Post-COVID Heart Rate Increase: Should You Be Concerned?
After being diagnosed with COVID-19, there is a noticeable increase in heart rate? Hello, Doctor He: Last week, I felt unwell and after testing positive with a rapid test and PCR, I isolated at home for 7 days. Today is the 8th day, and I have completed my isolation. I noticed th...
Dr. He Dongjin Reply:
Hello, the heartbeat is controlled by the brain. The brain determines how many times the heart should beat based on the body's needs. After a COVID-19 diagnosis, the body may still have some immune responses, which could lead the brain to signal the heart to pump faster for ...[Read More] Post-COVID Heart Rate Increase: Should You Be Concerned?
Understanding High Heart Rate: When to Seek Further Cardiac Evaluation
Heart rate of 140-150 while lying in bed? I started noticing high heart rate notifications on my Apple Watch at the end of April. That evening, while sitting and lying down, my heart rate was between 140-150. Looking at the records, during the day when I was standing and walking,...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended that you maintain a regular schedule and engage in regular exercise. If your symptoms do not improve, you may consider visiting a cardiology clinic for a 24-hour Holter monitor test.[Read More] Understanding High Heart Rate: When to Seek Further Cardiac Evaluation
Understanding Blood Pressure Medications and Erectile Dysfunction
Blood pressure medication consultation? Doctor, two years ago I suddenly experienced erectile dysfunction, and I started to suspect whether I have metabolic syndrome. I measure my blood pressure every day, and it ranges from 110 to 140. In the morning, it is generally between 110...
Dr. He Dongjin Reply:
Hello, this is not considered high blood pressure, and taking Cialis should not significantly affect the accuracy of your blood pressure readings. It's best to consult a urologist first. Currently, there is no evidence to suggest that you have metabolic syndrome. Changhua Ho...[Read More] Understanding Blood Pressure Medications and Erectile Dysfunction
Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery
Electrocardiogram (ECG) results? Hello, Doctor. I underwent a uterine fibroid surgery last week. Prior to the surgery, due to the fibroid's unusual location, it was compressing the ureters, leading to bilateral hydronephrosis and resulting in decreased kidney function, with ...
Dr. He Dongjin Reply:
Hello, determining the presence of biventricular hypertrophy through an electrocardiogram may not always be accurate, and it is not necessarily related to renal function decline. If you are concerned, it is advisable to visit a cardiology clinic for further evaluation. It may be ...[Read More] Understanding ECG Results: Implications of Ventricular Hypertrophy Post-Surgery
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, I was later prescribed Bisoprolol 5mg. I took one pill a day for over a month, but then my blood pressure dropped to around 9...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Issues related to discontinuing Bisoprolol? Due to palpitations and chest tightness, my doctor prescribed propranolol, but since there was no improvement, the doctor later prescribed Bisoprolol 5mg. I took one tablet a day for over a month, but then my blood pressure dropped to a...
Dr. He Dongjin Reply:
Hello, it is recommended to take 0.5 tablets before bedtime and then monitor your condition. Changhua Hospital cares about you.[Read More] Managing Bisoprolol Discontinuation: Heart Palpitations and Anxiety Concerns
Managing High Blood Pressure Medications: Can You Increase Dosage Safely?
Issues with Hypertension Medications Currently, I am a hypertension patient and take medication regularly: 80/12.5mg of Amlodipine once a day. Recently, my blood pressure has been spiking to 160-170 for no apparent reason. However, I am currently abroad and it is inconvenient for...
Dr. Wu Xueming Reply:
You can add one more pill, but if the blood pressure remains high, it is advisable to consult a physician for medication adjustment.[Read More] Managing High Blood Pressure Medications: Can You Increase Dosage Safely?
Uncovering Undiagnosed Heart Valve Insufficiency: A Patient's Journey
Previously undetected valvular insufficiency? Hello Doctor, I experienced arrhythmia for about a week last October. By the time I had a cardiac ultrasound and a 24-hour Holter monitor, the symptoms had disappeared, and the doctor said the results were normal, advising me to adjus...
Dr. He Dongjin Reply:
Hello, based on my review of the reports, it appears that two different hospitals conducted the examinations, and there isn't much difference between them; both indicate very mild issues. It's just that the physicians expressed it differently. For such a mild valvular i...[Read More] Uncovering Undiagnosed Heart Valve Insufficiency: A Patient's Journey
Understanding Palpitations: When to Seek Further Cardiac Evaluation
Questions related to palpitations? Hello Doctor, Since receiving my two vaccine doses six months ago, I have been experiencing intermittent palpitations and chest tightness. During this time, I visited a cardiologist and underwent a stress electrocardiogram, a 24-hour Holter mo...
Dr. He Dongjin Reply:
Hello, it sounds like you might be experiencing symptoms of autonomic nervous system dysfunction, such as persistent anxiety related to stable angina pectoris at 50%. It would be advisable to undergo a self-funded cardiac CT scan to gain a clearer understanding. Changhua Hospital...[Read More] Understanding Palpitations: When to Seek Further Cardiac Evaluation
Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights
Inquiry Consultation Dear Dr. He, I have two questions I would like to consult with you. <Question 1> Recently, I accompanied my mother to a local hospital for a consultation. While waiting, I noticed that the hospital had "tunnel-type" blood pressure monitors. ...
Dr. He Dongjin Reply:
Hello, blood pressure measurements taken at general hospitals often tend to be higher due to insufficient rest, slight anxiety, or white coat hypertension. Therefore, patients are encouraged to measure and record their blood pressure at home. Just because you had one high reading...[Read More] Understanding Blood Pressure Readings and Heart Rate Changes: Expert Insights
Understanding Heart Palpitations and Low Blood Pressure: When to Seek Help
Skipped heartbeat Hello Doctor: I have occasionally felt a few skipped heartbeats (lasting about three seconds), but recently the frequency has increased to about two to three times a month. However, I haven't experienced any discomfort. Should I seek medical attention or ju...
Dr. He Dongjin Reply:
Hello, having it two to three times a month is quite rare. Don't worry, as long as you don't have any physical discomfort, just observe. Natural is best. If you have naturally low blood pressure, just coexist with it peacefully; there is no need for medical treatment. J...[Read More] Understanding Heart Palpitations and Low Blood Pressure: When to Seek Help
Understanding Visible Vascular Pulsations: When to Seek Medical Advice
Please ask questions related to vascular pulsations? Hello Doctor, I occasionally experience visible vascular pulsations on the inner side of my left thigh, as well as another pulsation in the lower left area of my neck near the clavicle. My blood pressure readings have been norm...
Dr. Wu Xueming Reply:
Individuals who are thinner may have more superficial arteries, which can lead to this phenomenon. If there are no other symptoms (such as redness, swelling, or pain), there is no need for concern.[Read More] Understanding Visible Vascular Pulsations: When to Seek Medical Advice
Understanding Heart Palpitations: Causes and Management Tips
The sensation of the body and heartbeat? Hello Doctor: Around mid-January of this year, while I was taking care of my mother in the hospital, I suddenly experienced a rapid heartbeat accompanied by chest tightness, high blood pressure, and nausea in the middle of the night. I lat...
Dr. He Dongjin Reply:
Hello, after a thorough examination, everything seems fine, so there's no need to worry. Your symptoms of palpitations are caused by autonomic nervous system dysregulation, and simple medication can help. Don't worry, Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: Causes and Management Tips
Rapid Heartbeat After Moderna Vaccine: Causes and Concerns
After receiving the Moderna vaccine, there was an increase in heart rate? Hello Doctor: After receiving the second dose of the Moderna vaccine, the next day my heart rate suddenly increased to 160 beats per minute, and my blood pressure rose to 160 (normally around 110). I immedi...
Dr. He Dongjin Reply:
Hello, getting vaccinated is intended to trigger an immune response in the body, and experiencing discomfort is normal. Each person reacts differently to each vaccine. It's advisable to monitor any short-term reactions, and you may consider taking some medication temporarily...[Read More] Rapid Heartbeat After Moderna Vaccine: Causes and Concerns
Understanding Myocardial Hypoxia: Questions and Insights for Patients
Questions about myocardial hypoxia? Hello, doctor. I previously visited a cardiologist due to chest tightness and palpitations. During a resting electrocardiogram (ECG), arrhythmia was detected, leading to a 24-hour Holter monitor test. The results indicated that the arrhythmia w...
Dr. He Dongjin Reply:
Hello, a 24-hour ECG showing ST-T changes does not necessarily indicate myocardial ischemia, so it is reasonable to observe first. Therefore, the physician did not arrange for further testing. If you are still concerned, you may consider undergoing a stress test and blood tests f...[Read More] Understanding Myocardial Hypoxia: Questions and Insights for Patients
Managing Irregular Heartbeats: When to Seek Emergency Care
Palpitations and missed beats? Hello, Director. I'm here to consult again. I underwent catheter ablation for atrial fibrillation last April, and I had a stable period for six months. Currently, my doctor has prescribed the following medications: Kankun 5 mg once daily, Lival...
Dr. He Dongjin Reply:
Hello, you went to the emergency department for a blood test. It did not help with your irregular heartbeat, and you don't need to go if you're not feeling unwell. You can take more photos and if you missed any, please do so. You can take one and a half tablets of Kanki...[Read More] Managing Irregular Heartbeats: When to Seek Emergency Care
Understanding Blood Test Results: High Blood Pressure and Health Concerns
Blood report, hypertension issues? Hello, Doctor. Below are the results of my complete blood count: 1. White Blood Cell Count: 8.60 2. Red Blood Cell Count: 4.97 3. Hemoglobin: 13.8 4. Hematocrit: 41.5 5. Mean Corpuscular Hemoglobin: 33.26 6. Platelet Count: 368 Since the red b...
Dr. He Dongjin Reply:
Hello, it is common for people to occasionally experience headaches, dizziness, and other discomforts, and blood pressure can fluctuate. Not all discomfort is caused by blood pressure issues. If the red blood cell count and platelet count are elevated, it should be manageable. I ...[Read More] Understanding Blood Test Results: High Blood Pressure and Health Concerns
Should I Switch My Blood Pressure Medication After Surgery?
Do I need to change my medication? Hello Dr. Lee, I was involved in a car accident on December 4th, resulting in an open fracture of my lower limbs, and I underwent surgery. After the surgery, I was moved to the recovery room, where my blood pressure was 180/120. Due to the persi...
Dr. Li Shengkai Reply:
(1) Eyanwen (5/160) is a combination antihypertensive medication that contains two components: a calcium channel blocker and an angiotensin receptor antagonist. Liyanwen (5/160/25) is also a combination antihypertensive medication, but it includes a diuretic, making it more poten...[Read More] Should I Switch My Blood Pressure Medication After Surgery?
Understanding Palpitations and Mitral Valve Prolapse: Causes and Concerns
Palpitations, arrhythmias, and mitral valve prolapse issues? Hello Doctor: A month ago, I started a low-carb, high-protein diet and entered a state of ketosis, with blood ketone levels between 4-6. One day, I drank very little water during the day and was quite active. Before bed...
Dr. He Dongjin Reply:
Hello, when losing weight, if your body lacks energy, it can certainly make you feel weak, but it doesn't necessarily mean your heart is damaged, especially if previous examinations showed no issues. An increased heart rate during sleep may be caused by autonomic nervous sys...[Read More] Understanding Palpitations and Mitral Valve Prolapse: Causes and Concerns
Can Iron Deficiency Anemia Cause Long-Term High Blood Pressure?
Does iron deficiency anemia lead to long-term elevated blood pressure? Medical history: In 2019, the patient underwent minimally invasive surgery for mixed internal and external hemorrhoids. Due to the nature of the work, which often requires climbing, blood pressure is monitored...
Dr. He Dongjin Reply:
Hello, during stormy weather, the waves tend to be larger. Similarly, when a person is in an unstable internal and external environment, their blood pressure may also fluctuate. Internal factors include vaccinations and anemia, while external factors include changes in weather. L...[Read More] Can Iron Deficiency Anemia Cause Long-Term High Blood Pressure?