Understanding Blood Pressure Variability: When to Worry About Hypertension?
How to determine if you have high blood pressure? Hello, Doctor. Six months ago, during a hospital visit, my blood pressure was measured at around 140/90. The doctor advised me to monitor my blood pressure daily at home. I measure it in the morning after waking up, before going t...
Dr. He Dongjin Reply:
Hello, measuring your blood pressure in the morning and evening is sufficient. It's normal for your readings to fluctuate throughout the day due to activity. If you measure too frequently, it may cause anxiety and lead to dysregulation of your autonomic nervous system. You&#...[Read More] Understanding Blood Pressure Variability: When to Worry About Hypertension?
Understanding Myocardial Infarction: Signs, Symptoms, and Young Adults
Myocardial infarction Hello, Doctor. How can I determine if I have a myocardial infarction? I am 28 years old and recently visited a cardiologist due to heart murmurs. I underwent an electrocardiogram (ECG), blood tests, echocardiogram, and a CT scan (for my lungs). Does a cardia...
Dr. He Dongjin Reply:
Hello, if you're really not at ease about not having a myocardial infarction, consider paying for a CT angiography for reassurance. Don't scare yourself unnecessarily; not all discomforts are due to a myocardial infarction. Changhua Hospital cares about you.[Read More] Understanding Myocardial Infarction: Signs, Symptoms, and Young Adults
Understanding Left Chest Pain: Is It Heart-Related or Neck Issues?
Left chest pain? I previously underwent chest X-rays, electrocardiograms (ECGs), 24-hour Holter monitoring, exercise stress tests, and blood tests at two hospitals, all of which indicated that my heart is healthy. I live in a fifth-floor apartment, and I don't feel excessive...
Dr. He Dongjin Reply:
Hello, the chest pain issue is likely caused by the neck in a young male. Given that the X-ray, electrocardiogram (ECG), 24-hour Holter monitor, and exercise stress test results are all normal, and there is no shortness of breath when climbing from the first to the fifth floor, t...[Read More] Understanding Left Chest Pain: Is It Heart-Related or Neck Issues?
Understanding Chest Pain: Post-Surgery Symptoms or Heart Issues?
Chest pain I underwent a fibroma surgery on my left chest in February 2022. Postoperatively, I did not experience any significant pain, only occasional discomfort. Recently, I have been experiencing two unusual sensations in my left chest. First, there is a feeling of being envel...
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 Chest Pain: Post-Surgery Symptoms or Heart Issues?
Understanding Heart Health: Common Concerns and Check-Up Guidelines
Cardiac concerns? Hello Doctor, I am 27 years old, I smoke half a pack a day and rarely drink alcohol, you could say I don't really drink. I would like to ask a question: I was hospitalized last month due to pneumonia and have now recovered, but the pulmonologist mentioned a...
Dr. He Dongjin Reply:
Hello, a myocardial infarction is an emergency. If the electrocardiogram (ECG), 24-hour Holter monitor, and echocardiogram are all normal at the moment, there is no need to worry. As for pneumonia, it's normal to experience some discomfort as your body has not fully recovere...[Read More] Understanding Heart Health: Common Concerns and Check-Up Guidelines
Understanding Echocardiogram Results: What Your Heart Health Means
Echocardiogram Due to long-term symptoms of chest tightness, dizziness, and cold extremities, I consulted a cardiologist for examination. I underwent both echocardiography and a stress electrocardiogram. Since I have to wait over a week for my follow-up appointment, I would like ...
Dr. Wu Xueming Reply:
The echocardiogram shows that the cardiac structure and function are normal, with only mild mitral and tricuspid valve prolapse. The exercise electrocardiogram results are normal.[Read More] Understanding Echocardiogram Results: What Your Heart Health Means
Understanding Arrhythmia: Insights on Heart Health and Symptoms
Arrhythmia Hello, Director. At the beginning of January, I woke up in the middle of the night due to a sharp pain in my jaw, which was accompanied by left chest discomfort, making it difficult for me to sleep the entire night. The next day, I immediately consulted a cardiologist,...
Dr. He Dongjin Reply:
Hello, actually everyone has some degree of arrhythmia, and you are within the normal range of arrhythmias. That's why your doctor prescribed medication to take as needed rather than requiring you to take it regularly. There is no myocardial infarction, and there is no cardi...[Read More] Understanding Arrhythmia: Insights on Heart Health and Symptoms
Understanding Persistent Heartbeat Sensations: Causes and Concerns
Persistent sensation of heartbeat? Hello, Director. I originally had no cardiovascular disease, but about 1.5 years ago, I experienced episodes of arrhythmia (atrial fibrillation) that were quite severe, occurring frequently and irregularly. The rapid heartbeat was so intense tha...
Dr. He Dongjin Reply:
Hello, the reasons for continuously feeling the heartbeat can vary. Is it serious? If it persists for a long time? If you have already undergone cryoablation and your heart rhythm has returned to normal, it is very likely related to menopause and autonomic nervous system dysregul...[Read More] Understanding Persistent Heartbeat Sensations: Causes and Concerns
Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Follow-up question #191818 Inquiry Consultation Dear Dr. He, Thank you very much for your response and explanation in the inquiry consultation #191818. I have generally understood your points. I would like to ask you the following questions: Q1. Regarding the sudden "drop&...
Dr. He Dongjin Reply:
Hello, Q1: You may indeed be experiencing premature beats; however, it is also possible that it could be another cardiac issue, which is why an electrocardiogram (ECG) is needed for diagnosis. Q2: Based on your description, your condition may likely be premature beats. Q3: ...[Read More] Understanding Heart Palpitations: Insights from a Cardiologist's Consultation
Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Mitral valve prolapse and related issues? I am a patient with mitral valve prolapse. I have undergone both echocardiography and electrocardiogram (ECG) tests. The doctor informed me that my heart function is normal, and the 24-hour ECG showed some abnormalities, with over 50 occu...
Dr. He Dongjin Reply:
Hello, your symptoms are commonly associated with autonomic nervous system issues. They can be managed with medication. Changhua Hospital cares about your well-being.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Mitral valve prolapse and related issues? I am a patient with mitral valve prolapse. I have undergone both echocardiography and electrocardiogram (ECG) tests. The doctor informed me that my heart function is normal, and the 24-hour ECG showed some abnormal events, but they were w...
Dr. He Dongjin Reply:
Hello, your symptoms are commonly associated with autonomic nervous system issues. They can be managed with medication. Changhua Hospital cares about your well-being.[Read More] Understanding Mitral Valve Prolapse: Symptoms and Autonomic Nervous System Connection
Understanding Vascular Health: Managing Hypertension and Palpitations
Cerebrovascular disease, hypertension Hello Doctor, I am 25 years old. During middle school, I experienced a significant event that caused immense stress, and since then, my palpitations have become very severe. I often feel pulsations throughout my body while at rest, and even s...
Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction does not lead to aneurysms, so don't overthink it or scare yourself. High blood pressure and a large pulse pressure, as well as involuntary muscle twitching, are also related to autonomic nervous system dysfunction. Changhua Hospit...[Read More] Understanding Vascular Health: Managing Hypertension and Palpitations
Understanding Occasional Heart Palpitations: Causes and Management
Inquiry Consultation Dear Dr. He, First of all, I wish you a Happy Lunar New Year! I would like to share that I have recently experienced occasional premature ventricular contractions (PVCs), where I feel a sudden "pause" in my chest accompanied by some palpitations. T...
Dr. He Dongjin Reply:
Hello, Q1 is difficult to say; it may require an electrocardiogram for confirmation. Q2, fatigue or anxiety and panic can more easily lead to autonomic nervous system dysregulation, which can trigger premature heartbeats. Q3, that's correct; subconscious anxiety and panic ca...[Read More] Understanding Occasional Heart Palpitations: Causes and Management
Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Exercise electrocardiogram Hello Doctor, I have recently experienced occasional palpitations. I underwent an echocardiogram and a 24-hour Holter monitor, both of which showed no significant abnormalities. I then arranged for a stress test, and the report is as follows. I would li...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) are positive. If you continue to experience symptoms of chest tightness or chest pain, please visit the outpatient clinic to discuss with your physician whether further testing is necessary.[Read More] Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Understanding Heart Palpitations: Causes and Management Options
The sensation of missed heartbeats? Hello, doctor. I previously experienced palpitations and consulted a cardiologist who performed an echocardiogram and an electrocardiogram. It was found that I have mild mitral valve prolapse, but the doctor mentioned that my heart function is ...
Dr. He Dongjin Reply:
Hello, there may be a connection between mitral valve prolapse and autonomic nervous system stability. Slowing down your lifestyle may provide an opportunity for recovery. Is complete recovery possible? Will it never recur? It's unlikely, just like how one can recover from a...[Read More] Understanding Heart Palpitations: Causes and Management Options
Understanding Myocardial Perfusion Scans: Insights on Ischemia and Treatment Options
Echocardiogram Hello Dr. He, I previously inquired about the nuclear medicine report for the Tl-201 Myocardial Perfusion Scan: The patient has recently experienced chest tightness. A Tl-201 myocardial perfusion scan was performed with dipyridamole stress. Dipyridamole 0.57 mg/kg ...
Dr. He Dongjin Reply:
Hello, my suggestion is to manage your condition with medication. Changhua Hospital cares about you.[Read More] Understanding Myocardial Perfusion Scans: Insights on Ischemia and Treatment Options
Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension
Hypertensive heart disease and pulmonary hypertension? Hello: I have hypertension and recently experienced palpitations, fatigue, occasional chest tightness and pain, and difficulty breathing, which leads to easy tiredness. I visited a cardiologist (ultrasound + electrocardiogram...
Dr. Huang Yinghe Reply:
Hello: The symptoms mentioned are likely related to hypertension. If your blood pressure is usually high, your doctor will likely prescribe medication, so please take it as directed. It is recommended to actively control blood pressure to below 130/80 mmHg, as good blood pressure...[Read More] Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension
Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Examination report content? Hello, Director He. I would like to understand the following report. On December 26, I felt chest tightness and went to the emergency room, but the X-ray, electrocardiogram, and blood tests were all normal. Later, on January 10, I underwent the followi...
Dr. He Dongjin Reply:
Hello, regarding mild ischemia, my recommendation is to start with medication and observe. Changhua Hospital cares about you.[Read More] Understanding Your Cardiovascular Report: Key Insights on Myocardial Perfusion Scan Results
Understanding Cardiovascular Health: Essential Tests and Concerns
Cardiovascular Health Consultation Hello, Doctor. Recently, during daily walking, climbing stairs, and exercising, or when I am emotionally agitated, I occasionally experience nausea, throat tightness, and chest discomfort. I also noticeably feel my heart racing, my body feels co...
Dr. He Dongjin Reply:
Hello, it seems that your grandfather has autonomic nervous system dysfunction and your sister has a different type of heart disease. If you want to understand your own cardiovascular condition, you might consider opting for a self-funded exercise stress test or a 24-hour Holter ...[Read More] Understanding Cardiovascular Health: Essential Tests and Concerns
Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms
Dizziness while showering, orthostatic hypotension, palpitations, and chest tightness? Hello doctor, I experienced severe menstrual cramps and abdominal pain on the first day of my period during high school. It came on suddenly, and while walking, I suddenly felt faint and had to...
Dr. Wu Xueming Reply:
Based on your description, it seems more like postural hypotension. Please slow down when changing positions and increase your fluid intake.[Read More] Dizziness While Showering: Understanding Postural Hypotension and Heart Symptoms