Understanding Chest Pain in Mitral Valve Prolapse Patients: Key Insights
Frequent chest pain? I am a patient with mild mitral valve prolapse. Initially, I frequently experienced chest pain, which led me to consult a cardiologist. After examination, I was prescribed Concor 1.25 mg to take once every morning, and I have been on this medication for sever...
Dr. Lin Jixiong Reply:
Hello: 1. The primary function of Kankin is to lower the heart rate. If the heart rate is too slow, specifically below 60 beats per minute, do not take it. If you forget to take your medication, it is generally not dangerous; if you notice an increased heart rate, you can take th...[Read More] Understanding Chest Pain in Mitral Valve Prolapse Patients: Key Insights
Chest Pain During Exercise: Understanding Heart Issues and Next Steps
The CT scan results are normal, but I still experience chest pain when walking quickly or climbing stairs? Dr. He: Hello, on July 18, 2015, I consulted you about experiencing chest pain after brisk walking for a few minutes or climbing four to five flights of stairs. My original ...
Dr. He Dongjin Reply:
Hello, the total coronary artery calcium score is 0. There are no abnormal findings in the coronary artery lumen diameter changes. Left ventricular function shows no abnormalities, including cardiac vascular and systolic function. There should be no issues. It is advisable to con...[Read More] Chest Pain During Exercise: Understanding Heart Issues and Next Steps
Is It Palpitations? When to Seek Medical Attention for Heart Issues
Is this considered palpitations? Should I seek medical attention? Hello Doctor, I have recently been experiencing noticeable heartbeats without any significant discomfort. However, if I already have some dizziness or headaches, the heartbeat seems to exacerbate my discomfort. I o...
Dr. He Dongjin Reply:
Hello, if you are experiencing arrhythmia, it is important not to make assumptions without seeing a patient. However, the symptoms you describe seem more indicative of autonomic nervous system dysfunction rather than heart disease or arrhythmia. It is advisable for you to visit a...[Read More] Is It Palpitations? When to Seek Medical Attention for Heart Issues
Managing Heart Medication: Guidance for Patients with Cardiovascular Issues
Cardiac medications Hello Doctor, I am inquiring on behalf of my father. He has partial cardiovascular blockage that has not yet reached the point of requiring stenting. He has been on chronic heart disease medication for ten years, with an average blood pressure of 100/60 and a ...
Dr. He Dongjin Reply:
Hello, your blood pressure seems to be too low. It may be advisable to completely discontinue the medication and monitor your condition. Please do not take sublingual nitroglycerin, as it may further lower your blood pressure. Changhua Hospital is concerned about you.[Read More] Managing Heart Medication: Guidance for Patients with Cardiovascular Issues
Understanding Elevated Heart Rate: When to Seek Cardiac Care
What type of medical care is needed? A pulse rate exceeding 100 beats per minute, known as tachycardia, can be caused by various factors including stress, anxiety, fever, dehydration, anemia, hyperthyroidism, or heart-related conditions. It is advisable to undergo an electrocardi...
Dr. He Dongjin Reply:
Hello, you should have seen a doctor before taking the antiarrhythmic medication. If your doctor has assessed that there are no issues, there is no need to be overly anxious. Diagnoses made by online physicians who have not seen the patient in person may not be as reliable as tho...[Read More] Understanding Elevated Heart Rate: When to Seek Cardiac Care
Understanding Irregular Heartbeats in Teens: Causes and Concerns
Occasional heart palpitations? Hello doctor, I am 16 years old and I have not experienced this situation before. Recently, my heart has been having irregular palpitations, but it doesn't hurt. I am really concerned about what this could be... I have been staying up late and ...
Dr. He Dongjin Reply:
Hello, general muscle spasms are usually not related to the heart; they may be due to muscle or nerve issues, similar to eyelid twitching. Arrhythmias, such as premature contractions, could also be a possibility. You may want to check your pulse to see if there are any irregulari...[Read More] Understanding Irregular Heartbeats in Teens: Causes and Concerns
Understanding Chest Pain: Is It Angina or Myocardial Ischemia?
Am I experiencing typical angina? Do I have myocardial ischemia? Dr. He: Hello, I asked a question on July 15, and today, since you haven't responded yet, I made some slight modifications to my question. I apologize. I am a 57-year-old male, weighing approximately 66 kg and ...
Dr. He Dongjin Reply:
Hello, a myocardial perfusion scan is like examining which area of the field has poor soil quality, while a 256-slice cardiac CT scan is used to check for blockages in the irrigation channels, essentially functioning as angiography. If you're worried, getting a 256-slice car...[Read More] Understanding Chest Pain: Is It Angina or Myocardial Ischemia?
Understanding Arrhythmia: Managing Chest Pain and Heart Health
Arrhythmia Last month, I visited a cardiologist due to chest pain. In the morning, the pain felt mild, but it suddenly intensified at midnight. When I was examined, my pulse was 80 beats per minute. The doctor prescribed antiarrhythmic medication for me to take for a week and con...
Dr. Lin Jixiong Reply:
Hello: There are many causes of chest pain, including vascular blockage, rapid heartbeat, and excessive heart contractions. Without seeing your electrocardiogram, it is not possible to make a completely accurate assessment. Dr. Lin Chi-Hsiung, Ministry of Health and Welfare, Taoy...[Read More] Understanding Arrhythmia: Managing Chest Pain and Heart Health
Managing Blood Pressure Anxiety: Insights from Recent Health Tests
Blood Pressure and Medication (Follow-up Inquiry) Hello Director He, after following my attending physician's advice to rest for 2 weeks without exercise, I had my blood drawn again for testing. **Blood Test Results:** - "Hemoglobin" increased from 37 to 36.1, w...
Dr. He Dongjin Reply:
Hello, please stop measuring your blood pressure. It only creates anxiety and can lead to uncontrolled blood pressure and even complications. At your age, I have not seen this happen. We are here to treat people, not numbers. You know that stress and anxiety cause those numbers t...[Read More] Managing Blood Pressure Anxiety: Insights from Recent Health Tests
Understanding Palpitations: Causes, Symptoms, and Treatment Options
Palpitations? Hello: I previously experienced a sudden thump in my heart before sleeping, feeling an abnormal contraction. When I checked my pulse, I could feel that thump particularly strong, followed by a brief pause in my pulse before it resumed with a few more thumps, lasting...
Dr. Lin Jixiong Reply:
Hello: It is recommended that you visit a cardiology outpatient clinic for an evaluation by a cardiologist to determine if appropriate tests should be arranged to assess for any arrhythmias. Dr. Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Palpitations: Causes, Symptoms, and Treatment Options
Understanding Arrhythmias: Risks of Untreated Heart Rhythm Disorders
Cardiac issues? Hello, doctor. I would like to add that I have a question about whether untreated arrhythmia will worsen over time. The doctor mentioned that I have some arrhythmia, with a slow heart rate of around 50 beats per minute and a fast rate of 160 beats per minute, and ...
Dr. He Dongjin Reply:
Hello, this issue is caused by autonomic nervous system dysregulation, so there's no need to worry. Most arrhythmias are benign, meaning they are not life-threatening. The conditions you mentioned are normal and acceptable. Even if you don't take the medication, it won&...[Read More] Understanding Arrhythmias: Risks of Untreated Heart Rhythm Disorders
Understanding Head Pressure, Heart Palpitations, and Cholesterol Issues
Headache, palpitations, high cholesterol, elevated blood pressure, low white blood cell count? Hello Doctor, I would like to ask you a few questions: 1. I feel a constant pressure in my head throughout the day, and I can feel my heartbeat, which causes pain that seems to pulse w...
Dr. He Dongjin Reply:
Hello, high cholesterol is not necessarily a bad thing. It can be categorized into so-called "good" cholesterol and "bad" cholesterol, as well as low-density lipoprotein (LDL). It is advisable to go to the hospital for further analysis; you can consult with a ...[Read More] Understanding Head Pressure, Heart Palpitations, and Cholesterol Issues
Understanding Arrhythmia: Causes, Risks, and Treatment Options
Arrhythmia Hello Doctor: I would like to ask, when I check my pulse, there are times when the expected heartbeat is delayed to the next second. During this sensation, I sometimes feel a contraction in my abdomen, as if my body has paused for a moment. In severe cases, I might eve...
Dr. He Dongjin Reply:
Hello, what you are experiencing is benign arrhythmia. The term "benign" means that there is no life-threatening condition. Everyone experiences benign arrhythmias daily; it's just a matter of frequency. You can visit a cardiologist for further evaluation and arran...[Read More] Understanding Arrhythmia: Causes, Risks, and Treatment Options
Why Do I Wake Up with a Racing Heart and Shortness of Breath?
Waking up in the morning with a rapid heartbeat? Hello doctor, recently I've started waking up to my alarm in the morning, and I feel like my heart is racing and I'm having some difficulty breathing, a bit of shortness of breath. It takes two to three minutes for my hea...
Dr. He Dongjin Reply:
Hello, if there are no apparent heart-related issues, you can first check the regularity of your pulse. If it remains unclear, it is advisable to visit a cardiology clinic for further examination. Changhua Hospital cares about your health.[Read More] Why Do I Wake Up with a Racing Heart and Shortness of Breath?
Understanding Slow Heart Rate: When to Seek Medical Advice
Cardiac issues Hello Doctor: I have a naturally slow heart rate, usually in the 40s. Recently, I've been experiencing some symptoms with my heart, and I'm unsure if I should see a doctor or if this is just a normal occurrence. This month, whenever I take a break or inad...
Dr. Lin Jixiong Reply:
Hello: Based on the described situation, you may be experiencing arrhythmia. It is recommended to discuss this with a cardiologist. Sincerely, Dr. Lin Chi-Hsiung, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Slow Heart Rate: When to Seek Medical Advice
Understanding Cardiac CT Scans: Are They Necessary for Your Heart Health?
Cardiac CT scan I had an examination at Taipei Tia'an Hospital, where my diabetes physician noted that my pulse was relatively high (around 100, just under 110, but it dropped to about 80 after resting). He recommended that I undergo a cardiac evaluation. Subsequently, I und...
Dr. Lin Jixiong Reply:
Hello: Based on your description, your exercise electrocardiogram test likely showed a "positive response," which indicates that there may be narrowing of the coronary arteries. During high levels of exercise, there could be signs of myocardial ischemia. To further conf...[Read More] Understanding Cardiac CT Scans: Are They Necessary for Your Heart Health?
Understanding Cardiovascular Issues and Improving Blood Flow Health
Cardiovascular diseases and issues related to congestion? Hello Dr. Lin, I was diagnosed with hypertension about 5 to 6 years ago. Over the years, I have been inconsistently taking medication. My blood pressure mostly ranges between 130 and 140 mmHg (systolic), while my diastoli...
Dr. Lin Jixiong Reply:
Hello: The fields of cardiology and cardiovascular medicine are essentially the same, with only slight differences in terminology. As for the mentioned erectile issues, it is advisable to seek assistance from a urologist as soon as possible to address the related concerns. Sincer...[Read More] Understanding Cardiovascular Issues and Improving Blood Flow Health
Understanding Chest Discomfort: When to Seek Heart Health Evaluation
Cardiac issues Hello Dr. He: This past week, I have been experiencing a slight tingling sensation on the outer side of my left chest, along with a feeling of pressure and pain in my left chest and left armpit. I often feel my heartbeat, but my self-measured pulse seems to be norm...
Dr. He Dongjin Reply:
Hello, feeling your heart beating, known as palpitations, is not a disease. Your symptoms seem to be caused by increased anxiety leading to autonomic nervous system dysregulation. If you're concerned, you can visit a hospital for an examination and also bring some medication...[Read More] Understanding Chest Discomfort: When to Seek Heart Health Evaluation
Understanding Pulse Rate Issues: Chest Pain and Heart Health Concerns
Pulse rate issues? Hello, Doctor He: I have been experiencing a pulse rate around 60 beats per minute, and recently I have been having persistent dull pain in my left chest.
Dr. He Dongjin Reply:
Hello, it is recommended to visit a nearby cardiology clinic for an examination. A simple pulse rate of 60 beats per minute should not cause chest tightness. There are many potential causes for chest tightness, and further evaluation at Changhua Hospital is advised. We care about...[Read More] Understanding Pulse Rate Issues: Chest Pain and Heart Health Concerns
Understanding Low Heart Rate: Is 47 BPM a Cause for Concern?
Heartbeat I would like to ask, during a recent insurance medical examination, the nurse measured my pulse and found it to be 47 beats per minute, while the normal rate is around 72 beats per minute. What could be the issue, doctor? The nurse asked if I engage in regular exercise,...
Dr. He Dongjin Reply:
Hello, a slow heart rate is not necessarily a disease. People who exercise regularly may have a lower heart rate. For example, former tennis champion Stefan Edberg had a heart rate of only 29 beats per minute, while the average is around 72 beats per minute. If there are no disco...[Read More] Understanding Low Heart Rate: Is 47 BPM a Cause for Concern?