Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Chest tightness and difficulty breathing? Hello, Doctor. I would like to inquire about an incident that occurred in March this year. While exercising, I suddenly felt unable to breathe, as if my airways were blocked. After resting for a while, my condition improved. I went to a h...
Dr. Huang Yinghe Reply:
Hello: Based on the symptoms you described, multiple hospital examinations have shown no cardiovascular or pulmonary issues. The purpose of these tests was to rule out any life-threatening conditions or significant organ abnormalities. Other less dangerous conditions that may cau...[Read More] Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Understanding Heart Palpitations: When to Worry and How to Manage
Chest tightness? Hello, Doctor. I apologize for asking you again. In March, my echocardiogram was normal, but recently I've been feeling my heartbeat more prominently when I wake up in the morning. When lying down, I can feel my heart beating more strongly. Is this considere...
Dr. He Dongjin Reply:
Hello, not seeing anything abnormal means that the sensations in your chest and heart are likely symptoms of anxiety. Experiencing heart pain in cold or hot weather can also be related to anxiety. Continuous anxiety can lead to an increased heart rate. If there are no abnormal fi...[Read More] Understanding Heart Palpitations: When to Worry and How to Manage
Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects
Acute myocarditis Hello Dr. Wu, I was hospitalized recently due to chest pain, and my blood test showed a troponin level exceeding 1900, while the normal range is below 20, which is more than 85 times higher. Additionally, my CK level was 328. I later underwent a cardiac catheter...
Dr. Wu Xueming Reply:
1. Is it safe to be discharged if the levels have not yet returned to normal? Yes, it is safe. 2. Does this mean that my heart has been damaged? An echocardiogram is needed to determine that. 3. Will there be any long-term effects? Mild myocarditis typically does not result in lo...[Read More] Understanding Acute Myocarditis: Risks, Recovery, and Long-Term Effects
Understanding Your Echocardiogram: Do You Need Further Testing for Pulmonary Hypertension?
Echocardiogram Report Hello, doctor. In 2020, I had an echocardiogram that indicated pulmonary hypertension, but the physician did not inform me, did not prescribe any medication, and did not recommend further testing. Currently, I do not have any symptoms of pulmonary hypertensi...
Dr. Li Shengkai Reply:
According to your echocardiogram report, it indeed confirms the diagnosis of pulmonary hypertension. Further examinations can be conducted to check for other pulmonary diseases, thromboembolic conditions, or rheumatologic and autoimmune disorders. If pulmonary hypertension is asy...[Read More] Understanding Your Echocardiogram: Do You Need Further Testing for Pulmonary Hypertension?
Understanding Palpitations: Causes, Concerns, and Heart Health Insights
Palpitations? Hello, Doctor. I apologize for bothering you, but I would like to ask about the palpitations I experienced last night while sleeping. I felt a sensation of heart palpitations, but it seemed like there were some missed ventricular contractions (VPCs). I felt anxious ...
Dr. He Dongjin Reply:
Hello, the pulse is regular, so there is no issue. The feeling of palpitations is likely caused by anxiety. A prolonged increased heart rate does not lead to heart failure. There is no need to worry about the sensation of palpitations; the heart is not as fragile as you might thi...[Read More] Understanding Palpitations: Causes, Concerns, and Heart Health Insights
Understanding Heart Palpitations: Are They Linked to Anxiety?
Heartbeat sensation Hello, Doctor. I would like to ask if anxiety can cause an unusual heartbeat. Previously, I wore a 24-hour Holter monitor which showed a small number of ventricular premature contractions (VPCs), and both you and the doctor said they were harmless. My echocard...
Dr. He Dongjin Reply:
Hello, that's correct. A small amount of VPCs (ventricular premature contractions) is harmless. Occasional palpitations are also harmless. Strong heartbeats and the sensation of palpitations are often caused by anxiety. There can be detectable arrhythmias, but determining th...[Read More] Understanding Heart Palpitations: Are They Linked to Anxiety?
Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...
Dr. Huang Yinghe Reply:
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Understanding Discrepancies in Echocardiogram Results: A Patient's Guide
Echocardiogram Hello, Director. I would like to ask you about the echocardiogram performed on August 26, 2022. The doctor mentioned it showed typical mitral valve prolapse, right ventricular enlargement, and left ventricular hypertrophy. However, during a repeat echocardiogram on...
Dr. He Dongjin Reply:
Hello, I can't say for sure without seeing the imaging report, but aside from one instance where the report indicated an issue, it should be fine. If you feel like there are missed beats, it could be due to ventricular premature contractions (VPCs). How can we prevent the oc...[Read More] Understanding Discrepancies in Echocardiogram Results: A Patient's Guide
Understanding Your Echocardiogram Report: Key Insights and Implications
At the end of last year, I experienced a rapid heartbeat and felt unwell. I underwent a cardiac ultrasound and would like to understand the results of the echocardiogram report? BSA: 1.5 m² Sinus Rhythm ● M-mode Measurement: Ao Diameter: 25.77 mm, LA Diameter: 33.64 mm, LA/Ao...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Your Echocardiogram Report: Key Insights and Implications
Understanding Echocardiogram Results: Key Insights for Heart Health
I would like to inquire about the interpretation of echocardiogram results. Thank you? Hello Doctor, I would like your assistance in interpreting the echocardiogram results for any abnormalities or areas of concern. Thank you. Conclusion: 1. No cardiac chamber dilation. 2. Norma...
Dr. Huang Yinghe Reply:
Hello: Based on the echocardiogram results you provided, overall it appears to be a normal echocardiogram with no significant abnormalities or areas that require special attention. The heart size, systolic and diastolic function, and valve function are all normal. Mild tricuspid ...[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Heart Palpitations: Causes and Concerns for Patients
Arrhythmia with tachycardia? I'm sorry to disturb you, Director. Recently, when I lie down, my heart rate is around 70-80 bpm, but when I get up, it increases to 100-110 bpm. Walking raises it to 105-120 bpm, and when I sit back down, it drops to 80-90 bpm. Could this be a t...
Dr. He Dongjin Reply:
Hello, everything is good. The amount of missed beats is not much. The 24-hour Holter ECG shows normal results. To put it simply, your heart is in better condition than mine. A fast heartbeat is not a concern, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Concerns for Patients
Understanding Echocardiogram Results: Key Insights for Heart Health
Cardiac issues Echocardiogram: Diagnostic Procedure: Doppler Color Flow Mapping, Echocardiography (including single and dual-sided) Report Content: Diagnosis and Examination Purpose: M-mode Echo Requested by Physician: Ao (2.0-3.7 cm): 2.31 LA (2.0-3.6 cm): 2.58 RVIDd (0.7-2....
Dr. He Dongjin Reply:
Hello, overall there is nothing to worry about. Changhua Hospital cares about you.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps
Electrocardiogram (ECG) Examination Report Doctor, can atrial premature contractions cause a sensation of a "pause" followed by a rapid heartbeat of 130 to 140 beats per minute? If it only lasts for 1 to 2 seconds, I feel a sense of emptiness in my heart, but if it happ...
Dr. Wu Xueming Reply:
The examination results indicate that there are no structural or functional abnormalities of the heart, and no significant arrhythmias were found. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advised to seek medica...[Read More] Understanding Atrial Ectopy: Symptoms, Diagnosis, and Next Steps
Understanding Echocardiograms and ECGs: Key Insights for Heart Health
Echocardiogram, Electrocardiogram (ECG or EKG) Echocardiogram: Diagnostic Procedure: Doppler Color Flow Mapping, Echocardiography (including single and dual-sided) Report Content: Diagnosis and Examination Purpose: M-mode Echo Requesting Physician: Ao (2.0-3.7 cm): 2.31 LA (2...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Echocardiograms and ECGs: Key Insights for Heart Health
Anxiety or Heart Issues: Understanding Your Symptoms and Treatment
Anxiety or heart problems? Hello, Doctor. I apologize for bothering you, but I would like to ask about some symptoms I've been experiencing lately. Sometimes, I feel like my heartbeat is irregular, and I can feel it more easily when I'm trying to sleep. When I notice my...
Dr. He Dongjin Reply:
Hello, the trembling of your body is a symptom of anxiety. Anxiety can make you feel like your heart is acting strangely, but there is no issue with your heart. Mild mitral and tricuspid regurgitation is quite common and almost everyone has it, so your echocardiogram results are ...[Read More] Anxiety or Heart Issues: Understanding Your Symptoms and Treatment
Understanding Chest Discomfort: When to Seek Further Heart Evaluations
Regarding chest numbness and chest pain? Hello Doctor: Since mid-last year, I have been experiencing a sensation of numbness in the center of my chest (esophagus), along with discomfort in my neck, pain in my shoulders and arms, tooth pain, facial numbness, and head numbness. I u...
Dr. He Dongjin Reply:
Hello, the reports from both examinations are almost identical, indicating normal symptoms that do not seem to suggest a heart problem. It may be related to autonomic nervous system issues. You might consider consulting a psychosomatic medicine specialist. Peace and care from Cha...[Read More] Understanding Chest Discomfort: When to Seek Further Heart Evaluations
Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
Electrocardiogram and other examination reports, please consult a physician for advice. Thank you! I do not have habits of smoking, drinking alcohol, or chewing betel nut. Sometimes when I sit and measure my blood pressure, my heart rate can jump to 90-100 beats per minute, and o...
Dr. He Dongjin Reply:
Hello, everything is normal. A slow heart rate is a good sign, indicating that the heart is strong and the cardiac output is sufficient. Therefore, a slower heartbeat is adequate, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
Understanding VPCs: Risks, Symptoms, and Anxiety Management
Arrhythmia Hello, Doctor. I apologize for bothering you, but I recently saw online that some doctors mentioned VPCs (ventricular premature contractions) could potentially lead to sudden death, which has made me worried again. Is it possible that the sudden death of Gao Yixiang wa...
Dr. He Dongjin Reply:
Hello, taking Xanax will not alleviate pathological discomfort. If Xanax does relieve your symptoms, then you don't need to worry. Neck tightness is a symptom of anxiety. The sudden death of Gao Yixiang cannot be attributed to VPC (ventricular premature contractions); VPCs d...[Read More] Understanding VPCs: Risks, Symptoms, and Anxiety Management
Understanding Your Heart Echo Report: Key Insights for Health Concerns
Hello Dr. Wu, I would like to ask for your help in determining if there are any areas of concern in the echocardiogram report? Due to a recent sudden increase in blood pressure, sometimes my systolic pressure spikes to 165, but when measured at home, the average is around 110 to ...
Dr. Wu Xueming Reply:
Mild tricuspid regurgitation does not affect cardiac function. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Your Heart Echo Report: Key Insights for Health Concerns
Understanding Nighttime Discomfort: Heart Palpitations and Anxiety
I always feel uncomfortable at night? Hello Doctor, I have been experiencing palpitations and chest tightness almost every day since September of last year, especially at night when I lie down in bed, which often makes me feel worse. Sometimes it’s manageable, but there have been...
Dr. He Dongjin Reply:
Hello, you may be experiencing panic disorder related to puberty. It is advisable to visit a psychosomatic medicine department and consider medication. Changhua Hospital cares about your well-being.[Read More] Understanding Nighttime Discomfort: Heart Palpitations and Anxiety