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 Chest Pain: Is It a Sign of Heart Attack?
Chest pain? Currently managing diabetes, hypertension, and heart disease with medication. At 3 PM in the office, I suddenly experienced sharp chest pain that lasted for 10 minutes. Could this be a precursor to a myocardial infarction, and how should I respond?
Dr. Wu Xueming Reply:
Numbness or tingling is not a typical symptom of a myocardial infarction; however, if it persists and intensifies, it is advisable to seek further evaluation at a hospital.[Read More] Understanding Chest Pain: Is It a Sign of Heart Attack?
How to Accurately Record Blood Pressure and Heart Rate Measurements
Blood Pressure and Heart Rate Measurement Record Hello Dr. Wu, I would like to confirm the correct method for recording blood pressure and heart rate. 1) Should blood pressure be measured twice in the morning and evening, with an interval of one to two minutes in between? Then, s...
Dr. Wu Xueming Reply:
1. Yes. 2. The pulse is also averaged.[Read More] How to Accurately Record Blood Pressure and Heart Rate Measurements
Exploring Other Causes Behind Mitral Valve Prolapse Symptoms
Are there other associated causes besides mitral valve prolapse? Hello doctor, when I was in elementary school, I experienced multiple episodes where I felt my heart stop beating, had difficulty breathing, and experienced pain in my chest and throughout my body. These episodes la...
Dr. Huang Yinghe Reply:
Hello: Symptoms such as palpitations and chest tightness can be indicative of heart conditions like arrhythmias, cardiovascular obstruction, or mitral valve prolapse. They may also arise from non-cardiac causes, such as hyperthyroidism, gastroesophageal reflux disease (GERD), or ...[Read More] Exploring Other Causes Behind Mitral Valve Prolapse Symptoms
Understanding Panic Attacks: Low Oxygen, Rapid Heartbeat, and Breathing Issues
Decreased blood oxygen levels, increased heart rate, and difficulty breathing? Hello, Doctor. I have anxiety and insomnia issues and am currently taking psychiatric medications for anxiety and depression, as well as sleeping pills. Recently, I suddenly felt a bit dizzy, my limbs ...
Dr. Huang Yinghe Reply:
Hello: The symptoms you described, with a heart rate of 170-180 beats per minute, suggest a possible paroxysmal arrhythmia, which could lead to decreased blood oxygen levels. Generally, at your age, most arrhythmias are benign and do not result in long-term complications; however...[Read More] Understanding Panic Attacks: Low Oxygen, Rapid Heartbeat, and Breathing Issues
Understanding Early Ventricular Contractions During Pregnancy: A Cardiac Perspective
Regarding #188182, issues related to premature ventricular contractions during pregnancy? Hello, Director. Thank you for taking the time to answer my questions. I found the echocardiogram data in my health wallet and would like your assistance in reviewing it. Thank you! 🙏 Findi...
Dr. He Dongjin Reply:
Hello, the ultrasound results are fine, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Early Ventricular Contractions During Pregnancy: A Cardiac Perspective
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
Choosing Heart Medications: Alternatives for Patients with Asthma
Selection of Cardiac Medications Hello Director He: Thank you very much for your detailed response to my last inquiry. My current question is regarding my condition; I have been diagnosed with postural tachycardia syndrome after my diagnosis, and I also have mild asthma, which wa...
Dr. He Dongjin Reply:
Hello, if you cannot use beta-blockers for asthma, you can use other medications that are effective. Currently, I haven't heard of any issues with medication efficacy. Anxiety can increase heart rate, so it's best to monitor the situation for now. There's no immedi...[Read More] Choosing Heart Medications: Alternatives for Patients with Asthma
Managing Atrial Fibrillation: A Comprehensive Guide for Patients
Atrial fibrillation Hello, Doctor. I usually have a habit of running, but I overtrained before. After working shifts for a year, I started feeling a foreign body sensation in my right eye about six months in, which led to eyelid twitching. I used eye drops for a while and supplem...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment, or see if further examinations are necessary! Thank you, and wish you good health![Read More] Managing Atrial Fibrillation: A Comprehensive Guide for Patients
Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
Rapid heartbeat Hello, I have a history of smoking and drinking. Previously, my heart would occasionally race, but it would settle down after a few minutes. Recently, whenever I drink alcohol or stay up late, my heart rate tends to accelerate. A friend happened to have a heart ra...
Dr. Li Han Reply:
Hello, based on your description, it appears to be paroxysmal tachyarrhythmia. I recommend that you consult with a cardiologist for further evaluation and examination at Changhua Hospital, Ministry of Health and Welfare. We care about your well-being.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Your Concerns
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
Understanding Frequent Heart Palpitations: Causes, Management, and Treatment Options
Frequency of premature heart contractions? Hello, Doctor. I would like to ask, for example, if there are about 4-5 premature beats this month and sometimes about 7-10 premature beats in a month, does this count as worsening or becoming more frequent? What is the definition of fre...
Dr. He Dongjin Reply:
Hello, this amount is really not much for a month. It is related to changes in both internal and external environments, including the recent seasonal transitions, stress, and the stability of the autonomic nervous system. Based on my 30 years of experience with 24-hour Holter mon...[Read More] Understanding Frequent Heart Palpitations: Causes, Management, and Treatment Options
Concerns About Heart Health: Symptoms After Aortic Dissection Surgery
Cardiac issues Hello doctor, my father has a history of aortic dissection and has undergone heart valve replacement surgery. It has been about three years since then. Recently, I noticed that he is easily short of breath and has a loud breathing sound (he may not be aware of it h...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your father's attending physician, focusing on symptom management, or to see if any additional tests are necessary. Thank you, and wishing you good health![Read More] Concerns About Heart Health: Symptoms After Aortic Dissection Surgery
Understanding Changes in Left Atrial Size: What Your Echo Results Mean
Ultrasound Inquiry I had a cardiac ultrasound in November 2021, and I noticed the left atrial (LA) measurements, but the doctor said it was fine. Recently, during a follow-up appointment on November 11, 2022, I also had a cardiac ultrasound. Although the report is not out yet, I ...
Dr. He Dongjin Reply:
Hello, is this the same hospital's examination? I'm unclear about why the numbers have changed. I recommend returning for a follow-up appointment to discuss this with your attending physician to understand why there has been such a significant change within a year. Chan...[Read More] Understanding Changes in Left Atrial Size: What Your Echo Results Mean
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 Changes in Echocardiogram Results: Left Atrial Enlargement Concerns
Echocardiogram I would like to ask the director about my echocardiogram from last November. I have been paying attention to the left atrial measurements, but the doctor said it was fine. Recently, during my regular follow-up, I had another echocardiogram. Although the report is n...
Dr. Wu Xueming Reply:
1. Two echocardiograms showed mild enlargement of the left atrium, which requires regular monitoring but does not necessitate treatment. 2. Measurements taken at different times by different operators will naturally have some variability. 3. The diagnosis of heart failure must be...[Read More] Understanding Changes in Echocardiogram Results: Left Atrial Enlargement Concerns
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
Understanding Your Echocardiogram: Insights on Heart Function Assessment
Cardiac function assessment Hello, Doctor. I would like to ask if my echocardiogram results indicate a mild condition. I am very much looking forward to your professional analysis! Report: Indications: Echo machine: Philips IE33 Patient source: OPD [Atrium and Aortic Root] ...
Dr. Wu Xueming Reply:
The report indicates the presence of left ventricular systolic dysfunction. It is recommended that you visit the outpatient clinic to discuss the next steps in treatment with your physician.[Read More] Understanding Your Echocardiogram: Insights on Heart Function Assessment
Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Does Fylin Retard interact with Nebilet and Exforge? My father has hypertension and usually takes Nebilet and Exforge for control. However, recently he has had issues with proteinuria, and the nephrologist prescribed Fylin Retard, one tablet daily. After less than half a month, h...
Dr. Li Han Reply:
Hello, Fylin Retard (Pentoxifylline) is mentioned in the package insert, indicating that while it is not common, it may enhance the antihypertensive effects of antihypertensive medications and other drugs that lower blood pressure. If your father's blood pressure has shown s...[Read More] Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Understanding Persistent Palpitations and Heart Issues: A Patient's Journey
Heart problems I have been experiencing palpitations for a week. It's not the kind that lasts for one or two minutes; it has been continuous for an entire afternoon for the past seven days. Every morning, I wake up in the middle of my sleep due to my heart racing. I can hear...
Dr. Wu Xueming Reply:
It is recommended that in addition to taking medication, you adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for further examination.[Read More] Understanding Persistent Palpitations and Heart Issues: A Patient's Journey