Is There a Risk of Misdiagnosis in Cardiac Catheterization?
Is there a high chance of misinterpretation during cardiac catheterization? Hello, doctor. At the beginning of last year, I experienced chest tightness, and an exercise electrocardiogram showed slight signs of cardiac ischemia. After taking medication for a while without improvem...
Dr. He Dongjin Reply:
Hello, the cardiac catheterization examination will not result in misjudgment; we need to investigate other causes. Changhua Hospital cares about you.[Read More] Is There a Risk of Misdiagnosis in Cardiac Catheterization?
Understanding Abnormal Exercise ECG Results: What You Need to Know
Abnormal results in exercise electrocardiogram (ECG)? Hello Doctor, I am 30 years old and have been experiencing intermittent chest tightness, especially during emotional stress. I do not smoke or drink alcohol, and my comprehensive health check last November showed no signs of...
Dr. He Dongjin Reply:
Hello, please don't be anxious. 1. There will be no discomfort during the cardiac CT scan, so don't worry. 2. It is recommended to print out the exercise electrocardiogram and consult with other cardiologists. 3. The exercise electrocardiogram may have false positiv...[Read More] Understanding Abnormal Exercise ECG Results: What You Need to Know
Understanding Sudden Heart Rate Increases from Chest Compression
When pressure is applied to the chest, the heart rate may suddenly increase? Hello doctor, since I was 15 years old, I have experienced episodes of rapid heart rate when I squat and compress my chest, or when I cough or hiccup, which causes changes in the internal space of my che...
Dr. He Dongjin Reply:
Hello, squatting and compressing the chest can lead to changes in intrathoracic pressure, which may cause the aforementioned symptoms for 2-3 minutes, which is reasonable. However, experiencing symptoms for up to 24 hours seems less reasonable. It is advisable to visit a cardiolo...[Read More] Understanding Sudden Heart Rate Increases from Chest Compression
Understanding Your Coronary CT Angiography Report: Key Insights
Please help me interpret the computed tomography coronary angiography report? Dear Dr. He, Please help me interpret the following coronary CT angiography report: **TECHNIQUE:** After obtaining a non-contrast localizing scout image, a timing bolus acquisition at the level of the...
Dr. He Dongjin Reply:
Hello, there's no need to worry. You can continue your normal life and exercise. Sometimes, exercise electrocardiograms may show false positive results, which do not require aggressive treatment. Congratulations to Changhua Hospital for caring about you.[Read More] Understanding Your Coronary CT Angiography Report: Key Insights
Understanding Heart Checkups: Insights on Ischemia and Diagnostic Options
Cardiac examination Doctor: Hello! Recently, I experienced occasional chest tightness and chest pain, so I underwent an exercise electrocardiogram (ECG). The report indicated downsloping ST depression >= -2.15 mm over aVF at exercise stage 4 (Max HR: 155 (96%), Max time: 10’07...
Dr. He Dongjin Reply:
Hello, over the past 15 years, I have undergone multiple exercise electrocardiograms and nuclear medicine myocardial perfusion studies, with reports being relatively consistent. However, I am still concerned about the possibility of coronary artery disease. I recommend undergoing...[Read More] Understanding Heart Checkups: Insights on Ischemia and Diagnostic Options
Understanding Palpitations: Causes and Concerns After Masturbation
Palpitations? Hello Doctor, two days ago after masturbating, I experienced chest tightness and palpitations. However, I do not experience shortness of breath when climbing stairs or walking. I have had similar situations in the past and have seen a cardiologist, undergoing both a...
Dr. He Dongjin Reply:
Hello, if you have undergone an ultrasound and a dynamic electrocardiogram without any significant findings, there is likely no need for concern. It may be caused by stimulation leading to autonomic nervous system excitation. Just keep observing. Changhua Hospital cares about you...[Read More] Understanding Palpitations: Causes and Concerns After Masturbation
Understanding Heart Issues: When to Seek Medical Attention for Symptoms
Cardiac issues Hello Doctor: When I was five years old, I underwent a cardiac catheterization procedure due to a suspected atrial defect. However, I haven't had a follow-up appointment in about ten years. Recently, over the past year or two, I've been experiencing sharp...
Dr. He Dongjin Reply:
Hello, it may not necessarily be related to the heart, but if you are still experiencing discomfort, it is advisable to seek medical attention for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Issues: When to Seek Medical Attention for Symptoms
Should You Visit a Hospital for Heart Palpitations and Discomfort?
Is it necessary to go to the hospital for a diagnosis? Hello: Currently, I am experiencing episodes of sudden increased heart rate, which sometimes lasts for a while and is accompanied by discomfort such as chest tightness, left-sided chest pain (mostly mild), and occasional cent...
Dr. He Dongjin Reply:
Hello, it seems that insufficient physical activity during weekdays, combined with mitral valve prolapse and recent significant weather changes, has led to autonomic nervous system dysfunction, resulting in symptoms such as sudden heart rate acceleration, chest tightness, heart p...[Read More] Should You Visit a Hospital for Heart Palpitations and Discomfort?
Understanding Palpitations and Slow Heart Rate: Causes and Concerns
Palpitations with bradycardia? I have been experiencing frequent palpitations lately. In the past, I would only feel this after intense exercise or extreme stress, and my pulse would typically be around 55-60 beats per minute. Recently, I often feel chest tightness or heart pain ...
Dr. He Dongjin Reply:
Hello, it seems that insufficient physical activity during weekdays, combined with mitral valve prolapse and recent significant weather changes, has led to autonomic nervous system dysfunction, causing symptoms such as chest tightness or heart palpitations. It is advisable to vis...[Read More] Understanding Palpitations and Slow Heart Rate: Causes and Concerns
Understanding Heart Palpitations: When to Seek Medical Help
Arrhythmia? Hello Doctor, I have been experiencing persistent chest tightness and pain for a while. One night, I had severe pain in my left chest for several hours, so I went to the emergency room. They didn't find anything significant, but the emergency physician reviewed m...
Dr. He Dongjin Reply:
Hello, it seems you have mitral valve prolapse and symptoms caused by recent significant weather changes leading to autonomic nervous system dysregulation. Many tests have been conducted, and everything appears normal, so there is no need to worry too much. The heart rhythm medic...[Read More] Understanding Heart Palpitations: When to Seek Medical Help
Understanding Heart Weakness and Chest Discomfort: Causes and Solutions
Heart failure - chest tightness Hello, Doctor. In the past two years, whenever I go to the cinema, if the movie is tense or the music is loud, I feel my heart racing and I become uncomfortable. After watching, my heart feels very weak and I experience chest tightness that takes 1...
Dr. He Dongjin Reply:
Hello, you likely have mitral valve prolapse, and the recent significant changes in weather may have triggered autonomic dysregulation and hyperventilation syndrome. It is advisable to observe your condition for now. If you continue to feel unwell, it is recommended to visit a ca...[Read More] Understanding Heart Weakness and Chest Discomfort: Causes and Solutions
Understanding Chest Discomfort: Mitral Valve Prolapse and Cold Weather Effects
Chest discomfort? Hello Doctor: In the past month or two, I have frequently experienced chest tightness and discomfort in my heart area. In addition to the chest tightness, I also feel soreness and weakness in the left side of my back, accompanied by shortness of breath, especial...
Dr. He Dongjin Reply:
Hello, mitral valve prolapse may cause symptoms to worsen in cold weather. The doctor has examined you and found no issues, but it's normal for symptoms to fluctuate. If you still feel unwell, it is advisable to return to the outpatient clinic for further evaluation. Changhu...[Read More] Understanding Chest Discomfort: Mitral Valve Prolapse and Cold Weather Effects
Understanding Irregular Heartbeats: Causes and Solutions for Mitral Valve Prolapse
Recently, I have been experiencing irregular heartbeats? Hello, doctor. I have previously been diagnosed with mitral valve prolapse in the cardiology department. My resting heart rate usually stays above 105 beats per minute, and I often experience rapid heartbeats and irregular ...
Dr. Li Han Reply:
Hello, regarding your inquiry about being previously diagnosed with mitral valve prolapse and recently experiencing irregular heartbeats, palpitations, shortness of breath, sudden sensations in the chest, dizziness when turning your head, and intermittent numbness and weakness ra...[Read More] Understanding Irregular Heartbeats: Causes and Solutions for Mitral Valve Prolapse
Breathing Difficulties and Fainting: Understanding Cardiovascular Issues
Shortness of breath and fainting? Hello, for the past couple of years, I have been experiencing this condition every two to three months. It feels very much like a muscle cramp. This time, while riding my bike, I suddenly had a spasm in my right chest area extending to my right s...
Dr. He Dongjin Reply:
Hello, you are advised to see a psychiatrist for hyperventilation syndrome. Peace and care from Changhua Hospital.[Read More] Breathing Difficulties and Fainting: Understanding Cardiovascular Issues
Understanding Rapid Heartbeat and Chest Pain: A Comprehensive Guide
Palpitations are very noticeable and the heart is beating rapidly? Hello Doctor, my condition is as follows: I have a fast heartbeat and pain in the middle or left side of my chest. I can feel my heartbeat very distinctly, and my body or hands seem to pulse with my heartbeat. I a...
Dr. Li Han Reply:
Hello, based on your inquiry, "the palpitations have been present for some time," and even after consulting with a specialist, your confusion or situation has not improved. I personally believe that seeking further advice online may overlook the importance of medical ex...[Read More] Understanding Rapid Heartbeat and Chest Pain: A Comprehensive Guide
Understanding Chest Tightness: When to Seek Cardiac Care
There is a feeling of tightness or discomfort in the center of the chest? Hello! I am currently a full-time candidate for the national examination. For the past two months, I have been feeling a tightness in my chest, as if there is a breath stuck there (similar to the sensation ...
Dr. He Dongjin Reply:
Hello, if you are experiencing nasal congestion that makes it difficult to breathe smoothly, it could potentially trigger your symptoms. You may also notice a pronounced heartbeat or palpitations, which is not necessarily a disease; feeling your heartbeat is considered palpitatio...[Read More] Understanding Chest Tightness: When to Seek Cardiac Care
Understanding Heart Pain: Causes and Symptoms You Should Know
Chest pain? Recently, I have been experiencing sharp chest pain, a feeling of tightness in my chest, and occasional shortness of breath, occurring about 2 to 3 times a day. What could be causing these symptoms? Thank you for your help.
Dr. Li Han Reply:
Hello, regarding your inquiry, "What could be the causes of symptoms such as sharp pain in the heart, chest tightness, and difficulty breathing?" There are many potential causes for your symptoms, which are not specific. However, the likelihood of serious risk factors i...[Read More] Understanding Heart Pain: Causes and Symptoms You Should Know
Understanding Cardiovascular Symptoms: When to Seek Medical Help
Cardiovascular issues Hello, doctor. Recently, I have been experiencing some symptoms that have lasted for about 1 to 2 months, and I'm unsure how to seek medical help. At night, I feel severe chest tightness, along with nasal congestion. There have been several instances wh...
Dr. He Dongjin Reply:
Hello, based on your description, it is likely that you may have a higher probability of autonomic nervous system dysfunction. If you continue to feel unwell, it is advisable to seek further evaluation from a cardiologist or a psychosomatic specialist. Changhua Hospital cares abo...[Read More] Understanding Cardiovascular Symptoms: When to Seek Medical Help
Understanding Heart Pain: When to Seek Medical Attention
Chest pain? I previously went to the hospital and was diagnosed with arrhythmia. Sometimes I experience sharp pain in my heart, but it doesn't last long, occurring about 2 to 3 times a week. After exercising today, I felt sharp pain in my heart, a feeling of tightness in my ...
Dr. Li Han Reply:
Hello, based on your inquiry, "In the past, I have experienced arrhythmia, and sometimes I feel a sharp pain in my heart, but it doesn't last long, occurring about 2 to 3 times a week. After exercising today, I felt sharp pain in my heart, chest tightness, and difficult...[Read More] Understanding Heart Pain: When to Seek Medical Attention
Understanding Heart Pain and Symptoms After a Cold: Is It Myocarditis?
Chest pain with a cold? Hello, I am currently 16 years old. Last winter, I had a cold and experienced symptoms of chest pain, along with my entire left arm feeling numb and my little finger and ring finger being tingly. I also had some chest tightness and an unusual heartbeat. La...
Dr. He Dongjin Reply:
Hello, the likelihood of myocarditis is low. It may be caused by a cold leading to a systemic inflammatory response, or it could be due to autonomic nervous system instability. You can monitor your condition or take some B vitamins. If you still feel unwell, it is advisable to vi...[Read More] Understanding Heart Pain and Symptoms After a Cold: Is It Myocarditis?