When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients
When should medication be taken for blood pressure? I am a patient with arrhythmia (premature ventricular contractions) and have undergone catheter ablation. I am currently taking one antiarrhythmic medication daily. My blood pressure tends to be low in the summer (80-110) and hi...
Dr. He Dongjin Reply:
Hello, it seems more like winter weather. The unstable atmospheric pressure may cause dizziness and lightheadedness, leading to fluctuations in blood pressure, which may not necessarily indicate hypertension. Taking antihypertensive medication could potentially worsen discomfort....[Read More] When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients
Important Medication Considerations for Patients Taking Kankun
Other precautions for using Kangken medication? Hello, doctor! I would like to ask about taking 5 mg of Kankun. If I have cold symptoms, what ingredients in over-the-counter medications should I be cautious about? Can I take Tylenol directly for headaches? If I have motion sickne...
Dr. Wu Xueming Reply:
There are no significant interactions between Kankun, Panadol, and common cold medications.[Read More] Important Medication Considerations for Patients Taking Kankun
Understanding Symptoms of Heart Failure: Key Questions Answered
Symptoms of suspected heart failure? Hello, Doctor. I was diagnosed two years ago, and for the two months following that, I didn't rest properly, often only getting a little over 5 hours of sleep. A few times, I experienced shortness of breath while climbing stairs and talki...
Dr. Wu Xueming Reply:
1. Based on your symptoms and examination reports, it is not heart failure. 2. Mild mitral valve prolapse is congenital and unrelated to heart failure. 3. No need for further action. 4. It is not. 5. If urination requires straining, it is advisable to consult a urologist,...[Read More] Understanding Symptoms of Heart Failure: Key Questions Answered
Understanding Blood Pressure Fluctuations After Stopping Medication
Blood pressure issues Hello, doctor. At the end of January, I had a blood pressure reading of 160/110 at the clinic, so the doctor prescribed the antihypertensive medication Amlodipine 5/40, which I took once daily for five days. After discussing with the doctor, I decided to sto...
Dr. Wu Xueming Reply:
1. It is possible. 2. In May 2022, the Taiwan Society of Cardiology and the Taiwan Hypertension Society published guidelines that officially adjusted the definition of hypertension from 140/90 mmHg to 130/80 mmHg. It is recommended to measure blood pressure using "home blood...[Read More] Understanding Blood Pressure Fluctuations After Stopping Medication
Understanding Persistent Left Chest Discomfort: Causes and Solutions
Prolonged discomfort and mild pain in the left chest? At 32 years old, I have no bad habits such as smoking or drinking. Currently, I am taking medication for high blood pressure. Before starting the medication, my blood pressure was around 165/90, but now it is controlled to abo...
Dr. Wu Xueming Reply:
If coronary artery disease is suspected, an exercise electrocardiogram or a nuclear medicine myocardial perfusion scan can be performed for evaluation.[Read More] Understanding Persistent Left Chest Discomfort: Causes and Solutions
Understanding Blood Pressure Fluctuations, Tinnitus, and Panic Disorders
Blood pressure fluctuations, tinnitus, and panic disorder? Hello Doctor, thank you for taking the time to advise me. A few months ago, I experienced an increase in blood pressure due to taking traditional Chinese medicine, which triggered a recurrence of my panic disorder (I have...
Dr. He Dongjin Reply:
Hello, first of all, you do not have hypertension, and blood pressure fluctuations are normal, especially since you are aware of your panic issues, which can make the fluctuations more pronounced. In this situation, a daytime systolic blood pressure of 130-140, with a usual range...[Read More] Understanding Blood Pressure Fluctuations, Tinnitus, and Panic Disorders
Heart Palpitations and Myocardial Infarction After Antihistamine Injection
The injection of "Diphenhydramine Hydrochloride" from Chang Gung has led to palpitations and myocardial infarction, and the pain has persisted for three years. I feel like I want to die? Antihistamine Diphenhydramine Hydrochloride has caused palpitations. Since I receiv...
Dr. Wu Xueming Reply:
Regarding your symptoms, it is recommended to visit a cardiology clinic for further evaluation.[Read More] Heart Palpitations and Myocardial Infarction After Antihistamine Injection
Understanding ST Segment Changes in ECG: Insights for Heart Health
Interpretation of ST Segment in Electrocardiogram (ECG) Hello Dr. Wu, I apologize for the interruption. I do not have hypertension, diabetes, or hyperlipidemia. I am 172 cm tall and weigh 73 kg, and I usually have a habit of exercising. Recently, I have been recovering from APL a...
Dr. Wu Xueming Reply:
To determine the presence of coronary artery disease, it is recommended to perform an exercise electrocardiogram, as a resting electrocardiogram cannot assess non-specific ST changes.[Read More] Understanding ST Segment Changes in ECG: Insights for Heart Health
Understanding Dizziness and Neck Tightness: Heart Health Insights
Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...
Dr. Li Han Reply:
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...[Read More] Understanding Dizziness and Neck Tightness: Heart Health Insights
Understanding CRP Levels and Heart Health: What Your Test Results Mean
Examination report issues? I would like to ask about a situation that occurred a few days ago. After experiencing vomiting and diarrhea, I felt discomfort in my chest and went to the emergency room. Blood tests and an electrocardiogram (ECG) were performed, and the doctor mention...
Dr. He Dongjin Reply:
Hello, elevated CRP levels along with vomiting and diarrhea may indicate a bacterial infection. It is advisable to follow up with an infectious disease specialist. Best wishes from Changhua Hospital.[Read More] Understanding CRP Levels and Heart Health: What Your Test Results Mean
Understanding Extracranial Ultrasound Reports: A Guide for Patients
Supplement #206367 Extracranial Ultrasound Examination Report Hello Doctor: Below is the report from my mother's consultation with a neurologist. Since she has not yet returned for a follow-up, please assist with the interpretation. Thank you! Additionally, I would like to m...
Dr. Li Han Reply:
Hello, based on the neck ultrasound report, there are currently no significant signs of obstruction. At this time, there is no evidence to support the use of antithrombotic medications for primary prevention (unless there is diabetes or known atherosclerotic cardiovascular diseas...[Read More] Understanding Extracranial Ultrasound Reports: A Guide for Patients
Post-Stent Surgery: Understanding Symptoms and Potential Risks
Condition after the installation of a cardiac stent? Hello doctor, it has been 2 months since I underwent stent surgery. Recently, I have been experiencing intermittent shortness of breath, as well as chest pain, back pain, and stomach pain (which can be relieved by pressing). La...
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] Post-Stent Surgery: Understanding Symptoms and Potential Risks
Do I Need Antibiotics Before Dental Cleaning with Valve Regurgitation?
Valvular insufficiency Hello Doctor, I have mild to moderate mitral valve and aortic valve regurgitation. I would like to ask if I need to take antibiotics before going to the dentist for a teeth cleaning? Should I take them beforehand, afterward, or either way? Thank you, Doctor...
Dr. Wu Xueming Reply:
You do not need to take antibiotics for prophylaxis unless you have had a prosthetic heart valve replacement, valve repair surgery, or a history of infective endocarditis.[Read More] Do I Need Antibiotics Before Dental Cleaning with Valve Regurgitation?
Understanding Persistent Palpitations After Allergy Shot: A Heart Health Concern
Severe palpitations throughout the day? Since I received an injection at Chang Gung (which I believe was an allergy shot), I have been experiencing daily palpitations, shortness of breath, and difficulty walking. My legs feel weak and cold, with icy soles, and I break out in cold...
Dr. Wu Xueming Reply:
This does not seem like a symptom of heart failure, but I recommend that you visit the hospital outpatient department for an electrocardiogram and other tests.[Read More] Understanding Persistent Palpitations After Allergy Shot: A Heart Health Concern
Understanding EKG Reports: Insights for Patients with APL and Dyspnea
Report Interpretation Hello Dr. Wu, Earlier this year, I experienced shortness of breath and underwent an electrocardiogram (EKG) test. Subsequently, I was diagnosed with acute promyelocytic leukemia (APL) and have been receiving treatment. I have two EKG reports that I couldn&#...
Dr. Wu Xueming Reply:
The electrocardiogram report does not show any significant abnormalities.[Read More] Understanding EKG Reports: Insights for Patients with APL and Dyspnea
Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Blood pressure issues? Hello Doctor, I started experiencing dizziness around the Lunar New Year when I returned to work, but I did not have dizziness during my time off. Starting from February 27, the dizziness suddenly worsened, and I felt dizzy all day long. I even began to exp...
Dr. Wu Xueming Reply:
Your blood pressure readings are within the normal range, so there is no need to worry.[Read More] Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Medication consultation Hello, doctor. Six months ago, I visited a cardiology clinic due to chest tightness, and the examination results showed no issues. However, a check-up at a psychosomatic clinic indicated autonomic nervous system dysfunction. Due to the chest tightness and ...
Dr. Wu Xueming Reply:
1. Will long-term use of these three medications affect the body? Besides low blood pressure and slow heart rate, are there any other effects? 2. Can I stop taking the medication abruptly and resume if I experience symptoms? It is not advisable to stop prescribed medications wi...[Read More] Long-Term Effects of Heart Medications: Dos and Don'ts for Patients
Understanding Your Mother's Heart Test Results: Key Insights and Implications
Could you please help me review my mother's heart examination report (dated March 6, 2024)? Echocardiogram (including single and dual views) Result: TAPE NO. < SC 2000 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < ...
Dr. Wu Xueming Reply:
The report indicates left atrial enlargement and moderate to severe mitral regurgitation, with normal systolic function of the left ventricle.[Read More] Understanding Your Mother's Heart Test Results: Key Insights and Implications
Understanding Atrial Premature Contractions: Causes and Management Strategies
Hello doctor, how can I determine whether my atrial premature contractions are due to abnormal electrical discharges from a specific area in the atrium or caused by autonomic nervous system dysregulation leading to erratic signals, especially after a long period of time? Cardiolo...
Dr. Wu Xueming Reply:
Atrial premature contractions are not the same as atrial fibrillation; they can occur in normal individuals. Myoclonic jerks can also manifest in the myocardium. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or ex...[Read More] Understanding Atrial Premature Contractions: Causes and Management Strategies
Understanding VPC Recurrence After Catheter Ablation: Key Insights
Regarding the issue of recurrence after VPC (Ventricular Premature Contractions) ablation? Hello, doctor! I have a condition known as ventricular premature contractions (VPC), with a daily occurrence that fluctuates significantly, ranging from as few as 1,000 to nearly 20,000. Ab...
Dr. Huang Yinghe Reply:
Hello: It is possible for the heart to have different abnormal electrical discharge points. When only some of these discharge points are addressed during surgery, the remaining points may not be affected, which can lead to recurrence. After ablation, it is also possible for these...[Read More] Understanding VPC Recurrence After Catheter Ablation: Key Insights