Understanding Persistent Left Chest Pain: Insights and Next Steps
Persistent left chest pain for seven years? Hello, Doctor. I have some questions I would like to ask. I have undergone several tests, and here are my basic details: height 177 cm, weight 83 kg, BMI 26.4. My blood pressure, blood lipids (triglycerides, cholesterol, etc.), echocard...
Dr. He Dongjin Reply:
Hello, if you have been experiencing left chest discomfort for seven years without any serious issues, it should be okay, right? A CT scan is expensive, and the accuracy of a 24-hour Holter monitor and exercise stress test is not 100%. The symptoms are also atypical angina, so it...[Read More] Understanding Persistent Left Chest Pain: Insights and Next Steps
Understanding Myocardial Ischemia: Risks, Monitoring, and Medication Management
Myocardial hypoxia Dear Dr. He, I had an exercise electrocardiogram last September, and the doctor indicated that there was myocardial ischemia, classified as moderate risk. Later, I underwent a myocardial perfusion scan at another hospital, where the doctor reported the finding...
Dr. He Dongjin Reply:
According to current research, patients with stable angina who are on medication management and have undergone cardiac catheterization do not need to repeat exercise stress tests or myocardial perfusion studies, as the results are expected to be similar to the previous ones. Repe...[Read More] Understanding Myocardial Ischemia: Risks, Monitoring, and Medication Management
Understanding Arrhythmias: Concerns for a Young Veterinary Student
Please ask some questions about arrhythmias? Hello, Doctor. I am currently 18 years old and studying veterinary medicine. I used to have a high level of physical activity in high school (as a member of the school sports team). I have mild Mediterranean anemia (MCV around 60). In ...
Dr. He Dongjin Reply:
Hello, 1. It is normal to occasionally miss a beat or have an extra beat. 2. Given your age and the absence of organic heart disease, the likelihood of malignant arrhythmias is very low. 3. This is more likely to be early contractions. 4. It can be inferred as benign atrial ...[Read More] Understanding Arrhythmias: Concerns for a Young Veterinary Student
Understanding Chest Discomfort: Is It Related to Anemia or Something Else?
Chest discomfort? Hello doctor, I occasionally experience chest tightness (feeling pressed) and difficulty breathing (which worsens the pain) near the left chest close to the clavicle, with sharp pain lasting about 1 to 2 minutes each time. At its worst, the pain can last up to 5...
Dr. He Dongjin Reply:
Hello, this condition may be related to a neuromuscular issue or mitral valve prolapse, and it could also be associated with anemia. If you continue to feel unwell, it is advisable to visit a cardiology clinic for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Discomfort: Is It Related to Anemia or Something Else?
Breathlessness with Minimal Activity: Understanding Cardiovascular Concerns
Experiencing shortness of breath with minimal exertion? Hello Doctor: I have been experiencing chest discomfort frequently over the past two years. In January of last year, I underwent a cardiac catheterization at the hospital, and the doctor said everything was normal. Aside fro...
Dr. He Dongjin Reply:
Hello, the results of your cardiac catheterization are normal, which means there is nothing to worry about. However, have you been checked for mitral valve prolapse, gastroesophageal reflux, or post-nasal drip? Changhua Hospital cares about your well-being.[Read More] Breathlessness with Minimal Activity: Understanding Cardiovascular Concerns
Understanding Palpitations: A Teen's Guide to Heart Health
Unsure if it is arrhythmia? Hello Doctor, I am a 17-year-old high school senior. Recently, I have been staying up late to study for the upcoming university entrance exam, and I am not sure if this is causing my physical discomfort. On October 11th, at around 6:30 PM, while I was ...
Dr. He Dongjin Reply:
Hello, your panic disorder and hyperventilation syndrome are likely caused by stress, excessive tension, and anxiety, which can lead to dysautonomia. It is not advisable to have arrhythmias at the same time; it may be necessary to check the emergency ECG report. Generally, heart ...[Read More] Understanding Palpitations: A Teen's Guide to Heart Health
Experiencing Mild Chest Pain After Exercise: When to Seek Medical Attention?
Mild pain in the heart area after exercise? I recently started a workout routine, cycling about 5 kilometers round trip for the first 15 days. On the 16th day, I began to experience a slight pain in my heart whenever I felt fatigued while cycling. Now, on the 30th day, I notice t...
Dr. He Dongjin Reply:
Hello, if you are experiencing chest pain and it persists, it is advisable to visit the cardiology outpatient department for further examination. Changhua Hospital cares about your well-being.[Read More] Experiencing Mild Chest Pain After Exercise: When to Seek Medical Attention?
Understanding Chest Discomfort: Is It Related to My Adrenal Tumor?
Chest discomfort? Hello, Doctor He. I am a patient with angina and am currently receiving treatment. My doctor prescribed Nicorandil. I would like to ask you why I sometimes experience a feeling of pressure in my chest, followed by intense contractions in my stomach, and then num...
Dr. He Dongjin Reply:
Hello, the symptoms you mentioned do not seem to be caused by an adrenal tumor; they are more likely related to autonomic nervous system dysfunction due to menopause. To confirm the diagnosis of angina, it may be necessary to arrange for a cardiac catheterization or a CT angiogra...[Read More] Understanding Chest Discomfort: Is It Related to My Adrenal Tumor?
Understanding Arm Pain and Discomfort: Signs of Heart Issues?
Often feel a tingling sensation in the arms, jaw, and teeth? Hello Doctor: I would like to ask about experiencing a dull ache in my left arm while at rest, which extends to my neck, jaw, teeth, and chest tightness. Sometimes I also notice a pronounced heartbeat. Could this be rel...
Dr. He Dongjin Reply:
Hello, the taro color of your lips and nails may be related to the heart. It's difficult to say for certain, so it's advisable to visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Arm Pain and Discomfort: Signs of Heart Issues?
Should You See a Doctor for Chest Pain? Understanding Heart Symptoms
Should I see a doctor for chest pain? Doctor, I suddenly experienced a slight sharp pain in my chest around 8:40 PM tonight. I'm not sure if it's heart-related; it's not very painful, but there's a bit of discomfort when I breathe. The episode lasted about 30 ...
Dr. He Dongjin Reply:
Hello, it is likely that the change of seasons has triggered symptoms of mitral valve prolapse, which can be monitored without concern. If you still feel uncomfortable or uneasy, you can visit a cardiology clinic for further examination. Changhua Hospital cares about your well-be...[Read More] Should You See a Doctor for Chest Pain? Understanding Heart Symptoms
Understanding Mitral and Tricuspid Valve Prolapse: Symptoms and Pregnancy Concerns
Mitral and tricuspid valve prolapse Hello Doctor: Recently, I have been experiencing decreased physical stamina, shortness of breath, and chest tightness (feeling as if being pressed by a stone). I also feel fatigued easily and cannot lie flat while sleeping; whenever I do, I fee...
Dr. Lin Jixiong Reply:
Hello: 1. After pregnancy, mitral valve prolapse may improve, but regurgitation may worsen slightly. 2. Mitral valve prolapse can also be considered a personal constitution; it is commonly seen in young women aged 20 to 30. 3. In daily life, it is important to pay attention t...[Read More] Understanding Mitral and Tricuspid Valve Prolapse: Symptoms and Pregnancy Concerns
Understanding Heart Valve Issues: Symptoms and Pregnancy Concerns
Heart problems, feeling like there is a weight on the chest? Please help me with my questions. The following statement is a bit lengthy, so please include everything. Thank you! During mid-year, I went on a forest trail with my husband's friends. I had just walked the same...
Dr. He Dongjin Reply:
Hello, you have symptoms of mitral valve prolapse, but it's manageable. During pregnancy, it shouldn't worsen the regurgitation. If you cannot lie flat to sleep and need to elevate your head, it's important to inform your primary physician, especially if the sympto...[Read More] Understanding Heart Valve Issues: Symptoms and Pregnancy Concerns
Understanding Rapid Heartbeat: Causes and Solutions for Your Symptoms
Tachycardia Hello doctor, recently my blood pressure has been around 130 to 140 systolic, and my heart rate is between 90 to 100. Sometimes when my heart beats too fast, I have trouble sleeping. While I am sleeping, I can feel my heartbeat, and at times I experience shortness of ...
Dr. He Dongjin Reply:
Hello, it seems that excessive autonomic nervous system activity is causing discomfort. If symptoms persist, it is advisable to visit a cardiology clinic for further examination and appropriate medication. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Symptoms
Are These Symptoms Signs of Angina? Understanding Heart Health Risks
Are these symptoms indicative of angina? Hello Doctor: Sometimes when I exercise, I suddenly experience palpitations, a tight feeling in my chest, accompanied by shortness of breath, dizziness, blurred vision, tinnitus, nausea, weakness, and numbness (which extends to my arms, sh...
Dr. He Dongjin Reply:
Hello, it seems that your symptoms are likely due to insufficient physical activity during the weekdays and possibly related to mitral valve prolapse or hyperventilation, rather than angina. The situation for a 15-year-old is different from that of older adults, so there's n...[Read More] Are These Symptoms Signs of Angina? Understanding Heart Health Risks
Understanding Myocardial Ischemia and Mitral Valve Prolapse Symptoms
Myocardial ischemia, coronary artery insufficiency, palpitations, mitral valve prolapse? Hello Doctor: For the past few years, I have frequently experienced chest tightness, palpitations, rapid heart rate, dizziness, fatigue, excessive sleepiness, and headaches, particularly from...
Dr. He Dongjin Reply:
Hello, it sounds more like your grandmother's arrhythmia, atrial fibrillation, and subsequent stroke may be caused by autonomic nervous system dysfunction, which should not be related to you. I recommend visiting a major hospital's cardiology department for a 24-hour el...[Read More] Understanding Myocardial Ischemia and Mitral Valve Prolapse Symptoms
Understanding Chest Pain and Low Blood Pressure: When to Seek Help
Chest tightness, chest pain? I have been experiencing sudden chest tightness and pain since high school. Sometimes the pain lasts for a short time and goes away, but other times it is so severe that I have to stop and rest before I can continue with my activities. Last year, I ha...
Dr. He Dongjin Reply:
Hello, Qi. Low blood pressure should not be related to chest pain. Feeling dizzy after squatting for too long is associated with low blood pressure. Sudden chest tightness and pain may be caused by mitral valve prolapse. It is advisable to see a cardiologist for further examinati...[Read More] Understanding Chest Pain and Low Blood Pressure: When to Seek Help
Understanding Left Chest Pain: Is It Related to Myocarditis?
Left chest tightness and pain? Hello Doctor: For the past two to three weeks, I have frequently experienced body aches that feel similar to the muscle soreness associated with a cold or fever. Additionally, I have a slight feeling of chills that has persisted for some time, and I...
Dr. He Dongjin Reply:
Hello, it doesn't seem like myocarditis; it appears to be symptoms caused by an allergy. If you're still concerned, you can visit a cardiologist for follow-up. Changhua Hospital cares about you.[Read More] Understanding Left Chest Pain: Is It Related to Myocarditis?
Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Chest tightness and shortness of breath? When I was young, I experienced sudden heart pain that felt like cramping, making it difficult to speak. This year, due to frequent chest tightness and feeling short of breath, I went to see a doctor and was diagnosed with mitral valve pro...
Dr. He Dongjin Reply:
Hello, Xiao Huang. Taking anemia medication alone may not be very effective; it is advisable to also take medication for mitral valve prolapse to control symptoms. It is recommended to visit a cardiology outpatient clinic for further management. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Arrhythmia Hello, doctor. I experienced arrhythmia and chest tightness about a month and a half ago. I feel chest tightness after meals, which is so severe that it feels like I can't breathe, along with palpitations. Sometimes, I also experience palpitations when taking deep...
Dr. He Dongjin Reply:
Hello Jack, autonomic nervous system dysregulation can lead to arrhythmias due to any changes, including postural changes, which can cause palpitations characterized by strong irregular heartbeats. While there is a possibility of malignant arrhythmias that may not be captured by ...[Read More] Understanding Arrhythmia: Causes, Symptoms, and Treatment Options
Understanding Chest Discomfort: Heart Valve Issues and Lifestyle Factors
Recently, I have been experiencing frequent discomfort in my chest? Hello doctor, I often feel discomfort in my chest on Mondays, and even now while typing, I still have a slight sensation. This started after I broke a tooth while eating last Friday night. I thought I would wait ...
Dr. He Dongjin Reply:
Hello Lien, I have been quite busy these past few days, and my recent discomfort is related to thalassemia and mitral valve prolapse. It's important to maintain a regular schedule; otherwise, it can easily lead to autonomic nervous system dysregulation and worsen my conditio...[Read More] Understanding Chest Discomfort: Heart Valve Issues and Lifestyle Factors