Understanding Chest Pain: Muscle Strain or Heart Issues?
Chest pain and tightness? Hello Doctor, today while sitting, I suddenly felt an itch on my back (the clothing label was bothering me). When I reached back with my left hand to scratch my back, I felt a sharp pain halfway through, as if I had twisted something. This isn't the...
Dr. Li Han Reply:
Hello, based on your description, it is most likely non-cardiac pain, so there is no need for excessive concern! Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Chest Pain: Muscle Strain or Heart Issues?
How to Advocate for a Heart Catheterization After Years of Symptoms?
Cardiac catheterization? I have seen countless doctors, and they only prescribe medications for my heart rhythm without offering any further treatment. How can I guide my doctor to perform a cardiac catheterization? Whenever I am in a slightly warm environment and walk for more t...
Dr. Wu Xueming Reply:
According to health insurance regulations, the indications for cardiac catheterization must include typical angina symptoms along with objective evidence of myocardial ischemia, such as a stress electrocardiogram or nuclear medicine myocardial perfusion imaging. Please discuss wi...[Read More] How to Advocate for a Heart Catheterization After Years of Symptoms?
Chest Discomfort When Lying Down: Heart or Lung Issues?
Experiencing chest tightness when lying down? Experiencing chest tightness or pain while lying down, particularly in the middle and slightly to the left, along with some difficulty breathing, could indicate a potential cardiac issue or a problem related to the thoracic cavity. Wh...
Dr. Cai Guiqin Reply:
Hello! It is recommended to seek medical consultation. Wishing you good health![Read More] Chest Discomfort When Lying Down: Heart or Lung Issues?
Understanding Sudden Heart Rate Changes: Causes and Concerns
Heart rate issues Hello, doctor. My usual heart rate measured by my watch is between 80-90 beats per minute, but today it suddenly dropped to around 67, and I feel a tightness in my chest along with awareness of my heartbeat. Could you please explain why my heart rate might have ...
Dr. Chen Jili Reply:
We recommend you seek medical consultation. Wishing you good health. Thank you![Read More] Understanding Sudden Heart Rate Changes: Causes and Concerns
Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...
Dr. He Dongjin Reply:
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Understanding Sudden Dizziness: Potential Cardiovascular Connections
Regarding sudden dizziness? Hello Doctor: Yesterday morning around 11 AM, while I was in class, I suddenly felt unwell, experiencing dizziness and a sensation of pressure in my head, almost as if I were about to faint. I am certain that my limbs and face did not feel numb, my vis...
Dr. Wu Xueming Reply:
If you frequently experience sudden loss of consciousness or syncope, it is recommended that you consult a cardiologist and a neurologist for further evaluation.[Read More] Understanding Sudden Dizziness: Potential Cardiovascular Connections
Can I Take Punortor with Clopidogrel? Heart Disease Guidance Needed
Hello, I would like to inquire about medication usage issues? Hello, doctor. My family member recently completed heart examinations, including an electrocardiogram, a stress test, and a myocardial perfusion scan, which confirmed the presence of coronary artery disease. They will ...
Dr. Wu Xueming Reply:
The two medications have no interactions and can be taken together. Please engage in regular exercise, maintain a light diet, adhere to your medication schedule, and attend follow-up appointments regularly.[Read More] Can I Take Punortor with Clopidogrel? Heart Disease Guidance Needed
Understanding Low Heart Rate Alerts from Your Apple Watch During Sleep
The Apple Watch detected a low heart rate during sleep? I have been receiving notifications from my smartwatch about low heart rates upon waking up these past couple of days, specifically around 4 AM, with sleep heart rates ranging from 39 to 42 beats per minute for over 10 minut...
Dr. He Dongjin Reply:
Hello, during sleep, the heart rate decreases as the body rests. This is normal, so there is no need to worry. Changhua Hospital cares about you.[Read More] Understanding Low Heart Rate Alerts from Your Apple Watch During Sleep
Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Rapid heartbeat Hello, after every meal, my heart rate always exceeds 130 beats per minute, sometimes reaching around 140. It remains elevated at 130 for about an hour after eating, and it only returns to around 100 after one and a half to two hours post-meal. As a result, I feel...
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] Managing Post-Meal Rapid Heartbeat: When to Seek Medical Advice
Understanding Your Blood Test and Heart Reports: Anemia and Mitral Valve Prolapse Explained
Anemia blood test report Doctor, here are my reports. Can you tell me if this indicates Mediterranean anemia or iron deficiency anemia? UIBC 394 TIBC (UIBC + Iron) 424 Iron 30 ALT 10 AST 12 MCV 79.0 (slightly low) MCHC 31.7 MCH 35.1 (high) HCT 35.0 (low) HB 11...
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 Your Blood Test and Heart Reports: Anemia and Mitral Valve Prolapse Explained
Understanding Chest Discomfort: When to Worry About Heart Symptoms
Chest tightness, chest pain, palpitations? Hello, Doctor. I usually experience chest tightness and discomfort in my heart. It's not very severe pain, but it does affect my daily life to some extent. The frequency is not consistent; I don't feel pain continuously for 24 ...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Chest Discomfort: When to Worry About Heart Symptoms
Understanding Anemia: Analyzing Blood Test Results and Heart Health
Anemia blood test hemoglobin? Hello Doctor, here are my blood test results. There are several abnormal values; could you please help analyze them? I would like to ask if I have a specific type of anemia. Does this indicate iron deficiency anemia? What should I pay attention to? ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram did not show any significant arrhythmias; mild mitral valve prolapse is not likely to cause chest tightness or pain. The issue of anemia should be addressed with a hematologist.[Read More] Understanding Anemia: Analyzing Blood Test Results and Heart Health
Understanding Recent Back and Chest Pain: Is It Heart-Related?
Recent frequent back pain and sharp pain near the heart on the left side of the chest? Hello Doctor: I am 175 cm tall and weigh 70 kg. About a month ago, I first experienced pain in the area of my back near the spine. A week later, I started having chest pain and difficulty breat...
Dr. He Dongjin Reply:
Hello, it sounds more like a neuromuscular issue leading to autonomic nervous system dysfunction rather than being related to heart disease. Please start with some stretching and flexibility exercises, and monitor your condition. If you still feel unwell, consider visiting a card...[Read More] Understanding Recent Back and Chest Pain: Is It Heart-Related?
Understanding Your 24-Hour Holter Monitor Results: What They Mean
24-hour Holter monitor? Hello, Doctor. I would like to ask if there are any issues with the results. Do I need to go to the hospital for further examination? Thank you! Result: - Basic rhythm: Sinus rhythm - Mean Heart Rate: 78 BPM - Maximum Heart Rate: 138 BPM, Time: 08:58:0...
Dr. He Dongjin Reply:
Hello, some cases of atrial premature contractions can be monitored initially. If you continue to feel unwell, please visit a cardiology clinic for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Your 24-Hour Holter Monitor Results: What They Mean
Understanding Myocardial Perfusion Imaging Results for Heart Health
Myocardial perfusion scan report issues? Hello Dr. Wu, I would like to consult you regarding my father's heart examination (76 years old). He needs to rest after walking 200 meters and feels weak when opening a bottle cap. The myocardial perfusion imaging report is as follow...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows normal results with no signs of hypoxia, indicating that normal exercise is permissible.[Read More] Understanding Myocardial Perfusion Imaging Results for Heart Health
Understanding Your Echocardiogram Report: Key Insights and Concerns
Report issues? Hello Director Wu, I would like to ask for your help in interpreting the echocardiogram report. **Report:** - **Echo machine:** Philips IE33 - **Patient source:** OPD **[Atrium and Aortic Root]** - AO (mm) = 30 - LA (mm) = 33 **[Left Ventricle]** - IVS (mm) ...
Dr. Wu Xueming Reply:
The echocardiogram report shows that both the structure and function of the heart are normal. Ventricular premature contractions (VPCs) do not pose a life-threatening risk, and many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep ...[Read More] Understanding Your Echocardiogram Report: Key Insights and Concerns
Understanding Positive Exercise ECG Results: What You Need to Know
The exercise electrocardiogram is positive? Previously, the resting electrocardiogram (ECG) was normal. In early April, during a health check-up, a flat T wave was observed, prompting a referral for a treadmill exercise test. Based on the report dated April 23, 2024, the findings...
Dr. Wu Xueming Reply:
A positive exercise electrocardiogram (ECG) may indicate the possibility of coronary artery disease. If you have risk factors for heart disease, such as diabetes, hypertension, smoking, etc., along with typical symptoms of chest discomfort, it is recommended to consult with a phy...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Is there a problem if the resting heart rate drops below 45? Thank you! Due to hypertension issues, I have been taking Sevikar 40/5/12.5 mg for the past few years, and my blood pressure has been well controlled. During my last follow-up appointment last month, my fasting blood su...
Dr. Li Han Reply:
Hello, based on your description, after changing the medication, Nebilet has reduced your resting heart rate to 50 beats per minute. If you are not experiencing any discomfort and your heart rate can appropriately increase during activity, it may indicate that your heart function...[Read More] Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Understanding Sudden Heart Discomfort: Insights from a Cardiologist
I experienced a sudden strong sensation in my heart; I would like to consult a physician for their opinion? Hello Doctor, I am a university student with no history of heart disease or relevant family history. I have a habit of staying up late and experience symptoms of anxiety. T...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Sudden Heart Discomfort: Insights from a Cardiologist
Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?
Will 24-hour electrocardiogram data induce atrial fibrillation? Hello Doctor, could you please take a look at the data below? Is it serious? Could it trigger atrial fibrillation? Thank you. HOLTER EKG: Date of 24-hour recording: 2024/04/20 Study for: Arrhythmia Antiarrhythmic...
Dr. Wu Xueming Reply:
According to your report, there are some occurrences of atrial and ventricular ectopic beats, but no evidence of atrial fibrillation was found. These ectopic beats do not have an absolute relationship with atrial flutter.[Read More] Can 24-Hour Holter EKG Data Trigger Atrial Fibrillation?