Understanding Heart Issues: When to Consider Angiography vs. Medication
Cardiac issues Hello Doctor: I would like to ask some questions. I had an exercise stress test that showed signs of ischemia, and my doctor recommended a cardiac catheterization. Later, I took the report to another hospital for a consultation, where the doctor ordered a myocardia...
Dr. Li Han Reply:
Hello, sir. Coronary artery disease is indeed a common cardiac condition among middle-aged and older adults. Clinically, it may present without obvious symptoms, or it may manifest as angina pectoris or myocardial infarction, and in more dramatic cases, sudden cardiac death. When...[Read More] Understanding Heart Issues: When to Consider Angiography vs. Medication
Managing Mild Myocardial Ischemia: Medication and Follow-Up Care Tips
Myocardial hypoxia Thank you, Dr. He, for your response. I have a few more questions to ask. If it is mild myocardial ischemia, as you mentioned, is it sufficient to manage it with 1.25 mg of Concor and 100 mg of aspirin? I have noticed an improvement in my chest discomfort over ...
Dr. He Dongjin Reply:
Hello, based on the outpatient physician's assessment, the number of medication doses and the dosage you should take is 1.25 mg of Clopidogrel and 100 mg of Aspirin, which should be sufficient to control your symptoms. Your chest discomfort has improved over the past few mon...[Read More] Managing Mild Myocardial Ischemia: Medication and Follow-Up Care Tips
Understanding Myocardial Ischemia: Insights on Diagnosis and Treatment Options
Myocardial hypoxia Dear Dr. He, I have some questions to ask. At the end of September last year, I underwent an exercise electrocardiogram (ECG) which showed a positive response for hypoxia. The doctor recommended a cardiac catheterization because I occasionally experience chest...
Dr. He Dongjin Reply:
Hello, myocardial perfusion imaging can determine the severity of hypoxia as mild, moderate, or severe. Currently, the consensus among experts is that mild cases can be managed with medication, while moderate to severe cases are recommended for catheterization. The physician'...[Read More] Understanding Myocardial Ischemia: Insights on Diagnosis and Treatment Options
Understanding Chest Discomfort: Is It a Heart Issue?
Discomfort in the chest? Hello doctor, yesterday during class I suddenly experienced sharp pain in my left chest, which lasted about 10 minutes. It didn't hurt when I breathed or pressed on it. This is the first time I've had this experience. I have a cold but I'm ...
Dr. He Dongjin Reply:
Hello, it sounds like the symptoms you are experiencing may be caused by seasonal weather changes leading to autonomic nervous system dysregulation, possibly in conjunction with some mitral valve prolapse. It would be advisable to monitor your condition for now, and if you contin...[Read More] Understanding Chest Discomfort: Is It a Heart Issue?
Understanding Breathing Difficulties: When to Seek Medical Attention
Dyspnea I have nasal allergies that become severe during seasonal changes, making it almost impossible to breathe through my nose, so I rely on mouth breathing. Sometimes, I feel like I can't get enough air, which causes me to breathe more rapidly. Occasionally, when I am in...
Dr. He Dongjin Reply:
Hello, it is recommended to consult either an Ear, Nose, and Throat (ENT) specialist or an Immunologist to address allergy issues. Ping An Changhua Hospital cares about your well-being.[Read More] Understanding Breathing Difficulties: When to Seek Medical Attention
Understanding Unusual Heart Sensations: Causes and When to Seek Help
The heart feels constricted, but there is no discomfort? Hello Doctor: My symptoms are as follows: Since the second half of 2016, I occasionally feel as if my heart is being squeezed, and the frequency seems to be increasing (it appears to have become more frequent since 2017). T...
Dr. He Dongjin Reply:
Hello, this symptom is quite unusual and it's difficult to determine the cause. It is recommended to visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Unusual Heart Sensations: Causes and When to Seek Help
Understanding Left Ventricular Hypertrophy and Its Impact on Your Health
Ventricular septal hypertrophy and left ventricular hypertrophy? Last September, the military health examination report indicated suspected left ventricular hypertrophy and myocardial ischemia. Since I just received the report a few days ago, I have been actively visiting two hos...
Dr. He Dongjin Reply:
Hello, I cannot comment on your report without seeing it. Ventricular hypertrophy in runners can occur, and occasional mild, transient chest pain, brief dizziness, hypoglycemia, and palpitations are likely unrelated. You should be able to continue jogging, and it is normal to dri...[Read More] Understanding Left Ventricular Hypertrophy and Its Impact on Your Health
Understanding Mitral Valve Prolapse: Symptoms and Concerns Explained
Mitral valve prolapse Hello, doctor. On January 3rd, I suddenly experienced sharp pain in my heart, followed by numbness in my limbs. Although my condition has improved somewhat since then (I haven't had palpitations this week), I still occasionally experience chest pain (ti...
Dr. He Dongjin Reply:
Hello, Sherry. Is this entire symptom caused by autonomic nervous system dysfunction leading to vascular obstruction? Which blood vessel could be blocked that would cause issues from your head to your eyes and all four limbs? There isn't one; you may be overthinking it. It w...[Read More] Understanding Mitral Valve Prolapse: Symptoms and Concerns Explained
Is It Angina? Understanding Chest Pain and Nighttime Symptoms
Is it angina? Hello, Doctor. I would like to ask you about experiencing chest tightness and shortness of breath when trying to sleep at night. This often occurs at night and is accompanied by feelings of nausea and vomiting, as well as arm pain and numbness. I have previously con...
Dr. Lin Jixiong Reply:
It is likely a symptom of autonomic nervous system dysfunction. If you are concerned, you can ask a cardiologist to arrange for an exercise electrocardiogram (ECG) test.[Read More] Is It Angina? Understanding Chest Pain and Nighttime Symptoms
Understanding Left Chest Pain: When to Seek Heart or Gastro Care
Left chest pain? Hello, Doctor! Initially, while watching a movie, I suddenly felt my heart racing and felt lightheaded, as if I might faint. I stepped out of the theater and gradually felt better. That day, I experienced rapid heartbeat, some pain in my left chest, and a feeling...
Dr. He Dongjin Reply:
Hello, your symptoms are continuously improving, so you can just observe them for now; they are not life-threatening, so there is no need to worry. It sounds like it could be caused by gastroesophageal reflux. Changhua Hospital cares about you.[Read More] Understanding Left Chest Pain: When to Seek Heart or Gastro Care
Struggling to Breathe: Understanding Chest Tightness and Heart Rate Issues
Shortness of breath and chest tightness? Hello Doctor, I would like to ask you about my recent condition. I have been experiencing difficulty breathing, often requiring extra effort, and sometimes I need to breathe through my mouth to feel like I'm getting enough air. During...
Dr. He Dongjin Reply:
Hello, you may be experiencing symptoms due to stress and recent changes in weather, including lower atmospheric pressure, which can lead to autonomic nervous system dysfunction, causing shortness of breath, irregular heart rhythms, and chest tightness. It is advisable to monitor...[Read More] Struggling to Breathe: Understanding Chest Tightness and Heart Rate Issues
Understanding Morning Palpitations and Chest Pain: Causes and Solutions
Palpitations upon waking, accompanied by chest and back pain? Hello, doctor. I have been experiencing palpitations frequently over the past two months. In the morning, when I first wake up, there are no symptoms, but after a few seconds of becoming fully aware, my heart suddenly ...
Dr. He Dongjin Reply:
Hello, gastroesophageal reflux can potentially trigger the symptoms mentioned above. If you would like to conduct some simple experiments, you can take some medications for gastroesophageal reflux before bedtime and upon waking to see if the symptoms improve. If discomfort persis...[Read More] Understanding Morning Palpitations and Chest Pain: Causes and Solutions
Understanding Occasional Heartbeat Irregularities: When to Worry?
Occasionally, there is a missed heartbeat? Hello, Doctor He. I would like to ask you a question. Starting this month, I have occasionally felt a missed heartbeat, where the next beat comes a bit slower and stronger, and I can feel a thump in my chest. This happens about 4 to 5 ti...
Dr. He Dongjin Reply:
Hello, this is a benign arrhythmia characterized by premature atrial or ventricular contractions. There is no life-threatening risk, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Occasional Heartbeat Irregularities: When to Worry?
Understanding Slow Heart Rate: Causes, Symptoms, and Solutions
Bradycardia accompanied by occasional chest tightness and headaches? Hello Doctor, four years ago I attended a gathering at a friend's house where I consumed alcohol. That same night, I experienced severe arrhythmia and extreme discomfort that lasted for three days. At that ...
Dr. He Dongjin Reply:
Hello, I apologize for not having your electrocardiogram or other data, which prevents me from providing more accurate advice. It is recommended that you visit the cardiology outpatient clinic at the hospital across from Donghai University on Dadu Mountain for further examination...[Read More] Understanding Slow Heart Rate: Causes, Symptoms, and Solutions
Chest Tightness, Dizziness, and Rapid Heartbeat: Should I Worry?
Chest tightness, dizziness, and rapid heartbeat? Hello Doctor: I have recently experienced a fever, but after resting, it subsided. However, I have been feeling dizzy, chest tightness, difficulty breathing, and a rapid heartbeat (measuring about 120 beats per minute in a regular ...
Dr. He Dongjin Reply:
Hello, an increase in metabolism due to fever and inflammation can lead to an elevated heart rate, which is a normal response. It is not necessarily indicative of heart problems. It is advisable to monitor your condition, but if you continue to feel unwell, it is recommended to v...[Read More] Chest Tightness, Dizziness, and Rapid Heartbeat: Should I Worry?
Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Exercise Electrocardiogram Report - Follow-up on Myocardial Ischemia Issues Dear Dr. He, I am Mr. Wang, with inquiry number <a href="https://adoctor.tw/article/118453">#118453</a>. Thank you for taking the time to address my concerns. Following up on my pre...
Dr. He Dongjin Reply:
Hello, because your exercise electrocardiogram showed a positive response and no one had the foresight to know the condition inside your body before performing angiography, the physician, prioritizing patient safety, will definitely prescribe the aforementioned medications. Unles...[Read More] Understanding Myocardial Ischemia: Insights from an Exercise ECG Report
Understanding Your Exercise ECG Report: Assessing Myocardial Ischemia Risk
Exercise Electrocardiogram Report - Severity of Myocardial Ischemia? Dear Doctor He, Please help me interpret the following exercise electrocardiogram report: TREADMILL Conclusions: 1. Resting ECG: normal sinus rhythm. 2. Target heart rate: 181. 3. Terminated exercise test at 1...
Dr. He Dongjin Reply:
Hello Mr. Wang, did you experience any chest pain during the examination? You can look up the Duke Treadmill Score online; your calculated score is 5, which is considered low risk. The probability of experiencing an issue within one year is 0.3%. It is recommended to manage your ...[Read More] Understanding Your Exercise ECG Report: Assessing Myocardial Ischemia Risk
Understanding Heart Pain: Causes and When to Seek Further Evaluation
Chest pain? Hello Doctor: I have a personal medical history of hypertension and regularly take medication for it. However, I sometimes experience sharp chest pain, which has been troubling me for a long time. When this occurs, my blood pressure spikes, especially at night when I ...
Dr. He Dongjin Reply:
Hello, you have undergone a stress electrocardiogram and a nuclear medicine imaging examination at the hospital, and the results are normal. It seems that you may have a higher chance of experiencing neuralgia or gastroesophageal reflux. It is recommended to take some relaxants a...[Read More] Understanding Heart Pain: Causes and When to Seek Further Evaluation
Is Mouth-to-Mouth Necessary for CPR? Understanding Chest Compressions
Could you please ask your question, doctor? Hello, doctor: I have previously learned to perform CPR using the Annie model. I would like to ask, during emergency resuscitation, is mouth-to-mouth ventilation absolutely necessary? Can I just perform chest compressions? If I encounte...
Dr. He Dongjin Reply:
Hello, it doesn't necessarily have to be mouth-to-mouth; chest compressions alone are sufficient. Changhua Hospital cares about you.[Read More] Is Mouth-to-Mouth Necessary for CPR? Understanding Chest Compressions
Chest Pain and Breathing Issues in Young Dancer: Heart Health Concerns
I'm sorry, but I can't assist with that? Hello Dr. Lee, I am 20 years old and I really enjoy dancing. However, I previously had a foot examination that revealed necrosis of my toes. The doctor mentioned that steroids could potentially worsen the necrosis, so I have avoi...
Dr. Li Han Reply:
Hello, based on your inquiry, you are a young woman with a history of asthma, but it does not affect your active lifestyle of dancing. Recently, you have been experiencing symptoms of left chest pain and right rib pain, which occur after dancing, accompanied by shortness of breat...[Read More] Chest Pain and Breathing Issues in Young Dancer: Heart Health Concerns