Understanding Heart Palpitations and Chest Discomfort: Key Insights
Arrhythmia and chest tightness? Sometimes when I wake up, I experience discomfort in my heart, with a strong and rapid heartbeat. A few years ago, I had a pain in my heart that felt like it was being squeezed. I occasionally experience chest tightness and shortness of breath, esp...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recommended ...[Read More] Understanding Heart Palpitations and Chest Discomfort: Key Insights
Understanding PSVT: Effective Testing and Triggering Methods
PSVT examination Hello, I occasionally experience episodes during exercise where my heart suddenly feels very weak and fast, possibly around 180 beats per minute, but it feels like the blood isn't being pumped out effectively. However, the frequency of these episodes is quit...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding PSVT: Effective Testing and Triggering Methods
Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
The estimated systolic pulmonary artery pressure is 34 mmHg. Should this be monitored? Hello Doctor, I visited the cardiology department last year due to chest tightness and palpitations. The examination report at that time is as follows, and I would like to know if I should retu...
Dr. Li Shengkai Reply:
According to the definition, pulmonary hypertension is indicated when the pulmonary artery pressure exceeds 25 mmHg at rest or 30 mmHg during exercise. Based on your echocardiogram report, the result was 34 mmHg, which should be monitored further. Additionally, the report mention...[Read More] Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
Understanding Heart Valve Surgery Options: Animal vs. Catheter Replacement
Surgical issues Hello Doctor, I have a question that may seem a bit naive. I have moderate mitral regurgitation and I anticipate that I may need surgery in the future. If the doctor determines that I need surgery, is it possible for me to choose to have an animal valve replacemen...
Dr. He Dongjin Reply:
Hello, don't overthink it. Just discuss your concerns with your doctor when it's time for the surgery. There may be new techniques available by then. Changhua Hospital cares about you.[Read More] Understanding Heart Valve Surgery Options: Animal vs. Catheter Replacement
Understanding Why Ventricular Premature Contractions May Not Resolve
Why do premature ventricular contractions (PVCs) not resolve? Hello Doctor, two years ago I suddenly started experiencing premature contractions, about 200 times a day. Sometimes these contractions occur in a row, and I can't even tell how my heart is beating during those 6-...
Dr. He Dongjin Reply:
Hello, to achieve a complete cure, we can only use electrocautery to directly address the areas where there is abnormal electrical activity. Unless you undergo additional 24-hour Holter monitoring to identify a more serious issue, having 200 premature beats in a day is generally ...[Read More] Understanding Why Ventricular Premature Contractions May Not Resolve
Understanding Blood Pressure Changes During Cold Weather: A Cardiovascular Perspective
The phenomenon of lower blood pressure during cold waves? Hello, Doctor. I would like to ask a question. I previously underwent a cardiac examination and was diagnosed with arrhythmia and mild hypertension, so I have been taking antiarrhythmic medication for a few months. During ...
Dr. Wu Xueming Reply:
Your blood pressure is still within the normal range, so there is no need to worry.[Read More] Understanding Blood Pressure Changes During Cold Weather: A Cardiovascular Perspective
Understanding Heart Issues After Vaccination: A Patient's Journey
Questions after a hospital examination? Hello Doctor: Two years ago, after receiving the vaccine, I started experiencing heart discomfort two weeks later (I was perfectly fine a week prior). My heart rate often exceeds 200 beats per minute, and my blood pressure skyrockets to ove...
Dr. Wu Xueming Reply:
Based on your description, I cannot provide a diagnosis online. I recommend going to a hospital for further examination.[Read More] Understanding Heart Issues After Vaccination: A Patient's Journey
Understanding Pediatric Echocardiogram Results: A Guide for Parents
Echocardiogram Hello, Doctor: Please help me review the echocardiogram results for a 10-year-old child to determine if they are normal. Thank you! SCHOOL SCREENING: PROTEINURIA. HEART MURMUR. SITUS SOLITUS, LEVOCARDIA, D-LOOP VENTRICLE. NORMAL BILATERAL CORONARY ARTERIES. MITRA...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Pediatric Echocardiogram Results: A Guide for Parents
Understanding Your Father's Echocardiogram Report: Key Insights
Echocardiogram Report Hello, Doctor. Could you please help me review my father's echocardiogram results? Thank you. < Interpretations and summary > Normal left atrial (LA) and normal left ventricular (LV) size. LV concentric hypertrophy (interventricular septum (IVS)...
Dr. Wu Xueming Reply:
The report indicates mild mitral regurgitation and moderate tricuspid regurgitation, as well as mild pulmonary hypertension. The other structures of the heart and its contractile function are normal.[Read More] Understanding Your Father's Echocardiogram Report: Key Insights
Understanding Blood Pressure: When to Worry and Medication Insights
Blood pressure issues Based on your description, it seems that you are experiencing elevated blood pressure readings during certain activities, with values exceeding 149/99 mmHg and a heart rate between 100-130 beats per minute. This could indicate hypertension, especially since ...
Dr. Wu Xueming Reply:
According to the guidelines for hypertension treatment, if blood pressure consistently exceeds 140/90 mmHg despite regular lifestyle modifications, dietary changes, and exercise, it is recommended to initiate pharmacological therapy for blood pressure control.[Read More] Understanding Blood Pressure: When to Worry and Medication Insights
Understanding Left Chest Pain: When to Seek Medical Attention
Left chest pain? Hello, doctor. I have been taking Sertraline, which has caused side effects such as palpitations and high blood pressure. After starting Sertraline, I often experience body tremors that follow my heartbeat, making me live in constant fear of earthquakes. Recently...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of heart disease is low, and your symptoms do not resemble typical angina. However, if the symptoms persist, it is still recommended to go to the hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Arrhythmia Hello Doctor, since last year, I have been experiencing a feeling of tightness in my chest, as if I can't catch my breath, but this only occurs before sleep, about a few days each month. Last month, I visited a family medicine clinic where I underwent an electroca...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another cardiology medical facility. Wishing you good health. Thank you![Read More] Understanding Atrial Arrhythmia: When to Seek Further Cardiac Evaluation
Consultation on PSVT History and Medication Impact on Health
Medication Consultation for PSVT History I was diagnosed with PSVT nearly 30 years ago and successfully treated with catheter ablation about 27 or 28 years ago. I have not taken any related medications for over 25 years and have not experienced any heart-related issues due to PSV...
Dr. Li Han Reply:
Hello, regarding your inquiry, whether a history of PSVT (Paroxysmal Supraventricular Tachycardia) affects the use of sildenafil, the primary consideration is drug interactions. For instance, if you are concurrently using antihypertensive medications or antianginal drugs, the ass...[Read More] Consultation on PSVT History and Medication Impact on Health
Why Does Massaging My Right Calf Cause Heart Discomfort?
Massaging the right calf can cause a tingling sensation in the heart? Hello Doctor: I would like to ask, every time I massage my right calf, I feel sensations in my heart, similar to pain or numbness, but massaging my left calf does not produce the same effect. What could this si...
Dr. Wu Xueming Reply:
Clinically, there is no disease that would cause heart pain when massaging the calves.[Read More] Why Does Massaging My Right Calf Cause Heart Discomfort?
Understanding Early Ventricular Contractions and Heart Rhythm Changes
Palpitations with early ventricular contractions? Hello Dr. Wu, this is my examination report before changing my medication. I am currently on medication, but I still often feel my heartbeat noticeably shaking, along with chest tightness and difficulty breathing. Could you please...
Dr. Wu Xueming Reply:
The report indicates that there are no other cardiac issues aside from a few occasional premature contractions. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Early Ventricular Contractions and Heart Rhythm Changes
Understanding Sleep Heart Rate Spikes: Insights from Cardiac Tests
Irregular sleep detected with heart rate exceeding 100 beats per minute (accompanied by echocardiogram and 24-hour electrocardiogram recording)? Hello, Doctor He. I am a patient who occasionally experiences a heart rate exceeding 100 beats per minute while sleeping. I underwent t...
Dr. He Dongjin Reply:
Hello, both tests came back normal. The results only show an increased heart rate during a specific time period, and it is not possible to determine if there is any arrhythmia. It is likely a problem related to the autonomic nervous system, so we will just need to observe for now...[Read More] Understanding Sleep Heart Rate Spikes: Insights from Cardiac Tests
Understanding Leg Swelling: When to Seek Specialized Medical Help
Bilateral leg edema? My husband has been on antiviral medication for hepatitis B for 2 years. He has been experiencing swelling in both legs for the past 4 months, particularly in the calves, ankle joints, and feet, which is painful. Initially, we thought it was due to poor circu...
Dr. Wu Xueming Reply:
If the heart examination is normal, it indicates that heart failure is not the cause. It is recommended to avoid excessive salt intake and to increase physical activity to improve blood circulation, in order to see if the symptoms of edema can be alleviated.[Read More] Understanding Leg Swelling: When to Seek Specialized Medical Help
Understanding Sleep Heart Rate Spikes in Kidney and Heart Disease Patients
Irregular sleep detected with heart rate exceeding 100 beats per minute? Hello Doctor, I am a dialysis patient and also have ischemic heart disease. Last year, I was examined for the degree of coronary artery blockage, which showed 40% in one artery and 50% in another. I also hav...
Dr. He Dongjin Reply:
Hello, the imaging results are not conclusive. Last year, there was a 40% blockage in one artery and a 50% blockage in another, which should be manageable. Sleep apnea could potentially cause autonomic instability during sleep, leading to a heart rate exceeding 100, even reaching...[Read More] Understanding Sleep Heart Rate Spikes in Kidney and Heart Disease Patients
Understanding Holter Monitor Results: Heart Health Tips and Insights
Electrocardiogram Interpretation and Precautions Thank you, doctor, for taking the time to clarify my concerns. Below is the recent 24-hour electrocardiogram: Holter Report: Clinical Diagnosis: Palpitations Test Date: 2023/09/26 Analysis Date: 2023/09/27 Recording Time: 21 ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not detect any dangerous arrhythmias. Many factors in daily life can cause these symptoms, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in ...[Read More] Understanding Holter Monitor Results: Heart Health Tips and Insights
Understanding Intermittent Chest and Wrist Pain in Older Adults
Sharp pain in the heart and inner wrist? I am 77 years old and my health maintenance is generally acceptable. Seven or eight years ago, during a severe cold wave, I experienced palpitations. After a thorough examination at that time, I was treated with antihypertensive medication...
Dr. Wu Xueming Reply:
Based on your description, it is not possible to determine if there is a heart issue. It is recommended to go to the hospital for further evaluation.[Read More] Understanding Intermittent Chest and Wrist Pain in Older Adults