Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Chest tightness and back discomfort on the left side? Dr. Huang, I have seen many doctors regarding my heart and have visited several hospitals. I have undergone numerous tests, and all the doctors have said that my heart is fine. However, I still feel strange in my body, especia...
Dr. Huang Yinghe Reply:
Hello: If all the tests you mentioned are normal, it indicates that there should be no issues with your heart. There are many causes for chest discomfort, aside from heart disease, such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress-related issu...[Read More] Understanding Left Chest and Back Discomfort: What Could Be Wrong?
Understanding Low Heart Rate: When to Seek Medical Advice
Heart rate below 60 beats per minute? Hello Doctor: My average heart rate is around 55 beats per minute, and sometimes it drops below 50 beats per minute (as measured by my fitness tracker). Besides feeling extremely fatigued every day, I don't have any other significant dis...
Dr. Li Shengkai Reply:
A normal heart rate is about 60 to 100 beats per minute. A heart rate that is too slow can cause symptoms such as weakness, fatigue, and dizziness. Your discomfort may be due to bradycardia. If the condition persists, it is advisable to visit a hospital for an evaluation. Common ...[Read More] Understanding Low Heart Rate: When to Seek Medical Advice
Understanding Arrhythmia: Key Insights for Active Individuals
Arrhythmia There is a tendency to experience anemia, and when squatting or sitting on a low chair, standing up often leads to dizziness, with low blood pressure (100/50) and a pulse around 50. I usually jog 15 kilometers in the morning and occasionally hike or ride a bicycle, and...
Dr. He Dongjin Reply:
Hello, it is recommended to undergo an exercise electrocardiogram to further understand your exercise condition. Please pay attention to your body during daily activities and exercise; do not push yourself too hard. If you feel uncomfortable, take a break. Changhua Hospital cares...[Read More] Understanding Arrhythmia: Key Insights for Active Individuals
Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Hello, doctor. Does frequent premature contractions harm the heart or the body? Do they increase the risk of stroke? I would like to inquire about the heart report? Hello Doctor, 1. Could you please tell me the severity of myocardial ischemia indicated in my heart report? Is it...
Dr. Wu Xueming Reply:
1. The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. For a more accurate assessment of myocardial ischemia, a myocardial perfusion scan using isotopes can be performed. 2. Many factors in daily life can contribute to this condition,...[Read More] Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Understanding Heart Health: Addressing Symptoms and Test Results
Cardiac examination issues? During my university years, I underwent various cardiac evaluations including electrocardiograms (ECGs), echocardiograms, Doppler color flow imaging of the heart, maximal exercise stress tests, portable ECG monitoring, carotid ultrasound examinations, ...
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 advis...[Read More] Understanding Heart Health: Addressing Symptoms and Test Results
Understanding Sudden Chest Pain: Causes and When to Seek Help
Sudden onset of abnormal chest pain? My father is 54 years old, 176 cm tall, and weighs 66 kg. He has a family history of hyperlipidemia, but his levels have normalized after medication. His blood pressure has always been within normal limits, and he does not smoke or drink alcoh...
Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult a medical center. Thank you. Wishing you good health![Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Understanding Unusual Heart Sensations: When to Seek Further Evaluation
Cardiac dysphoria Hello, Doctor. I am 55 years old, with normal height and weight. I have a family history of hyperlipidemia and am currently on medication, with my levels now normal. I usually maintain a light diet, do not smoke or drink, and exercise regularly. However, a few d...
Dr. He Dongjin Reply:
Hello, it is very likely that what you mentioned is related to frozen shoulder, gastroesophageal reflux, or possibly a precursor to myocardial infarction. It's hard to say for certain, so if you're feeling uneasy, it would be advisable to visit a cardiologist for furthe...[Read More] Understanding Unusual Heart Sensations: When to Seek Further Evaluation
Understanding Palpitations After Illness: Causes and Concerns
Palpitations occurring in a seated or lying position for a short duration? Hello Doctor: Summary of the situation: I had a severe cold last week, and about a week later, my cold symptoms improved, but I developed a fever again. I took a fever reducer, Acetal (500mg), one tablet...
Dr. Wu Xueming Reply:
It is recommended that you go to the hospital for an electrocardiogram (ECG) examination to rule out any arrhythmias.[Read More] Understanding Palpitations After Illness: Causes and Concerns
Understanding Your Resting EKG Report: Key Insights for Heart Health
Static Electrocardiogram Examination Report Hello, Doctor: I am a 42-year-old female. After being diagnosed with anxiety in May, I have been experiencing discomfort in my heart, with intermittent sensations of missed beats, palpitations, and shortness of breath. The resting EKG r...
Dr. Wu Xueming Reply:
Abnormalities in the electrocardiogram (ECG) must be interpreted by a physician in conjunction with clinical symptoms to determine whether the abnormalities have clinical significance. It is recommended that you visit a cardiology outpatient clinic for evaluation.[Read More] Understanding Your Resting EKG Report: Key Insights for Heart Health
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 Back Pain: Stress, Heart Health, and Medication Effects
Back pain I'm sorry to hear that you've been feeling unwell due to stress. It sounds like you've been experiencing discomfort throughout your body, along with gastroesophageal reflux. Last Saturday, you underwent an electrocardiogram and ultrasound, which indicated...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Additionally, your symptoms are not typical of heart disease. It is recommended that you consult with an orthopedic or neurosurgery specialist.[Read More] Understanding Back Pain: Stress, Heart Health, and Medication Effects
Understanding Myocardial Ischemia: ECG Accuracy and Patient Concerns
Electrocardiogram Myocardial Ischemia Hello, Director: I would like to ask, after being diagnosed, I experienced fever, rapid heartbeat, and discomfort in my heart. When I visited the internal medicine department, the doctor arranged for me to have a resting electrocardiogram (EC...
Dr. He Dongjin Reply:
Hello, a static electrocardiogram (ECG) may not accurately determine myocardial ischemia; it can only raise suspicion. At this age, the likelihood of myocardial ischemia is low, and in females, breast tissue can interfere with the interpretation. Further examination is recommende...[Read More] Understanding Myocardial Ischemia: ECG Accuracy and Patient Concerns
Understanding Static ECG: Analyzing T Wave Abnormalities and Ischemia
Static Electrocardiogram (ECG) Hello, Director. Here are the results of my static electrocardiogram taken during my confirmed fever: Normal sinus rhythm with T wave abnormality, consider anterior ischemia. The internal medicine physician mentioned it could be myocardial ischemia?...
Dr. Wu Xueming Reply:
The above actions will not cause any abnormalities in the electrocardiogram (ECG).[Read More] Understanding Static ECG: Analyzing T Wave Abnormalities and Ischemia
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 Static ECG and Myocardial Ischemia: Key Insights
Static electrocardiogram myocardial ischemia Hello Director Wu: On May 9, I was diagnosed with heart discomfort. I had an electrocardiogram (ECG) at Clinic A, which was normal. On May 12, I had another ECG at Clinic B, and the internist said there was evidence of myocardial ische...
Dr. Wu Xueming Reply:
A resting electrocardiogram (ECG) cannot definitively determine the presence of myocardial ischemia; it is recommended to perform a stress test to confirm.[Read More] Understanding Static ECG and Myocardial Ischemia: Key Insights
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
Should You Worry About Numbness and Swelling in Your Fingers?
Numbness and swelling in the fingers? Hello Doctor, I would like to ask if my girlfriend needs to go to the hospital for a heart examination given her current condition. Recently, her fingers have been feeling swollen and numb, affecting all four fingers on both hands except for ...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Should You Worry About Numbness and Swelling in Your Fingers?
Should You Worry About Numbness and Low Blood Pressure? A Heart Health Guide
Numbness in the hands, blood pressure, electrocardiogram? Hello, doctor. I would like to ask if my girlfriend needs to go to the hospital for a heart examination given the following situation. Recently, her fingers have been feeling swollen and numb, affecting all four fingers on...
Dr. He Dongjin Reply:
Hello, the electrocardiogram (ECG) is normal with T waves and R waves at the same height. The ECG measured by the Apple Watch cannot assess this; it can only be used as a reference and primarily checks for arrhythmias. If your fingers feel swollen or numb, and you're still c...[Read More] Should You Worry About Numbness and Low Blood Pressure? A Heart Health Guide
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 Rapid Heart Rate: Anxiety or Underlying Heart Issues?
Heart rate of 150 beats per minute? I'm sorry, Director. I just had another episode. I suddenly leaked a couple of times while using the restroom, and then my heart rate increased to over 150. I took half a dose of my heart rhythm medication and half a dose of Xanax, and aft...
Dr. He Dongjin Reply:
Hello, I believe it is caused by anxiety and panic. To confirm, you should go to the emergency room for an electrocardiogram. However, taking half a dose of a heart rhythm medication and half a dose of Xanax should bring your heart rate down to 90-100. It is likely that this is p...[Read More] Understanding Rapid Heart Rate: Anxiety or Underlying Heart Issues?