Does Heart Medication Affect Urine Tests and Other Health Check Results? - Cardiology

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Will the Heart Health tablets affect urine tests?


Hello Doctor: The day before yesterday, I was very nervous during my physical examination and couldn't sleep all night.
As a result, my pulse reached 120 when my blood pressure was measured.
To help calm my heart rate, I took a medication called XinKangLe.
Will this affect my urine test? I took the medication about an hour before the urine test, but since the examination includes a drug screening, I'm unsure if it will have any impact.
Additionally, during the electrocardiogram (ECG) test, I was very anxious and kept taking deep breaths and exhaling.
Will this affect the results? Lastly, I would like to ask if my insomnia and not sleeping all night will affect the results of the physical examination.
Thank you for your help in answering my questions.

Cc, 20~29 year old female. Ask Date: 2023/07/29

Dr. Wu Xueming reply Cardiology


Your questions will have no impact.

Reply Date: 2023/07/29

More Info


When it comes to the effects of heart medication on urine tests and other health check results, it is essential to understand the specific medication you are taking and its pharmacological properties. In your case, you mentioned taking "心康樂錠" (which translates to a heart medication, possibly a beta-blocker or similar), primarily to manage your elevated heart rate due to anxiety.
1. Impact on Urine Tests: Generally, most heart medications do not significantly affect the results of routine urine tests. However, certain medications can alter the pH of urine or lead to changes in electrolyte levels, which might be detected in a urine analysis. If the urine test includes a drug screening, it is crucial to inform the testing personnel about any medications you are taking, as some heart medications can potentially lead to false positives or interfere with the interpretation of results. Since you took the medication about an hour before the urine test, it is unlikely to have a significant impact, but transparency about your medication use is always advisable.

2. Effects on Electrocardiogram (ECG): Anxiety can lead to physiological changes, such as increased heart rate and altered breathing patterns, which can affect the results of an ECG. Deep breathing and hyperventilation can cause temporary changes in heart rhythm and may lead to artifacts in the ECG reading. However, if your heart rhythm is generally stable and you have no underlying heart conditions, these effects are usually transient and should not cause concern. It is essential to remain as calm as possible during the test, as anxiety can lead to misleading results.

3. Influence of Sleep Deprivation: Lack of sleep can significantly impact various health check results, including blood pressure and heart rate. Sleep deprivation can lead to increased sympathetic nervous system activity, resulting in elevated heart rates and blood pressure. This can also affect your overall metabolic state, potentially skewing results in blood tests. If you are undergoing a health check, it is advisable to ensure you are well-rested beforehand to obtain the most accurate results.

In summary, while your heart medication is unlikely to significantly affect your urine tests or ECG results, anxiety and sleep deprivation can lead to temporary physiological changes that may influence your health check outcomes. It is always best to communicate openly with your healthcare provider about any medications you are taking and any factors that may affect your health assessments. If you have ongoing concerns about your heart health or the effects of your medication, consider discussing these with your doctor for tailored advice and management strategies.

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