Do You Need Heart Medication for a Heart Rate of 80-90?
A heart rate of 80 to 90 beats per minute typically falls within the normal range for adults. Whether or not to take heart medication depends on various factors, including overall health, the presence of Hello, doctor! I am a patient with hypertension. My heart rate used to be be...
Dr. Li Shengkai reply Cardiology
A normal heart rate ranges from 60 to 100 beats per minute, so your heart rate is within the normal range. Additionally, since you are not experiencing any discomfort, no special treatment is necessary.[Read More] Do You Need Heart Medication for a Heart Rate of 80-90?
Is Your Heart Rate Too High During Exercise? Understanding Safe Limits
Breathing and heart rate issues during exercise? When I run, if I push myself to run faster and longer, my heart rate stays close to 160 beats per minute for several minutes. Given my age, this seems too high, but since I have a consistent exercise routine, I don't feel shor...
Dr. Li Shengkai reply Cardiology
The maximum heart rate is typically calculated by subtracting your age from 220. Therefore, if you are not experiencing any discomfort, maintaining a heart rate of 160 beats per minute is generally acceptable. It is very beneficial to maintain a healthy exercise routine, so you c...[Read More] Is Your Heart Rate Too High During Exercise? Understanding Safe Limits
Can You Take D3+K2 Supplements with Blood Pressure Medications?
Issues with dietary supplements and antihypertensive medications? Hello, doctor. I am currently taking 5 mg of Amlodipine daily. Due to accompanying tinnitus symptoms, I use 2 mg of Diazepam before bed. Recently, I saw recommendations for a combination of D3 and K2 to reduce calc...
Dr. Li Shengkai reply Cardiology
Upon investigation, Amlodipine (Norvasc) does not have any significant interactions with Vitamin D3. Therefore, the two medications you mentioned (Amlodipine & Diazepam) and the health supplements (D3 + K2) can be taken together.[Read More] Can You Take D3+K2 Supplements with Blood Pressure Medications?
Interactions Between Blood Pressure Medications and Other Drugs
Interactions between antihypertensive medications and other drugs? I am currently taking Norvasc (Amlodipine) 5 mg for blood pressure management, but I also visited another specialist who prescribed the following two medications to be taken at bedtime: Fluzine (Fluoxetine) 5 mg a...
Dr. Li Shengkai reply Cardiology
Norvasc is a commonly used antihypertensive medication with a long half-life, so even if you forget to take it for a day, your blood pressure will likely remain normal. The three medications you mentioned can be taken together without significant interactions, and if you prefer c...[Read More] Interactions Between Blood Pressure Medications and Other Drugs
Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
The estimated systolic pulmonary artery pressure is 34 mmHg. Should this be monitored? Hello Doctor, I visited the cardiology department last year due to chest tightness and palpitations. The examination report at that time is as follows, and I would like to know if I should retu...
Dr. Li Shengkai reply Cardiology
According to the definition, pulmonary hypertension is indicated when the pulmonary artery pressure exceeds 25 mmHg at rest or 30 mmHg during exercise. Based on your echocardiogram report, the result was 34 mmHg, which should be monitored further. Additionally, the report mention...[Read More] Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
Understanding Heart Rhythm Disorders: Medication Insights and Management
Medication Consultation for Arrhythmia I would like to ask about my previous issues with premature ventricular and atrial contractions, where I often feel my heart suddenly beating irregularly and forcefully. The doctor prescribed me antiarrhythmic medication, which I took for a ...
Dr. Li Shengkai reply Cardiology
The ingredients of Xinlu Tablets and Xinkang Tablets are the same, with the difference being the dosage; Xinlu Tablets contain 10mg, while Xinkang Tablets contain 40mg. This medication acts quickly and has a short duration of effect, and long-term use is not expected to have sign...[Read More] Understanding Heart Rhythm Disorders: Medication Insights and Management
Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Blood pressure issues I have a habit of measuring my blood pressure in the morning and evening, and it has typically been in the range of 100-120/70-90. Recently, I have been experiencing unexplained pain in my left shoulder, left chest, left arm, and armpit. The pain is quite no...
Dr. Li Shengkai reply Cardiology
Blood pressure is normal; if you measure an unusually high or low reading compared to your usual levels, it is recommended to rest and measure again. If blood tests show elevated lipid levels, dietary adjustments along with exercise can help lower them. If you continue to experie...[Read More] Understanding Blood Pressure Changes and Chest Pain: When to Seek Help
Persistent Bruising After Car Accident: When to Seek Medical Attention?
Three months after the car accident, there is some discoloration from the subcutaneous hematoma? Hello doctor, I had a motorcycle accident in mid-June, and I developed a large hematoma on the front of my thigh. After receiving acupuncture from a traditional Chinese medicine pract...
Dr. Li Shengkai reply Cardiology
Hematomas typically resolve on their own within two to three weeks. If they do not dissipate after a prolonged period, it is important to consider potential hematological issues; relevant information can be obtained from a hematologist or an oncologist specializing in hematology.[Read More] Persistent Bruising After Car Accident: When to Seek Medical Attention?
Managing Low Blood Pressure After Heart Valve Surgery: Key Insights
Low blood pressure due to heart problems? Hello Dr. Lee, I am 66 years old and it has been three years since my heart valve repair surgery. My blood pressure has consistently been low, with recent systolic readings between 92-98 mmHg and diastolic readings between 57-62 mmHg. Gen...
Dr. Li Shengkai reply Cardiology
After heart surgery, there should not be any significant impact on blood pressure, so your low blood pressure may have other causes. It is recommended to discuss this with your surgeon during your follow-up appointment. If you often experience dizziness due to changes in posture,...[Read More] Managing Low Blood Pressure After Heart Valve Surgery: Key Insights
Understanding Rapid Heartbeat: Causes and Concerns for Obese Individuals
Rapid heartbeat? Recently, when I lie down to sleep, I feel a pulsating sensation in the back of my head, along with my heart beating rapidly. I also have a bit of a weight problem. What kind of condition could this be?
Dr. Li Shengkai reply Cardiology
Palpitations and tachycardia are primarily evaluated with an electrocardiogram (ECG). Additionally, it is important to consider conditions such as anemia, thyroid disorders, endocrine diseases, or electrolyte imbalances. These can be further assessed through blood tests in conjun...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Obese Individuals
Understanding Echocardiogram Reports: Key Insights for Cardiovascular Health
Echocardiogram Interpretation 1. Chamber and Function - Left Atrium (LA), Right Atrium (RA), Left Ventricle (LV) dilatation - Eccentric Left Ventricular Hypertrophy (LVH) - Adequate global Left Ventricular (LV) systolic function, LV Ejection Fraction (LVEF) = 67% by M-mode ...
Dr. Li Shengkai reply Cardiology
According to the echocardiogram report you provided: left atrial and right atrial enlargement, left ventricular chamber enlargement, left ventricular hypertrophy, normal cardiac systolic function, abnormal cardiac diastolic function, normal right ventricular function, acceptable ...[Read More] Understanding Echocardiogram Reports: Key Insights for Cardiovascular Health
Understanding Postural Hypotension: Symptoms and Concerns Explained
Orthostatic hypotension It is suspected that the individual may be experiencing orthostatic hypotension. While bending down to pick something up, they noticed sensations resembling retrograde blood flow to the nasal cavity. Currently, there is no obstruction in breathing, but the...
Dr. Li Shengkai reply Cardiology
The use of antihypertensive medications, aging leading to impaired vascular regulation, or dehydration can all contribute to "orthostatic hypotension." This condition can be improved by adjusting medications or by slowing down the rate of position changes. Orthostatic h...[Read More] Understanding Postural Hypotension: Symptoms and Concerns Explained
Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Rapid heartbeat Dear Dr. Lee, I apologize for bothering you. I would like to ask about my situation this month. I had a normal echocardiogram and a 24-hour Holter monitor, but I have been experiencing persistent episodes of tachycardia. My heart rate is 50-60 while sleeping, but ...
Dr. Li Shengkai reply Cardiology
If all objective tests are normal, you can actually feel reassured. If there is still something that has been overlooked, I think it would be important to check for hyperthyroidism or anemia. Additionally, I strongly recommend consulting a psychiatrist for further evaluation.[Read More] Understanding Rapid Heartbeat: Causes, Concerns, and Solutions
Why Blood is Drawn from the Elbow: Understanding Venipuncture Techniques
Blood draw issues 1. Why is blood drawn from the veins near the elbow joint instead of the veins on the back of the hand? The veins on the back of the hand seem more prominent; is it to avoid hitting the underlying bone? 2. Why does tapping the area where blood will be drawn mak...
Dr. Li Shengkai reply Cardiology
In fact, blood can be drawn from any blood vessel in the body, but the area around the elbow joint is more commonly used because it is easier to access. The laboratory staff is also very accustomed to drawing blood from that location. Tapping the area can cause tissue swelling, w...[Read More] Why Blood is Drawn from the Elbow: Understanding Venipuncture Techniques
Understanding Echocardiogram Results: Key Insights for Heart Health
Echocardiography Hello Dr. Li, could you please help me understand the contents of the echocardiogram? Are there any issues? Thank you very much, doctor. 112/6/7 ECHO: Transthoracic echocardiography M-mode (Normal data) 1️⃣ Aorta/LA (23-37/18-38mm) 26 / 32 2️⃣ IVS/LVPW (6-1...
Dr. Li Shengkai reply Cardiology
According to your echocardiogram report, there are no major issues with your heart; at most, there is diastolic dysfunction, which may be a change related to aging and does not require excessive concern. However, since I have not examined you directly, it would be more appropriat...[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding Low Heart Rate: When to Seek Medical Advice
Heart rate below 60 beats per minute? Hello Doctor: My average heart rate is around 55 beats per minute, and sometimes it drops below 50 beats per minute (as measured by my fitness tracker). Besides feeling extremely fatigued every day, I don't have any other significant dis...
Dr. Li Shengkai reply Cardiology
A normal heart rate is about 60 to 100 beats per minute. A heart rate that is too slow can cause symptoms such as weakness, fatigue, and dizziness. Your discomfort may be due to bradycardia. If the condition persists, it is advisable to visit a hospital for an evaluation. Common ...[Read More] Understanding Low Heart Rate: When to Seek Medical Advice
Red Dots and Purple Swelling on Finger Joints: What Could It Be?
There are red spots on the finger joints with purple protrusions? Hello, doctor. About two years ago, I experienced pain in the joint of my left thumb when pressing on it, so I consulted an orthopedic specialist. After an X-ray, the doctor indicated that there was no issue and pr...
Dr. Li Shengkai reply Cardiology
Based on your description, it is important to consider whether it is vasculitis. It is recommended to consult a rheumatologist for further evaluation.[Read More] Red Dots and Purple Swelling on Finger Joints: What Could It Be?
Understanding Your Echocardiogram: Do You Need Further Testing for Pulmonary Hypertension?
Echocardiogram Report Hello, doctor. In 2020, I had an echocardiogram that indicated pulmonary hypertension, but the physician did not inform me, did not prescribe any medication, and did not recommend further testing. Currently, I do not have any symptoms of pulmonary hypertensi...
Dr. Li Shengkai reply Cardiology
According to your echocardiogram report, it indeed confirms the diagnosis of pulmonary hypertension. Further examinations can be conducted to check for other pulmonary diseases, thromboembolic conditions, or rheumatologic and autoimmune disorders. If pulmonary hypertension is asy...[Read More] Understanding Your Echocardiogram: Do You Need Further Testing for Pulmonary Hypertension?
Understanding High Diastolic Blood Pressure: When to Seek Medical Advice
Diastolic hypertension Hello, doctor. I have a habit of measuring my blood pressure. My systolic pressure has consistently been in the 110s or 120s, but my diastolic pressure ranges from 80 to 90, sometimes dropping to the 70s and other times rising to the 90s. In early March, I ...
Dr. Li Shengkai reply Cardiology
According to the guidelines from the Taiwan Hypertension Society, a home blood pressure reading exceeding 130/80 mmHg is considered hypertension. Blood pressure measurements should be standardized; it is important to rest for 5-10 minutes before measuring and to avoid vigorous ex...[Read More] Understanding High Diastolic Blood Pressure: When to Seek Medical Advice
Can I Donate Blood with Left Ventricular Hypertrophy?
Can individuals with ventricular hypertrophy donate blood? Hello doctor, I have a habit of donating blood. I have been diagnosed with left ventricular hypertrophy and arrhythmia. Can I continue to donate blood? Thank you.
Dr. Li Shengkai reply Cardiology
According to the current regulations of the Taiwan Blood Services Foundation, individuals with arrhythmias or left ventricular hypertrophy are not eligible to donate blood. Additionally, given your age, the presence of left ventricular hypertrophy and arrhythmias is considered re...[Read More] Can I Donate Blood with Left Ventricular Hypertrophy?