Chest Discomfort After Push-Ups: Is It a Sign of Heart Issues?
Chest tightness after push-ups? Yesterday, on a whim, I did some push-ups for the first time in a long while. About ten minutes after finishing, I felt a slight pain in a small area on the left side of my chest, which hurt when I pressed on it. However, after resting for a while,...
Dr. He Dongjin Reply:
Hello, it's been a while since you last did push-ups. The sudden intense exercise, similar to lifting heavy objects, has caused muscle soreness due to lactic acid buildup. This pain is not concerning and can be monitored; it is unrelated to pneumothorax. Changhua Hospital ca...[Read More] Chest Discomfort After Push-Ups: Is It a Sign of Heart Issues?
Fast Heartbeat and Chest Discomfort: Should You Be Concerned?
Rapid heartbeat / Chest tightness Hello doctor, I have been experiencing rapid heartbeats lately, and occasionally I feel like my heart skips a beat, alternating between fast and slow. During my health check this year, my heart rate was measured at 96 beats per minute. I also fee...
Dr. He Dongjin Reply:
Hello, it is likely that your rapid heartbeat is caused by stress. Please observe your condition for now. Changhua Hospital cares about you.[Read More] Fast Heartbeat and Chest Discomfort: Should You Be Concerned?
Managing Palpitations and Panic Attacks: Effective Relief Strategies
Palpitations, autonomic nervous system dysfunction, arrhythmia, panic disorder, and difficulty breathing? I have already been to Linkou Chang Gung Memorial Hospital and Tamsui Mackay Memorial Hospital for an electrocardiogram (ECG), ultrasound, X-ray, exercise ECG, and 24-hour Ho...
Dr. He Dongjin Reply:
Hello, it seems that the excessive hyperventilation syndrome is caused by autonomic nervous system dysregulation. Since the electrocardiogram, ultrasound, X-ray, exercise stress test, and 24-hour Holter monitor have all shown no issues, there is no need to worry. It is recommende...[Read More] Managing Palpitations and Panic Attacks: Effective Relief Strategies
Understanding Chest Tightness and Dizziness: When to Seek Medical Help
Chest tightness and dizziness? Hello! I have had poor physical stamina since childhood and have experienced fainting spells multiple times. I haven't fainted in recent years, but lately, I've been feeling very fatigued frequently, to the point where I sometimes need to ...
Dr. He Dongjin Reply:
Hello, you are experiencing symptoms of autonomic nervous system dysfunction, including insomnia, chest tightness, difficulty breathing, dizziness, and a heavy feeling in your heart and breathing. It is advisable to seek further examination and treatment at a cardiology departmen...[Read More] Understanding Chest Tightness and Dizziness: When to Seek Medical Help
Understanding Left Chest Discomfort: Causes and Concerns
Left chest tightness? Hello Doctor: I often experience a feeling of tightness in my left chest, as if something is pressing down on it, accompanied by a slight weakness in my left chest. This sensation occurs several times a day, averaging about once for over an hour. The trigger...
Dr. He Dongjin Reply:
Hello, the overall symptoms do not appear to be indicative of angina. The exercise electrocardiogram shows slight abnormalities, which could likely be false positives. Due to concerns, it may lead to autonomic nervous system dysregulation. When the heart rate is slow (60-80 bpm),...[Read More] Understanding Left Chest Discomfort: Causes and Concerns
Post-Exercise Chest Tightness and Palpitations After Antibiotics: What to Do?
Chest tightness after exercise and lifting heavy objects + palpitations after taking antibiotics? Hello Doctor, about two years ago, I experienced chest tightness and discomfort after exercising. After researching online, I decided to visit a cardiologist. Following a stress echo...
Dr. He Dongjin Reply:
Hello, your main symptom is palpitations, which may indicate arrhythmia. It seems that this could be caused by medication side effects. It is advisable to stop the medication and observe for a while. If the discomfort persists, it is recommended to follow up with a cardiology cli...[Read More] Post-Exercise Chest Tightness and Palpitations After Antibiotics: What to Do?
Concerns About Long-Term Medication for Arrhythmia Management
Concerns about long-term medication for arrhythmia? Hello Doctor: Recently, I experienced a twitching sensation in my chest that startled me, almost like my heart was suddenly being "tweaked." During these episodes, I checked my wrist pulse, and I noticed that my pulse ...
Dr. He Dongjin Reply:
Hello, you have mild mitral regurgitation and a 24-hour ECG shows over 70 instances of arrhythmia, which is very mild. This is considered benign arrhythmia and poses no life-threatening risk. Continuing to take Heart Care and Zanon can effectively manage your condition, so keep t...[Read More] Concerns About Long-Term Medication for Arrhythmia Management
Understanding VPC: Impact on Heart Function and Treatment Options
Ventricular Premature Contractions (VPC) I have been diagnosed with VPC (ventricular premature contractions) for over 8 years. During this time, I have relied on medication to alleviate uncomfortable symptoms such as palpitations, chest tightness, chest pain, shortness of breath,...
Dr. He Dongjin Reply:
Hello, this abnormal frequency will not affect heart function, so just take the medication! There should be no need for a second catheter ablation at this time. Long-term use of antiarrhythmic medications and beta-blockers has minimal impact on the body, as these drugs are metabo...[Read More] Understanding VPC: Impact on Heart Function and Treatment Options
Understanding Left Chest Pain and Weakness: Is It Mitral Valve Prolapse?
Left chest tightness and weakness? Hello Doctor, I am a person who tends to worry easily. I have mitral valve prolapse and have experienced mild myocardial ischemia when my heart rate is very fast (around 170 bpm). Recently, for the past two months, I have often felt a vague di...
Dr. He Dongjin Reply:
Hello, your symptoms indicate mitral valve prolapse combined with autonomic nervous system dysfunction, which has recently evolved into anxiety and panic disorder. After exercise, your heart rate remains at 120. You can take nitroglycerin and Xanax. Your heart rate may occasional...[Read More] Understanding Left Chest Pain and Weakness: Is It Mitral Valve Prolapse?
Understanding Dizziness, Palpitations, and Weakness: A Cardiovascular Perspective
Dizziness, palpitations, weakness in the arms, and tremors? Hello, in the past two to three weeks, I have been experiencing occasional palpitations, shoulder pain and weakness in my arms, a sensation of a foreign body in my throat, and episodes resembling dizziness (sudden moment...
Dr. He Dongjin Reply:
Hello, it may not be related to the cerebellum. It would be good to check your thyroid levels, but it seems more like it could be caused by autonomic nervous system dysregulation. Taking some adjustment medications should help, so don't worry. Changhua Hospital cares about y...[Read More] Understanding Dizziness, Palpitations, and Weakness: A Cardiovascular Perspective
Understanding Myocardial Ischemia: Treatment Options and Risks
Myocardial hypoxia Dear Dr. He, Thank you very much for interpreting my exercise electrocardiogram report. You mentioned that I could undergo a nuclear medicine myocardial perfusion study, which I have arranged with my physician. Today, I returned for a follow-up appointment to ...
Dr. He Dongjin Reply:
Hello, to put it simply, doctors generally tend to prefer proactive measures such as cardiac catheterization. If after conducting numerous tests, the doctor only prescribes certain medications and issues a continuous prescription while suggesting to just monitor the situation, it...[Read More] Understanding Myocardial Ischemia: Treatment Options and Risks
Understanding Frequent Chest Discomfort: Causes and Solutions
I can't stand the chest tightness and chest pain anymore? Hello Doctor: For the past 3 to 4 months, I have been experiencing frequent chest tightness in the area of my heart on the left side, to the point where it has become unbearable. Each time I feel this tightness, I sta...
Dr. He Dongjin Reply:
Hello, your symptoms are caused by anxiety and panic, leading to autonomic nervous system dysregulation. Taking those two medications is appropriate; their purpose is to stabilize the autonomic nervous system without the risk of addiction, so you don't need to worry about ta...[Read More] Understanding Frequent Chest Discomfort: Causes and Solutions
Understanding ECG Abnormalities: Should You Be Concerned?
Abnormal electrocardiogram (ECG) findings? Hello Doctor: Five years ago, during my military service, an abnormal electrocardiogram (ECG) was detected during a physical examination. After wearing a 24-hour Holter monitor, the doctor said there were no issues. After my discharge, I...
Dr. He Dongjin Reply:
Hello, if the electrocardiogram shows abnormalities, there can be many different situations. Without knowing the specific type of abnormality, it is difficult to determine if there is any correlation. It is advisable to visit a cardiology outpatient clinic for further evaluation....[Read More] Understanding ECG Abnormalities: Should You Be Concerned?
Understanding Angina: Risks, Diagnosis, and Treatment Options
The possibility of angina pectoris? Hello Doctor: I do not smoke or drink and my overall health check-up shows normal total cholesterol, normal high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol levels, and normal triglycerides. However, I often experien...
Dr. He Dongjin Reply:
Hello, 1. It is difficult to say whether a specific constitution may lead to severe anaphylactic shock, but the probability is low. If necessary, isotonic contrast agents can be used. 2. Exercise stress tests can yield false positives, so it does not necessarily indicate the ...[Read More] Understanding Angina: Risks, Diagnosis, and Treatment Options
Understanding Chest and Back Pain: Is Aortic Dissection a Concern?
Chest pain and back pain? Hello Doctor: I usually experience chest tightness and chest pain, but it is not severe discomfort; it simply feels like there is chest tightness and pain. I have also experienced hyperventilation and anxiety, which are usually accompanied by pain in the...
Dr. He Dongjin Reply:
Hello, the back pain feels like muscle nerve pain, and both blood pressure and heart rate are normal, which does not resemble aortic dissection. There is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Chest and Back Pain: Is Aortic Dissection a Concern?
Managing Anxiety and Heart Issues: Safe Medication and Further Testing
Cardiac Issues and Anxiety Disorders Hello Doctor: Recently, my anxiety disorder has become very severe. I often feel discomfort in my left chest, difficulty breathing, and symptoms of hyperventilation. Because of this, I have been sent to the emergency room. I previously underwe...
Dr. He Dongjin Reply:
Hello, it is possible to take them together without adverse effects or life-threatening risks. For anxiety disorders, you might consider adding INDERAL. It would be advisable to start the medication and observe the effects before rushing into further examinations such as cardiac ...[Read More] Managing Anxiety and Heart Issues: Safe Medication and Further Testing
Chest Pain While Breathing: Understanding Causes and Concerns
Experiencing sharp pain in the heart while breathing? Please consult a physician regarding why there is chest pain during breathing, especially when hugging the chest with the arms or when squatting and curling the body, which causes a sharp pain during breathing. However, this p...
Dr. He Dongjin Reply:
Hello, chest pain caused by a change in posture may be related to muscular or neurological issues. If discomfort persists, it is recommended to visit the thoracic medicine outpatient clinic at Changhua Hospital for further evaluation.[Read More] Chest Pain While Breathing: Understanding Causes and Concerns
Is Your Heart Rate Normal? Understanding Heart Rate Variability and Health
Heart rate I would like to ask if a resting heart rate of 95 to 105 beats per minute and a sleeping heart rate of 65 to 75 beats per minute can still be considered within a normal range. I previously experienced chest pain, nausea, and some palpitations, so I underwent several ca...
Dr. He Dongjin Reply:
Hello, this is considered a normal value. Don't worry, Changhua Hospital cares about you.[Read More] Is Your Heart Rate Normal? Understanding Heart Rate Variability and Health
Cholesterol Spike: Understanding Heart Risks and Anxiety at 30
Cholesterol levels have increased significantly over the past six months? Hello Doctor: I am 30 years old and have been experiencing intermittent chest tightness, especially during emotional stress. I underwent an echocardiogram at a large hospital, which revealed symptoms of mit...
Dr. He Dongjin Reply:
Hello, total cholesterol levels fluctuating from 174 to 198 are still within the normal range and the change is not significant. There's no need to worry; the risk of myocardial infarction is low. Really, don't worry. Changhua Hospital cares about you.[Read More] Cholesterol Spike: Understanding Heart Risks and Anxiety at 30
Understanding Young Hypertension: Diagnosis and Testing Explained
Is this considered high blood pressure? Hello Doctor: Starting from May 5th (Friday), I began to feel that my heart sometimes beats very fast, and I have a warm, tight sensation in my left chest. On May 8th (Monday), I consulted a pulmonologist who measured my blood pressure twic...
Dr. He Dongjin Reply:
Hello, you are correct. Measuring blood pressure twice at 160-something does not definitively indicate hypertension; one cannot be diagnosed with high blood pressure based solely on two readings. This condition requires lifelong medication, and not resting beforehand can affect b...[Read More] Understanding Young Hypertension: Diagnosis and Testing Explained