Adjusting Blood Pressure Medication: Safe Dosage Tips and Guidelines
How to increase the dosage of blood pressure medication? Hello Doctor: I have always had low or normal blood pressure. However, about 8 to 9 months ago, I noticed that I seemed to have high blood pressure. I started taking antihypertensive medication six months ago (Caduet 50mg, ...
Dr. Wu Xueming Reply:
It is recommended to maintain the current dosage for now, and then reduce the dosage once blood pressure stabilizes.[Read More] Adjusting Blood Pressure Medication: Safe Dosage Tips and Guidelines
Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Interpretation of Exercise Electrocardiogram Hello Doctor, I recently experienced chest tightness and difficulty breathing, feeling like I couldn't take a full breath, so I made an appointment with a cardiologist. The doctor said that my electrocardiogram (ECG) and echocardi...
Dr. He Dongjin Reply:
Hello, having only one lead with abnormalities may not be a problem. It depends on whether you are experiencing any discomfort. Otherwise, it should be fine to observe for now. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results: What Does Oxygen Deprivation Mean?
Managing Palpitations and Blood Pressure: Medication Concerns Explained
Medication issues related to palpitations? Hello Doctor, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for the past three months. Sometimes I feel a bit fatigued. When I measure my blood pressure at...
Dr. He Dongjin Reply:
Hello, most people do not experience a decrease in blood pressure when taking heart rhythm medications, but individual responses can vary. It's difficult to say if your fatigue is due to low blood pressure; it's important to first understand what your blood pressure is ...[Read More] Managing Palpitations and Blood Pressure: Medication Concerns Explained
Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms
Post-exercise bodily issues? I usually have a habit of running, hiking, and cycling. I have experienced palpitations and underwent an electrocardiogram and a 24-hour Holter monitor at a cardiology clinic, both of which were normal. My usual blood pressure is around 100-110/50-60 ...
Dr. He Dongjin Reply:
Hello, if all cardiac examinations are normal, there should be no issues; just monitor the situation. Is your blood pressure too low? Not everyone has the same blood pressure standards. If you usually feel fine, your blood pressure is likely acceptable. Just keep an eye on it. A ...[Read More] Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms
Consultation on Low Blood Pressure Medication Before Cardiac Catheterization
Consultation on Hypotensive Medication Before Cardiac Catheterization Hello: My father has been on dialysis for about three months and has had two drug-eluting stents placed. Recently, he has been experiencing symptoms of low blood pressure. Since he is scheduled for a cardiac ca...
Dr. Wu Xueming Reply:
If blood pressure is low (systolic pressure below 100), antihypertensive medication should be temporarily discontinued.[Read More] Consultation on Low Blood Pressure Medication Before Cardiac Catheterization
Understanding Blood Pressure Marks: When to Seek Medical Advice
Blood pressure measurement? Hello Doctor, I would like to ask about my elder relative who recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is also strong enough that a finger can be inserted. It’s unclear i...
Dr. Li Han Reply:
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice
Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Inquire about the degree of myocardial ischemia? Hello Doctor, I am Mr. Huang, 35 years old, 170 cm tall, and weighing 68 kg. Recently, I have been experiencing chest tightness and difficulty breathing. After conducting a treadmill exercise electrocardiogram, the doctor suggested...
Dr. Wu Xueming Reply:
1. The exercise electrocardiogram report is positive, but the severity cannot be determined; there is a high suspicion of coronary artery disease. 2. Due to the possibility of false positives in the exercise electrocardiogram, coronary computed tomography angiography may be consi...[Read More] Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Understanding Blood Pressure Marks: When to Seek Medical Advice
Blood pressure measurement vessel Hello Doctor, I would like to ask about my elder relative who has recently noticed linear marks that resemble ruptured blood vessels every time they measure their blood pressure. The pulse is strong enough that a finger can be inserted under it. ...
Dr. Li Han Reply:
Hello, based on your description that "the elder recently noticed streaks resembling ruptured blood vessels after measuring blood pressure," it may refer to the appearance of purpura on the skin due to pressure. This condition is known as senile purpura, which can occur...[Read More] Understanding Blood Pressure Marks: When to Seek Medical Advice
Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
Echocardiogram 24-hour Holter monitor? Hello Doctor, I have recently been feeling that my heart rate fluctuates between fast and slow, and I often feel missed beats. I'm not sure if it's just psychological, but I also experience some pain around my heart area. I would l...
Dr. He Dongjin Reply:
Hello, there are no significant issues, just some mild mitral valve prolapse. There's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights
Understanding Irregular Heartbeats: Causes and Concerns
Arrhythmia with irregular heartbeats? Hello doctor, I've been experiencing frequent arrhythmias lately. My blood pressure and heart rate are usually around 80-100. Sometimes, a few hours after taking medication, my heart rate drops to the 60s. Could this be related to the me...
Dr. He Dongjin Reply:
Hello, the pain you are experiencing is mostly not related to heart issues. After taking the medication, your heart rate drops to the 60s within 2-3 hours, which is likely due to the medication. Symptoms like chest tightness, shortness of breath, and dizziness may not necessarily...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Managing Cardiovascular Medications: Side Effects and Concerns
Cardiovascular and medication issues? I have been taking Metoprolol for over two years. Recently, for more than a month, I reduced my dosage by half a pill, and my blood pressure has been controlled at around 110-120/70-80. Two years ago, when I started taking Metoprolol, I didn&...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Managing Cardiovascular Medications: Side Effects and Concerns
Understanding Blood Pressure Fluctuations: When to Adjust Medication
Blood pressure fluctuations and related concerns? Hello Doctor, I recently measured my blood pressure and found that I have hypertension. After confirming this at the clinic, I started taking medication, initially one pill a day. However, since my daytime diastolic pressure often...
Dr. He Dongjin Reply:
Hello, I’m not sure if you have hypertension and what medication you are currently taking. It seems that half a tablet is still quite effective. Perhaps you should stop the medication for a while and observe before deciding whether you need to continue with it. Take care, and the...[Read More] Understanding Blood Pressure Fluctuations: When to Adjust Medication
Comparing Diovan and Exforge: Which is Better for Beginners with High Blood Pressure?
Diovan (valsartan) vs. Exforge (amlodipine/valsartan) I have a habit of measuring my blood pressure daily. Recently, over the past three months, I noticed that my average blood pressure was 128 in April, 136 in May, and it spiked to an average of 146 in June (with three readings ...
Dr. Wu Xueming Reply:
If the blood pressure exceeds 160 mmHg at the start of treatment, it is recommended to use combination therapy as initial treatment, such as Amlodipine, to achieve effective blood pressure control more quickly.[Read More] Comparing Diovan and Exforge: Which is Better for Beginners with High Blood Pressure?
Understanding Irregular Heartbeats: Causes and Concerns
Heart rate issues? Hello, Doctor: My heartbeat sometimes feels like it skips a beat, followed by a strong thumping (about two or three times). The frequency varies throughout the day; sometimes it doesn't happen at all, and other times it occurs several times (up to about te...
Dr. He Dongjin Reply:
Hello, it is advisable to recommend further examinations at the cardiology outpatient clinic. Changhua Hospital cares about you.[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Can Vitamin D Supplements Interact with Blood Pressure Medications?
Pukang enteric-coated tablets for hypertension treatment? I have been taking coated tablets for hypertension for almost a year. Due to osteoporosis, I have a deficiency of 4. I would like to take some vitamin D to supplement calcium, but I am unsure if this is advisable. If I tak...
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Can Vitamin D Supplements Interact with Blood Pressure Medications?
Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Arrhythmia report and medication inquiries? Hello Doctor, here are the contents of my report: 24-Hour Holter Monitor Report *Basic Rhythm: The basic rhythm is sinus rhythm (SR), with a ventricular rate of 46 to 111 bpm, including 29 atrial premature contractions (APCs) and 12,...
Dr. He Dongjin Reply:
Hello, you have ventricular premature contractions (VPCs) and are currently taking Diltiazem 6.25 mg and a rhythm stabilizer. Essentially, Diltiazem 6.25 mg is a similar medication that may lower blood pressure by about 13%. Ventricular premature contractions are generally benign...[Read More] Understanding Arrhythmias: Questions on Diagnosis and Medication Choices
Understanding Your ECG Report: Key Insights for Heart Health
Please provide the electrocardiogram report? Hello, Director. I would like to ask if there are any issues with the results. Do I need to go to the hospital for further examination? Is my heart condition suitable for simple hiking (like Hehuanshan)? Thank you. Electrocardiogram r...
Dr. Wu Xueming Reply:
The exercise electrocardiogram report is positive. It is recommended that you consult with a physician in the outpatient clinic to discuss whether further testing is necessary before deciding to go hiking.[Read More] Understanding Your ECG Report: Key Insights for Heart Health
Why Do Doctors Change Blood Pressure Medications When Patients Are Stable?
Why does the doctor insist on changing the medication when I am doing well on my hypertension medication? Hello Doctor: My mother-in-law is 67 years old and has a habit of walking for exercise. She has been taking antihypertensive medication for a long time. After three months of...
Dr. Wu Xueming Reply:
There are many reasons for changing medication, and it is advisable to consult the original prescribing physician. If a prescription needs to be modified, it must be voided by the original physician.[Read More] Why Do Doctors Change Blood Pressure Medications When Patients Are Stable?
Understanding Blood Pressure: High, Low, or Just Normal Variations?
Hello, Dr. Wu? Am I suffering from hypertension or hypotension? I rarely measure my blood pressure; the last time I did was around the age of 32 or 33 during a clinic visit. At that time, it seemed to be colder, and the staff who measured it commented that my blood pressure was q...
Dr. Wu Xueming Reply:
A blood pressure reading of 130/65 is considered slightly elevated but still within the normal range. However, the measurement should follow the 722 rule: the first "7" indicates measuring blood pressure for seven consecutive days; the first "2" means taking t...[Read More] Understanding Blood Pressure: High, Low, or Just Normal Variations?
Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide
Regarding heart discomfort and issues related to the face and head? Hello, Doctor. A year and a half ago, I experienced numbness in my chest, sharp pain in my jaw, pain in my left shoulder and left arm, and severe wrist pain in my left hand. Subsequently, I developed numbness on ...
Dr. He Dongjin Reply:
Hello, the reports are all good, and the symptoms do not seem to indicate a heart problem. It may be worth considering cervical spine issues or autonomic nervous system disorders. It would be advisable to follow up with a neurologist. Changhua Hospital cares about your well-being...[Read More] Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide