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Managing Rapid Heartbeat: Insights on Propranolol and Hypertension

Tachycardia Hello, doctor. I have been experiencing symptoms of rapid heartbeat since the end of March this year. I have a history of hypertension and am currently taking antihypertensive medication. My heart rate is consistently around 80 to 90 beats per minute in the morning, a...


Dr. Bai Xiyan reply Cardiology
Thank you for your inquiry. 1. The causes of tachycardia include hyperthyroidism, anemia, dehydration, fever, anxiety, and other issues. It can also be influenced by autonomic nervous system disorders, certain medications, caffeine, and tea. To manage palpitations, it is essent...

[Read More] Managing Rapid Heartbeat: Insights on Propranolol and Hypertension


Managing Blood Pressure: Can Viagra Affect Your Heart Medications?

Medication consultation Hello, I recently started taking Concor 1.25 mg tablets and Exforge (combination of 5/80 mg) in the morning due to blood pressure issues. Previously, I would take Viagra (sildenafil) once a week for erectile dysfunction. I would like to ask: 1. Could takin...


Dr. Bai Xiyan reply Cardiology
1. Not necessarily related. 2. Concor belongs to the class of beta-blockers, which may affect sexual function. The use of Viagra may not be suitable in combination with certain medications such as nitrates and sorbitrate. It is advisable to consult a urologist for guidance on its...

[Read More] Managing Blood Pressure: Can Viagra Affect Your Heart Medications?


Managing Blood Pressure Medication: Is My Dosage Too High?

Blood pressure medication issues? Hello Doctor: I am 48 years old and have been taking antihypertensive medication since January 2017. Initially, I was taking Amlodipine 80 mg every afternoon, but within just two years, my medication has increased to Amlodipine 80 mg in the morni...


Dr. Bai Xiyan reply Cardiology
Hello! Typically, measuring blood pressure in the morning and evening can help determine if it is stable and within 140/90 mmHg. Blood pressure tends to fluctuate with age, and it is more common for women around the age of 50 to experience instability during menopause. Your curre...

[Read More] Managing Blood Pressure Medication: Is My Dosage Too High?


Understanding the Side Effects of Diltiazem on Gastroesophageal Reflux

Side effects of sedative medications? Doctor, I have started experiencing gastroesophageal reflux after taking Dexamethasone. I read in the news that certain antihypertensive medications can cause relaxation of the lower esophageal sphincter, leading to gastroesophageal reflux as...


Dr. Bai Xiyan reply Cardiology
The most common side effects of the antihypertensive medication Diovan include: dizziness (3.6%), headache (9.8%), diarrhea (5%), drowsiness (2.1%), cough (1-3%), and fatigue (2%). Other possible side effects include nausea, abdominal pain, back pain, joint pain, and blurred visi...

[Read More] Understanding the Side Effects of Diltiazem on Gastroesophageal Reflux


Sudden Cold Weather: Understanding Heart Discomfort and Seeking Help

The sudden drop in temperature has caused discomfort in the heart? Hello, doctor. Recently, with the significant changes in weather, I have been experiencing shortness of breath and chest tightness, making it difficult for me to sleep at night. I have not had similar issues in th...


Dr. Bai Xiyan reply Cardiology
Ms. HsinWen, I hope you are well: Every year, as the weather gets colder, there is a notable increase in cases of cardiovascular issues and asthma. It is essential to focus on health maintenance in our daily lives, which includes maintaining a regular routine, balanced diet, mode...

[Read More] Sudden Cold Weather: Understanding Heart Discomfort and Seeking Help


Should You See a Doctor for Elevated Blood Pressure and Heart Rate?

Should I see a doctor if my blood pressure and heart rate are elevated? Hello doctor, I have been recording my blood pressure and heart rate every morning before getting up, and I have been trying to lose weight recently. However, my weight hasn’t changed in a month, so this week...


Dr. Bai Xiyan reply Cardiology
The response to the user's question is as follows: 1. It is speculated that the user is a young woman, but we do not know her weight, height, or BMI. BMI is calculated as weight (in kilograms) divided by height (in meters) squared. In Taiwan, a normal BMI for adults is gen...

[Read More] Should You See a Doctor for Elevated Blood Pressure and Heart Rate?


Chronic Left Chest and Back Pain: Heart Issues or Acid Reflux?

Chronic pain in the left chest, left back, and left armpit? Hello doctor, I am 34 years old and weigh 135 kilograms. For the past five years, I have been experiencing pain in my left chest, left back, and left armpit. The pain is persistent, and sometimes it is accompanied by sho...


Dr. Bai Xiyan reply Cardiology
The response to the chest pain inquiry from an online user is as follows: 1. Chest pain can arise from various locations and may include conditions such as angina pectoris, aortic dissection, pericarditis, pulmonary embolism, mitral valve prolapse, pleuritis, myositis, neuralgi...

[Read More] Chronic Left Chest and Back Pain: Heart Issues or Acid Reflux?


Understanding Heart Pain: Is It a Serious Condition?

Chest pain? Last week, after finishing a meal, I brushed my teeth and suddenly felt a sharp pain on the left side of my chest, as if I had been stabbed with a needle. It felt strange. A week later, I experienced a similar sharp pain on the right side, so I decided to massage my c...


Dr. Bai Xiyan reply Cardiology
Responses to the chest pain question posed by a netizen are as follows: 1. Chest pain can arise from various locations and may include conditions such as angina, aortic dissection, pericarditis, pulmonary embolism, mitral valve prolapse, pleuritis, myositis, neuralgia, gastroesop...

[Read More] Understanding Heart Pain: Is It a Serious Condition?


Understanding Sudden High Blood Pressure: Risks and Next Steps

Sudden spike in blood pressure? Hello, doctor. My family member's blood pressure suddenly spiked to 168/118 in the morning, accompanied by severe dizziness and nausea. Since it was a holiday, the hospital outpatient services and clinics were closed, so we quickly took medica...


Dr. Bai Xiyan reply Cardiology
Hello Ms. Jiang, regarding the issue of your family member's unstable blood pressure, it is important to note that hypertension is typically a chronic condition and often coexists with diabetes and hyperlipidemia, all of which are risk factors for cardiovascular diseases. Th...

[Read More] Understanding Sudden High Blood Pressure: Risks and Next Steps


Chest Tightness and Rapid Heartbeat: Seeking Answers Beyond Cardiology

When lying down, I experience chest tightness and a sensation of a rapid heartbeat, with blood pressure readings around 60 to 70 bpm? Hello doctor: I am 163 cm tall and weigh 150 kg. At the beginning of July, I was still 160 kg, but I have recently lost 10 kg. Lately, I often wak...


Dr. Bai Xiyan reply Cardiology
Note: Symptoms of chest tightness and palpitations are somewhat related to obesity, and please pay attention to slightly elevated blood pressure. Although X-rays and electrocardiograms show no abnormalities, it is still necessary to check cholesterol, blood lipids, liver, and kid...

[Read More] Chest Tightness and Rapid Heartbeat: Seeking Answers Beyond Cardiology