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 Heart Inflammation Risks from First-Generation Antihistamines
Hello, I would like to inquire about heart inflammation caused by first-generation antihistamines? The doctor did not understand my medical history and mistakenly prescribed me 30 mg of the antihistamine diphenhydramine, which I took in combination with my sedative (I had taken h...
Dr. Wu Xueming Reply:
Based on your description, it is not possible to diagnose whether it is myocarditis. Please go to the hospital for further examination.[Read More] Understanding Heart Inflammation Risks from First-Generation Antihistamines
Understanding Shortness of Breath After Taking Heart Medications
Hello, I feel very short of breath after taking the medication? Hello, I have been experiencing shortness of breath recently. Yesterday, I took half a dose of Soredit (PerSantin) and half a dose of Norvasc (Amlodipine), and now I feel weak and constantly sleepy. I also experience...
Dr. He Dongjin Reply:
Hello, each person's constitution is different, so it's hard to say. Theoretically, such a low dose taken only once is unlikely to cause significant side effects. If you feel uncomfortable, it's best to stop taking it. Changhua Hospital cares about you.[Read More] Understanding Shortness of Breath After Taking Heart Medications
Antihistamines and Sedatives: A Hidden Risk for Heart Disease?
Antihistamines + sedatives can lead to heart disease? I previously took a bit of a sedative and an antihistamine, and at that moment, my heart was racing. Later that night, in the car, with temperatures exceeding thirty degrees Celsius, I was in excruciating pain, experiencing he...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptom management, or see if further examinations are necessary. 2. Consider seeking treatment from other medical institutions. Thank you, and wishing you good health![Read More] Antihistamines and Sedatives: A Hidden Risk for Heart Disease?
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 Heart Issues: The Role of Antihistamines and Stress Tests
Antihistamines causing heart disease? I often experience shortness of breath, cold sweats while walking, weakness, and feel faint. However, my doctor seems uninterested in my concerns. Should I consider paying out of pocket for a stress echocardiogram to better understand the cau...
Dr. Wu Xueming Reply:
A standard echocardiogram is sufficient.[Read More] Understanding Heart Issues: The Role of Antihistamines and Stress Tests
How to Communicate Heart Health Concerns to Your Doctor Effectively
After seeing a cardiologist hundreds of times, the problem still remains unresolved? I often experience shortness of breath, cold sweats, and dizziness when I exercise, to the point where I feel like I might faint. I've reported this to my doctor multiple times, but he only ...
Dr. Wu Xueming Reply:
If there is no arrhythmia or severe heart failure, the likelihood of having a thrombus in the heart is extremely low. Generally, a normal echocardiogram is sufficient, and there is no need for concern.[Read More] How to Communicate Heart Health Concerns to Your Doctor Effectively
Struggling with Heart Issues: Seeking Effective Diagnosis and Treatment
After spending countless amounts of money, the problem still remains unresolved? Every time I go out to eat, I start experiencing chest tightness, shortness of breath, and difficulty breathing. I feel unsteady and almost faint, along with arrhythmia. However, when I described my ...
Dr. Wu Xueming Reply:
If you are concerned about blockages or thrombosis in the coronary arteries, a high-resolution computed tomography (CT) scan can increase the diagnostic rate. If all other tests are normal and you still have concerns, you can opt to pay out of pocket for this examination. If you ...[Read More] Struggling with Heart Issues: Seeking Effective Diagnosis and Treatment
Understanding Heart Block: Insights from Your Holter ECG Report
Cardiac arrest Comment: ＜The Ambulatory Holter ECG report＞ 1. The baseline ECG showed sinus rhythm with a heart rate of 39-112 beats per minute. The average heart rate was 77 beats per minute. 2. Transient second-degree AV block and complete AV block were noted (at 2 AM), with th...
Dr. Wu Xueming Reply:
As your physician advised, if there are no symptoms after discontinuing the medication, it may not be necessary to have a pacemaker.[Read More] Understanding Heart Block: Insights from Your Holter ECG Report
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?
Can Nebilet and Propranolol Be Taken Together Safely?
Can Nebilet (5 mg) and Propranolol be taken together? Hello, Director Wu. I have a history of hypertension due to organ transplantation. Recently, I have been experiencing discomfort with a fast heart rate of 100 beats per minute after exercise. The organ transplant hospital orig...
Dr. Wu Xueming Reply:
If the heart rate is too slow (below 50 beats per minute), choose to take one of the following medications.[Read More] Can Nebilet and Propranolol Be Taken Together Safely?
Can You Get Vaccinated with an ICD? Safety of Magnetic Necklaces Explained
Can a person with an implanted defibrillator receive vaccinations? And is it safe to wear a magnetic necklace? I have hypertension and hyperlipidemia, and on October 5, 2022, I experienced tachycardia with a heart rate of 200 beats per minute, leading to cardiac arrest, after whi...
Dr. Huang Yinghe Reply:
Hello: 1. The implantation of an ICD does not affect vaccination; in principle, if there is no acute infection and the patient's physical condition is stable, vaccination should be possible. The vaccination process will be evaluated by a physician, so please proactively info...[Read More] Can You Get Vaccinated with an ICD? Safety of Magnetic Necklaces Explained
Understanding Sinus Rhythm Issues: Is It Heart Disease or Lung Problems?
Daily suspected sinus arrhythmia? Hello, I have asthma and recently I've been experiencing sinus tachycardia whenever I walk a little, often sitting down my heart rate is around 120. I'm concerned whether I might have coronary artery disease or a cardiopulmonary conditi...
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 Sinus Rhythm Issues: Is It Heart Disease or Lung Problems?
Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Myocardial ischemia, exercise electrocardiogram? Hello Doctor, I have noticed significant differences in the test results from a clinic and a large hospital, and I hope you can assist in interpreting them. Thank you! **[Clinic A]** 1. **24-Hour Holter Monitor:** - 402.10 HYPE...
Dr. He Dongjin Reply:
Hello, I trust large hospitals. I cannot make a judgment without seeing the relevant images, but I believe it is better to observe first. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from ECG and Echocardiogram Results
Managing Heart Failure: Weight Loss Concerns and Sleep Position Tips
Heart failure Hello Doctor, I have a family member (74 years old, male, with a history of gout, no other chronic diseases, height 175 cm) who was recently diagnosed with severe heart failure (diagnosed within the last month). Recently, in addition to taking medication, he has bee...
Dr. Wu Xueming Reply:
1. If there is persistent unexplained weight loss, it is recommended to return to the outpatient clinic for further evaluation. 2. As long as the patient does not experience shortness of breath, lying flat does not pose any harm to patients with heart failure.[Read More] Managing Heart Failure: Weight Loss Concerns and Sleep Position Tips
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
Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Ventricular premature contractions and pregnancy issues? Hello, Doctor. I would like to ask about an incident that occurred around July. One night, I suddenly woke up feeling like my heart skipped a beat. I subsequently went to the cardiology department and wore a 24-hour Holter ...
Dr. He Dongjin Reply:
Hello, having around 40 APCs (Atrial Premature Contractions) and VPCs (Ventricular Premature Contractions) in a 24-hour Holter monitor is generally considered acceptable. Such ventricular ectopic beats are not likely to pose any significant risk during pregnancy and delivery. If ...[Read More] Impact of Premature Ventricular Contractions on Pregnancy and Delivery
Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Rapid heartbeat and high blood pressure? Hello Doctor, Recently, for about two months, my heart rate has been elevated, averaging between 95 to 110 beats per minute. My blood pressure is consistently around 130/88. I often experience numbness in my hands and feet, and occasiona...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing autonomic nervous system dysregulation. You can continue to consult with a psychosomatic medicine specialist; they should have autonomic nervous system testing equipment for further evaluation. Pingan Changhua Hospital cares about you...[Read More] Understanding Rapid Heartbeat and High Blood Pressure: Key Insights
Understanding Heart Ultrasound Results: Common Concerns and Clarifications
Questions about echocardiography? Hello, doctor. Recently, I experienced chest pain and numbness, so I visited a cardiologist. At the first hospital, I underwent X-ray, ECG, and echocardiogram. 1. Chest PA view shows: - Cardiac size is within normal limits. - Mild increas...
Dr. He Dongjin Reply:
Hello, both examinations showed similar results with no significant issues. The TR and PR are both very mild. The eyelid twitching is not related to the heart; it is likely due to autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Heart Ultrasound Results: Common Concerns and Clarifications
Food Concerns for Patients with Heart Stents: What to Eat?
Dietary Issues for Stent Patients Hello Dr. Wu, I am a patient who has undergone two stent placements and had a myocardial infarction two years ago. I am currently taking antiplatelet medication (Clopidogrel) and lipid-lowering medication (Rosuvastatin 10mg + Ezetimibe 10mg), and...
Dr. Wu Xueming Reply:
1. I don't understand avocados; please consult a nutritionist. 2. Skim milk powder has already reduced its fat content, so there is no issue.[Read More] Food Concerns for Patients with Heart Stents: What to Eat?