Understanding Your Exercise ECG Report: Key Insights and Analysis
Exercise electrocardiogram Please help me review the exercise electrocardiogram report for any abnormalities, thank you. BRUCE: Total Exercise Time 06:49 Max HR: 184 bpm (101% of max predicted 182 bpm) HR at rest: 125 bpm Max BP: 147/86 mmHg BP at rest: 133/88 mmHg Max...
Dr. Chen Jili Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Your Exercise ECG Report: Key Insights and Analysis
Chest Tightness and Numbness: Signs of Potential Stroke?
Feeling of tightness or pressure in the chest? Last week, I experienced a tightness in my chest for three consecutive days, along with heavy breathing and fatigue. I went to the hospital for an X-ray and an electrocardiogram, but no issues were found. Today, I woke up with numbne...
Dr. He Dongjin Reply:
Hello, if the symptoms do not improve, it is advisable to visit a neurology clinic for an examination. Changhua Hospital cares about you.[Read More] Chest Tightness and Numbness: Signs of Potential Stroke?
Experiencing Palpitations After COVID Vaccine: When to Seek Help?
Experiencing palpitations every night before sleep after receiving the vaccine? Hello Director Wu, I received my second dose of the Moderna vaccine on December 30. That same evening, I experienced a noticeable increase in my heart rate, ranging from 100 to 120 beats per minute. ...
Dr. Wu Xueming Reply:
If you experience persistent chest tightness or difficulty breathing within 28 days after receiving the vaccine, it is recommended to visit a hospital for further evaluation.[Read More] Experiencing Palpitations After COVID Vaccine: When to Seek Help?
Understanding Rapid Heart Rate: Risks and Concerns for Your Health
Rapid heartbeat Hello Doctor, I have always experienced a rapid heartbeat exceeding 100, sometimes even reaching 120 or 130, whenever I feel anxious. Although I am somewhat accustomed to it, I would like to ask if a fast heartbeat poses a risk of sudden cardiac death. I am a bit ...
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 intake of caffeinated beverages. It is advisable to adju...[Read More] Understanding Rapid Heart Rate: Risks and Concerns for Your Health
Understanding Afternoon Palpitations: When to See a Cardiologist
Palpitations while lying down? Hello Doctor, in the past few months, I have been experiencing palpitations while lying down for a nap during the day (sitting up alleviates it significantly). My heartbeat feels very strong, which makes it difficult to fall asleep, resulting in poo...
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 advisable to...[Read More] Understanding Afternoon Palpitations: When to See a Cardiologist
Chest Pain and Breathing Issues After BNT Vaccine: What to Know
After receiving the BNT vaccine, I experienced chest tightness, chest pain, and some difficulty breathing? Hello Doctor: I received my second dose of the BNT vaccine on December 15th. On December 16th, I felt some discomfort in my chest but did not pay much attention to it. On De...
Dr. He Dongjin Reply:
Hello, please do not let the internet be your doctor. If your situation is different from that of the general public, do not self-diagnose. If you experience chest pain, tightness, or discomfort, please return to your primary care physician. A family medicine doctor may not fully...[Read More] Chest Pain and Breathing Issues After BNT Vaccine: What to Know
Post-BNT Vaccine: Chest Pain, Shortness of Breath, and Heart Concerns
After receiving the BNT vaccine, I experienced chest tightness, chest pain, and some difficulty breathing? Hello Doctor: I received my second dose of the BNT vaccine on December 15. On December 16, I felt some discomfort in my chest but didn't pay much attention to it. On De...
Dr. He Dongjin Reply:
Hello, please do not let the internet be your doctor. Your situation may be different from that of the general public, so do not self-diagnose. If you experience chest pain or discomfort, please return to your primary care physician. A family medicine doctor may not fully underst...[Read More] Post-BNT Vaccine: Chest Pain, Shortness of Breath, and Heart Concerns
Is Cold Air Causing Chest Discomfort? Understanding Heart Health
Inhaling cold air can cause discomfort? Today, I inhaled some cold air and felt a bit uncomfortable in the upper chest area, not exactly tight or painful, but it feels somewhat constricted. I've experienced this sensation before whenever a cold front comes in. Does this indi...
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 life can contribute to this situation, such as emotions, stress, and irregular sleep patterns. It is advisable to adjust your lifestyle and engage in regular e...[Read More] Is Cold Air Causing Chest Discomfort? Understanding Heart Health
Should I Seek Further Evaluation for Heart Issues After Tests?
Is further examination necessary? Since November 2nd, I have experienced chest tightness and an increased heart rate. I went to a clinic where an electrocardiogram (ECG) indicated a heart issue, leading to a referral to the emergency department. However, blood tests, X-rays, and ...
Dr. Wu Xueming Reply:
The myocardial perfusion scan results show no signs of hypoxia, indicating a very low likelihood of coronary artery disease.[Read More] Should I Seek Further Evaluation for Heart Issues After Tests?
Should You Worry About Occasional Heart Palpitations?
Heart flutter? Hello, doctor. I do not smoke or drink alcohol, and there is no history of heart disease in my family. I just experienced a sudden flutter in my chest. It happened once before when I was about to sleep, but it only lasted for a moment. Should I get this checked? I ...
Dr. Wu Xueming Reply:
Due to your young age and 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 intake of caffeinated beverages. It is advisable to a...[Read More] Should You Worry About Occasional Heart Palpitations?
Understanding Abnormal RSR Waves in ECG: What You Need to Know
Abnormal RSR wave pattern on electrocardiogram (ECG)? Hello, I undergo regular health check-ups every year. Recently, during my health examination for the year 110, the result from the computerized electrocardiogram indicated "RSR wave, abnormal." Upon reviewing my hist...
Dr. Wu Xueming Reply:
The abnormalities in this electrocardiogram may not necessarily have clinical significance. If there are no symptoms and no chronic diseases, there is no need for concern.[Read More] Understanding Abnormal RSR Waves in ECG: What You Need to Know
Managing High Cholesterol: Do You Need Medication for Heart Health?
High cholesterol Hello, Doctor: I received my health check results on November 26. 1. My total cholesterol is 259 mg/dL, high-density lipoprotein (HDL) is 64 mg/dL, low-density lipoprotein (LDL) is 181 mg/dL, and fasting blood glucose is 110 mg/dL. Should I consider medication fo...
Dr. Wu Xueming Reply:
1. Based on this value, medication treatment should be initiated, along with dietary modifications and increased physical activity, while avoiding fried foods. 2. A leftward shift of the heart axis is usually not clinically significant.[Read More] Managing High Cholesterol: Do You Need Medication for Heart Health?
Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Bradycardia with a heart rate of approximately 38-45 beats per minute? I am currently 69 years old and have issues with hypertension and benign prostatic hyperplasia. I am currently taking 2 mg of Clonidine and Diovan daily, and my blood pressure is well controlled (I was also ta...
Dr. Wu Xueming Reply:
If both the echocardiogram and the 24-hour Holter electrocardiogram show normal results, then regular follow-up is sufficient, and no further tests are needed.[Read More] Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Managing Rapid Heartbeat: Understanding Triggers and Solutions
Rapid heartbeat Hello Doctor: I am from Hong Kong. In early June of this year, due to work and life stress, I often felt my heart racing. During one episode, I went directly to the hospital for an electrocardiogram, where my heart rate was over 120. I also had blood tests for thy...
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 intake of caffeinated beverages. It is advisable to adju...[Read More] Managing Rapid Heartbeat: Understanding Triggers and Solutions
Is My Father's Blood Pressure Normal After a Mild Stroke?
Is the blood pressure normal? The father measured his blood pressure in the morning at 136/76/111. Due to a previous mild stroke, he had a follow-up appointment at the hospital. However, when he measured his blood pressure at home in the evening, it was 95/68/98. Is this normal, ...
Dr. He Dongjin Reply:
Hello, if your blood pressure is slightly low in the evening, have you taken any blood pressure medication? Please lie down and rest, drink plenty of water, and monitor your condition. Changhua Hospital cares about you.[Read More] Is My Father's Blood Pressure Normal After a Mild Stroke?
Understanding Second-Degree AV Block: What You Need to Know
Abnormal electrocardiogram (ECG) findings during a physical examination? Hello Doctor, I went to the hospital for a military school physical examination three days ago. Yesterday, I received a call from the hospital stating that my electrocardiogram showed abnormalities, and the ...
Dr. Li Shengkai Reply:
I did not see the electrocardiogram from your physical examination and can only respond based on the text report you provided. According to the current military service physical examination standards, "second-degree atrioventricular block" is classified as a disqualifyi...[Read More] Understanding Second-Degree AV Block: What You Need to Know
Understanding Rapid Heart Rate After Eating: Causes and Solutions
Increased heart rate after eating? Hello, Doctor. Over the past six months, I have clearly noticed that whenever I eat (not necessarily to the point of fullness), I experience palpitations and an increased heart rate. I initially thought I was just being overly sensitive, but aft...
Dr. Wu Xueming Reply:
1. From a medical perspective, is the accuracy of such wearable devices of reference value? They should only be used as a reference, and an electrocardiogram (ECG) examination at a hospital is still necessary. 2. What could be the causes of such symptoms? What subsequent treatm...[Read More] Understanding Rapid Heart Rate After Eating: Causes and Solutions
Understanding Aortic Dissection Risks After Intense Exercise
Possibility of Aortic Dissection Hello, Doctor. I do not have high blood pressure, do not smoke or drink, but I do not have a regular exercise habit. Today, I went out to exercise and attempted to do pull-ups, which I am not accustomed to. I managed to do two pull-ups and felt pa...
Dr. Wu Xueming Reply:
The symptoms of aortic dissection are usually very severe; based on your description, it may not be the case. The most accurate test is a chest computed tomography (CT) scan.[Read More] Understanding Aortic Dissection Risks After Intense Exercise
Understanding PVCs: When to Worry About Heart Palpitations and Symptoms
Occasional exposure photography Hello Dr. Wu, I previously had an examination that indicated I have premature ventricular contractions (PVCs). I usually don't pay much attention to the occasional mild skipped beats, but sometimes I experience a sudden and significant sensati...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recomme...[Read More] Understanding PVCs: When to Worry About Heart Palpitations and Symptoms
Understanding Chest Pain and Discomfort After COVID-19 Vaccination
There are times when I experience sharp pain in my left chest, sometimes feeling like it is being heavily pressed or constricted, accompanied by chest tightness. Occasionally, there is also a sharp pain radiating to the upper left back? Since receiving the second dose of the BNT ...
Dr. Wu Xueming Reply:
If these symptoms persist without improvement, it is recommended to visit a hospital for a thorough examination.[Read More] Understanding Chest Pain and Discomfort After COVID-19 Vaccination