Electrocardiogram, Internal Medicine FAQ - Page 4

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Understanding Thyroid Issues: Symptoms, Diagnosis, and Next Steps

Very painful? I would like to ask about my mother, who has a thyroid condition but has undergone surgery and is now healed. Recently, I experienced palpitations, dizziness, and a rapid heartbeat, which led me to seek medical attention. However, after examinations including an ele...


Dr. Yang Hongzhi Reply:
Hello: Thyroid diseases have a genetic component. If your mother has a thyroid condition, your risk of developing a thyroid disease is higher than that of the general population. However, thyroid testing is quite definitive. If your thyroid tests have come back normal, it indicat...

[Read More] Understanding Thyroid Issues: Symptoms, Diagnosis, and Next Steps


Understanding Anxiety and Its Impact on Blood Pressure: A Guide

Is it hypertension? Hello, Doctor: I often feel inexplicably anxious, with a rapid heartbeat and a sensation of shortness of breath. Whenever this happens, my blood pressure tends to rise, with a recorded high of 140/105. I previously had an electrocardiogram, and the report was ...


Dr. Li Dong'an Reply:
Hello Chris: 1. Hypertension is defined as a systolic blood pressure of ≥140 mmHg or a diastolic blood pressure of ≥90 mmHg. However, it must be measured at least three times within two weeks, and the measurements should be taken under conditions of no stress (such as tension, an...

[Read More] Understanding Anxiety and Its Impact on Blood Pressure: A Guide


Should I Get a Second Opinion on My Heart and Muscle Pain?

Do I need to have a re-examination? Last Saturday, I experienced pain in the left side of my chest that radiated to my back and the back of my head. I had shortness of breath that was rapid, and prolonged breathing caused pain. Additionally, I had a headache, which left me feelin...


Dr. Zhao Chongliang Reply:
I apologize, but due to typographical errors and omissions in the text, the meaning cannot be fully understood. Common causes of left chest pain include angina, mitral valve prolapse, pneumothorax, and musculoskeletal pain. Mitral valve prolapse often presents with non-specific c...

[Read More] Should I Get a Second Opinion on My Heart and Muscle Pain?


Understanding Chest Pain and Discomfort: Causes and Solutions

Chest pain and chest tightness? Hello... I often feel pain and tightness in the upper central part of my chest, and there is phlegm above my trachea. I had an ultrasound, electrocardiogram, and stress echocardiogram last year, all of which were normal. At the same time, I experie...


Dr. Li Huixiong Reply:
Hello: Based on your condition, your body seems to be quite robust. If you are still concerned, I recommend undergoing gastrointestinal examinations, such as an esophagogastroduodenoscopy (EGD) and a colonoscopy.

[Read More] Understanding Chest Pain and Discomfort: Causes and Solutions


Understanding Left Chest Pain: Causes and When to Seek Help

Left chest pain Recently, I've been experiencing frequent pain or discomfort in my left chest, especially during exercise, and I'm not sure why.


Dr. Xie Weiming Reply:
There are many causes of left chest pain, ranging from serious conditions such as myocardial ischemia, aortic dissection, and pleuritis, to milder issues like myofascial pain syndrome, intercostal neuralgia, herpes zoster, and esophagitis. If the pain worsens with movement or twi...

[Read More] Understanding Left Chest Pain: Causes and When to Seek Help


Understanding Mitral Valve Prolapse: Symptoms, Risks, and Treatment Options

About Mitral Valve Prolapse Dear Dr. Zhong, I apologize for interrupting your busy schedule. I have been troubled by heart issues for some time. In my past health check-ups, I have consistently shown signs of elevated heart pressure and arrhythmia. The doctor advised me to avoid...


Dr. Zheng Shuxing Reply:
Hello Jojo, Mitral valve prolapse is quite common, with an incidence of about 5%. It primarily occurs in young individuals and is mostly a congenital abnormality, though it is not hereditary. It is often associated with symptoms such as chest discomfort, palpitations, shortness...

[Read More] Understanding Mitral Valve Prolapse: Symptoms, Risks, and Treatment Options


Understanding Occasional Chest Pain: Causes and Concerns

Occasional chest pain? Hello Doctor, I have been experiencing strange chest pain intermittently for the past two to three years. During these episodes, I feel a stabbing pain in my chest when I move my body, and it is often accompanied by a sharp pain between my ribs when I push ...


Dr. Zhao Chongliang Reply:
Hello! Chest pain can be caused by various conditions related to the heart (such as angina, myocardial infarction, arrhythmias, myocarditis, and pericarditis), lungs and associated structures (such as pneumothorax, pneumonia with pleuritis, rib fractures, pulmonary embolism, and ...

[Read More] Understanding Occasional Chest Pain: Causes and Concerns


Understanding Chest Tightness: Causes and When to Seek Help

Chest tightness? Previously, I experienced a sensation of pressure on a certain part of my chest while lying on my side, which made me feel very uncomfortable and affected my sleep. Recently, after being startled, I have had trouble sleeping through the night, and this time the s...


Dr. Ke Zhengchang Reply:
The cause of chest pain during times of stress is often due to muscle tension. However, if there are underlying conditions such as hypertension, diabetes, obesity, hyperlipidemia, or a history of smoking, it is essential to rule out myocardial ischemia or angina. Therefore, under...

[Read More] Understanding Chest Tightness: Causes and When to Seek Help


Understanding Fluctuating Blood Pressure and Dizziness During Activities

Hypertension I have experienced dizziness and nausea after hiking on two occasions, which led to brief fainting episodes. Additionally, I had another unexplained dizziness episode that caused me to collapse. Previously, I had difficulty breathing and swelling, which prompted me t...


Dr. Yang Jun Reply:
Hello: In response to your question, the dizziness, nausea, and fainting experienced during mountain climbing are related to heart function and blood pressure levels. Although the electrocardiogram is normal, it is possible that heart valve issues could be causing these symptoms....

[Read More] Understanding Fluctuating Blood Pressure and Dizziness During Activities


Understanding Mitral Valve Prolapse: Genetic Risks and Family History

I have mitral valve prolapse? I am 15 years old and during my health check-up in my first year of high school, some issues were found in my electrocardiogram. Later, after experiencing severe chest pain, I went to the hospital for more detailed examinations, and it was discovered...


Dr. Chen Qingbin Reply:
Hello Vivi: Mitral valve prolapse is not a hereditary condition, so you don't need to worry too much. Director of the Health Education Department, Chen Ching-Pin.

[Read More] Understanding Mitral Valve Prolapse: Genetic Risks and Family History


Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions

Incomplete right bundle branch block Hello Doctor: I am thirty years old, and occasionally when I feel very fatigued or have stayed up late, I experience a sensation of tightness in my chest, which is quite uncomfortable. However, this discomfort disappears after a good night...


Dr. Liu Hongxiang Reply:
In the left ventricle of the heart, there are left and right bundle branches that conduct electrical signals simultaneously. If the conduction through the right bundle branch slows down but does not completely block, it is referred to as "incomplete right bundle branch block...

[Read More] Understanding Incomplete Right Bundle Branch Block: Symptoms and Precautions


Chronic Fatigue and Digestive Issues: Seeking Medical Guidance

Still feeling fatigued..? I would like to ask: I have the following conditions: 1. I feel very tired every day, even though I sleep for 8 hours, I still feel exhausted. 2. I have chronic bad breath and dry mouth (very little saliva production). 3. My bowel movements are irregular...


Dr. Yang Hongzhi Reply:
Hello, due to the presence of various non-specific symptoms, the likelihood of having a specific medical condition that explains all the symptoms is not very high. You have also undergone some tests that did not reveal any issues. It may be necessary to consult a physician again ...

[Read More] Chronic Fatigue and Digestive Issues: Seeking Medical Guidance


Understanding Breathing Difficulties: Possible Causes and Solutions

You're welcome! Hello Dr. Lin: I have been experiencing sudden episodes of shortness of breath, even when I am just sitting and not moving or running. My heart rate increases, but the doctors I have seen said it should not be asthma. Recently, I have been producing a lot of ...


Dr. Lin Jizhi Reply:
Sudden onset of rapid heartbeat and difficulty breathing in young individuals may be indicative of paroxysmal tachycardia or mitral valve prolapse. However, if accompanied by tinnitus, it is important to consider whether there is dysfunction of the Eustachian tube or bronchiectas...

[Read More] Understanding Breathing Difficulties: Possible Causes and Solutions


Understanding Chest Pain and Rapid Heartbeat: Causes and Concerns

Pain near the heart? Sometimes when I sit in a chair or even during regular walking, which isn't intense exercise, my heart starts to race for no reason, accompanied by a feeling of pain. I haven't experienced any trauma so far.


Dr. Li Huixiong Reply:
I recommend that you get an electrocardiogram (ECG). If that does not provide an explanation or identify any issues, you may need to wear a 24-hour Holter monitor. However, considering your age, the likelihood of having a problem is probably low. Anyway, it's always better t...

[Read More] Understanding Chest Pain and Rapid Heartbeat: Causes and Concerns


Experiencing Rapid Heartbeat After Taking Antiarrhythmic Medication?

After taking medication to control arrhythmia, I feel that my heart is beating quite fast! Thank you, Dr. Ko, for your previous response. I am feeling quite anxious due to unprecedented changes in my body, and since the doctor hasn't replied, I am being even more cautious! A...


Dr. Ke Zhengchang Reply:
In response to leoujane: Arrhythmias may not improve even after medication treatment, so if you experience any discomfort, it is advisable to visit a cardiology clinic for continued monitoring of your electrocardiogram and adjustment of medication dosages. Additionally, it is imp...

[Read More] Experiencing Rapid Heartbeat After Taking Antiarrhythmic Medication?


Understanding Right Ventricular Hypertrophy: Implications and Care Tips

Cardiology Doctor: Hello! Recently, my mother’s blood pressure suddenly rose above 100. She went to the hospital for blood tests and an electrocardiogram (ECG). The ECG report indicated right ventricular hypertrophy and damage to the heart membrane. Could you please explain what ...


Dr. Ke Zhengchang Reply:
I recommend visiting a hospital's cardiology department for a detailed examination, including an echocardiogram and an electrocardiogram (ECG), to better understand the severity of the condition. Generally, both regional hospitals and medical centers have cardiologists who c...

[Read More] Understanding Right Ventricular Hypertrophy: Implications and Care Tips


Understanding Elevated Heart Rate: Causes and Solutions for Adults

Heart rate Hello, I am a 55-year-old male. My blood pressure is within normal limits, but my heart rate is as high as 90, sometimes even reaching 100, without any vigorous exercise. In the past, I had low blood pressure, and my heart rate was in the range of 80 to 90. I would app...


Dr. Ke Zhengchang Reply:
Hello Peter: A rapid heartbeat with normal blood pressure is generally caused by anxiety or the consumption of caffeinated beverages. It is recommended to visit a cardiology clinic for an electrocardiogram (ECG) examination and treatment.

[Read More] Understanding Elevated Heart Rate: Causes and Solutions for Adults


Understanding Abnormal Heart Palpitations: Causes and When to Seek Help

Abnormal pulsation in the epigastric region? I noticed abnormal pulsations in my epigastric area upon waking up on June 30th. There were strong pulsations for about 5 seconds followed by lighter pulsations for another 5 seconds. After that, I frequently experienced brief mild pul...


Dr. Ke Zhengchang Reply:
Reply to Mr. Charlie: It is common for the general population to experience occasional arrhythmias, and there is no need to reduce regular physical activity. It is recommended to visit a cardiology clinic for an electrocardiogram follow-up examination.

[Read More] Understanding Abnormal Heart Palpitations: Causes and When to Seek Help


Is a Slow Heart Rate Harmful to Your Health? Understanding the Risks and Benefits

Is a slow heartbeat harmful to the body? A friend (weighing approximately 100 kg and standing at 180 cm) underwent a physical examination, and their heart rate was 58 beats per minute. I would like to ask: (1) Under what circumstances can the heart rate slow down? (2) How can it ...


Dr. Ke Zhengchang Reply:
Hello Fion Chen: A heart rate below 60 beats per minute is referred to as bradycardia. There are many causes, but if the rhythm is regular and blood pressure is normal, no treatment is necessary (such as in athletes). However, if the rhythm is irregular and the heart rate is too ...

[Read More] Is a Slow Heart Rate Harmful to Your Health? Understanding the Risks and Benefits


Understanding Left Ventricular Hypertrophy: Symptoms and Implications for Young Adults

Left ventricular hypertrophy (LVH) Hello Doctor, I am 24 years old and have been experiencing some heart issues. I have visited several hospitals for examinations, and some doctors have mentioned left ventricular hypertrophy, while others have referred to mitral valve prolapse or...


Dr. Ke Zhengchang Reply:
Hello Ah-Hui: The electrocardiogram does not have a term for left ventricular high voltage; what you are describing may be left ventricular hypertrophy. If there is no hypertension, it is advisable to follow up with a cardiology clinic for monitoring of the electrocardiogram.

[Read More] Understanding Left Ventricular Hypertrophy: Symptoms and Implications for Young Adults


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