Understanding Chest Tightness and Breathing Issues: Propranolol Insights
Chest tightness and difficulty in taking a deep breath, propranolol? Hello, Doctor. I was diagnosed with COVID-19 in May this year, and I have a habit of smoking. Recently, I've been experiencing slight chest tightness and difficulty breathing, which I can alleviate somewhat...
Dr. He Dongjin Reply:
Hello, the effectiveness of the medication may be due to a slight imbalance in the autonomic nervous system. It would be advisable to quit smoking, as it should lead to further improvement. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Tightness and Breathing Issues: Propranolol Insights
Managing Heart Rate Irregularities and Decreased Physical Fitness
Heart rate instability and decreased physical performance? Hello Doctor, I am currently facing some issues and I really don't know what to do. I sincerely request your assistance and advice. 1. Due to the pandemic restrictions on swimming pools from the year before to last...
Dr. Wu Xueming Reply:
It is recommended to maintain a regular daily routine and engage in regular exercise.[Read More] Managing Heart Rate Irregularities and Decreased Physical Fitness
Understanding Exercise ECG Results: Insights on Heart Oxygen Deprivation
Exercise Electrocardiogram (ECG) - Cardiac Hypoxia Hello Doctor, recently I have been experiencing chest tightness when standing, but it does not occur when sitting or lying down. Therefore, I went to a medical center for an exercise electrocardiogram, and the report is as follow...
Dr. He Dongjin Reply:
Hello, the results of your exercise electrocardiogram look fine. It seems that observation is sufficient, and there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results: Insights on Heart Oxygen Deprivation
Understanding Chest Discomfort: When to Seek Medical Attention
Chest discomfort? Hello doctor, I would like to ask about occasionally feeling a sensation of tightness in my chest for a period of time, and sometimes experiencing sharp chest pain. Could this be related to temporary lifestyle factors, or should I go to the hospital for further ...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to adjus...[Read More] Understanding Chest Discomfort: When to Seek Medical Attention
Understanding Your Echocardiogram: Key Insights on Heart Health
Echocardiography, Doppler ultrasound of the heart? Hello, doctor. I would like to ask about my recent examination report. The electrocardiogram report is normal, and the doctor did not mention anything specific at that time. However, I noticed that the echocardiogram indicates so...
Dr. He Dongjin Reply:
Hello, I believe the outpatient physician's opinion should be prioritized, as they can view the actual imaging. Relying solely on the report may lead to misinterpretation. It is advisable to return to the outpatient clinic to discuss the report with the attending physician. ...[Read More] Understanding Your Echocardiogram: Key Insights on Heart Health
Understanding Postural Orthostatic Tachycardia Syndrome: Causes, Symptoms, and Treatment Options
Postural Orthostatic Tachycardia Syndrome (POTS) Dear Dr. He, Thank you very much for taking the time to answer my questions despite your busy schedule. I was diagnosed on September 2nd and tested negative after 10 days. However, in mid-October, I suddenly noticed that my heart...
Dr. He Dongjin Reply:
Hello, it seems that the autonomic nervous system instability is due to a viral infection that your body has not fully recovered from. This condition will improve, but the duration varies from person to person, ranging from a few weeks to several months. Your electrocardiogram (E...[Read More] Understanding Postural Orthostatic Tachycardia Syndrome: Causes, Symptoms, and Treatment Options
Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Rapid heartbeat, chest pain, and low blood pressure? Hello doctor, I am 183 cm tall and weigh about 125 kg. I have had a long-standing blood pressure of 130-140 over 90-100, and my heart rate has been between 100-105. Recently, I have been feeling unwell, experiencing chest pain,...
Dr. Wu Xueming Reply:
It is recommended that you visit the cardiology outpatient clinic for further evaluation.[Read More] Rapid Heartbeat, Chest Pain, and Low Blood Pressure: When to See a Cardiologist
Understanding Arrhythmia: Blood Pressure and Heart Rate Concerns Post-Pregnancy
Arrhythmia Hello doctor, last year I had gestational hypertension during my pregnancy. After giving birth this year, I have been measuring my blood pressure at home. During the day, my readings are normal, but in the evening, they occasionally fluctuate around 140/90. Does this m...
Dr. Wu Xueming Reply:
Is it necessary to go to the hospital for an electrocardiogram (ECG) if there is an arrhythmia?[Read More] Understanding Arrhythmia: Blood Pressure and Heart Rate Concerns Post-Pregnancy
Post-COVID Heart Issues: Understanding Rapid Heart Rate After Recovery
Post-COVID heart complications? Dear Dr. Wu, I was diagnosed and recovered from COVID-19 on September 2nd. Since mid-October, I have been experiencing a resting heart rate of 80-100 beats per minute while sitting, but it increases to over 100 beats per minute when I stand, somet...
Dr. Wu Xueming Reply:
If your palpitations are still severe, it is recommended to undergo a 24-hour Holter monitor to check for any arrhythmias.[Read More] Post-COVID Heart Issues: Understanding Rapid Heart Rate After Recovery
Understanding Your ECG Report After an Emergency Room Visit
Electrocardiogram Report After Emergency Department Diagnosis Hello, I previously tested positive for COVID-19 and went to the emergency department due to symptoms resembling arrhythmia, where I experienced a sudden missed heartbeat while inhaling. I had an electrocardiogram (ECG...
Dr. Wu Xueming Reply:
According to the report, there are no specific abnormalities; however, if you still have symptoms, it is recommended to visit the hospital for further examination.[Read More] Understanding Your ECG Report After an Emergency Room Visit
Understanding Low Heart Rate During Sleep: When to Worry and Seek Help
Low heart rate warning during sleep? I recently started wearing a Xiaomi smartwatch, which has a heart rate monitoring feature. The default setting triggers a low heart rate alert if it falls below 50 bpm (I’ve heard that the Apple Watch has a similar feature, but I'm not su...
Dr. Wu Xueming Reply:
The wristband is not a medical device, and the numbers it measures may not be accurate. It is true that heart rate during sleep is generally slower than when awake, and as long as it does not drop below 40 beats per minute, there is no need for concern. If you are still worried, ...[Read More] Understanding Low Heart Rate During Sleep: When to Worry and Seek Help
Understanding Mitral Valve Prolapse and Myocardial Ischemia Symptoms
There is mitral valve prolapse with mild regurgitation? Hello, doctor. Two years ago, I was diagnosed with mitral valve prolapse and mild regurgitation. Last month, I visited a nearby hospital's cardiology department due to persistent left chest pain and shortness of breath....
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust you...[Read More] Understanding Mitral Valve Prolapse and Myocardial Ischemia Symptoms
Understanding Left Chest Pain: Causes and Solutions Explored
Left chest pain? I previously visited a cardiologist and underwent an electrocardiogram (ECG), chest X-ray, 24-hour Holter monitor, and exercise stress test, all of which showed no abnormalities. However, in the past few days, I have been experiencing intermittent pain on the out...
Dr. Wu Xueming Reply:
Based on your description, your chest pain is likely not related to heart disease. As for whether it is related to cervical stenosis, please consult a neurosurgeon.[Read More] Understanding Left Chest Pain: Causes and Solutions Explored
Antihistamines and Sweating: Understanding Heart Risks in Heat
Antihistamines can cause an inability to sweat, which may lead to an increased risk of heart disease due to elevated body temperature? I would like to ask why, since I took antihistamines, my body has been unable to sweat. After experiencing heat exhaustion in a hot car, I initia...
Dr. Wu Xueming Reply:
Both tests can be used to rule out coronary artery disease.[Read More] Antihistamines and Sweating: Understanding Heart Risks in Heat
Understanding Sudden Heartbeat Sensations: Causes and Concerns
Heart rate issues Doctor, I would like to ask you about something I've been experiencing recently. Sometimes I feel a sudden strong heartbeat, but it's not a regular rhythm followed by a pause; it just feels like a strong beat that comes and goes. It's not continuo...
Dr. He Dongjin Reply:
Hello, it is possible that you are experiencing paroxysmal arrhythmia. It is recommended that you visit a cardiologist to arrange for a 24-hour Holter monitor for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Sudden Heartbeat Sensations: Causes and Concerns
Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Suspected myocarditis Hello, I suspect I have myocarditis, but I have undergone an echocardiogram and blood tests, which did not reveal anything significant. However, recently, whenever I eat, my heart becomes very short of breath, I experience chest tightness, and I feel weak—of...
Dr. He Dongjin Reply:
Hello, it is not myocarditis. Myocarditis can be diagnosed with an ultrasound. It sounds more like autonomic dysfunction. We can start with medication and consider MRI, exercise testing, or a CT scan later. There's no rush. Take care from Changhua Hospital.[Read More] Suspected Myocarditis: Understanding Symptoms and Diagnostic Options
Understanding Chest Pain, Shortness of Breath, and Heart Palpitations
Chest tightness, pain, shortness of breath, numbness in hands, palpitations? Hello Doctor, I am 22 years old and have a low body weight (BMI of 16-17). Since the beginning of this year, I have been experiencing shortness of breath when climbing stairs, along with occasional chest...
Dr. Wu Xueming Reply:
Due to your young age and lack 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 recommended ...[Read More] Understanding Chest Pain, Shortness of Breath, and Heart Palpitations
Understanding Irregular Heartbeats: Should You Be Concerned?
24-hour ECG suspected arrhythmia? Hello Doctor: Here are the data General summary 83180 QRS complexes 1 Ventricular beats (0.0%) 5 Supraventricular beats (0.0%) 0.1% total time classified as artifact 63 Average heart rate 40 Minimum heart rate at 3:06-2140 Maximum heart rate at 1...
Dr. Wu Xueming Reply:
Having only 6 premature contractions in a 24-hour period does not pose any life-threatening risks or lead to deterioration of heart function, so there is no need for concern.[Read More] Understanding Irregular Heartbeats: Should You Be Concerned?
Understanding Abnormal Electrocardiography Results and Follow-Up Care
Electrocardiogram (ECG or EKG) examination The electrocardiogram report indicates abnormalities including left atrial enlargement, atrial premature contractions, and first-degree atrioventricular block. It is recommended to follow up at a cardiology outpatient clinic, but it is n...
Dr. Wu Xueming Reply:
Please manage your blood pressure carefully. If you experience any symptoms of heart discomfort, please visit the outpatient clinic for further evaluation.[Read More] Understanding Abnormal Electrocardiography Results and Follow-Up Care
Understanding Atrial Fibrillation: Treatment and Monitoring Insights
Atrial fibrillation (AF) is a common type of arrhythmia characterized by rapid and irregular beating of the atria Hello Doctor, I would like to ask you about my condition. Last Monday, I went to the hospital for an electrocardiogram due to arrhythmia, and the doctor diagnosed me ...
Dr. Wu Xueming Reply:
The report from the 24-hour Holter monitor did not show any signs of atrial fibrillation. Please maintain a regular routine and engage in regular exercise, while avoiding caffeinated beverages. If symptoms occur, follow up with the outpatient clinic for regular monitoring.[Read More] Understanding Atrial Fibrillation: Treatment and Monitoring Insights