Chest Tightness and Rapid Heartbeat: Seeking Answers Beyond Cardiology
When lying down, I experience chest tightness and a sensation of a rapid heartbeat, with blood pressure readings around 60 to 70 bpm? Hello doctor: I am 163 cm tall and weigh 150 kg. At the beginning of July, I was still 160 kg, but I have recently lost 10 kg. Lately, I often wak...
Dr. Bai Xiyan Reply:
Note: Symptoms of chest tightness and palpitations are somewhat related to obesity, and please pay attention to slightly elevated blood pressure. Although X-rays and electrocardiograms show no abnormalities, it is still necessary to check cholesterol, blood lipids, liver, and kid...[Read More] Chest Tightness and Rapid Heartbeat: Seeking Answers Beyond Cardiology
Chest Tightness and Shortness of Breath: When Tests Come Back Normal
Chest tightness and shortness of breath, but examinations are normal? Hello Doctor: For the past five days, I have been feeling a significant pressure in my chest, as if a heavy stone is pressing down on it. Initially, it occurred occasionally, but the duration of the discomfort ...
Dr. He Dongjin Reply:
Hello, your heart sounds are normal, and the ultrasound, blood tests, and chest X-ray results are all normal. You are young, with no risk factors such as hypertension, diabetes, or smoking, which makes the likelihood of angina or pulmonary hypertension low. You can consider doing...[Read More] Chest Tightness and Shortness of Breath: When Tests Come Back Normal
Understanding Heart Rhythm Disorders: Symptoms, Diagnosis, and Treatment Options
Cardiac issues? I was diagnosed with arrhythmia ten years ago, with a heart rate ranging from 35 to 130 beats per minute. Recently, I have been experiencing severe pain in my left back and persistent dizziness. A 24-hour Holter monitor revealed bradycardia, and an exercise stress...
Dr. He Dongjin Reply:
Hello, I have been advised to get a pacemaker due to my sick sinus syndrome. I have reservations about this recommendation and suggest seeking further evaluation at another medical center. Best regards, Changhua Hospital.[Read More] Understanding Heart Rhythm Disorders: Symptoms, Diagnosis, and Treatment Options
Post-Cardiac Catheter Ablation: Understanding Recovery and Symptoms
Just completed a cardiac catheter ablation procedure? Hello, doctor. I underwent catheter ablation surgery in early July this year due to recurrent arrhythmias that had become more frequent recently. After the examination, the doctor recommended the procedure. It has been over th...
Dr. He Dongjin Reply:
Hello, I sometimes feel a bit of discomfort in my chest while my heart is beating, which makes it difficult for me to fall asleep. This seems more like an issue with autonomic nervous system dysregulation rather than a failed surgery. If the surgery had not been successful, the s...[Read More] Post-Cardiac Catheter Ablation: Understanding Recovery and Symptoms
Sudden Fainting and Chest Pain at Night: Possible Causes Explained
Sudden fainting at night with chest pain? Hello, doctor. Last month, after using the restroom one night, I suddenly felt heart pain and my heart rate slowed down, causing me to faint. However, I regained consciousness after a few seconds but felt dizzy and lightheaded for about 3...
Dr. Lin Jixiong Reply:
Hello: A decrease in heart rate followed by fainting after using the restroom may be due to autonomic nervous system dysfunction. It is advisable to discuss this with a cardiologist and arrange for further examinations to determine the underlying cause. Dr. Lin Chih-Hsiung.[Read More] Sudden Fainting and Chest Pain at Night: Possible Causes Explained
Understanding Chest Pain: When to Seek Help for Heart Issues
Is this situation something to be concerned about? Hello, Doctor: Two weeks ago, I visited a clinic due to discomfort in my chest. I underwent a resting electrocardiogram (ECG), and the physician diagnosed me with angina, indicating signs of myocardial ischemia. I was prescribed ...
Dr. He Dongjin Reply:
Hello, angina? It's hard to say; it seems more like it's caused by mitral valve prolapse. It's advisable to go to a major hospital for a complete examination to avoid unnecessary worry. Take care, and Changhua Hospital is concerned about you.[Read More] Understanding Chest Pain: When to Seek Help for Heart Issues
Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Three blocked coronary arteries? Hello everyone, my father is 60 years old (I created this account for him to facilitate the review of his basic information by various doctors). Recently, he underwent a cardiac examination at the hospital, starting with an MRI, which revealed som...
Dr. Huang Yinghe Reply:
Hello: In the case of narrowing or blockage in all three coronary arteries, lifestyle modifications and medication therapy are fundamental and necessary. This includes controlling hypertension, blood cholesterol, and blood sugar levels, as well as using antiplatelet medications. ...[Read More] Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Understanding Palpitations: When to Seek Medical Advice for Heart Concerns
Palpitations are the sensation of a pounding or fluttering in the chest? I often feel my heartbeat after eating while sitting in a chair, and I notice that the fabric over my left chest vibrates with my pulse. I previously had an electrocardiogram (ECG) done, and due to anxiety d...
Dr. He Dongjin Reply:
Hello, it is normal for the clothing on your chest to vibrate with your pulse. There is no need to worry, and no examinations are necessary. Just observe and take care. Changhua Hospital cares about you.[Read More] Understanding Palpitations: When to Seek Medical Advice for Heart Concerns
Understanding Heart Issues: Concerns About Exercise ECG and Hypertrophy
Cardiac issues Hello doctor, I have been troubled by heart and chest pain for a month. I went to see a doctor, but the CT scan showed nothing wrong. During the exercise stress test, I could only run for three minutes because I experienced chest pain, tightness, shortness of breat...
Dr. Chen Jili Reply:
It is recommended to discuss further with your attending physician. Thank you![Read More] Understanding Heart Issues: Concerns About Exercise ECG and Hypertrophy
Concerns About Heart Issues After Cold: Mitral Valve Prolapse and More
Cardiac issues Hello, I would like to know if having congenital mitral valve prolapse with regurgitation and tricuspid valve prolapse, along with a recent cold, should raise concerns about myocarditis or endocarditis? Recently, I've had a cold and have been feeling my heart ...
Dr. He Dongjin Reply:
Hello, a common cold generally does not affect congenital mitral valve prolapse with regurgitation and tricuspid valve prolapse. There is no need to worry; just report any symptoms if they arise. Changhua Hospital cares about you.[Read More] Concerns About Heart Issues After Cold: Mitral Valve Prolapse and More
Understanding Myocardial Hypoxia: Symptoms, Complications, and Solutions
Myocardial hypoxia Hello, Dr. He. Recently, I experienced dizziness, neck and shoulder pain, and chest tightness, so I tried cupping and massage. The therapist mentioned that my dizziness might be caused by myocardial ischemia. Could you please tell me if myocardial ischemia can ...
Dr. He Dongjin Reply:
Hello, the results of the resting electrocardiogram, 24-hour Holter monitor, exercise stress test, cardiac enzymes, and pulmonary function tests are all normal. Given your young age, the likelihood of myocardial ischemia should be low. If you still have concerns, you can visit th...[Read More] Understanding Myocardial Hypoxia: Symptoms, Complications, and Solutions
Understanding Chest Discomfort: When to Seek Medical Advice
Chest discomfort? Hello doctor, two years ago during a hospital check-up, I was diagnosed with mitral valve prolapse. At that time, it was considered a minor issue, and the doctor mentioned that it would likely resolve as I grew older, so I didn't pay much attention to it. G...
Dr. He Dongjin Reply:
Hello, theoretically, mitral valve prolapse is a minor issue and should not pose significant problems. Experiencing shortness of breath, chest tightness, rapid heartbeat, and chest pain while lying down may also indicate issues related to mitral valve prolapse. It is advisable to...[Read More] Understanding Chest Discomfort: When to Seek Medical Advice
Understanding Chest Pain: When to Seek Cardiac Care at 21
I feel strange in my chest? Hello doctor, I am a 21-year-old female. Recently, I have been experiencing pain in the center of my chest and below my left breast, as well as pain in my upper back near the shoulder blades. My hands feel numb, and sometimes I notice my heart beating ...
Dr. He Dongjin Reply:
Hello, the overall symptoms indicate autonomic nervous system dysfunction, possibly due to recent stress and being overly busy. There is pain in the left shoulder, numbness in the hand, and a slight stabbing pain near the left rib area. The symptoms resemble mitral valve prolapse...[Read More] Understanding Chest Pain: When to Seek Cardiac Care at 21
Understanding Chest Pain and Anxiety: Heart Health Concerns for Young Adults
Cardiac issues - frequent sharp pain in the left chest, rapid heartbeat, difficulty breathing, and numbness in the left side of the face? Hello Dr. He, I am currently 21 years and 9 months old, with a height of 178 cm and a weight of approximately 95 kg (slightly overweight). I ...
Dr. He Dongjin Reply:
Hello, it seems that your symptoms of hyperventilation syndrome and palpitations may be caused by autonomic nervous system dysfunction. If you are still concerned, it is advisable to quit smoking and consult a cardiologist for further examination. Changhua Hospital cares about yo...[Read More] Understanding Chest Pain and Anxiety: Heart Health Concerns for Young Adults
Understanding and Managing Your Heart Palpitations: Causes and Solutions
Arrhythmia I have recently experienced episodes of rapid heartbeat and discomfort while climbing stairs, but I do not have symptoms of shortness of breath, chest tightness, or chest pain. The rapid heartbeat returns to normal within a minute. Occasionally, I also experience sudde...
Dr. He Dongjin Reply:
Hello, experiencing a second episode of rapid heartbeat while climbing stairs that normalizes within a minute may not necessarily indicate a problem, as increased activity can lead to an elevated heart rate, which is generally considered normal. It is advisable to schedule an exe...[Read More] Understanding and Managing Your Heart Palpitations: Causes and Solutions
Understanding Heart Tightness: Symptoms and When to Seek Help
Cardiac constriction Hello doctor, I have recently experienced a feeling of tightness in my chest, occasional sharp pain in my ribs, and a sensation of stiffness in my left arm. What could be wrong with me? Should I see a cardiothoracic surgeon or an internist? Thank you. 🙏
Dr. Li Han Reply:
Hello, based on your description of "recently experiencing heart tightness, occasional stabbing pain in the ribs, and a feeling of stiffness in the left hand, what could be wrong with me? Should I see a cardiothoracic surgeon or an internist?" these symptoms generally s...[Read More] Understanding Heart Tightness: Symptoms and When to Seek Help
Understanding Heart Pain at 20: Causes and Concerns for Young Adults
Cardiac issues I apologize for the inconvenience, but I would like to ask a question. I am currently 20 years old and experiencing chest pain. I went to the hospital and had an electrocardiogram, but the doctor said it was normal. A subsequent echocardiogram revealed mitral valve...
Dr. Huang Yinghe Reply:
Hello: The heart is located in the center of the thoracic cavity, commonly referred to as the epigastric region. Typical heart pain often presents as a pressure-like discomfort in the epigastric area, similar to the sensation of a heavy weight pressing down. Sometimes, this pain ...[Read More] Understanding Heart Pain at 20: Causes and Concerns for Young Adults
Understanding Myocardial Ischemia: Risks, Treatments, and Supplements
Myocardial hypoxia Dear Dr. He, I would like to ask you some questions. I have undergone a stress electrocardiogram and a myocardial perfusion scan. The doctor mentioned that the stress ECG report indicates a moderate risk, while the myocardial perfusion scan shows a mild to mod...
Dr. He Dongjin Reply:
Hello, two types of medications have a preventive effect on angina but do not improve treatment outcomes, which is concerning. It would be advisable to undergo a CT scan for further evaluation. Omega-3 fish oil capsules can be taken without conflicting with the medications and do...[Read More] Understanding Myocardial Ischemia: Risks, Treatments, and Supplements
Is Your Discomfort a Sign of Angina? Understanding Heart Health Symptoms
Could this situation be caused by angina? Hello, Doctor. I underwent a health examination at the end of last year, and a CT scan revealed signs of blockage at the distal end of the left anterior descending artery. After further coronary angiography, my attending physician indicat...
Dr. He Dongjin Reply:
Hello, since the cardiac catheterization showed no need for stent placement and you are not experiencing any chest discomfort, chest pain, or shortness of breath while jogging, let's hold off on medication for now if your blood pressure is normal. If the aforementioned sympt...[Read More] Is Your Discomfort a Sign of Angina? Understanding Heart Health Symptoms
Understanding Shortness of Breath and Heart Pain: When to Seek Help
Shortness of breath? Recently, I have been experiencing sudden shortness of breath accompanied by chest pain. The pain worsens with inhalation, and after catching my breath, the chest pain persists. Additionally, I have weakness and numbness in my left arm, and sometimes a blood ...
Dr. He Dongjin Reply:
Hello, it is likely that your discomfort is caused by mitral valve prolapse. You may start by monitoring your symptoms, but if the discomfort persists, it is advisable to visit a cardiology clinic for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Shortness of Breath and Heart Pain: When to Seek Help