Understanding Myocardial Perfusion Test Results: A Guide for Patients
Myocardial perfusion scan results? Hello Doctor, I have had high blood pressure since childhood, and after turning 30, I have been taking antihypertensive medication. Currently, I take Amlodipine 5/80 daily without interruption. In November 2010, during a health check-up, the rep...
Dr. Wu Xueming Reply:
Please engage in regular exercise and maintain a light diet, attend follow-up appointments regularly, and take your medication. If there are no symptoms, continue with routine monitoring.[Read More] Understanding Myocardial Perfusion Test Results: A Guide for Patients
Understanding High Pulse Rate and Blood Pressure: When to Seek Medical Help
Excessive pulse deficit? Hello doctor, I am 19 years old. This morning, I checked my heart rate with a Xiaomi band, and it was consistently above 100, even reaching 120 to 130. I just measured my blood pressure at the pharmacy, and it was 143/61. I understand that it could be due...
Dr. Wu Xueming Reply:
It is recommended to adjust your daily routine and engage in regular exercise. However, if symptoms persist, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding High Pulse Rate and Blood Pressure: When to Seek Medical Help
Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Could it be pulmonary hypertension? Hello, I used to frequently dream about flooding while sleeping (this happened several times each month over the past ten years). When I woke up, I felt like I was breathing heavily. Later, after taking a sedative for a month, I started experie...
Dr. Li Shengkai Reply:
If it is pulmonary hypertension, an echocardiogram can detect it. If you still have concerns, you may seek further evaluation at a higher-level medical facility. Based on your description, in addition to cardiac issues, it is important to consider whether it may be "autonomi...[Read More] Could It Be Pulmonary Hypertension? Understanding Symptoms and Concerns
Understanding Multiple Discomforts: When to Seek Cardiac Care
Generalized discomfort throughout the body? I have been experiencing discomfort in multiple areas of my body. Initially, I had gastrointestinal issues and consulted a gastroenterologist, undergoing an endoscopy and ultrasound. The diagnosis revealed a mild duodenal ulcer and mode...
Dr. He Dongjin Reply:
Hello, it sounds like you may be experiencing symptoms related to autonomic nervous system dysregulation. The pain when pressing on the ribs could be due to muscle or nerve pain, and the strong twitching sensation you describe may also be related. If you are experiencing palpitat...[Read More] Understanding Multiple Discomforts: When to Seek Cardiac Care
Antihistamines and Heart Disease: Understanding the Risks and Symptoms
Antihistamines causing heart disease? I went to the emergency room once, and after receiving an antihistamine injection, I experienced intense heart palpitations (my heart had never beaten this hard before). I felt like I couldn't walk and could only lie down. Later, when I ...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. 2. Consider seeking treatment from other medical institutions if needed. Thank you, and wish you go...[Read More] Antihistamines and Heart Disease: Understanding the Risks and Symptoms
Understanding Blood Pressure Fluctuations: Causes, Medications, and Measurement Tips
Causes of Elevated Blood Pressure / Use of Antiarrhythmic Medications / Factors Affecting Systolic and Diastolic Blood Pressure / Methods for Measuring Blood Pressure Hello, Dr. He. I would like to ask you some questions related to blood pressure. I am currently 33 years old, 146...
Dr. He Dongjin Reply:
Hello, both your attending physician and I do not believe that you have hypertension; it sounds more like autonomic nervous system dysregulation or fluctuations in blood pressure caused by changes in both external and internal environments. External factors include weather and se...[Read More] Understanding Blood Pressure Fluctuations: Causes, Medications, and Measurement Tips
Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Hello, I would like to inquire about pulmonary hypertension caused by the sedative Amberning? Hello, I would like to ask about my situation. I accidentally took a sedative called Ambien along with an antihistamine, and since then, I have been experiencing increasing shortness of ...
Dr. Wu Xueming Reply:
Medications do not cause pulmonary hypertension; it is recommended that you go to the hospital for further evaluation.[Read More] Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Managing Hypertension: Safety and Dosage of Blood Pressure Medications
Antihypertensive medications Hello Director: I previously had high blood pressure, and the clinic prescribed "Amlodipine" as an antihypertensive medication, one tablet daily. My blood pressure is now around 140-130/90. I would like to ask: 1. Is it possible to reduce th...
Dr. He Dongjin Reply:
Hello, the blood pressure is approximately 140-130/90, which is still not low. It is not advisable to reduce the medication. Is the component of this medication safe? No problem, it will also take care of the heart and reduce the mortality rate from heart failure. There is no ant...[Read More] Managing Hypertension: Safety and Dosage of Blood Pressure Medications
Understanding Atherosclerotic Calcification: What It Means for Your Health
Chest X-ray examination shows arteriosclerosis (calcification)? Dear Doctor, I have been undergoing monthly chest X-ray examinations since July this year due to my myasthenia gravis and malignant thymoma. According to the information from the National Health Insurance app, the X...
Dr. Huang Yinghe Reply:
Hello: The examination results indicate aortic sclerosis, which is associated with age and high blood cholesterol levels. The treatment approach may vary depending on the specific circumstances, so it is recommended that you visit a cardiology outpatient clinic for a comprehensiv...[Read More] Understanding Atherosclerotic Calcification: What It Means for Your Health
Do I Need a Cardiac Catheterization After Abnormal Stress Test Results?
Cardiac catheterization Hello, I am 64 years old and have always been healthy. I engage in plenty of exercise, both in the mountains and at sea, maintain a balanced diet, and have no history of wheezing or chest pain. My blood pressure is normal, below 130, and my biochemical tes...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptom management or determining if further examinations are necessary. Thank you, and wish you good health![Read More] Do I Need a Cardiac Catheterization After Abnormal Stress Test Results?
Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights
Mild mitral and tricuspid regurgitation? Hello, do I need to undergo treatment for this? My father was recently diagnosed with Fabry disease, and he is currently receiving enzyme replacement therapy. He has issues with myocardial infarction, cardiac hypertrophy, and hypertension....
Dr. Wu Xueming Reply:
Mild mitral and tricuspid regurgitation do not require treatment.[Read More] Understanding Mild Mitral and Tricuspid Regurgitation: Treatment Insights
Understanding Complications After Stent Placement: Risks and Recovery
Emergency Management During Stent Placement and Re-occlusion Dear Dr. Huang, On the morning of August 20, I thought I was experiencing gastroesophageal reflux and went to the emergency department of a municipal hospital. However, the electrocardiogram and blood test results indi...
Dr. Huang Yinghe Reply:
Hello Mr. Chen: Recent studies indicate that at least one-third of patients with acute myocardial infarction die before reaching the hospital. Among those who survive to receive treatment, the mortality rate within a year due to various complications of the disease remains at 5-1...[Read More] Understanding Complications After Stent Placement: Risks and Recovery
Possible Causes and Solutions for Palpitations After Pacemaker Implantation
Cardiac pacemaker After my mother had a pacemaker implanted, she was stable for two years, but recently she has been experiencing palpitations and elevated blood pressure, with systolic readings around 180. What could be the possible causes? What are the management options? Thank...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician to address the symptoms and determine if further examinations are necessary. 2. Consider seeking treatment from other medical institutions as well. Thank you, and wishing you good health![Read More] Possible Causes and Solutions for Palpitations After Pacemaker Implantation
Understanding Heart Rate Variability: When to Seek Medical Attention
Regarding heart rate variations? Hello, Director Wu. Recently, I've noticed that my heart rate sometimes fluctuates between fast and slow. I have a habit of measuring my blood pressure. Previously, when I didn't exercise, my heart rate was around 85. Just now, after dri...
Dr. Wu Xueming Reply:
Based on your description, these heart rate data are within the normal range. Please maintain a regular lifestyle and engage in regular exercise. However, if you experience any discomforting symptoms, it is advisable to visit a hospital for an electrocardiogram (ECG) examination.[Read More] Understanding Heart Rate Variability: When to Seek Medical Attention
Understanding Rapid Heart Rate: Causes, Symptoms, and When to Seek Help
Rapid heartbeat Hello Dr. He, Since I have been monitoring my heart rate, it has typically ranged between 55-70 bpm. However, in the past week, I have noticed an increase in my heart rate, which is now between 90-110 bpm. Other symptoms include: 1. I feel very agitated mentally...
Dr. He Dongjin Reply:
Hello, a slightly elevated heart rate does not necessarily indicate an abnormality. It is advisable to monitor the situation first, and if it does not improve, you should consult a cardiologist for further evaluation. It is likely just a temporary autonomic nervous system imbalan...[Read More] Understanding Rapid Heart Rate: Causes, Symptoms, and When to Seek Help
Understanding Your Positive Exercise ECG: Next Steps for Heart Health
Cardiac issues The physician recently performed an exercise electrocardiogram (ECG), and the report is as follows: Conclusions: 1) Target heart rate (THR): 166 BPM. 2) Maximal heart rate: 160 BPM (96% of THR). 3) Resting ECG: Normal Sinus Rhythm (NSR). 4) Termination: A. Cau...
Dr. Wu Xueming Reply:
The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. Therefore, if it is not possible to confirm the presence of coronary artery disease, further testing is recommended, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Your Positive Exercise ECG: Next Steps for Heart Health
Can You Take Viagra with Blood Pressure Medications?
Blood pressure medications and Viagra? Hello, doctor. I have been taking Shumai Kang, but it seems to be affecting my genital firmness. Can I take Viagra while using Shumai Kang? If so, how long should I wait to take Viagra after taking my blood pressure medication?
Dr. Cai Guiqin Reply:
It is recommended that you consult with a cardiology or urology outpatient clinic. After an evaluation by the physician, you will receive advice regarding the appropriate timing for further action.[Read More] Can You Take Viagra with Blood Pressure Medications?
Understanding Medication and Hiccups After Myocardial Infarction
Medications for myocardial infarction and symptoms of hiccups? Hello Dr. Lee, My mother recently went to the emergency room on September 6 due to upper abdominal pain and chest pain. After blood tests showed elevated cardiac enzymes, she was diagnosed with acute myocardial infa...
Dr. Li Han Reply:
Hello, regarding your inquiry, first of all, hiccups are not a typical symptom of angina. If this symptom persists, it may be necessary to consider other systemic disorders, especially since the antiplatelet medication aspirin, commonly used in patients with coronary heart diseas...[Read More] Understanding Medication and Hiccups After Myocardial Infarction
Understanding Exercise ECG Reports: Insights into Cardiac Health
Exercise Electrocardiogram Report PH: Chest pain. Please help me check for any abnormalities, thank you. RESTING ECG: Sinus rhythm, non-specific ST-T changes. PREVIOUS EXERCISE TEST: Nil. SUMMARY OF EXERCISE TEST: - PROTOCOL: Treadmill Standard Bruce - MHR-PREDICTED: Abov...
Dr. He Dongjin Reply:
Hello, your exercise electrocardiogram report is positive, indicating a suspicion of angina pectoris. The Duke treadmill score is +1, which indicates a medium risk. If you have no significant symptoms but are still concerned, you may consider paying out of pocket for a CT scan. I...[Read More] Understanding Exercise ECG Reports: Insights into Cardiac Health
Managing Cholesterol and Blood Pressure: Medication Effects and Women's Health
Cholesterol and Blood Pressure: Side Effects of Medications and Management Hello Dr. Wu, Recently, I discovered that my heart rate was particularly fast while measuring my blood oxygen levels, and I also found that my blood pressure was quite high, which prompted me to start mo...
Dr. Wu Xueming Reply:
1. If planning for pregnancy, it is important to choose antihypertensive medications that will not affect fetal development. 2. In addition to medication, controlling blood pressure and lipid levels is also very important through diet and exercise.[Read More] Managing Cholesterol and Blood Pressure: Medication Effects and Women's Health