness with mitral and tricuspid valve prolapse is normal and can vary in intensity. You may try continuing your medication to see how it affects you before deciding whether to keep taking it. Most cases are not indicative of worsening heart disease, ...[Read More] Persistent Chest Discomfort: Should I Continue Medication for Heart Issues?
Understanding Nighttime Heart Rate Spikes: Is It Autonomic Dysfunction?
Rapid heartbeat during sleep? Hello doctor, I have autonomic nervous system dysfunction. Six months ago, I was tested and my values were slightly above normal. I have been taking Western medicine for over three months and feel that it is under control. However, last night, I sudd...
Dr. He Dongjin Reply:
Hello, yes, it is an episode of autonomic nervous system dysfunction rather than a worsening condition. Taking some medication can help improve it. Changhua Hospital cares about you.[Read More] Understanding Nighttime Heart Rate Spikes: Is It Autonomic Dysfunction?
Concerns About Concurrent Use of Kankin and Diltiazem for Arrhythmia
Kanken medication issues? Hello, Director: I have an issue with arrhythmia, and my doctor has prescribed Concor 1.25 mg to be taken once in the morning and once in the evening, along with Amlodipine 240 mg in the morning. I have researched online and it seems that using Concor an...
Dr. Huang Yinghe Reply:
Hello: Bisoprolol and Verapamil are commonly used medications for controlling arrhythmias. They work by reducing heart rate and decreasing the occurrence of premature beats, which can help alleviate symptoms such as palpitations and chest discomfort. Depending on individual respo...[Read More] Concerns About Concurrent Use of Kankin and Diltiazem for Arrhythmia
Understanding Heart Health: Insights on Medications and Testing for Chest Pain
I would like to consult with a doctor? I have been experiencing chest and back discomfort, sometimes accompanied by a sensation of my heartbeat. After visiting a cardiologist, the doctor arranged for a 24-hour Holter monitor, a stress test, and an echocardiogram. The doctor menti...
Dr. He Dongjin Reply:
Hello, you may be experiencing issues with your autonomic nervous system. Xin Kang Le and Yu Li Shu Pan are treatments for autonomic nervous system disorders. Personally, I believe that a CT scan is not necessary, but it can provide peace of mind. If you are still feeling uneasy,...[Read More] Understanding Heart Health: Insights on Medications and Testing for Chest Pain
Traveling with a Heart Stent: Tips for Airport Security and X-rays
After receiving a heart stent? Doctor, after having a stent placed, will there be any impact if I travel abroad, such as going through customs or flying? Additionally, if I have a stent, do I need to inform the radiology staff before undergoing a standard chest X-ray, or are ther...
Dr. He Dongjin Reply:
Hello, it should not have any impact, and there is no need to inform Changhua Hospital separately. We care about you.[Read More] Traveling with a Heart Stent: Tips for Airport Security and X-rays
Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Incomplete membranous closure Hello, recently I experienced palpitations and sharp chest pain, so I went to the hospital for a cardiac ultrasound. The doctor said that I do not have mitral valve prolapse, but there is slight incomplete closure of the mitral valve. In the past two...
Dr. Huang Yinghe Reply:
Hello: Echocardiography is a highly precise examination. Mild mitral regurgitation detected through ultrasound is quite common in the middle-aged and elderly population; however, most individuals are asymptomatic. Symptoms of moderate to severe mitral regurgitation typically incl...[Read More] Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Understanding Irregular Heartbeats: When to Seek Medical Attention
Arrhythmia-related issues? I have recently been experiencing noticeable arrhythmia, but it is not painful. It occurs almost every day, but not continuously; I can recall it happening no more than 10 times a day, with each episode lasting only a few seconds. I have had a history o...
Dr. He Dongjin Reply:
Hello, if you can hear a heartbeat in your ears, this is known as palpitations. It doesn't necessarily indicate a problem and is not always a sign of a serious illness, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Irregular Heartbeats: When to Seek Medical Attention
Understanding Heart Palpitations: Causes and Management Strategies
Rapid heartbeat issue? Hello, Doctor. I have a longer question, thank you for your attention. I am 26 years old and used to dance hip-hop. There is no family history of cardiovascular disease. At the end of last year, I went to the hospital due to symptoms of increased heart rate...
Dr. He Dongjin Reply:
Hello, it seems that this is related to autonomic nervous system dysregulation. I recommend that you take your medication regularly for a while to stabilize your autonomic nervous system before proceeding further. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Management Strategies
Understanding Irregular Heartbeats and Nausea: When to Seek Help
Irregular heartbeat, nausea, and dizziness? Hello Doctor: About a year ago, I suddenly experienced chest tightness, shortness of breath, and cold sweats in the middle of the night while watching a show. Lying down and resting for 20 minutes alleviated the discomfort, but since th...
Dr. He Dongjin Reply:
Hello, any discomfort in your body can lead to irregular heartbeat, shortness of breath, and tightness in the chest. It is advisable to consult an endocrinologist to check for metabolic issues. Consider discontinuing METFORMIN for now and let the endocrinologist adjust your medic...[Read More] Understanding Irregular Heartbeats and Nausea: When to Seek Help
Understanding Heart Issues: When to Seek Medical Attention
Cardiac issues I previously experienced a period of high stress where I often had palpitations. Sometimes, I felt my heart rate slow down and become weaker. There was an instance where each heartbeat felt sharp and painful for over a minute. I also fainted once during intense exe...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysfunction, mitral valve prolapse, or arrhythmia. It is recommended to avoid stimulating amusement rides and engage in manageable exercises. If you continue to feel unwell, it is advisable to visit a cardiolo...[Read More] Understanding Heart Issues: When to Seek Medical Attention
Does Caffeine and Late Nights Worsen Mitral and Tricuspid Valve Insufficiency?
Does caffeine and late-night sleeping have an impact on mitral and tricuspid valve insufficiency? I previously underwent a Doppler color ultrasound that confirmed issues with mitral and tricuspid valve regurgitation. The doctor advised me to avoid strenuous activities and other p...
Dr. Chen Jili Reply:
I recommend that you try to maintain a regular schedule, avoid excessive fatigue, and wish you good health and success in your exams.[Read More] Does Caffeine and Late Nights Worsen Mitral and Tricuspid Valve Insufficiency?
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and shortness of breath, worse than before the surgery? Hello, Dr. Huang! My brother underwent a cardiac catheterization due to chest tightness, which revealed 50% blockage at the ostium of the left main coronary artery ...
Dr. Huang Yinghe Reply:
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a blood vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. Typic...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and have difficulty breathing, worse than before the surgery? Hello, Dr. Huang! (I apologize for not providing enough details in my previous message, so I am resending it.) My brother underwent a coronary angiogram due t...
Dr. Huang Yinghe Reply:
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. The standar...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
Sudden Chest Pain: Understanding Sharp Breathing Discomfort
Sharp pain during breathing? Last month, I woke up in the middle of the night with sudden sharp pain while breathing, and it hurt to turn over. It lasted for about five minutes before it went away. Recently, it happened again without any vigorous exercise or apparent reason, with...
Dr. He Dongjin Reply:
Hello, you may be experiencing a neuromuscular issue or mitral valve prolapse. If you continue to feel unwell, it is advisable to visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.[Read More] Sudden Chest Pain: Understanding Sharp Breathing Discomfort
Which Specialist Should I See for Dizziness and Bruising Symptoms?
Which department should I see? The doctor said that I have been experiencing frequent dizziness and chest tightness. I have a family history of thalassemia and also have hepatitis B, for which I am currently taking medication. Recently, I have been noticing frequent bruising and ...
Dr. He Dongjin Reply:
Hello, please visit the Rheumatology Department for an examination at Changhua Hospital. We care about your health.[Read More] Which Specialist Should I See for Dizziness and Bruising Symptoms?
Understanding the Health Implications of a Slower Heart Rate
Bradycardia Hello doctor, my heart rate used to be around 75 beats per minute or higher. A few months ago, I felt like my heart would suddenly stop for a moment, and then I felt dizzy. When I checked my blood pressure, I found that my heart rate had dropped to around 65, and some...
Dr. He Dongjin Reply:
Hello, a slower heart rate compared to before may not be related to health issues and does not necessarily indicate paroxysmal arrhythmia; further examination is needed to determine this. If you continue to feel unwell, it is advisable to visit a cardiology clinic for further eva...[Read More] Understanding the Health Implications of a Slower Heart Rate
Understanding Heart Issues: Symptoms and Their Connections
Cardiac issues Hello, I have been feeling chest tightness and palpitations lately. I feel like I can't get enough air, and the veins in my left wrist and palm, which were not very prominent before, have become very pronounced in the past few days. Additionally, the area arou...
Dr. He Dongjin Reply:
Hello, there is no connection, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Heart Issues: Symptoms and Their Connections
Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Myocardial perfusion tomography and 24-hour electrocardiogram? Dear Director: I would like to request your interpretation of the following two reports: (1) Myocardial Perfusion Tomography: IMP: The study suggests possible myocardial ischemia in the lateral wall of the left ve...
Dr. Huang Yinghe Reply:
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to dilate the coron...[Read More] Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Understanding 24-Hour Holter Monitoring: Key Insights and Findings
24-hour Holter monitor? Dear Director: I am the patient who asked you about the myocardial perfusion tomography and 24-hour electrocardiogram report two days ago. Since the previous 24-hour electrocardiogram only included the conclusion and omitted the details, I am providing the...
Dr. Huang Yinghe Reply:
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to induce vasodilat...[Read More] Understanding 24-Hour Holter Monitoring: Key Insights and Findings
Understanding Chest Pressure and Pain After Meals: Possible Causes and Concerns
Chest tightness and discomfort? Hello, doctor. A while ago, after having dinner one day, I started feeling gastrointestinal discomfort, followed by vomiting and fever, which led to jaundice. I went to the hospital for a blood test, and the results were normal. However, I experien...
Dr. He Dongjin Reply:
Hello, based on your description, the likelihood of having heart disease is lower if you only feel discomfort after eating. It is advisable to have a thorough examination at the hepatobiliary and gastroenterology department upon returning to Taiwan. Changhua Hospital cares about ...[Read More] Understanding Chest Pressure and Pain After Meals: Possible Causes and Concerns