Chest, Cardiology FAQ

Understanding Arrhythmias and Valve Insufficiency: When to Seek Help

Arrhythmia & Valvular Insufficiency Hello, Doctor. I had a cardiac examination last year and took Cardil for six months. After that, I felt fine and did not seek further medical attention. This summer has been extremely hot, and I've experienced chest tightness, palpitat...

Dr. Wu Xueming Reply:
The severity of valve insufficiency and whether it leads to heart failure need to be diagnosed through echocardiography. If symptoms do not improve, it is recommended to go to the hospital for an echocardiogram.

Understanding Myocardial Perfusion Issues: Diagnosis and Management Tips

What issues do I have with myocardial perfusion? How should I address them? Thank you very much. 🙏 Examination Date: 2023/08/21 16:09:45 Examination Summary: 26025: Stress & Redistribution Myocardial Perfusion Study with SPECT Report Content: History: Chest tightness or...

Dr. He Dongjin Reply:
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about your well-being.

Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options

Atrial fibrillation In May of this year, during a follow-up visit, I was diagnosed with arrhythmia, specifically paroxysmal atrial fibrillation and flutter. The doctor recommended proceeding with catheter ablation. After the follow-up in June, the treatment was adjusted to medica...

Dr. He Dongjin Reply:
Hello, you have nearly 40% atrial fibrillation. The treatment options include medication management and catheter ablation. If you are still feeling very uncomfortable with medication alone, it is important to seriously consider undergoing catheter ablation. Regardless of the appr...

Understanding Myocardial Perfusion Issues: Insights and Management Strategies

Dr. He Dongjin Reply:
Hello, a report indicating mild hypoxia usually does not indicate a serious issue and should be monitored. Changhua Hospital cares about you.

Understanding Atrial Fibrillation: When to Seek Medication for Irregular Heartbeat

Questions about arrhythmias in electrocardiograms? Hello Doctor, recently my symptoms of arrhythmia have intensified. Initially, it occurred once or twice a week and lasted for one or two days before resolving, so the doctor did not prescribe medication and suggested monitoring. ...

Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms do not improve, medicatio...

Understanding Heart Palpitations and Pain in Teens: Causes and Concerns

Discomfort in the heart? Hello doctor, I am 17 years old. I was previously diagnosed with supraventricular tachycardia and have undergone two catheter ablation procedures (the most recent one was around 2022). The doctor mentioned that I should be fine now, but in the past six mo...

Dr. Wu Xueming Reply:
It is recommended to undergo a 24-hour Holter monitor test to check for episodes of supraventricular tachycardia.

Understanding Heart Issues: Questions for Your Cardiologist

Ask the doctor some questions? I experienced sudden heart discomfort, muscle cramps, shortness of breath, and chest tightness while working on June 14. I took a leave of absence and sought medical attention immediately. I am currently continuing follow-up visits. The doctor presc...

Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. The echocardiogram and exercise electrocardiogram reports show no abnormalities. It is recommended to adjust your lifestyle and engage in regular exercise.

Assessing the Urgency of Ablation for Atrial Fibrillation Management

Atrial fibrillation In May of this year, I was diagnosed with atrial fibrillation and atrial flutter (with a heart rate reaching 150-160 bpm), and I have a history of mitral valve prolapse. I have been on medication, including Dronedarone, Amiodarone, Rivaroxaban, and Bisoprolol,...

Dr. Huang Yinghe Reply:
Hello: To conclude, atrial fibrillation or atrial flutter is a type of arrhythmia that can mostly be treated with medication. If the medication is ineffective and there are frequent uncomfortable symptoms, catheter ablation may be considered. Given your relatively young age, it i...

Understanding Left Chest and Back Pain: Is It Heart-Related?

Left chest pain and left back pain? I have been experiencing chest pain since the year before last, mostly on the left side of my chest. I visited two hospitals' cardiology departments. At the first hospital, I underwent a chest X-ray and an electrocardiogram (ECG), and the ...

Dr. He Dongjin Reply:
Hello, the X-rays and electrocardiograms from the first and second hospitals, as well as the 24-hour Holter monitor and exercise stress test, all showed normal heart function, indicating no significant issues with the heart. The pain in your back may be related to cervical nerve ...

Understanding Exercise ECG Interpretation and Duke Treadmill Score for CAD

Interpretation of Exercise Electrocardiogram Hello, Doctor. I would like to ask about my situation. I do not have a family history of hypertension or high triglycerides, but my low-density lipoprotein cholesterol sometimes reaches around 170. I would like to know the likelihood o...

Dr. He Dongjin Reply:
Hello, the false positive rate of this report is high. The Duke Treadmill Score is +4.5. Let's first manage your cholesterol and then monitor your condition. Changhua Hospital cares about you.

Could My Symptoms Indicate Myocarditis? Understanding Heart Health Concerns

Could this be myocarditis? Hello, Doctor. Since August 12, I've been feeling something unusual in my throat, and starting from August 13, I developed a sore throat. After visiting a doctor and receiving medication, the sore throat subsided. However, I experienced some discom...

Dr. Wu Xueming Reply:
Based on the symptoms you described, it does not appear to be myocarditis. However, if these symptoms persist without improvement, it is advisable to go to the hospital for further evaluation.

Abdominal Discomfort and Heart Issues: Understanding the Connection

Abdominal distension and pain in the upper abdomen followed by discomfort in the heart the next day? Hello Doctor, I have the following symptoms: 1. One day I woke up feeling uncomfortable in my upper abdomen, with a sensation similar to chronic gastritis, experiencing a dull...

Dr. Wu Xueming Reply:
Based on your symptoms, it does not appear to be an issue related to cardiovascular disease. If your symptoms do not improve, it is recommended that you visit an outpatient clinic for further evaluation.

Understanding Heart Rhythm Issues: When to Worry and What’s Normal

Cardiac rhythm issues? Thank you, doctor, for your thoughtful explanations every time. Recently, I haven't been as startled, and my heart rate has reached 170 during moments of anxiety, but I still feel a bit scared. I would like to ask you about my situation: I took half a ...

Dr. He Dongjin Reply:
Hello, there's nothing to worry about. Your heart is in good condition, so it may beat faster or slower at times, just like how your walking pace can vary. This is normal. At night, when we are resting, the heart doesn't need to work as hard, so it beats more slowly, si...

Understanding Heart Discomfort: Anxiety, Exercise, and Valve Issues

The issue of chest discomfort? I apologize for bothering you, but I would like to ask you one more question. For the past 2-3 months, I have been feeling a bit hesitant to exercise, possibly due to being startled by my previous episodes of rapid heartbeat. I'm afraid that ex...

Dr. He Dongjin Reply:
Hello, that's right, the heart is not that fragile. You've had all the heart examinations done, and everything is fine, so there's no need to scare yourself. Regular exercise is essential for improvement. Changhua Hospital cares about you.

Understanding My Exercise ECG Report: Key Insights and Next Steps

Inquiring about my exercise electrocardiogram report? Conclusion: Positive Duke Treadmill Score: +1 (Low risk: +5; Intermediate risk: +4 to -10; High risk: < -10). Pre-exercise condition NYHA Class: Class II. Chest pain: Typical angina CCS Class: Class II. Resting ECG: normal....

Dr. Wu Xueming Reply:
If symptoms persist despite medication control, a myocardial perfusion imaging scan can be performed first to determine whether a cardiac catheterization is necessary.

Understanding Your Cardiovascular Test Results: Key Insights and Implications

Examination Report Hello Doctor, I have been experiencing frequent chest tightness and pain. I underwent an electrocardiogram (ECG) and a chest examination, and I would appreciate it if you could check for any abnormalities (blood pressure is normal, triglycerides are 430). Thank...

Dr. Wu Xueming Reply:
The chest X-ray and electrocardiogram show no significant abnormalities. If symptoms persist, please visit the hospital for further evaluation.

Chest Pain and Left Arm Numbness: Should You Worry About Heart Issues?

Chest tightness and stabbing pain, along with slight numbness in the left arm? Hello, doctor. I was recently diagnosed, and I have been experiencing occasional sharp pains in the center of my chest near the epigastric area and in my left upper back. The pain feels localized, like...

Dr. He Dongjin Reply:
Hello, 1. The symptoms do not seem to indicate a heart problem. 2. Women of this age are unlikely to experience myocardial infarction or vascular blockage, so there is no need to worry or overthink it. There is no need for further cardiac-related examinations. Changhua Hospital c...

Understanding Myocardial Hypoxia: Key Insights from Cardiac Evaluations

Myocardial hypoxia Hello Doctor, in June, my fasting blood glucose was 132, total cholesterol was 230, low-density lipoprotein (LDL) was 129, and triglycerides were 452. I am currently taking medication for blood glucose and lipid reduction. Recently, I experienced chest tightnes...

Dr. Wu Xueming Reply:
Please exercise regularly, avoid consuming overly greasy foods, and monitor your cholesterol levels regularly.

Understanding Chest Pain: Insights from a Normal Echocardiogram

Chest tightness or pain? Normal echocardiogram findings: 1) Situs solitus, levocardia 2) No chamber enlargement 3) Good left ventricular systolic function (LVEF: 75.5%) 4) No intracardiac structural anomalies 5) Mild tricuspid regurgitation, pressure gradient: 14 mmHg ...

Dr. Wu Xueming Reply:
The echocardiogram report indicates that, aside from mild tricuspid regurgitation, both the cardiac structure and function are normal.

Understanding Rapid Heartbeat: Causes and Concerns in Cardiology

Rapid heartbeat? Dr. Wu, I apologize for bothering you with my questions. I have a history of anxiety and panic attacks, and recently my heart rate has been reaching around 170 beats per minute. Within the past year, I have undergone echocardiography, 24-hour Holter monitoring, e...

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