Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Sudden elevation of blood pressure for unknown reasons that remains persistently high..? My father is 75 years old and did not have a habit of regularly monitoring his blood pressure. He would occasionally check it for fun, and his systolic pressure was around 120-130. However, h...
Dr. Wu Xueming Reply:
Please take your medication regularly, maintain a normal routine, engage in regular exercise, and control your salt intake. If your blood pressure remains uncontrolled, please visit the clinic for your physician to adjust your medication.[Read More] Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Understanding Mild Pulmonary Hypertension: Key Questions Answered
Pulmonary hypertension issues? Hello Doctor, I recently had a cardiac ultrasound report. 1. Chamber and function: No chamber dilatation. Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57.8% by M-mode. Normal LV diastolic fun...
Dr. Wu Xueming Reply:
Mild pulmonary hypertension does not require treatment and poses no life-threatening risk; regular monitoring is sufficient.[Read More] Understanding Mild Pulmonary Hypertension: Key Questions Answered
Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Chest tightness and inability to sleep? Hello, doctor. I apologize for the previous message being incomplete due to formatting issues on my phone. I would like to ask for your guidance again. Thank you. I would like to inquire about what type of heart disease my condition may fal...
Dr. He Dongjin Reply:
Hello, the coronary catheterization shows 10% blockage, which does not affect functional capacity. Overall, there seems to be no cardiac issues; it is likely related to anxiety and autonomic nervous system dysregulation. It is recommended to visit a psychosomatic medicine special...[Read More] Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have already had an ultrasound, and the doctor said there were no issues, but I often wake up at night sweating cold, my feet feel cold, and I experience chest tightness and pressure. Sometimes I can't sleep all night, and I have severe palpitati...
Dr. Wu Xueming Reply:
Typical angina occurs during physical activity or heavy lifting, presenting symptoms such as chest tightness or shortness of breath. Patients often have risk factors for heart disease, such as hypertension, diabetes, and smoking. It is recommended that you visit an outpatient cli...[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Mild mitral valve prolapse + exercise electrocardiogram? Hello Doctor: My cholesterol level is 241, and my low-density lipoprotein (LDL) cholesterol is 171. I have not taken any lipid-lowering medications for five years. My father has a history of hypertension, diabetes, and hype...
Dr. Li Han Reply:
Hello, regarding your inquiry, you are experiencing chest tightness and stabbing pain; however, the exercise electrocardiogram was able to complete the fourth stage of the BRUCE protocol, showing only exercise-induced dyspnea without the aforementioned chest tightness symptoms. F...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Understanding Raised Veins and Discomfort After Injection: What to Do?
The veins on the back of the hand are prominently protruding, accompanied by a sensation of foreign body presence? Hello Dr. Lee, I referred to the response in <a href="https://adoctor.tw/article/62631">#62631</a>. I had knee surgery a month ago (hospitalize...
Dr. Li Han Reply:
Hello, it may be superficial venous thrombophlebitis. You may want to consult your trusted family physician to see if a referral is necessary. The Changhua Hospital, Ministry of Health and Welfare, cares about you.[Read More] Understanding Raised Veins and Discomfort After Injection: What to Do?
Why Inderal May Be Losing Its Effectiveness Over Time
I gradually feel that Inderal is becoming ineffective? Hello Doctor: I have mitral valve prolapse and tricuspid valve prolapse, and I occasionally experience arrhythmias and increased heart rate due to anxiety. During my student years, I first took Inderal (I am now in my fifties...
Dr. He Dongjin Reply:
Hello, please discuss adjusting your medication with your attending physician. Changhua Hospital cares about you.[Read More] Why Inderal May Be Losing Its Effectiveness Over Time
Understanding Dizziness and Blood Pressure: When to Seek Help
Dizziness and blood pressure? Hello, at the end of November, I experienced a spike in blood pressure up to 200 while in Germany and went to the emergency room. I was prescribed two medications: Metoprolol and Diltiazem 80 mg. After taking them for three days, I returned to Taiwan...
Dr. He Dongjin Reply:
Hello, not all discomfort is caused by blood pressure, but discomfort can lead to fluctuations in blood pressure, causing symptoms like head heaviness and dizziness, as well as numbness in the face and back of the head. It would be advisable to consult a neurologist. For now, the...[Read More] Understanding Dizziness and Blood Pressure: When to Seek Help
Understanding VPCs: When to Worry and When to Seek Cardiovascular Care
Arrhythmia Hello, Doctor. Recently, I've been experiencing more frequent ventricular premature contractions (VPCs) and feeling uncomfortable, often fearing that my heart will suddenly race. If I ignore them for a while, will they gradually improve like before? Is it really n...
Dr. He Dongjin Reply:
Hello, elevated LDH levels are not significant; just monitor it. VPCs can occur intermittently, but they will gradually improve. Don't worry. Changhua Hospital cares about you.[Read More] Understanding VPCs: When to Worry and When to Seek Cardiovascular Care
Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. After falling ...
Dr. He Dongjin Reply:
Hello, it doesn't seem to be a heart issue. A cardiac catheterization showed that one blood vessel is 10% blocked, which is not concerning. It may be related to cervical spine issues or autonomic nervous system problems. I recommend seeing a neurologist for further evaluatio...[Read More] Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Managing Headaches: Understanding Anemia and Cholesterol Issues
Occasional headaches? The health check report shows an anemia index of over 11, elevated triglycerides, and high-density lipoprotein (HDL) cholesterol levels. Is it safe to take -Toren?
Dr. Wu Xueming Reply:
The treatment for high blood lipids should be determined based on the patient's values and the risk of cardiovascular disease. Please consult with a physician in the outpatient clinic for further discussion.[Read More] Managing Headaches: Understanding Anemia and Cholesterol Issues
Can You Take Fish Oil and Vitamin E While on Blood Thinners?
Should individuals taking anticoagulants also take fish oil and vitamin E? Hello, I am currently taking clopidogrel 75mg once daily and dipyridamole 25mg three times daily. Can I take one capsule of NatureMade Vitamin E (400 IU (180 mg)) daily? Additionally, can I take one capsul...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation with your attending physician. Wishing you good health. Thank you![Read More] Can You Take Fish Oil and Vitamin E While on Blood Thinners?
Understanding Arrhythmias: Insights from Myocardial Perfusion Imaging
Arrhythmia Due to angina, a cardiac rhythm examination was performed, and the 24-hour Holter monitor results showed sinus rhythm. A stress and redistribution myocardial perfusion scan was subsequently conducted, with the following results: 1. Mild severity, reversible perfusion...
Dr. Wu Xueming Reply:
The myocardial scan shows signs of myocardial hypoxia. Please take your medication regularly and return for follow-up. If symptoms persist, discuss with your physician whether a cardiac catheterization is necessary.[Read More] Understanding Arrhythmias: Insights from Myocardial Perfusion Imaging
Medication Consultation for Patients with Heart Stents: Managing Side Effects
Medication Consultation Hello Dr. Wu, I would like to ask about my medication. I have a stent and have been taking medication for over eight months. Recently, in the past month, I have been experiencing increased bloating and belching after taking my medication, which has become ...
Dr. Wu Xueming Reply:
If the medication is prescribed to be taken once a day, it should be taken at the same time every day.[Read More] Medication Consultation for Patients with Heart Stents: Managing Side Effects
Understanding Your Echocardiogram Report: Key Insights for Heart Health
Regarding the echocardiogram report? Please help me review the ultrasound report and identify any areas of concern. I often experience shortness of breath and a rapid heartbeat when climbing stairs, which prompted the examination. 1. The heart chambers are of normal sizes. 2. T...
Dr. He Dongjin Reply:
Hello, the report is fine. There's nothing to worry about; just observe. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram Report: Key Insights for Heart Health
Understanding Your Echocardiogram Report: Key Points to Note
Regarding the echocardiogram report? Please help me review the ultrasound report and point out any areas of concern. I often experience shortness of breath and a rapid heartbeat when climbing stairs, which is why I underwent the examination. 1. Heart chambers were of normal siz...
Dr. He Dongjin Reply:
Hello, the report is fine; just observe. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram Report: Key Points to Note
Understanding Your Echocardiogram Report: Key Points to Note
Regarding the echocardiogram report? Please help me review the ultrasound report and identify any areas of concern. I often experience shortness of breath and a rapid heartbeat when climbing stairs, which prompted the examination. 1. The heart chambers are of normal sizes. 2. T...
Dr. He Dongjin Reply:
Hello, the report is fine; just observe it. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram Report: Key Points to Note
Can L-Arginine Supplements Benefit Heart Health in Hypertension Patients?
Nutritional supplementation Doctor: Hello, I have hypertension and moderate to severe mitral regurgitation (I do not feel any discomfort in daily life). In mid-October, during a cardiac catheterization, a stenosis was found, and a stent was placed. I am currently taking [Candesar...
Dr. He Dongjin Reply:
Hello, the addition of arginase as a health supplement is generally acceptable. Changhua Hospital cares about your well-being.[Read More] Can L-Arginine Supplements Benefit Heart Health in Hypertension Patients?
Understanding Atrial Fibrillation: Risks, Treatment, and Management Tips
Atrial fibrillation Hello Doctor, I was recently diagnosed with atrial fibrillation by a hospital physician. The doctor mentioned that this condition increases the risk of stroke, and that if there are no risk factors, I do not need to take anticoagulants. However, my blood press...
Dr. He Dongjin Reply:
Hello, 1. What are the dangers of long-term use? The side effects of medications vary from person to person; not everyone experiences them, and most people do not. In fact, not taking the medication may increase the risk of stroke. Comparing the two, it is advisable to continue...[Read More] Understanding Atrial Fibrillation: Risks, Treatment, and Management Tips
Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Heart rate issues Hello, Doctor. A few years ago, I underwent catheter-based medication treatment for cardiac spasms and have been taking autonomic nervous system medications long-term. I use a ventilator at night due to sleep apnea and also take cardiology medications including ...
Dr. He Dongjin Reply:
Hello, this symptom does not seem to indicate a heart problem and should be monitored. For heart spasms and chest pain, sublingual tablets should be administered first, followed by observation. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues: When to Seek Immediate Medical Attention