Understanding Left Chest Discomfort: Is It Heart-Related or Nerve Pain?
Left chest contraction? Hello Doctor: Previously, I occasionally experienced a tight sensation in my left chest, which lasted only for a moment. It felt like it was tightening a bit, accompanied by an itchy sensation. I wore a Holter monitor, and there were quite a few occurrence...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Left Chest Discomfort: Is It Heart-Related or Nerve Pain?
Understanding Your Echocardiogram Report: Key Insights and Next Steps
Echocardiogram Report Hello Director Wu, I recently experienced occasional dizziness and chest tightness, so I underwent an electrocardiogram (ECG) which showed some noise. The doctor advised me to have a 24-hour ECG and prescribed an antidepressant due to my reported work-relate...
Dr. Wu Xueming Reply:
The report indicates mild hypertrophy of the interventricular septum, and regular follow-up is recommended.[Read More] Understanding Your Echocardiogram Report: Key Insights and Next Steps
Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Consultation for Palpitations Inquiry Dear Dr. He, This afternoon, I experienced a noticeable palpitation, accompanied by a sensation of chest vibration and a feeling similar to "anxiety." After about three minutes, I measured my heart rate using the "Heart Mirror...
Dr. He Dongjin Reply:
Hello, occasional premature beats are indeed a type of arrhythmia, but infrequent arrhythmias do not pose any harm to the body. Just like a good student may occasionally receive a failing grade without becoming a bad student, a normally regular heartbeat can also accept an occasi...[Read More] Understanding Palpitations: Insights on Irregular Heartbeats and Their Implications
Understanding Mitral Valve Prolapse: Symptoms, Monitoring, and Treatment Options
Mitral valve prolapse Hello, Doctor. Recently, during a physical examination, the physician detected a heart murmur and recommended that I undergo a cardiac ultrasound. The report states: "Poor acoustic window in apical view, normal heart size, and left ventricular (LV) syst...
Dr. Wu Xueming Reply:
No surgery is required; just follow-up once a year.[Read More] Understanding Mitral Valve Prolapse: Symptoms, Monitoring, and Treatment Options
Understanding Heart Health: ECG Limitations and Anxiety Effects
Cardiac examination issues? I apologize for bothering you again, Director. Thank you for always professionally clarifying my doubts. I would like to ask if a long-term electrocardiogram (ECG) that cannot localize issues is comparable to a single-lead ECG from an Apple Watch? Rece...
Dr. He Dongjin Reply:
Hello, yes, anxiety can indeed make one feel uncomfortable, as if there is a dysregulation of the autonomic nervous system, but it does not pose any danger. If the electrocardiogram (ECG) from your Apple Watch indicates that everything is fine, then it is indeed fine—there's...[Read More] Understanding Heart Health: ECG Limitations and Anxiety Effects
Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Myocardial perfusion imaging Hello, Doctor. I have been experiencing chest tightness. Both static and exercise electrocardiograms showed no arrhythmias, but the blood pressure during the exercise test was only 140. Subsequently, a myocardial perfusion scan was arranged. The atten...
Dr. He Dongjin Reply:
Hello, I don't have your other medical history, so it's hard to say if the myocardial perfusion scan shows any abnormalities. An electrocardiogram (ECG) during exercise is okay, but we also need to consider your symptoms to determine the next steps. It would be best to ...[Read More] Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
24-hour Holter monitor? Hello Doctor, since my follow-up appointment is still a long way off, I checked my 24-hour electrocardiogram on the National Health Insurance Quick Access System and would like to ask if the report results are normal. Thank you for your diagnosis and exami...
Dr. Wu Xueming Reply:
The report indicates the presence of atrial and ventricular ectopic contractions.[Read More] Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health
Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
If you are unsure which specialty to consult for your symptoms? Hello, doctor. Last night I experienced some symptoms resembling a cold. After doing some research, I'm uncertain if it's just a simple cold and which specialty I should prioritize when seeking medical atte...
Dr. Wu Xueming Reply:
Please schedule an appointment with either Internal Medicine or Family Medicine.[Read More] Uncertain Symptoms: Which Specialist to Consult for Heart Issues?
Is Invasive Cardiac Catheterization Necessary for My Condition?
Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...
Dr. Wu Xueming Reply:
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.[Read More] Is Invasive Cardiac Catheterization Necessary for My Condition?
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can one fly)? Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first ...
Dr. He Dongjin Reply:
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Concern about arrhythmia? Thank you very much, Director. Recently, I have been anxious about issues such as rapid heartbeat, missed beats, and heart rates reaching 170. You have patiently provided me with professional knowledge, and I truly appreciate it. I understand that you ar...
Dr. He Dongjin Reply:
Hello, yes, I have been worried that these arrhythmias might be a serious issue. However, the echocardiogram, 24-hour Holter monitor, X-rays, blood tests, and exercise stress test results are all normal. This means that the chances of experiencing malignant arrhythmias and sudden...[Read More] Understanding Arrhythmias: Concerns About Fast Heart Rates and VPCs
Understanding Heart Rhythm Issues: When to Seek Medical Advice
Cardiac rhythm issues Hello, Doctor. Thank you for your valuable advice. I am currently taking antiarrhythmic medication. Sometimes my blood pressure is 104, other times it is 130. I feel that the medication sometimes makes my heart rate stronger, causing my blood pressure to dro...
Dr. He Dongjin Reply:
Hello, if your echocardiogram, 24-hour Holter monitor, X-ray, and blood tests are all normal, then there is no need for a CT scan. Quitting smoking can cause changes in your heart rate, which is normal, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Rhythm Issues: When to Seek Medical Advice
Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Heart rate issues Thank you, Director, for taking the time to respond to my question during the Dragon Boat Festival. I appreciate it and wish you a pleasant holiday. I would like to ask if significant fluctuations in heart rate are a good thing or not. Is it normal for my heart ...
Dr. He Dongjin Reply:
Hello, significant fluctuations in heart rate can be normal. A heart rate of 120 while active, 80 when sitting, and 70 when lying down is considered normal. An electrocardiogram (ECG) shows no arrhythmias, and palpitations are likely caused by anxiety. As long as your echocardiog...[Read More] Understanding Heart Rate Variability: Is It Normal or Cause for Concern?
Managing Medication Side Effects: Tremors and Heart Rate Concerns
The side effects of psychotropic medications include body tremors (shaking hands) and discomfort from anti-side effect medications such as heart rhythm pills or Kankun? Hello, Doctor: I am currently taking psychiatric medications (lithium, SSRIs, and other mood stabilizers). The ...
Dr. Wu Xueming Reply:
A heart rate maintained between 60 to 100 beats per minute is considered acceptable. For other concerns, it is advisable to consult a psychiatrist.[Read More] Managing Medication Side Effects: Tremors and Heart Rate Concerns
Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Dizziness and chest tightness issues? Hello, doctor. Since April of last year, I have been experiencing chest tightness and nausea. I consulted a cardiologist and underwent an electrocardiogram, X-ray, and echocardiogram. The doctor concluded that there were no significant issues...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recom...[Read More] Understanding Dizziness and Chest Discomfort: When to Seek Further Cardiac Evaluation
Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
24-Hour Holter Monitor Report In May, pneumonia developed due to a cold, and since then, there have been episodes of chest pain after walking quickly or running across the street, attributed to bradycardia and low blood pressure. The patient takes pressor medications three times ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows only a few atrial premature contractions, with no other arrhythmias present.[Read More] Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
Managing Palpitations After a Car Accident: What You Need to Know
Palpitations after a car accident? Doctor, I would like to ask you about an incident that occurred last Monday. I was in a car accident, and I did not lose consciousness at the time. The most severe injury was to my right knee. I went to the emergency room, where the doctor perfo...
Dr. He Dongjin Reply:
Hello, after a car accident, it is possible to experience chest discomfort. During this unstable period, it is advisable to monitor the situation. If you feel very uncomfortable, you may take some medications for palpitations. Let's reassess in two weeks. Ping An Changhua Ho...[Read More] Managing Palpitations After a Car Accident: What You Need to Know
Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Cardiac issues I'm sorry to bother you again, Doctor. Recently, I've been feeling anxious and uncomfortable in the mornings. When I wake up and brush my teeth, my heart rate can spike to 130, but it goes back down to 70-80 when I sit down. Could this be related to takin...
Dr. He Dongjin Reply:
Hello, taking a heart rhythm medication every morning consistently will not cause rebound tachycardia or angina if you miss a dose. It is also fine to take it at night. You can address anxiety and panic issues first. Indeed, the echocardiogram, blood tests, X-rays, and 24-hour EC...[Read More] Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Understanding Anxiety and Heart Health: Your Questions Answered
Medication issues I apologize, Director, I know I have a lot of questions. I tend to overthink and get anxious easily. I wake up in the morning worrying about heart problems. Can anxiety really make someone feel like they have heart issues? If my heart rate is fast and all tests ...
Dr. He Dongjin Reply:
Anxiety can lead to many issues, and it can genuinely make a person feel like there is a problem with their heart. Hospitalization for further examination may not be necessary, especially since all the required tests have already been completed. It's unclear what additional ...[Read More] Understanding Anxiety and Heart Health: Your Questions Answered