Understanding Left Leg Edema: Causes, Tests, and Treatment Options
Left lower extremity edema? Hello Doctor, on May 26th, I went to the hospital due to swelling in my left foot. On June 16th, I returned for a follow-up to check the reports and confirmed that my kidney function is normal. However, for the past two months, I have been experiencing...
Dr. Wu Xueming Reply:
According to your report, the likelihood of heart failure and venous thromboembolism is low. It is recommended to maintain a light diet and engage in regular exercise to promote blood circulation.[Read More] Understanding Left Leg Edema: Causes, Tests, and Treatment Options
Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Chronic chest tightness and difficulty breathing? Since the year before last, I have been experiencing shortness of breath and chest tightness, with my heart rate frequently around 100 beats per minute. Occasionally, I also have palpitations and chest pain. During a military serv...
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] Chronic Chest Tightness and Breathing Issues: Understanding Heart Health
Understanding Heart Palpitations: When to See a Cardiologist
Cardiac examination Hello, doctor. I would like to inquire about my condition. I frequently experience tachycardia accompanied by chest tightness and pain, as well as stiffness in my shoulders and neck, and sometimes sharp pain. I have visited many major hospitals and undergone n...
Dr. Huang Yinghe Reply:
Hello: There are many causes of chest tightness. Besides heart disease, conditions such as asthma, gastroesophageal reflux disease (GERD), neuralgia, anxiety, and stress can also trigger it. If all the mentioned tests are normal, it indicates that there should not be any signific...[Read More] Understanding Heart Palpitations: When to See a Cardiologist
Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Palpitations, chest tightness, skin tingling, sensation of a foreign body in the throat, and poor blood circulation? Hello, Doctor. About 2-3 months ago, I started experiencing symptoms such as a slight tremor in my beard area, a sensation of a foreign body in my throat, palpitat...
Dr. Huang Yinghe Reply:
Hello: Although palpitations and chest tightness may indicate a heart problem, the likelihood of cardiovascular issues at the age of 19 is low. Based on the symptoms you described, it is difficult to determine the exact nature of the problem. The presence of unusual facial hair, ...[Read More] Understanding Heart Palpitations and Circulation Issues: When to Seek Help
Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help
Increased heart rate? I apologize for consulting you again, Director. Recently, when I wake up in the morning and wash my face, my heart rate is between 130-140, and I haven't been exercising, so why is it beating so fast? Could this be caused by anxiety? When I sleep, my he...
Dr. He Dongjin Reply:
Hello, a heart rate of 130-140 can be caused by anxiety, but a rate of 180-190 is unlikely to lead to shock. So far, everything is fine since the echocardiogram and 24-hour Holter monitor results are normal. It’s difficult to avoid focusing on it when your heart isn’t racing, but...[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and When to Seek Help
Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Rapid heartbeat Dear Dr. Lee, I apologize for bothering you. I would like to ask about my situation this month. I had a normal echocardiogram and a 24-hour Holter monitor, but I have been experiencing persistent episodes of tachycardia. My heart rate is 50-60 while sleeping, but ...
Dr. Li Shengkai Reply:
If all objective tests are normal, you can actually feel reassured. If there is still something that has been overlooked, I think it would be important to check for hyperthyroidism or anemia. Additionally, I strongly recommend consulting a psychiatrist for further evaluation.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Managing Side Effects of Heart Medications: What You Need to Know
Medical consultation Hello, doctor: I previously had high blood pressure and visited a cardiologist who prescribed [Mavik] and [Nebivolol]. Recently, I went to a clinic due to headaches, and the doctor mentioned that it might be a side effect of [Mavik]. The clinic advised me to ...
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Side Effects of Heart Medications: What You Need to Know
Understanding Heart Rate Issues: Anxiety and Tachycardia Concerns
Heart rate issues I'm really sorry, Director. I've been experiencing anxiety and panic attacks lately. Ever since my heart rate reached 180 and I went to the emergency room, even though it wasn't PSVT, I've been having a lot of thoughts about whether there mig...
Dr. He Dongjin Reply:
Hello, if you are feeling anxious and experiencing a rapid heartbeat, this may be a sign of panic disorder. I recommend seeking help from a psychiatrist or psychologist and considering medication. This period will pass, so try not to worry. We are praying for your peace at Changh...[Read More] Understanding Heart Rate Issues: Anxiety and Tachycardia Concerns
Understanding Adenosine Use in Emergency Heart Rate Management
Injection issues Hello, Doctor. I apologize for asking you a question. The other day, I went to the emergency room with a heart rate of 180, but there was no evidence of PSVT. Does that mean I likely do not have PSVT? Additionally, I would like to ask if the doctors administered ...
Dr. He Dongjin Reply:
Hello, ADENOSINE has a very short duration of action; it is metabolized within minutes and does not remain in the body, so it will not cause any issues. There's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Adenosine Use in Emergency Heart Rate Management
Understanding Transthoracic Echocardiography Results: Key Insights on Heart Function
Chest ultrasound Please help me review the echocardiogram results for any structural or functional abnormalities. I noticed there seems to be an abnormality in diastolic function; is this serious? Thank you! ECHO: Transthoracic echocardiography M-mode (Normal data) 1. Aorta/LA...
Dr. Li Han Reply:
Hello, your heart ultrasound results are generally normal, so there is no need for excessive worry. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Understanding Transthoracic Echocardiography Results: Key Insights on Heart Function
Understanding 24-Hour Holter EKG and Echocardiogram Results in a 42-Year-Old Woman
24-hour Holter monitor report + echocardiogram report Female, 42 years old. Please help me understand the following reports. HOLTER EKG: 24-hour dynamic electrocardiogram 1. Basic rhythm: Sinus rhythm 2. Duration: 23 hours 00 minutes, total 103,191 beats 3. Minimal heart rate: 5...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding 24-Hour Holter EKG and Echocardiogram Results in a 42-Year-Old Woman
Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Do I need to take medication for arrhythmia and premature contractions? Dear Director Wu, Regarding the 24-hour Holter monitor from May 2023, which recorded 12,426 premature contractions, I initially took antiarrhythmic medication but found it more uncomfortable than the irregul...
Dr. Wu Xueming Reply:
1. Not related to these two medications. 2. Taking medication can reduce the frequency of arrhythmias and control symptoms; please discuss any adjustments to medication and whether to continue use with your prescribing physician. 3-5. Many factors in daily life can contribute...[Read More] Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Understanding Your Holter EKG Report: Key Insights and Conclusions
Electrocardiogram (ECG) Examination Report HOLTER EKG: 24-hour ambulatory electrocardiogram 1️⃣ Basic rhythm: Sinus rhythm 2️⃣ Duration: 23 hours 00 minutes, total 103,191 beats 3️⃣ Minimal heart rate: 50 bpm; sinus rhythm at 1:35 AM Maximal heart rate: 144 bpm; sinus ...
Dr. Wu Xueming Reply:
The report is normal.[Read More] Understanding Your Holter EKG Report: Key Insights and Conclusions
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiogram heart examination issues? Please help me review the echocardiogram for any issues. Thank you for your assistance. ECHO: Transthoracic echocardiography M-mode (Normal data) 1. Aorta/LA (23-37/18-38mm) 26 / 32 2. IVS/LVPW (6-12/ 5-11mm) 8 / 8 3. LV-Diameter Dias/Sys ...
Dr. Wu Xueming Reply:
The report indicates minimal mitral and tricuspid regurgitation, with all other cardiac structures and functions being normal.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiography Hello Dr. Li, could you please help me understand the contents of the echocardiogram? Are there any issues? Thank you very much, doctor. 112/6/7 ECHO: Transthoracic echocardiography M-mode (Normal data) 1️⃣ Aorta/LA (23-37/18-38mm) 26 / 32 2️⃣ IVS/LVPW (6-1...
Dr. Li Shengkai Reply:
According to your echocardiogram report, there are no major issues with your heart; at most, there is diastolic dysfunction, which may be a change related to aging and does not require excessive concern. However, since I have not examined you directly, it would be more appropriat...[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Is Hitting Your Chest Safe for Heart Pain Relief? Risks and Consequences
Patients experiencing chest pain should not pound their chest forcefully to relieve the pain, as this can lead to several adverse consequences. Such actions may exacerbate the underlying condition, potentially causing further injury to the heart or surrounding tissues. It could a...
Dr. Wu Xueming Reply:
Patients with heart disease should promptly go to the hospital for further evaluation if they experience any discomfort in the chest, and should not repeatedly pound their chest.[Read More] Is Hitting Your Chest Safe for Heart Pain Relief? Risks and Consequences
Can Right Heart Enlargement Occur Suddenly in Just Months?
X-ray report, may I ask? Hello, Doctor 197207. Is it possible for the right heart to suddenly enlarge in just two to three months? When I looked at the X-ray, I felt that the right heart appeared larger than the left. Isn't it rare for someone to have a heart that is skewed ...
Dr. He Dongjin Reply:
Hello, the likelihood of sudden right heart enlargement within just two to three months is very low. X-rays should be compared between the frontal and lateral views to determine if there are any changes. Please return to your previous cardiologist for a re-evaluation to give you ...[Read More] Can Right Heart Enlargement Occur Suddenly in Just Months?
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 Rapid Heartbeat: Causes and Concerns in Cardiology
Rapid heartbeat I'm sorry, Doctor, but I had another episode. Yesterday while walking, I felt a sense of heaviness and fatigue, and then I checked my watch and saw my heart rate was 140. I started to worry, and it escalated to 150-160, which made me even more anxious. I also...
Dr. He Dongjin Reply:
Hello, the link indicates that a normal rapid heartbeat means that there are no arrhythmias and the heart is functioning properly. It will not stop or lead to death. Anxiety and panic can cause an increased heart rate, but not receiving an injection at that moment does not pose a...[Read More] Understanding Rapid Heartbeat: Causes and Concerns in Cardiology