Understanding Heart Issues: Key Questions About Your Cardiovascular Health
Cardiac issues Hello Doctor, I would like to ask some questions. After experiencing several episodes of palpitations, I visited a cardiologist last year for an electrocardiogram, echocardiogram, and exercise stress test. The results indicated mild myocardial ischemia during the e...
Dr. He Dongjin Reply:
Hello, 1. Pain in the center of the chest without difficulty in breathing or palpitations, and no discomfort elsewhere, does not seem to indicate a heart problem. It is more likely related to mild mitral valve regurgitation and autonomic nervous system dysregulation rather than...[Read More] Understanding Heart Issues: Key Questions About Your Cardiovascular Health
Understanding Chest Pain Near the Armpit: When to Seek Further Evaluation
Sharp pain or electric shock sensation near the left chest close to the armpit? Hello doctor, I am 32 years old, with a height of 175 cm and a weight of 72 kg. There is a family history of hypertension. I have a smoking history of about 5-6 years (I have quit). About a year ago, ...
Dr. He Dongjin Reply:
Hello, please remain calm. The sharp pain in the left chest area near the armpit is more likely related to muscle or nerve issues rather than the heart, which would not typically present pain this far out. You can take some B vitamins or acetaminophen and monitor your symptoms. T...[Read More] Understanding Chest Pain Near the Armpit: When to Seek Further Evaluation
Chest Pain and Cholesterol: When to Seek Further Heart Evaluation
Cardiac discomfort Hello Doctor, recently I have been experiencing occasional sharp pain and tightness in my left chest, along with some soreness in my left arm. However, my electrocardiogram (ECG) results came back normal. I do have a problem with high cholesterol, with a total ...
Dr. He Dongjin Reply:
Hello, you are experiencing sharp pain and discomfort in your left chest, along with soreness in your left arm, which seems more like a muscular or neurological issue. You can continue to monitor your symptoms, but if the discomfort persists, please visit a cardiology clinic for ...[Read More] Chest Pain and Cholesterol: When to Seek Further Heart Evaluation
Managing Heart Valve Issues: Can I Still Exercise with Mitral Valve Prolapse?
Cardiac issues? Recently, I have been experiencing chest tightness and numbness in my hands. After undergoing an ultrasound examination, I was diagnosed with mitral valve prolapse with regurgitation and tricuspid regurgitation. My left ventricular end-diastolic dimension (LVEDD) ...
Dr. He Dongjin Reply:
Hello, your heart condition is okay, so there's no need to worry. You have mild mitral valve prolapse with regurgitation and tricuspid regurgitation, but these are not related to your hand numbness or heart issues. It seems that your symptoms are likely due to autonomic nerv...[Read More] Managing Heart Valve Issues: Can I Still Exercise with Mitral Valve Prolapse?
Understanding Heart Palpitations: Causes and Concerns
The sensation of the heart being squeezed? Hello, doctor. Since my teenage years, I have occasionally experienced palpitations, about once or twice a month. Many years ago, I wore a monitor to check my heart rate and had an electrocardiogram, both of which showed no abnormalities...
Dr. He Dongjin Reply:
Hello, it sounds like the symptoms may be caused by mitral valve prolapse. If you are still experiencing discomfort, it is advisable to visit a cardiology clinic for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Palpitations: Causes and Concerns
Understanding Elevated Blood Pressure: When to See a Cardiologist
Hypertension Hello, Doctor He: I have mild ventricular premature contractions, and my usual heart rate is between 58-62 beats per minute. My blood pressure has been around 60-90 for decades. Recently, my blood pressure has risen to 139-89. My face often feels warm, and I have a s...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 139/89 does not necessarily indicate hypertension, and it may not be related to blood pressure. I have reservations about taking medication like Pulse Care, which is why I haven't taken it for long. The heart pain extending to the armpit an...[Read More] Understanding Elevated Blood Pressure: When to See a Cardiologist
Distinguishing Between Rib Nerve Pain and Heart Pain: A Guide for Young Adults
How to distinguish between intercostal neuralgia and heart pain? Hello Doctor: I am an 18-year-old student, 179 cm tall and weighing 72 kg. Since the beginning of this semester, I have been monitoring my pulse because my wristband shows a heart rate of 246 beats per minute while ...
Dr. He Dongjin Reply:
Hello, a heart rate of 246 beats per minute may indicate an issue with the wristband's detection. Sharp or stabbing pains are often associated with neurological symptoms, and the likelihood of intercostal neuralgia is higher. At your age, unless there is a congenital heart d...[Read More] Distinguishing Between Rib Nerve Pain and Heart Pain: A Guide for Young Adults
Understanding Chest Tightness and Numbness: Heart Health Concerns
Chest tightness and hand numbness? The patient's mother, aged 54, recently visited a clinic due to a cold, where her blood pressure readings were consistently high, despite her previous history of anemia and low blood pressure. After monitoring her blood pressure at home for...
Dr. He Dongjin Reply:
Hello, currently it is known that discomfort and unstable blood pressure can be caused by either high blood pressure leading to discomfort or discomfort causing high blood pressure. It is recommended to first address these uncomfortable symptoms such as numbness in the hands, diz...[Read More] Understanding Chest Tightness and Numbness: Heart Health Concerns
Understanding Left Ventricular Hypertrophy: Causes and Health Implications
Regarding left ventricular hypertrophy? Hello Doctor: I underwent a health check-up at the hospital during the winter break on February 12, and the report has recently come out. The results of the resting electrocardiogram indicate possible left ventricular hypertrophy or normal ...
Dr. He Dongjin Reply:
Hello, it is recommended that you go to the hospital for an X-ray examination. A static electrocardiogram may not be accurate. The asymmetry of the ribs on both sides may be related to scoliosis. The three points mentioned have no causal relationship and do not affect your health...[Read More] Understanding Left Ventricular Hypertrophy: Causes and Health Implications
Is This Autonomic Nervous System Disorder? Understanding Chest Pain Symptoms
Could this be autonomic nervous system dysfunction? On the morning of March 2nd, after having breakfast, I experienced severe chest pain (near the heart, close to the center of the chest). The pain was less intense when sitting upright, but it worsened when I leaned back or lay d...
Dr. He Dongjin Reply:
Hello, it could possibly be gastroesophageal reflux disease (GERD) or mitral valve prolapse. Unlike a myocardial infarction, which requires immediate attention, you can observe your symptoms. If discomfort persists, it is advisable to consult a cardiologist for further evaluation...[Read More] Is This Autonomic Nervous System Disorder? Understanding Chest Pain Symptoms
Understanding Paroxysmal Supraventricular Tachycardia and Chest Discomfort
Paroxysmal Supraventricular Tachycardia (PSVT) & Chest Discomfort Hello Doctor, I would like to ask about my brother (male, 33 years old, smoker, with nasal allergies). Last year, he experienced tachycardia and went to the hospital for an injection. He drinks quite a bit of c...
Dr. Lin Jixiong Reply:
Hello: There are many causes of chest tightness, including a diet high in caffeine, palpitations, irregular sleep patterns, stress, emotional issues, or the presence of vascular narrowing problems. Dr. Lin Chi-Hsiung.[Read More] Understanding Paroxysmal Supraventricular Tachycardia and Chest Discomfort
Could Your Symptoms Indicate Angina or Cervical Nerve Issues?
Is there a possibility of angina? Hello, doctor. Yesterday afternoon, I suddenly felt a tightness in my left armpit, but it wasn't painful. Upon checking, the skin looked normal, with no redness, swelling, or lymphadenopathy. Gradually, it developed a burning sensation, but ...
Dr. He Dongjin Reply:
Hello, if your symptoms do not seem related to cervical spine compression, you can observe them for now. Don't worry, Changhua Hospital cares about you.[Read More] Could Your Symptoms Indicate Angina or Cervical Nerve Issues?
Understanding Chest Pain: A Young Woman's Journey with Heart Issues
Cardiac issues Hello, doctor! I am a 32-year-old female, 164 cm tall and weighing 60 kg. I have been experiencing chest tightness and pain for the past two years, which has been a recurring issue for me. The frequent episodes began around August and September of the year before l...
Dr. He Dongjin Reply:
Hello, you indeed have issues with autonomic nervous system dysregulation. Your self-paid CT scan results are normal, so there is no need for further examinations. It is recommended that you consult a psychosomatic medicine specialist and consider taking some medication. Changhua...[Read More] Understanding Chest Pain: A Young Woman's Journey with Heart Issues
Understanding Blood Pressure Differences Between Arms: What You Need to Know
Difference in blood pressure between the left and right arms? Hello Dr. He, I recently experienced sudden palpitations and noticed a significant difference in systolic blood pressure readings between my left and right arms. I monitored my blood pressure continuously for several d...
Dr. He Dongjin Reply:
Hello, this blood pressure difference is within the normal range, and there is no need to start taking blood pressure medication. This is unrelated to any cardiovascular blockage or structural issues, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Differences Between Arms: What You Need to Know
Understanding Numbness and Chest Pain: Heart-Related Concerns Explained
Numbness in the limbs and mild chest pain when exhaling have been experienced recently. I kindly request the physician's advice and assistance? Hello, Doctor He. Since July 2017, I have been experiencing numbness in my left foot. I have visited both Yadong Hospital and Shuan...
Dr. He Dongjin Reply:
Hello, you have undergone almost all the necessary examinations and everything seems fine, so there is likely no cause for concern. It appears that the symptoms you are experiencing may be due to anxiety-induced autonomic nervous system dysregulation. It would be advisable to con...[Read More] Understanding Numbness and Chest Pain: Heart-Related Concerns Explained
Understanding Heart Pain: Causes, Symptoms, and Treatment Options
Chest pain? Hello Doctor: I would like to ask about my symptoms. I have gastroesophageal reflux disease (GERD) and I am taking medication for my stomach. However, over the past month, I have been experiencing pain in the heart area, which occurs intermittently, along with chest t...
Dr. He Dongjin Reply:
Hello, the CT scan results are normal, so there is no need to worry. The right chest pain is mostly caused by musculoskeletal pain; just monitor it for now. Changhua Hospital cares about you.[Read More] Understanding Heart Pain: Causes, Symptoms, and Treatment Options
Understanding Heart Catheterization: Options for Managing Blockages
Cardiac catheterization? I have been diagnosed with hyperlipidemia (for an uncertain duration), diabetes (with a 6-year history), and a 2 cm vestibular schwannoma (diagnosed about a year ago). In December 2017, a nuclear medicine scan revealed that one of the three main coronary ...
Dr. He Dongjin Reply:
Hello, if the symptoms are not significant and there is a 50% blockage, you can start with medication and observe. Medication will not improve or reverse the blockage; it can only stabilize the symptoms without any changes. If you really do not want to undergo surgery, then takin...[Read More] Understanding Heart Catheterization: Options for Managing Blockages
Left Chest Pain and Palpitations: Are They Emotionally Driven?
Left chest tightness and pain, feeling the heart beating, but heart rate is normal? Hello Doctor, I have been feeling down at times recently. Two days ago, after crying a lot, I experienced palpitations (irregular heartbeat, occasionally strong beats), but my heart rate was withi...
Dr. He Dongjin Reply:
Hello, it seems that emotional issues may have triggered autonomic nervous system dysfunction. It is advisable to observe the situation first. If discomfort persists, you can visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.[Read More] Left Chest Pain and Palpitations: Are They Emotionally Driven?
Understanding Persistent Chest Discomfort After Normal Heart Catheterization
Chest discomfort (continuation of #130963) Hello, Doctor. After a normal cardiac catheterization in January last year, I have been experiencing persistent chest discomfort. Recently, the frequency of these episodes has increased. During my follow-up visit, the doctor suggested a ...
Dr. He Dongjin Reply:
Hello. Generally, the likelihood of issues arising within five years is low. It sounds like it could be a vascular spasm. If nitroglycerin (NTG) can alleviate the discomfort, then that should be the initial approach. Alternatively, you may ask your physician to prescribe some aut...[Read More] Understanding Persistent Chest Discomfort After Normal Heart Catheterization
Understanding Elevated CPK Levels: Heart Health Concerns Explained
Cardiac issues - Elevated levels of creatine phosphokinase (CPK)? Hello, I am a 43-year-old male. Last month, during a health check-up, my creatine phosphokinase (CPK) level was 239 IU/L, which exceeds the standard value of 171. I do not smoke, drink alcohol infrequently, and I d...
Dr. He Dongjin Reply:
Hello, a CPK level of 239 does not necessarily indicate heart disease; it is advisable to monitor the situation without excessive concern. Changhua Hospital cares about you.[Read More] Understanding Elevated CPK Levels: Heart Health Concerns Explained