Understanding Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Chest pain and heart problems? Hello, doctor. Recently, I have experienced the following symptoms: 1. A sharp, intermittent pain in the middle of my chest, slightly to the left, lasting about 2 to 3 minutes. 2. I have felt a tingling sensation in my chest that lasted no more than...
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 Chest Pain: Heart Issues and Autonomic Nervous System Disorders
Understanding ECG and Chest Imaging Results in Hospitalized Pneumonia Patients
Electrocardiogram (ECG) examination for father hospitalized due to fever? Hello Doctor, my father was admitted to the emergency room on January 15 due to fever and was diagnosed with pneumonia. Upon arrival, his blood pressure was between 70 and 80, and his heart rate was in the ...
Dr. Wu Xueming Reply:
The report you provided appears to be an echocardiogram report, which indicates that there are no significant abnormalities.[Read More] Understanding ECG and Chest Imaging Results in Hospitalized Pneumonia Patients
Understanding ECG and Coronary Artery Tests for Hypertension Patients
Electrocardiogram (ECG) and coronary artery examination? Familial hypertension, currently managed with medication, occasionally experiences chest tightness and pressure. On New Year's Day, there were several instances of sharp chest pain. On January 9th, a follow-up visit in...
Dr. Wu Xueming Reply:
The electrocardiogram report shows right atrial enlargement and T-wave abnormalities. If you have risk factors for heart disease such as hypertension, diabetes, or smoking, it is recommended that you undergo further tests to confirm the presence of cardiovascular disease.[Read More] Understanding ECG and Coronary Artery Tests for Hypertension Patients
Understanding Heart Issues: Is Concor Right for You?
How to assess and manage discomfort related to the heart in outpatient settings? Hello, Doctor. My usual blood pressure readings are 89-97 systolic and 53-65 diastolic, with a heart rate around 83. In the past, while working, I noticed significant hand tremors and experienced pal...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Heart Issues: Is Concor Right for You?
Understanding Your Exercise ECG Report: Key Insights and Next Steps
Exercise Electrocardiogram Report Hello: The exercise electrocardiogram report is as follows. No additional tests were performed, and the doctor recommends continuing aspirin therapy. I would like to seek a second opinion regarding the necessity of continuing this medication. C...
Dr. Li Han Reply:
Hello, based on your exercise electrocardiogram records, your clinical symptoms mainly include exertional wheezing (New York Heart Association classification) and exertional chest discomfort? Typical? (Canadian Cardiovascular Society classification). Angina pectoris is actually a...[Read More] Understanding Your Exercise ECG Report: Key Insights and Next Steps
Post-Heart Examination Care: Key Considerations and Next Steps
I would like to inquire about the follow-up precautions after various heart examinations? Description of Symptoms: On June 14, 2022, approximately a year and a half ago, while climbing Keelung Mountain, I experienced a sudden onset of fatigue during the final steep segment. I sto...
Dr. Wu Xueming Reply:
It is recommended to moderately adjust your exercise routine, such as brisk walking or jogging for thirty minutes three times a week. If symptoms do not improve, please consult with a physician in the outpatient clinic to discuss further treatment options.[Read More] Post-Heart Examination Care: Key Considerations and Next Steps
Understanding Varicose Veins: Symptoms, Causes, and Treatment Options
Acute onset of varicose veins? Hello Doctor: Four months ago, after a long day of standing and walking during an outing, I realized that I may not have consumed enough fluids. Upon returning home, I experienced discomfort in my left calf, and a few days later, I suddenly noticed ...
Dr. Wu Xueming Reply:
Based on the examination report you described, your symptoms are not caused by deep vein thrombosis. Regarding the phenomenon of varicose veins, if it is mild, it is advisable to avoid prolonged sitting or standing. You may also wear compression stockings to enhance venous return...[Read More] Understanding Varicose Veins: Symptoms, Causes, and Treatment Options
Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Ventricular premature contraction (VPC) Hello, Doctor: Previously, I experienced issues such as shortness of breath, wheezing, palpitations, and chest pain. I went to a cardiologist for an examination (echocardiogram + 24-hour Holter monitor), and the doctor mentioned that there ...
Dr. He Dongjin Reply:
Hello, you can start by monitoring your condition for a day and take a small amount if you feel uncomfortable. Changhua Hospital cares about you.[Read More] Understanding Ventricular Ectopic Beats: Symptoms, Diagnosis, and Treatment
Understanding FDP (Dimer) Levels: Interpretation and Implications for Patients
How to interpret FDP (D-dimer) data? Hello Dr. Wu, my mother is 81 years old and has a history of pulmonary embolism and lung cancer. She underwent cardiac catheterization last July and received three drug-eluting stents. Currently, she takes antithrombotic medication (保栓通) every...
Dr. Wu Xueming Reply:
The primary diagnosis of pulmonary embolism is based on computed tomography, while blood tests serve as supplementary tools. If there are symptoms of chest tightness and shortness of breath, it is recommended to go to the hospital for further evaluation.[Read More] Understanding FDP (Dimer) Levels: Interpretation and Implications for Patients
Understanding Chest Pain: Is It Angina or Anxiety?
Angina pectoris, palpitations Hello, Doctor. First, thank you for taking the time to respond to me. For the past month, I have frequently felt discomfort around my heart. Sometimes, I get slightly short of breath just from climbing stairs (I don’t usually exercise). The pain vari...
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 Chest Pain: Is It Angina or Anxiety?
Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Chest tightness and inability to sleep? Hello, doctor. I apologize for the previous message being incomplete due to formatting issues on my phone. I would like to ask for your guidance again. Thank you. I would like to inquire about what type of heart disease my condition may fal...
Dr. He Dongjin Reply:
Hello, the coronary catheterization shows 10% blockage, which does not affect functional capacity. Overall, there seems to be no cardiac issues; it is likely related to anxiety and autonomic nervous system dysregulation. It is recommended to visit a psychosomatic medicine special...[Read More] Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have already had an ultrasound, and the doctor said there were no issues, but I often wake up at night sweating cold, my feet feel cold, and I experience chest tightness and pressure. Sometimes I can't sleep all night, and I have severe palpitati...
Dr. Wu Xueming Reply:
Typical angina occurs during physical activity or heavy lifting, presenting symptoms such as chest tightness or shortness of breath. Patients often have risk factors for heart disease, such as hypertension, diabetes, and smoking. It is recommended that you visit an outpatient cli...[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Mild mitral valve prolapse + exercise electrocardiogram? Hello Doctor: My cholesterol level is 241, and my low-density lipoprotein (LDL) cholesterol is 171. I have not taken any lipid-lowering medications for five years. My father has a history of hypertension, diabetes, and hype...
Dr. Li Han Reply:
Hello, regarding your inquiry, you are experiencing chest tightness and stabbing pain; however, the exercise electrocardiogram was able to complete the fourth stage of the BRUCE protocol, showing only exercise-induced dyspnea without the aforementioned chest tightness symptoms. F...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Understanding Dizziness and Blood Pressure: When to Seek Help
Dizziness and blood pressure? Hello, at the end of November, I experienced a spike in blood pressure up to 200 while in Germany and went to the emergency room. I was prescribed two medications: Metoprolol and Diltiazem 80 mg. After taking them for three days, I returned to Taiwan...
Dr. He Dongjin Reply:
Hello, not all discomfort is caused by blood pressure, but discomfort can lead to fluctuations in blood pressure, causing symptoms like head heaviness and dizziness, as well as numbness in the face and back of the head. It would be advisable to consult a neurologist. For now, the...[Read More] Understanding Dizziness and Blood Pressure: When to Seek Help
Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. After falling ...
Dr. He Dongjin Reply:
Hello, it doesn't seem to be a heart issue. A cardiac catheterization showed that one blood vessel is 10% blocked, which is not concerning. It may be related to cervical spine issues or autonomic nervous system problems. I recommend seeing a neurologist for further evaluatio...[Read More] Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Heart rate issues Hello, Doctor. A few years ago, I underwent catheter-based medication treatment for cardiac spasms and have been taking autonomic nervous system medications long-term. I use a ventilator at night due to sleep apnea and also take cardiology medications including ...
Dr. He Dongjin Reply:
Hello, this symptom does not seem to indicate a heart problem and should be monitored. For heart spasms and chest pain, sublingual tablets should be administered first, followed by observation. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Medication consultation Dear Dr. Lee, Hello. My mother (69 years old) has experienced occasional episodes of sudden increased heart rate and elevated blood pressure over the past 1-2 years. Her resting heart rate is usually around 60 beats per minute, but during these episodes, ...
Dr. Li Han Reply:
Hello, regarding your inquiry about your mother (69 years old) experiencing occasional episodes of sudden heart rate increase and elevated blood pressure over the past 1-2 years. Her normal heart rate is usually around 60 beats per minute, but during these episodes, it can sudden...[Read More] Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Myocardial perfusion scan report / Please consult the director on whether a cardiac catheterization is necessary? REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN CLINICAL HISTORY: A 31-year-old male presents with recent chest tightness and has been ref...
Dr. Wu Xueming Reply:
The examination report indicates the presence of myocardial hypoxia. Please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Understanding Valve Insufficiency and Vaccination Concerns
Valvular insufficiency and vaccines? Hello Doctor: I have a few reports of incomplete closure as follows: 2023/05/06 BP 104/63 mmHg PR 66 2023/01/10 BP 96/64 mmHg PR 64 S: Intermittent dyspnea on exertion for months. STILL INTERMITTENT chest tightness (TET: POSITIVE by Song...
Dr. Wu Xueming Reply:
Mild valve prolapse will not affect vaccination. If you experience side effects after receiving the vaccine, please rest more and stay hydrated.[Read More] Understanding Valve Insufficiency and Vaccination Concerns
Understanding RBBB and LPFB: Symptoms, Management, and Reversal
Right Bundle Branch Block (RBBB) with Left Posterior Fascicular Block Hello, doctor. In my recent two years of health check-ups, I have found signs of RBBB (Right Bundle Branch Block) and LPFB (Left Posterior Fascicular Block) on my electrocardiograms. Occasionally, I experience ...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Understanding RBBB and LPFB: Symptoms, Management, and Reversal