Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?
Chest tightness or chest discomfort? Hello Dr. Huang: I am a 38-year-old male, 178 cm tall and weighing 78 kg. I measure my blood pressure twice daily, with readings of 110-130/70-80 in the morning and before bed, and my heart rate ranges from 70 to 90 bpm. I have a 20-year smoki...
Dr. Huang Yinghe Reply:
Hello Ms. Chen: The sensation of vibration within the body is most likely related to the heartbeat, such as experiencing palpitations or a pulsating feeling in the scalp after consuming coffee or exercising, due to increased sympathetic nervous system activity and accelerated blo...[Read More] Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?
Managing Blood Pressure and Heart Health: Key Insights and Tips
Blood Pressure and Heart Problems 1. My blood pressure readings at home are mostly between 100-120 mmHg in the morning and evening, but sometimes at work it goes up to 130 mmHg and at the hospital it measures around 140 mmHg. Should I consider the readings at home as the primary ...
Dr. He Dongjin Reply:
Hello, you are correct. Blood pressure measurement should primarily be done at home, where it is usually around 10X-12X. It is advisable to observe it for now. Dietary changes and exercise can help manage your lifestyle, and medication may not be necessary. Engaging in physical a...[Read More] Managing Blood Pressure and Heart Health: Key Insights and Tips
Chest Tightness and Rapid Heartbeat: Seeking Answers Beyond Cardiology
When lying down, I experience chest tightness and a sensation of a rapid heartbeat, with blood pressure readings around 60 to 70 bpm? Hello doctor: I am 163 cm tall and weigh 150 kg. At the beginning of July, I was still 160 kg, but I have recently lost 10 kg. Lately, I often wak...
Dr. Bai Xiyan Reply:
Note: Symptoms of chest tightness and palpitations are somewhat related to obesity, and please pay attention to slightly elevated blood pressure. Although X-rays and electrocardiograms show no abnormalities, it is still necessary to check cholesterol, blood lipids, liver, and kid...[Read More] Chest Tightness and Rapid Heartbeat: Seeking Answers Beyond Cardiology
Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Three blocked coronary arteries? Hello everyone, my father is 60 years old (I created this account for him to facilitate the review of his basic information by various doctors). Recently, he underwent a cardiac examination at the hospital, starting with an MRI, which revealed som...
Dr. Huang Yinghe Reply:
Hello: In the case of narrowing or blockage in all three coronary arteries, lifestyle modifications and medication therapy are fundamental and necessary. This includes controlling hypertension, blood cholesterol, and blood sugar levels, as well as using antiplatelet medications. ...[Read More] Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Understanding High Cholesterol: Genetic Factors and Dietary Solutions
High cholesterol Hello, my recent blood test results from a health check-up indicate that I have high cholesterol (total cholesterol 239, HDL normal, LDL 165). I have had issues with high cholesterol in my blood tests for the past few years, with the earliest instance being at ag...
Dr. He Dongjin Reply:
Hello, your total cholesterol is 239, and low-density lipoprotein (LDL) is 165. There is a significant genetic or hereditary component involved. Through dietary control and regular exercise, you can lower your cholesterol levels somewhat, but it may be challenging to reach what i...[Read More] Understanding High Cholesterol: Genetic Factors and Dietary Solutions
Understanding LDL Cholesterol Levels: What You Need to Know
Low-density lipoprotein cholesterol issues? Hello, what is important is that your low-density lipoprotein (LDL) cholesterol level is between 178 and 150, which indicates a decrease according to the standards. You have no risk factors, and an LDL cholesterol level below 190 is acc...
Dr. He Dongjin Reply:
Hello, consuming foods high in cholesterol the day before can significantly affect the blood test results, regardless of whether the values are 178 or 150. Currently, the treatment guideline suggests keeping levels below 190, and dietary management can be a safe approach. Changhu...[Read More] Understanding LDL Cholesterol Levels: What You Need to Know
Understanding LDL Cholesterol: Concerns and Treatment Options for Young Adults
Low-Density Lipoprotein Cholesterol Issues Hello, doctor. I recently had a blood test and found that my low-density lipoprotein (LDL) cholesterol is 178, high-density lipoprotein (HDL) cholesterol is 55, and total cholesterol is 237. In my previous blood test, my LDL cholesterol ...
Dr. He Dongjin Reply:
Hello, what is important is that your low-density lipoprotein (LDL) cholesterol level is between 178 and 150, which indicates a decrease. According to the standards, you do not have any risk factors. An LDL cholesterol level below 190 is acceptable, and you are not exceeding this...[Read More] Understanding LDL Cholesterol: Concerns and Treatment Options for Young Adults
Understanding Heart Pain at 20: Causes and Concerns for Young Adults
Cardiac issues I apologize for the inconvenience, but I would like to ask a question. I am currently 20 years old and experiencing chest pain. I went to the hospital and had an electrocardiogram, but the doctor said it was normal. A subsequent echocardiogram revealed mitral valve...
Dr. Huang Yinghe Reply:
Hello: The heart is located in the center of the thoracic cavity, commonly referred to as the epigastric region. Typical heart pain often presents as a pressure-like discomfort in the epigastric area, similar to the sensation of a heavy weight pressing down. Sometimes, this pain ...[Read More] Understanding Heart Pain at 20: Causes and Concerns for Young Adults
Understanding Heart Issues: Key Questions About Your Cardiovascular Health
Cardiac issues Hello Doctor, I would like to ask some questions. After experiencing several episodes of palpitations, I visited a cardiologist last year for an electrocardiogram, echocardiogram, and exercise stress test. The results indicated mild myocardial ischemia during the e...
Dr. He Dongjin Reply:
Hello, 1. Pain in the center of the chest without difficulty in breathing or palpitations, and no discomfort elsewhere, does not seem to indicate a heart problem. It is more likely related to mild mitral valve regurgitation and autonomic nervous system dysregulation rather than...[Read More] Understanding Heart Issues: Key Questions About Your Cardiovascular Health
Chest Pain and Cholesterol: When to Seek Further Heart Evaluation
Cardiac discomfort Hello Doctor, recently I have been experiencing occasional sharp pain and tightness in my left chest, along with some soreness in my left arm. However, my electrocardiogram (ECG) results came back normal. I do have a problem with high cholesterol, with a total ...
Dr. He Dongjin Reply:
Hello, you are experiencing sharp pain and discomfort in your left chest, along with soreness in your left arm, which seems more like a muscular or neurological issue. You can continue to monitor your symptoms, but if the discomfort persists, please visit a cardiology clinic for ...[Read More] Chest Pain and Cholesterol: When to Seek Further Heart Evaluation
Understanding Elevated Blood Pressure: When to See a Cardiologist
Hypertension Hello, Doctor He: I have mild ventricular premature contractions, and my usual heart rate is between 58-62 beats per minute. My blood pressure has been around 60-90 for decades. Recently, my blood pressure has risen to 139-89. My face often feels warm, and I have a s...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 139/89 does not necessarily indicate hypertension, and it may not be related to blood pressure. I have reservations about taking medication like Pulse Care, which is why I haven't taken it for long. The heart pain extending to the armpit an...[Read More] Understanding Elevated Blood Pressure: When to See a Cardiologist
Understanding Myocardial Ischemia and High Triglycerides: A Patient's Concerns
Myocardial hypoxia, triglycerides? Dear Dr. He, I am born in 1984 and my body is not considered very overweight. However, my triglyceride levels have consistently been high (I exercise regularly, but since I am active, I do not control my diet). Below are my recent examination d...
Dr. He Dongjin Reply:
Hello, I believe your bigger concern is whether there is a family history of coronary artery disease and if there is indeed a blockage. No one can know for sure; no one has x-ray vision. Theoretically, symptoms such as angina or shortness of breath may occur, but since you can ru...[Read More] Understanding Myocardial Ischemia and High Triglycerides: A Patient's Concerns
Is It Heart Trouble or Autonomic Nervous System Disorder?
Is it autonomic nervous system dysfunction or a heart problem? Hello Doctor, since the end of 2017, I have frequently experienced palpitations. Initially, I suspected hyperthyroidism, but after testing, my thyroid function was completely normal. There was also a period when I exp...
Dr. He Dongjin Reply:
Hello, your symptoms seem to indicate autonomic nervous system dysfunction. It is advisable to observe your condition first. If you still feel unwell, you can visit a psychosomatic medicine or cardiology department for further examination. Pingan Changhua Hospital cares about you...[Read More] Is It Heart Trouble or Autonomic Nervous System Disorder?
Understanding Persistent Left Chest Pain: Insights and Next Steps
Persistent left chest pain for seven years? Hello, Doctor. I have some questions I would like to ask. I have undergone several tests, and here are my basic details: height 177 cm, weight 83 kg, BMI 26.4. My blood pressure, blood lipids (triglycerides, cholesterol, etc.), echocard...
Dr. He Dongjin Reply:
Hello, if you have been experiencing left chest discomfort for seven years without any serious issues, it should be okay, right? A CT scan is expensive, and the accuracy of a 24-hour Holter monitor and exercise stress test is not 100%. The symptoms are also atypical angina, so it...[Read More] Understanding Persistent Left Chest Pain: Insights and Next Steps
Understanding Myocardial Ischemia and Mitral Valve Prolapse Symptoms
Myocardial ischemia, coronary artery insufficiency, palpitations, mitral valve prolapse? Hello Doctor: For the past few years, I have frequently experienced chest tightness, palpitations, rapid heart rate, dizziness, fatigue, excessive sleepiness, and headaches, particularly from...
Dr. He Dongjin Reply:
Hello, it sounds more like your grandmother's arrhythmia, atrial fibrillation, and subsequent stroke may be caused by autonomic nervous system dysfunction, which should not be related to you. I recommend visiting a major hospital's cardiology department for a 24-hour el...[Read More] Understanding Myocardial Ischemia and Mitral Valve Prolapse Symptoms
Understanding Heart Discomfort: When to Seek Further Cardiac Evaluation
Discomfort in the heart? First, I would like to thank the doctor for taking the time to respond despite their busy schedule. About two years ago, I began to frequently experience chest tightness and episodes of my heart suddenly racing. After seeking medical attention, I underwen...
Dr. He Dongjin Reply:
Hello, this sounds like typical autonomic nervous system dysfunction. You may simply need to consult a psychiatrist for a medication adjustment, and there should be no need for another cardiac examination. Pingan Changhua Hospital cares about you.[Read More] Understanding Heart Discomfort: When to Seek Further Cardiac Evaluation
Understanding ECG Results: Blood Supply Issues After a Car Accident
The electrocardiogram shows insufficient blood supply? Hello Dr. He, I was involved in a car accident on July 7th of this year, resulting in fractures of the third and sixth ribs on the left side. After more than two months of follow-up with the thoracic surgeon, the doctor asses...
Dr. He Dongjin Reply:
Hello, I don't believe it's cardiac ischemia. I suspect that the car accident caused fascial injury, leading to dull, stabbing pain. Any stimulation could potentially trigger sympathetic nervous system dysregulation, but it shouldn't cause heart problems. Starting ...[Read More] Understanding ECG Results: Blood Supply Issues After a Car Accident
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