Breathing Difficulties, Dizziness, and Chest Pain While Biking: What to Know
Difficulty breathing, dizziness, and chest pain while cycling? Hello, Doctor. I love cycling, and I used to be fine, but recently I've been experiencing some issues. I'm not sure if it's due to a lack of exercise, the UBike, air quality, or the heat. During my rece...
Dr. Wu Xueming Reply:
1. Chest pain can be classified as cardiac or non-cardiac. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may feel like an elephant sitting on th...[Read More] Breathing Difficulties, Dizziness, and Chest Pain While Biking: What to Know
Understanding Abnormal Chest X-Ray and ECG Results in Cardiovascular Health
Abnormalities in X-ray and electrocardiogram (ECG) findings? Doctor: Hello, I recently had a physical examination. My height is 168 cm, and my weight is 91.9 kg. The results of the examination showed two abnormalities: an abnormal chest X-ray indicating "aortic sclerosis sha...
Dr. Wu Xueming Reply:
Chest X-ray showing aortic arteriosclerosis: This refers to the thickening and calcification of arterial walls, which is a phenomenon associated with aging. However, factors such as smoking, hypertension, hyperlipidemia, diabetes, and obesity can accelerate this process. The dang...[Read More] Understanding Abnormal Chest X-Ray and ECG Results in Cardiovascular Health
Understanding Heart Health: Key Questions About Your Cardiovascular Checkup
Health Checkup Report Consultation Hello, Doctor. I have a few questions to ask. During a recent mountain climbing trip, I felt unwell, and the tour guide noticed that my blood oxygen level was low and my heart rate was high, suggesting that I go to the hospital for an examinatio...
Dr. Wu Xueming Reply:
1. Chest pain can be classified as cardiac or non-cardiac. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure-like, and may cause shortness of breath (like an elephant...[Read More] Understanding Heart Health: Key Questions About Your Cardiovascular Checkup
Understanding Heart Palpitations: Causes and When to Seek Help
Cardiac issues Hello Doctor, I have recently been experiencing strong heartbeats while lying down at night, accompanied by a feeling of chest tightness. I also feel a pulling sensation in my chest that is somewhat painful, which seems to coincide with my heartbeat, and I can hear...
Dr. Wu Xueming Reply:
Chest pain can be classified as either cardiac or non-cardiac. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may cause shortness of breath (like...[Read More] Understanding Heart Palpitations: Causes and When to Seek Help
Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
Is it advisable to perform a cardiac catheterization for arrhythmia suspected to be caused by angina? Hello Doctor: I am a patient with antiphospholipid syndrome. I was diagnosed with optic nerve disc narrowing in April last year, and in August, I experienced central retinal vein...
Dr. Wu Xueming Reply:
"Ventricular premature contractions" (VPCs) are irregular heartbeats that occur when the ventricles contract on their own before receiving signals from the normal cardiac conduction system, representing a type of arrhythmia. If an echocardiogram shows normal cardiac fun...[Read More] Should I Undergo Cardiac Catheterization for Arrhythmia Symptoms?
Chest Pain, Shortness of Breath, and Sweating: When to Seek Help?
Back pain, chest tightness, sweating, and shortness of breath? Hello, doctor: Yesterday, I experienced sudden pain on the left side of my back, followed by chest tightness, shortness of breath, and sweating. These symptoms lasted for about 20 to 30 minutes and then disappeared. S...
Dr. Wu Xueming Reply:
Chest pain can be categorized into cardiac and non-cardiac types. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may cause shortness of breath (l...[Read More] Chest Pain, Shortness of Breath, and Sweating: When to Seek Help?
Understanding the Side Effects of KanKen for Heart Patients
Drug side effects Hello, Doctor: I am a patient with 30 years of bronchiectasis (in both lower lungs). I have hypertension and take half of a 5 mg dose of Concor. Recently, I have been experiencing persistent chest tightness. I noticed that Concor has side effects related to asth...
Dr. He Dongjin Reply:
Hello, it may be possible to temporarily pause and observe if the symptoms improve. If the chest tightness resolves, you can consult your attending physician to adjust the medication. Changhua Hospital cares about you.[Read More] Understanding the Side Effects of KanKen for Heart Patients
Understanding Incomplete Right Bundle Branch Block and Its Impact on Judo Training
Incomplete right bundle branch block I usually practice judo, and currently, I have pain in my right chest, but it doesn't hurt all day. An orthopedic doctor said it is caused by a cervical vertebra pressing on a nerve, and it won't affect my breathing or daily activiti...
Dr. Lin Jixiong Reply:
Incomplete right bundle branch block generally does not present with significant clinical symptoms, so treatment is not necessary. Patients with accompanying symptoms often exhibit clinical manifestations of underlying diseases, which require treatment of the primary condition. C...[Read More] Understanding Incomplete Right Bundle Branch Block and Its Impact on Judo Training
Understanding Rapid Heartbeat: Causes and Solutions for Young Adults
Tachycardia Hello, doctor. I am currently 19 years old and have autonomic nervous system dysfunction and panic disorder. Before experiencing these symptoms, my heart rate was 85 beats per minute, but now during a panic attack, I experience palpitations, and my heart rate can incr...
Dr. Lin Jixiong Reply:
Tachycardia, defined as a heart rate exceeding 100 beats per minute, is often referred to as "sinus tachycardia" and is usually benign. Factors such as stress, consumption of tea, alcohol, tobacco, coffee, hyperthyroidism, or heightened sympathetic or vagal nerve activi...[Read More] Understanding Rapid Heartbeat: Causes and Solutions for Young Adults
Managing Nighttime Chest Pain: Tips for Better Sleep and Heart Health
Chest pain and difficulty sleeping? Hello Doctor: For the past year and a half, I have been experiencing occasional burning pain in the center of my chest. At first, it happened only once every six months, but in the last two months, I can only hope it doesn't occur. I have ...
Dr. He Dongjin Reply:
Hello, it is recommended that you see a cardiologist for a thorough examination. Once it is confirmed that there are no issues, it may be related to gastroesophageal reflux or cardiovascular spasms. The doctor will prescribe relevant medications for further evaluation. Changhua H...[Read More] Managing Nighttime Chest Pain: Tips for Better Sleep and Heart Health
Understanding Premature Ventricular Contractions and Blood Pressure Concerns
Ventricular premature contractions, blood pressure? Hello Doctor, I would like to ask you a few questions. <My Medical History> I have a problem with autonomic nervous system dysregulation, and sometimes I suddenly feel anxious. My first panic attack occurred three years a...
Dr. He Dongjin Reply:
Hello, premature ventricular contractions are not a major issue, but they can cause palpitations and discomfort. Blood pressure measurements taken at the hospital are often higher; one single high reading does not necessarily indicate hypertension that requires medication. I do n...[Read More] Understanding Premature Ventricular Contractions and Blood Pressure Concerns
Understanding Hypertension Diagnosis: Key Considerations and Guidelines
Diagnosis of Hypertension Dear Director, I have never had any hypertension-related inquiries or medical records. For health management, I have been visiting a traditional Chinese medicine clinic for a long time. On June 13, 2019, I participated in the annual employee health chec...
Dr. He Dongjin Reply:
Hello, you are correct that a single health check report showing a blood pressure value above the reference range should not be used to diagnose hypertension. Medication can be deferred initially; however, in cases of undetermined hypertension, long-term use of antihypertensive m...[Read More] Understanding Hypertension Diagnosis: Key Considerations and Guidelines
Understanding Heart Palpitations and Chest Pain: Key Concerns
Increased heart rate and mild pain in the left chest? Hello, Doctor He! In September 2019, I underwent an examination at a general cardiology clinic, where I was found to have mild hypertension (142/90 mm Hg) and mild diabetes (hemoglobin A1c 7.1). The doctor prescribed BISO 5 mg...
Dr. He Dongjin Reply:
Hello, based on your description, it is not possible to determine whether there is coronary artery obstruction or myocardial ischemia. It is recommended that your physician arrange for a stress electrocardiogram or a self-paid computed tomography scan to better understand the sit...[Read More] Understanding Heart Palpitations and Chest Pain: Key Concerns
Understanding Cardiac Catheterization: Is It Necessary After Abnormal Imaging?
Cardiac catheterization? If a myocardial perfusion scan shows 5% of the area with hypoxia, and both the electrocardiogram and echocardiogram are normal, is this considered serious? Is it necessary to undergo a coronary catheterization? What is the likelihood of needing a stent du...
Dr. Huang Yinghe Reply:
Hello: If there are no symptoms such as chest tightness or shortness of breath, the general approach is to manage diet and exercise, along with medication for hypertension, hyperlipidemia, and diabetes. If the aforementioned symptoms are present and medication is not effectively ...[Read More] Understanding Cardiac Catheterization: Is It Necessary After Abnormal Imaging?
Understanding Pulsations in the Neck During Sleep: Causes and Concerns
Neck pulsation Feeling pulsations in the blood vessels at the back of the head and neck while sleeping can be attributed to several factors. It may be related to increased blood flow, muscle tension, or even anxiety. Other potential causes could include positional changes during ...
Dr. Huang Yinghe Reply:
Hello: The sensation of pulsation in the neck or head is mostly caused by vascular dilation or muscle twitching, and is related to blood pressure, emotional changes, or exposure to irritants (such as alcohol). In rare cases, it may also be a sign of a brain tumor or stroke. If it...[Read More] Understanding Pulsations in the Neck During Sleep: Causes and Concerns
Understanding Coronary Artery Blockage: Diagnosis, Treatment, and Costs
What to do about coronary artery obstruction? Hello Dr. Chen, I would like to ask you the following questions: 1. Can a carotid ultrasound determine if there is a blockage in the coronary arteries? 2. If there is a blockage in the coronary arteries, will it also affect the caro...
Dr. Chen Jili Reply:
1 & 2. Carotid ultrasound: It can estimate the condition of the cardiovascular system. Since the heart's blood vessels are not clearly visible with ultrasound, the thickness of the carotid artery wall can serve as an indicator of coronary artery disease. Factors such as ...[Read More] Understanding Coronary Artery Blockage: Diagnosis, Treatment, and Costs
Should I Take Blood Pressure Medication for Stress-Induced Hypertension?
I'm not sure whether I should take blood pressure medication? I have long-term issues with autonomic nervous system dysregulation, which leads to muscle tension, emotional stress, and excessive sympathetic nervous system stimulation. As a result, when I go outdoors to buy so...
Dr. Li Han Reply:
Hello, regarding your inquiry, your home blood pressure measurement is 125/80, but when you are outside, it tends to be higher at 160/105. These variations in blood pressure readings are often due to your blood pressure still being in a fluctuating phase and not yet stabilized. T...[Read More] Should I Take Blood Pressure Medication for Stress-Induced Hypertension?
Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Incomplete membranous closure Hello, recently I experienced palpitations and sharp chest pain, so I went to the hospital for a cardiac ultrasound. The doctor said that I do not have mitral valve prolapse, but there is slight incomplete closure of the mitral valve. In the past two...
Dr. Huang Yinghe Reply:
Hello: Echocardiography is a highly precise examination. Mild mitral regurgitation detected through ultrasound is quite common in the middle-aged and elderly population; however, most individuals are asymptomatic. Symptoms of moderate to severe mitral regurgitation typically incl...[Read More] Understanding Mitral Valve Insufficiency: Symptoms, Risks, and Management
Understanding Mitral Valve Insufficiency: When Is Surgery Necessary?
Incomplete membrane closure Hello, Doctor: If I remember correctly, when I was younger, I had a heart murmur and noted left ventricular hypertrophy during my annual employee health check-up. Since I had no symptoms or discomfort, I did not seek medical follow-up. About ten years...
Dr. He Dongjin Reply:
Hello, I suggest that you gather all your examination data and seek a second opinion from another physician. Personally, I hold a more reserved attitude and might consider it when there are active symptoms of wheezing. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Insufficiency: When Is Surgery Necessary?
Understanding Fast Heart Rate: Medication, Causes, and Health Checks
If you have a rapid heartbeat, medication may be necessary, and it is advisable to undergo a health check-up? Hello, doctor. I am the one who asked about my fast heartbeat on April 17th. My heart rate is normal in the morning, but it rises to 100-110 as noon approaches, and then ...
Dr. He Dongjin Reply:
Hello, this type of arrhythmia does not typically cause an increased heart rate. Staying up late can lead to autonomic nervous system imbalance, which may result in a faster heart rate. Secondhand smoke, lung inflammation, and poor air quality can also contribute to this issue. A...[Read More] Understanding Fast Heart Rate: Medication, Causes, and Health Checks