Managing High Blood Pressure: Medication, Heart Rate, and Monitoring
Issues with Hypertension Medications Hello Doctor, the following values are recent averages. My father originally had a blood pressure of 160/120 and a pulse of 85. After taking antihypertensive medication, his blood pressure is now 120/80, but his pulse is 120. My father mention...
Dr. Chen Jili reply Cardiology
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Managing High Blood Pressure: Medication, Heart Rate, and Monitoring
Understanding Heartbeat Irregularities: Is It Related to My Gastritis?
Heart rate issues Doctor, I would like to ask you about my heartbeat. For the past month, I have been very concerned about it and often check my pulse to see if my heartbeat is regular and normal. When I check, my heartbeat is regular, and the rate is normal, around 60 beats per ...
Dr. Chen Jili reply Cardiology
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Heartbeat Irregularities: Is It Related to My Gastritis?
Understanding Your 24-Hour Holter ECG Report: Is It Normal?
Is the 24-hour electrocardiogram report normal? I previously underwent a 24-hour Holter electrocardiogram due to occasional palpitations and arrhythmia symptoms. In addition to these two conditions, I also have a diagnosis code for mitral valve prolapse in my health records. Late...
Dr. Chen Jili reply Cardiology
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Your 24-Hour Holter ECG Report: Is It Normal?
Understanding Heart Rate Variability: Is Your Heartbeat Normal?
Heartbeat issues I have been monitoring my heart rate daily for the past three months, and it typically ranges between 57 and 70 beats per minute. However, I noticed yesterday that my heart rate in the afternoon to evening was around 53 to 57 beats per minute, with a low of 49 at...
Dr. Chen Jili reply Cardiology
It is recommended that you visit a cardiology outpatient clinic to see if any relevant tests are needed. Thank you, and wish you good health![Read More] Understanding Heart Rate Variability: Is Your Heartbeat Normal?
Understanding Borderline Abnormalities in Exercise ECG Tests
Exercise Electrocardiogram Critical Abnormalities Patient Name: LIU Y.N DOB: 1981/09/18 Patient ID: 22188275-81361 Age: 39 yrs Height: 157 cm Gender: FEMALE Weight: 63 kg Race: Study Date: 2021/09/14 Referring Physician: D48997 Test Type: -- Attending Physic...
Dr. Chen Jili reply Cardiology
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Borderline Abnormalities in Exercise ECG Tests
Dietary Restrictions for Heart Patients on Valsartan and Amlodipine
What dietary precautions should my father take while on medication? Hello, I would like to inquire about my father's current medication regimen. He is taking two types of antihypertensive medications: 1. Valsartan 160 mg (film-coated tablet) and 2. Amlodipine 5 mg (tablet). ...
Dr. Chen Jili reply Cardiology
It is advisable for you to discuss the above situation further with your father's attending physician. Thank you, and wishing you good health![Read More] Dietary Restrictions for Heart Patients on Valsartan and Amlodipine
Understanding Recurring Palpitations: Heart vs. Gastrointestinal Issues
Arrhythmia Hello, Doctor. I underwent two catheter ablation procedures for paroxysmal supraventricular tachycardia (PSVT) in 2013 and 2018. I read reports stating that the success rate of this procedure is 90%, and that recurrence should not happen afterward. However, in the past...
Dr. Chen Jili reply Cardiology
I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Recurring Palpitations: Heart vs. Gastrointestinal Issues
Is Your Heart Skipping a Beat After Breakfast? Understanding the Causes
A missed heartbeat? After finishing breakfast, I often experience a missed heartbeat that lasts for about two hours. Occasionally, when I stand up, I also feel a missed heartbeat, but it resolves quickly. Should I be concerned about a heart problem?
Dr. Chen Jili reply Cardiology
It is recommended that you visit a cardiology outpatient clinic to see if any relevant examinations are needed. Thank you, and wishing you good health![Read More] Is Your Heart Skipping a Beat After Breakfast? Understanding the Causes
Why Does My Heart Rate Increase at Night While Lying Down?
Normal during the day, but experiences increased heart rate when lying down at night? Hello Doctor: I have been taking half a 5 mg dose of Concor and a quarter of a 160 mg dose of Datan for about two years without any issues. Recently, my lifestyle and eating habits have not been...
Dr. Chen Jili reply Cardiology
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Why Does My Heart Rate Increase at Night While Lying Down?
Understanding Chest Pain: Is It a Sign of Heart Attack?
Myocardial infarction For the past couple of months, I have been experiencing a tight feeling in my chest muscles every day. When I do chest stretches or raise my arms, the tightness subsides. Occasionally, I feel a sharp pain near my left chest (close to the heart) and recently,...
Dr. Chen Jili reply Cardiology
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant examinations are necessary. Thank you, and wish you good health![Read More] Understanding Chest Pain: Is It a Sign of Heart Attack?
Managing Hypertension: Addressing Dizziness and Nausea Concerns
Blood pressure / dizziness / dry heaving Hello, doctor. My husband has primary hypertension and has been seeing a cardiologist while taking antihypertensive medication for about six months. Before starting the medication, he experienced more severe dizziness, but his dizziness ha...
Dr. Chen Jili reply Cardiology
I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Managing Hypertension: Addressing Dizziness and Nausea Concerns
Can You Stop Heart Rhythm Medication If Symptoms Improve?
Discontinuation of antiarrhythmic medication? Hello Doctor, a few days ago I went to the hospital due to chest pain and palpitations. I underwent a cardiac examination, including an electrocardiogram, and the doctor diagnosed it as normal. I suspect it might be due to recent stre...
Dr. Chen Jili reply Cardiology
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Can You Stop Heart Rhythm Medication If Symptoms Improve?
Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Rapid heartbeat Hello, I have been experiencing episodes of tachycardia for the past two weeks, with my heart rate fluctuating between 107 and 128 beats per minute, then dropping back to 85 to 98. I have repeatedly visited the emergency department at Tzu Chi Hospital, but the doc...
Dr. Chen Jili reply Cardiology
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Understanding Left Ventricular Enlargement: Causes and Implications for Hypertension
Cardiomegaly and hypertension? Hello Doctor, I have a running habit (40-50K per week), usually for about an hour each time. I started this in 2016, but earlier this year I began experiencing issues with high blood pressure (systolic over 140). Recently, I visited a cardiologist f...
Dr. Chen Jili reply Cardiology
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Left Ventricular Enlargement: Causes and Implications for Hypertension
Understanding Your Echocardiogram Report: Key Insights for Patients
I cannot understand the echocardiogram report? Fourteen years ago, I had a myocardial infarction and underwent bypass surgery. On November 27, I had an echocardiogram at National Taiwan University Hospital, and the outpatient physician indicated that my condition is stable. Howev...
Dr. Chen Jili reply Cardiology
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Your Echocardiogram Report: Key Insights for Patients
Understanding Blood Test Results: Anemia Concerns Explained
Two blood test reports? Hello, in March of this year, my blood test report from the health check center showed the following results: red blood cell count: 4.67 million cells/μL, hemoglobin: 13.6 g/dL, hematocrit: 41%, mean corpuscular volume (MCV): 87 fL. In August, I had anothe...
Dr. Chen Jili reply Cardiology
It is advisable to consult the original hospital's health check-up unit and discuss the aforementioned situation. Thank you, and wishing you good health![Read More] Understanding Blood Test Results: Anemia Concerns Explained
Is a Fasting Blood Pressure of 99/45 Normal or a Cause for Concern?
Is a fasting blood pressure of 99/45 normal, or is there a problem? A few months ago, I started experiencing symptoms such as numbness in my hands and feet. After testing, it was found that my glycated hemoglobin levels were elevated. As a result, I changed my diet to avoid fried...
Dr. Chen Jili reply Cardiology
It is recommended that you visit the cardiology outpatient clinic and discuss the aforementioned situation with your attending physician to determine if any relevant examinations are necessary. Thank you, and wishing you good health![Read More] Is a Fasting Blood Pressure of 99/45 Normal or a Cause for Concern?
Assessing the Severity of Early Contractions: A Cardiovascular Perspective
Severity of Premature Contractions Hello, doctor. I recently underwent a 24-hour Holter monitor test, and the report indicated 61 ventricular premature beats (VPBs), 12,270 supraventricular premature beats (SVPBs), and 2,769 SVPB pairs. Is this arrhythmia considered severe? Is th...
Dr. Chen Jili reply Cardiology
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Assessing the Severity of Early Contractions: A Cardiovascular Perspective
Understanding the Shift from Low to High Blood Pressure: Causes and Concerns
Regarding the transition from hypotension to hypertension? Hello, doctor. I have a history of low blood pressure (around 90/60) which seems to run in my family. Recently, without any changes to my lifestyle or diet, and without any weight gain, I suddenly noticed a significant in...
Dr. Chen Jili reply Cardiology
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding the Shift from Low to High Blood Pressure: Causes and Concerns
Understanding Palpitations: Causes, Symptoms, and Solutions
Occasionally experiencing a rapid heartbeat and skipped beats (with the next beat feeling particularly strong)? From time to time, I experience episodes of rapid heartbeat and missed beats (with the next beat feeling particularly strong). This issue has been occurring intermitten...
Dr. Chen Jili reply Cardiology
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Palpitations: Causes, Symptoms, and Solutions