Understanding Chest Pain: Mitral Valve Prolapse and Its Symptoms
Chest tightness or chest pain? I previously experienced frequent chest tightness and dizziness, so I went to the hospital for an examination. An echocardiogram revealed that I have mitral valve prolapse. I took medication for a while, which helped a bit, but recently, in addition...
Dr. He Dongjin Reply:
Hello, this is likely caused by poor posture. At this age, myofascial pain syndrome would not lead to angina, so there is no need to panic. Rheumatic heart disease is not a hereditary condition. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: Mitral Valve Prolapse and Its Symptoms
Understanding Sinus Arrhythmia: Symptoms, Treatment Options, and Medications
Sick sinus syndrome Doctor: I would like to ask about occasional chest tightness and a history of dizziness a few years ago. I underwent a dynamic electrocardiogram, which showed occasional sinus bradycardia at midnight and occasional sinus tachycardia during the day, with no sig...
Dr. He Dongjin Reply:
Hello, the test results you provided are all within the normal range, and there is no need for medication. Thank you for your concern from Changhua Hospital.[Read More] Understanding Sinus Arrhythmia: Symptoms, Treatment Options, and Medications
Understanding Mitral Valve Prolapse: Symptoms, Concerns, and Treatment Options
Mitral valve prolapse Hello doctor, I previously had an echocardiogram, and they told me I have mitral valve prolapse. Although they only prescribed me painkillers, I don’t want to rely on them. During the first semester of school, I experienced episodes that were too frequent, w...
Dr. Lin Jixiong Reply:
Hello: Based on the described symptoms, many are related to mitral valve prolapse. To improve these symptoms, it is not solely dependent on medication. It is important to pay attention to diet by avoiding stimulants and high-caffeine foods, and to maintain a regular sleep schedul...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Concerns, and Treatment Options
Understanding Blood Pressure Discrepancies and Normal Hemoglobin Levels
Pericardial effusion and aortic dissection? Is a blood pressure difference of about 25 to 30 mmHg between the two arms considered normal? What is the typical range for hemoglobin levels in the general population?
Dr. Ding Zhizhong Reply:
Normal hemoglobin levels are approximately 12 to 15 gm/dL. Blood pressure is inherently variable; if there is a consistent difference of more than 30 mmHg between the blood pressures in both arms, it may indicate a vascular obstruction issue. However, if there are no clinical sym...[Read More] Understanding Blood Pressure Discrepancies and Normal Hemoglobin Levels
How to Address Cold Extremities and Possible Vascular Issues?
How should it be handled? Hello, Doctor: I have cold and dark-colored extremities, dizziness, and brittle nails on my hands and toes. My limbs feel warm mostly after being under a thick blanket for a while during winter. For instance, when the outside temperature was around 35-36...
Dr. He Dongjin Reply:
You can see a rheumatologist or a cardiovascular surgeon for peripheral circulation examination. Thank you.[Read More] How to Address Cold Extremities and Possible Vascular Issues?
Managing Skin Rash from Hypertension Medications: What You Need to Know
Side effects of antihypertensive medications - rash? If you are experiencing side effects such as a rash and darkening and itching of the soles of your feet and calves while taking hypertension medications like Diltiazem HCl, Aprovel FC 150mg, and Ismo-20, it is important to cons...
Dr. Zhu Junyuan Reply:
Diltiazem is classified as an antianginal and antiarrhythmic medication, with a modest effect on lowering blood pressure. Side effects may include dizziness or lightheadedness, facial flushing (sensation of warmth), headache, extreme fatigue, bradycardia, gastrointestinal discomf...[Read More] Managing Skin Rash from Hypertension Medications: What You Need to Know
Understanding Mild Mitral Valve Prolapse: Symptoms, NYHA Classification, and Military Eligibility
Congenital Mitral Valve Prolapse Hello Doctor, I have recently been experiencing symptoms such as frequent dizziness, chest tightness, and irritability (which started two years ago but have increased in frequency lately). I underwent an echocardiogram at Kaohsiung Medical Univers...
Dr. Bu Shiyun Reply:
1. Mild prolapse and regurgitation do not meet the criteria for alternative military service. 2. Typically, your symptoms are not significantly related to the heart itself. 3. You may refer to my previous responses regarding mitral valve prolapse.[Read More] Understanding Mild Mitral Valve Prolapse: Symptoms, NYHA Classification, and Military Eligibility
Understanding Complex Ventricular Premature Contractions: Causes and Treatment Options
Complex ventricular premature contractions (ventricular bigeminy) Doctor, I am currently serving in the military, but I often experience rapid heartbeat, dizziness, lightheadedness, and sometimes fainting, along with weakness in my limbs, numbness, and coldness. I can clearly see...
Dr. He Dongjin Reply:
Hello, you can apply for a discharge from service. Based on your description, it is possible that the high stress from service has caused autonomic nervous system dysfunction, leading to the worsening of your condition. A 24-hour Holter monitor may be necessary to assess the situ...[Read More] Understanding Complex Ventricular Premature Contractions: Causes and Treatment Options
Understanding MVP and Autonomic Dysfunction: When to Seek Follow-Up Care
MVP APC autonomic nervous system moderate dysregulation..? Hello Doctor, I would like to ask: I am currently in my 20s and frequently experience dizziness, a strong and rapid heartbeat, and extreme excitement. Six months ago, I underwent tests that showed: a 24-hour Holter monito...
Dr. He Dongjin Reply:
Hello: Dr. He is currently attending a conference and will respond promptly upon his return. Changhua Hospital cares about you.[Read More] Understanding MVP and Autonomic Dysfunction: When to Seek Follow-Up Care
Elevated White Blood Cell Count and Heart Rate: Understanding Your Symptoms
Elevated white blood cell count, bone pain (lower back, knees), and a heart rate of 120 beats per minute? Hello Dr. Lin, I am a 30-year-old female, currently maintaining a normal daily routine, going to bed before 11 PM and waking up at 8 AM. I am a homemaker and have activities...
Dr. Lin Jixiong Reply:
Hello: Based on your white blood cell data, there has been a consistent increase from March 31 to April 20, indicating that your body may be experiencing an infection. Additionally, the clinical symptoms of bone pain and fatigue are also similar to those associated with an infect...[Read More] Elevated White Blood Cell Count and Heart Rate: Understanding Your Symptoms
Understanding Mitral Valve Prolapse and Tricuspid Regurgitation: Impacts and Management
Inquiry about heart valve disease? Hello: I previously went to the emergency room due to sudden tinnitus, where my blood pressure and heart rate were routinely measured. The nurse measured it twice, and he thought he misread it (once upon entering and once upon exiting), but it w...
Dr. He Dongjin Reply:
Dear Stephanie, Actually, the two questions are quite similar, focusing on autonomic nervous system dysregulation, especially since you have sleep disturbances, which make it even harder to stabilize the autonomic nervous system. This can lead to the symptoms you mentioned. Pat...[Read More] Understanding Mitral Valve Prolapse and Tricuspid Regurgitation: Impacts and Management
Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Could you please assist me, as I am unsure of what to do? (Forwarded from the Director's mailbox) Hello. I need assistance because I don't know how to seek medical care! I discovered I had slightly high blood pressure six years ago, so I have been regularly taking antih...
Dr. Bu Shiyun Reply:
(1) You have been feeling unwell for the past two to three years, which is indeed troubling for you. However, based on your blood pressure records, there doesn't seem to be any significant hypertension or elevated readings after medication, indicating that your blood pressur...[Read More] Seeking Help for Persistent Chest Pain and Uncontrolled Hypertension
Understanding the Severity of Arrhythmias: Symptoms, Risks, and Treatment Options
Arrhythmia Hello, Doctor. I have some questions to ask you. Last year, I experienced episodes of my heart stopping, and I underwent a 24-hour Holter monitor test. The results showed ventricular ectopic activity consisting of 32,927 beats, of which 12 were in triplets, 111 were in...
Dr. He Dongjin Reply:
Dear Dana, I believe that some symptoms may not necessarily be related to the heart, but discomfort in the body can exacerbate arrhythmias. Essentially, this can only be managed with medication. To achieve a cure, catheter ablation is required, but this is only considered if medi...[Read More] Understanding the Severity of Arrhythmias: Symptoms, Risks, and Treatment Options
Understanding Slow Heart Rate: When to Seek Medical Advice
The heart rate is very slow? Doctor, I've recently noticed that my heart rate often drops to the 50s, whereas it used to be at least in the 70s. I have developed a habit of running 2000 to 3000 meters daily. Lately, I've been experiencing frequent episodes of dizziness,...
Dr. He Dongjin Reply:
First, if your heart rate is usually not slow and only becomes slow when you feel dizzy, there may be an issue. It's advisable to consult a cardiologist for further evaluation. However, if your heart rate is mostly slow and you only occasionally experience dizziness, the hea...[Read More] Understanding Slow Heart Rate: When to Seek Medical Advice
Understanding Dizziness and Low Heart Rate: Causes and Solutions
Doctor, I am experiencing dizziness and a low heart rate? Doctor, I started experiencing dizziness and a sense of imbalance in the middle of this month. Previously, I also had palpitations and felt like I couldn't breathe. After seeing a doctor, I had an electrocardiogram wh...
Dr. He Dongjin Reply:
First, let's clarify if your head feels more dizzy when your heart rate is slow. If so, then we can consider the hypothesis you proposed. However, I believe there may not be a direct relationship. The most common cause of dizziness while sitting in an office is muscle tensio...[Read More] Understanding Dizziness and Low Heart Rate: Causes and Solutions
Understanding Hypertrophic Cardiomyopathy: Symptoms, Risks, and Diagnosis
Hypertrophic cardiomyopathy Dear Dr. He, About five or six years ago, I began experiencing chest tightness during exercise. When the symptoms are severe, I also have shoulder and back pain, cold sweats, low blood pressure, dizziness, pale complexion, and overall fatigue (lasting...
Dr. He Dongjin Reply:
I am not sure where you had the examination for non-obstructive versus obstructive conditions. The difference lies in whether there is a blockage in the left ventricular outflow tract. A significant pressure gradient indicates the possibility of obstruction, which could lead to s...[Read More] Understanding Hypertrophic Cardiomyopathy: Symptoms, Risks, and Diagnosis
Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Mitral valve prolapse Hello Doctor: I would like to ask, I had an ultrasound examination today, and the report indicated that I have mitral valve prolapse, which seems to be congenital. However, there is no medication treatment; is this okay? Do I need to have regular follow-ups?...
Dr. He Dongjin Reply:
When pressing the probe against the chest and sliding it back and forth, there may be a pain sensation, as if a heavy object is pressing down. This could indicate a muscular or neurological issue. As for mitral valve prolapse, it is often associated with tall and slender body typ...[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatment, and Follow-Up Care
Understanding Heart Pressure Sensations: Causes and Concerns
Heart problems Hello Doctor: Sometimes I feel a sensation as if my heart is being tightly grasped, and I'm not sure if this is what people refer to as a feeling of pressure. This makes me feel like I need to take deep breaths. I've been experiencing this since middle sc...
Dr. He Dongjin Reply:
Hello, at this age, it is generally uncommon for the heart to develop serious diseases. Based on your description, the chest pain may be more likely related to autonomic nervous system dysfunction causing mitral valve prolapse. For a detailed diagnosis, it is advisable to consult...[Read More] Understanding Heart Pressure Sensations: Causes and Concerns
Understanding High Blood Pressure: What Does It Mean for Your Health?
At a loss? Recently, the weather has been fluctuating, and my husband's blood pressure has been unstable. When measuring his blood pressure, it was 173 systolic and 127 diastolic, with a pulse of 86. Sometimes he feels dizzy, and his diastolic pressure has consistently been ...
Dr. Bu Shiyun Reply:
Although dizziness is not necessarily related to blood pressure, it is essential for individuals with hypertension to adhere to their prescribed medication regimen as directed by their physician. During the treatment process, blood pressure may fluctuate, and side effects from th...[Read More] Understanding High Blood Pressure: What Does It Mean for Your Health?
Understanding Palpitations and Tremors: Causes and Concerns
Palpitations and generalized tremors? 1. Last week, I had a mild cold with a runny nose, nasal congestion, and a slight cough. After drinking coffee, I felt dizzy and nauseous, so I went to see a doctor. He diagnosed me with a gastrointestinal flu. The next morning, I had a small...
Dr. He Dongjin Reply:
Dear Maruku, based on your description, it seems that discomfort from illnesses like a cold has caused autonomic nervous system dysregulation, which stimulates the heart and leads to an increased heart rate. Therefore, the physician has prescribed you some anxiolytic medications ...[Read More] Understanding Palpitations and Tremors: Causes and Concerns