Can I Get the BNT Vaccine with Heart Rhythm Issues and GERD?
VPC and BNT vaccines The patient has been on antihypertensive medication for 15 years and has been continuously monitored at Hospital A. The original prescription included Metoprolol and Tenormin 25mg, which was changed to Concor 2.5mg a year and a half ago, maintaining stable co...
Dr. He Dongjin Reply:
Hello, it's just a few days away. Let's wait until the echocardiogram is completed on 11/18, and then we can discuss the report with the attending physician. Everyone is more at ease. Changhua Hospital cares about you.[Read More] Can I Get the BNT Vaccine with Heart Rhythm Issues and GERD?
Understanding Mild Pulmonary Hypertension: Diagnosis and Treatment Insights
Echocardiogram for pulmonary hypertension Hello, doctor. The echocardiogram shows a TRPG of 29 mmHg, and the diagnosis is mild pulmonary hypertension. The standard value listed online is 25 mmHg. Is this considered a diagnosis of pulmonary hypertension? Is immediate treatment nec...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Mild Pulmonary Hypertension: Diagnosis and Treatment Insights
Understanding Mild Pulmonary Hypertension: Treatment Necessity and Survival Rates
Questions about echocardiography? Doctor, may I ask if mild pulmonary hypertension (TRPG: 29 mmHg Pulmonary valve) requires immediate treatment? I heard that without treatment, the survival rate is only 3 years? Thank you! ---Result: ＜ Interpretations and summary ＞ TR: mild M...
Dr. Wu Xueming Reply:
There is no such saying.[Read More] Understanding Mild Pulmonary Hypertension: Treatment Necessity and Survival Rates
Managing Hypertension and Heart Rate Issues During Menopause: A Patient's Journey
Issues with Hypertension Medications It seems that your autonomic nervous system is disrupted due to menopause, which has led to issues such as tachycardia and elevated blood pressure. You have also been experiencing anxiety. At home, your blood pressure typically ranges from 120...
Dr. Wu Xueming Reply:
If blood pressure is not very stable, it is advisable to start with half a dose and monitor the response.[Read More] Managing Hypertension and Heart Rate Issues During Menopause: A Patient's Journey
Understanding Dizziness and Fatigue: Insights from Cardiovascular Health
Dizziness and fatigue? Hello, doctor. A few years ago, I experienced shortness of breath, dizziness, and fainting, which led me to undergo an electrocardiogram, echocardiogram, and tests for epilepsy and hyperthyroidism. The doctor diagnosed me with tricuspid regurgitation, but s...
Dr. Huang Yinghe Reply:
Hello: Given your age, unless you have a congenital heart condition, there shouldn't be any significant issues with your heart. Based on what you've described, it seems that you have undergone all the important examinations, and your symptoms may be related to autonomic...[Read More] Understanding Dizziness and Fatigue: Insights from Cardiovascular Health
Understanding Your Echocardiogram Results: Key Insights and Implications
Echocardiogram results? Result: ＜ Interpretations and summary ＞ - Tricuspid Regurgitation (TR): Mild - Mitral Valve Prolapse: Present - Chamber Sizes: Normal - Left Ventricular (LV) Wall Thickness: Normal - Left Ventricular Function: Normal - Mild Pulmonary Hypertension - ...
Dr. Wu Xueming Reply:
Your echocardiogram report shows no significant issues aside from mitral valve prolapse, mild valve regurgitation, and mild pulmonary hypertension. There are no specific concerns you need to pay special attention to in your daily life.[Read More] Understanding Your Echocardiogram Results: Key Insights and Implications
Understanding Left Chest Pain: Causes and Concerns for Heart Health
Left chest pain? I have a question, Doctor. I experience a pressing pain near the lower edge of my left chest, close to the heart (the pain is present even without pressure, similar to the pain felt when pressing on the ribcage). I have a general idea of where the pain is located...
Dr. He Dongjin Reply:
Hello, the pain you feel when pressing is mostly related to external muscle and nerve issues, often caused by poor posture. If your echocardiogram shows no problems, there's no need to worry too much. Long periods of poor sitting posture, such as slouching while playing mobi...[Read More] Understanding Left Chest Pain: Causes and Concerns for Heart Health
Understanding Heart Palpitations: Is It Arrhythmia?
Cardiac issues Hello Doctor: I previously experienced chest tightness and palpitations, so I went to the hospital for a cardiac ultrasound and a 24-hour Holter monitor. The doctor said the results were normal, but I still occasionally experience palpitations, and my heart rate ha...
Dr. He Dongjin Reply:
Hello, a heart rate exceeding 100 beats per minute can easily lead to palpitations. However, palpitations do not necessarily indicate an arrhythmia. If the echocardiogram and 24-hour Holter monitor show no issues, there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Is It Arrhythmia?
Can Heart Palpitations Affect COVID-19 Vaccine Eligibility?
Palpitations after receiving the COVID-19 vaccine? Dear Doctor, I have SLE nephritis type 5 (with stable lupus erythematosus), mild mitral valve prolapse, and autonomic dysfunction. After meals, my heart often pounds and I experience a sensation of palpitations, with my heart rat...
Dr. Wu Xueming Reply:
Mild mitral valve prolapse and palpitations do not affect vaccine administration.[Read More] Can Heart Palpitations Affect COVID-19 Vaccine Eligibility?
Understanding Shortness of Breath and Valve Insufficiency: When to Seek Help
Dyspnea, valvular insufficiency, sleep disturbances? Hello, doctor. Four years ago, I was diagnosed with arrhythmia. Recently, my doctor diagnosed me with mild mitral valve regurgitation and cardiac spasms. I have undergone a 24-hour Holter monitor, dynamic EKG, and echocardiogra...
Dr. He Dongjin Reply:
Hello, have you experienced wheezing while breathing before? Are you having difficulty breathing and unable to breathe normally while lying down? It is advisable to return for a check-up. Changhua Hospital cares about your well-being.[Read More] Understanding Shortness of Breath and Valve Insufficiency: When to Seek Help
Understanding Heart Attack Concerns: Symptoms and Anxiety Management
Concern about myocardial infarction? Hello Doctor, I have had issues with autonomic nervous system dysfunction for a long time, experiencing palpitations almost daily. Recently, I have needed to take anti-anxiety medication and heart health supplements to sleep better. Two years ...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are mostly caused by autonomic nervous system dysfunction, which can worsen with increased panic. These symptoms are not related to myocardial infarction, so there is no need to worry. Changhua Hospital cares about your well-being.[Read More] Understanding Heart Attack Concerns: Symptoms and Anxiety Management
Understanding Heart Palpitations and Breathing Issues During Sleep
Cardiac issues Hello Doctor, I experience palpitations and shortness of breath while sleeping. It feels like something is pressing on my chest, and I easily become breathless, similar to climbing a few flights of stairs or even with slight exertion. I have undergone an electrocar...
Dr. Wu Xueming Reply:
If there are no chronic diseases and both the electrocardiogram and echocardiogram results are normal, the likelihood of developing heart failure is very low. It is recommended to engage in regular exercise.[Read More] Understanding Heart Palpitations and Breathing Issues During Sleep
Understanding Left Ventricular Hypertrophy: What Your Echo Results Mean
Left ventricular hypertrophy Hello Doctor, I recently had an echocardiogram and the results were as follows: LVEDD: 47mm, LVESD: 26mm, PW: 11mm, EF: 75%, Ao: 33mm, LA: 33mm. Are these values normal? I looked online and it seems that some of them are at the borderline. Does this i...
Dr. Wu Xueming Reply:
According to the report's data, you do not have left ventricular hypertrophy.[Read More] Understanding Left Ventricular Hypertrophy: What Your Echo Results Mean
Understanding Shortness of Breath and Low Blood Oxygen Levels: Causes and Concerns
Causes of shortness of breath and decreased blood oxygen levels? In the past month, I have started experiencing symptoms of shortness of breath and arrhythmia. Chest X-rays from the pulmonology department, neurological examinations, and a 24-hour ECG and echocardiogram from the c...
Dr. He Dongjin Reply:
Hello, your blood oxygen level has dropped to 94-95, which is still within the normal range, so there's no need to worry. The symptoms you are experiencing seem to be related to autonomic nervous system dysregulation and panic attacks. If these symptoms persist, it is advisa...[Read More] Understanding Shortness of Breath and Low Blood Oxygen Levels: Causes and Concerns
Understanding Atrial Fibrillation: Symptoms and Expert Insights
Questions about Atrial Fibrillation Dear Dr. He, Thank you for your personal response and explanation in the follow-up question <a href="https://adoctor.tw/article/174230">#174230</a>. I have fully understood and will follow your advice not to overthink, as...
Dr. He Dongjin Reply:
Hello, atrial fibrillation is generally asymptomatic or may present as palpitations, where the heart beats rapidly for a few seconds to several minutes, or even longer. It typically does not feel like a sudden "thud." In young individuals, if an echocardiogram shows no ...[Read More] Understanding Atrial Fibrillation: Symptoms and Expert Insights
Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?
Cardiac discomfort. Autonomic nervous system dysfunction? Hello, doctor. I was diagnosed with mitral valve prolapse since childhood, but it hasn't been serious, and I haven't needed medication. I've experienced palpitations and shortness of breath since I was young...
Dr. He Dongjin Reply:
Hello, you indeed have autonomic nervous system dysfunction, rather than an organic heart problem. There is no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry, Changhua...[Read More] Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?
Understanding Rapid Heartbeat: Causes, Treatments, and When to Seek Help
Heart rate issues In July, I felt that my heart was racing, often exceeding 100 beats per minute. I subsequently underwent X-rays, blood tests, an electrocardiogram, exercise testing, and 24-hour monitoring. The doctor said there were no issues with arrhythmia and prescribed me m...
Dr. He Dongjin Reply:
Hello, Kangxin can be used for tachycardia as a long-acting medication. If the cause of the rapid heartbeat cannot be identified, it may not necessarily require an echocardiogram. It is quite possible that it is due to autonomic nervous system dysregulation. It would be advisable...[Read More] Understanding Rapid Heartbeat: Causes, Treatments, and When to Seek Help
Managing Mild Heart Valve Insufficiency: Tips for Symptom Relief
Mitral valve, tricuspid valve, pulmonary artery, mild regurgitation? Hello Dr. Li, I have been experiencing chest tightness, chest pain, palpitations, and shortness of breath frequently over the past six months. In April, I had an echocardiogram that showed mild mitral regurgitat...
Dr. Li Han Reply:
Hello, there are many causes of chest pain. It is the physician's responsibility to identify or rule out dangerous underlying conditions. However, based on the tests you have undergone, it seems that this concern has been alleviated. It may be beneficial to modify your lifes...[Read More] Managing Mild Heart Valve Insufficiency: Tips for Symptom Relief
Understanding Chest Tightness, Palpitations, and Breathing Issues
Chest tightness, palpitations, and shortness of breath? Good morning, Director He. Thank you for your guidance regarding my myocardial bridge issue last July. For the past three months, I have still been experiencing palpitations, chest tightness, and shortness of breath almost d...
Dr. He Dongjin Reply:
Hello, that's correct. Follow-up with an ultrasound in two to three years is sufficient. Mild mitral regurgitation and pulmonary regurgitation will not pose any health risks, and you can continue your normal activities. Yes, don't worry about chest discomfort or shortne...[Read More] Understanding Chest Tightness, Palpitations, and Breathing Issues
Understanding Endocarditis: Treatment Options and Surgical Considerations
Recommendations for the treatment of endocarditis? Hello Dr. Wu, I apologize for interrupting your time and would like to ask for your advice. Recently, I experienced rib pain on the right side of my chest due to a fall while riding my bicycle. I visited a local orthopedic clinic...
Dr. Wu Xueming Reply:
1. First, control with medication. 2. If the degree of valve regurgitation has caused severe heart failure symptoms and medication is ineffective, surgical replacement is recommended. For other surgical-related clinical issues, it is advisable to consult a cardiac surgeon.[Read More] Understanding Endocarditis: Treatment Options and Surgical Considerations