Understanding Recent High Blood Pressure Readings: Causes and Concerns
Recently, my blood pressure readings have been significantly higher than before? Hello Doctor: Recently, I measured my blood pressure at home and was surprised to find it significantly higher than before, which made me a bit anxious. During the summer of this year, my blood press...
Dr. Wu Xueming Reply:
Please maintain a regular daily routine, engage in regular exercise, and follow a light diet. However, if your systolic blood pressure consistently exceeds 140, it is advisable to start taking antihypertensive medication.[Read More] Understanding Recent High Blood Pressure Readings: Causes and Concerns
Should I Seek Further Evaluation for Heart Issues After Tests?
Is further examination necessary? Since November 2nd, I have experienced chest tightness and an increased heart rate. I went to a clinic where an electrocardiogram (ECG) indicated a heart issue, leading to a referral to the emergency department. However, blood tests, X-rays, and ...
Dr. Wu Xueming Reply:
The myocardial perfusion scan results show no signs of hypoxia, indicating a very low likelihood of coronary artery disease.[Read More] Should I Seek Further Evaluation for Heart Issues After Tests?
Understanding Arrhythmia and Autonomic Nervous System Disorders
Arrhythmia? Autonomic nervous system dysfunction? Hello doctor, about 2-3 years ago, I started experiencing symptoms of chest tightness and palpitations, so I consulted a cardiologist. I underwent a 24-hour Holter monitor, an exercise stress test, and an echocardiogram, but no is...
Dr. He Dongjin Reply:
Hello, stress and lack of sleep can lead to autonomic nervous system dysfunction, which may cause arrhythmias; however, it is unrelated to left ventricular hypertrophy. Whether there is a correlation between arrhythmias and left ventricular hypertrophy should be discussed with yo...[Read More] Understanding Arrhythmia and Autonomic Nervous System Disorders
Post-Cardiac Catheterization: Understanding Symptoms and Concerns
Post-cardiac catheterization? Hello Doctor: On November 21, I underwent cardiac catheterization and had two stents placed. The reason for the stent placement was that during a health check, a 70% stenosis was found in the left anterior descending coronary artery, although I did n...
Dr. Li Han Reply:
Hello, regarding your inquiry about your wheezing, chest tightness, and "heart pain" sensations... honestly, there are many potential underlying causes, but it doesn't quite resemble typical angina symptoms. An evaluation can be conducted from both physiological an...[Read More] Post-Cardiac Catheterization: Understanding Symptoms and Concerns
Understanding Palpitations and Anxiety: When to Seek Cardiac Care
Palpitations, shortness of breath, and diarrhea? Hello Dr. Wu, Since May, I have been experiencing hyperventilation and arrhythmia with blood pressure readings of 140/9X. I underwent several ECGs in May, which showed abnormal results at times and normal results at others. A card...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to go to the hospital for further examination.[Read More] Understanding Palpitations and Anxiety: When to Seek Cardiac Care
Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Bradycardia with a heart rate of approximately 38-45 beats per minute? I am currently 69 years old and have issues with hypertension and benign prostatic hyperplasia. I am currently taking 2 mg of Clonidine and Diovan daily, and my blood pressure is well controlled (I was also ta...
Dr. Wu Xueming Reply:
If both the echocardiogram and the 24-hour Holter electrocardiogram show normal results, then regular follow-up is sufficient, and no further tests are needed.[Read More] Managing Bradycardia and Dizziness in Older Adults: What You Need to Know
Is My Father's Blood Pressure Normal After a Mild Stroke?
Is the blood pressure normal? The father measured his blood pressure in the morning at 136/76/111. Due to a previous mild stroke, he had a follow-up appointment at the hospital. However, when he measured his blood pressure at home in the evening, it was 95/68/98. Is this normal, ...
Dr. He Dongjin Reply:
Hello, if your blood pressure is slightly low in the evening, have you taken any blood pressure medication? Please lie down and rest, drink plenty of water, and monitor your condition. Changhua Hospital cares about you.[Read More] Is My Father's Blood Pressure Normal After a Mild Stroke?
Managing Low Blood Pressure and Heart Rate in Hypertension Patients
Issues with Hypertension Medications My mother is in her 70s and has been taking antihypertensive medication for nearly a year. Recently, she often feels dizzy, and her heart rate, which has always been slow, has recently dropped below 45. Last week during a follow-up visit, her ...
Dr. Cai Guiqin Reply:
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] Managing Low Blood Pressure and Heart Rate in Hypertension Patients
Are Patients with Arrhythmia Sensitive to Temperature Changes After Ablation?
Having undergone two catheter ablation procedures for arrhythmia last year, is it possible to be very sensitive to significant temperature changes? Hello Doctor: I have some questions regarding arrhythmia. In 2015, a CT scan revealed calcified plaques in the proximal segment of t...
Dr. He Dongjin Reply:
Hello, it seems that you are currently experiencing instability due to changes in both your internal and external environment, such as temperature fluctuations and vaccination. These factors can lead to autonomic nervous system instability, which may stimulate the heart and cause...[Read More] Are Patients with Arrhythmia Sensitive to Temperature Changes After Ablation?
Essential Dietary Guidelines for Managing High Blood Pressure
Dietary Restrictions for Hypertension I am 46 years old and had stable normal blood pressure a year ago. I have quit smoking for 18 months. Due to a weight loss of 6 kilograms and changes in body fat, my health has been relatively stable. However, starting last month, I began exp...
Dr. Li Han Reply:
Hello, regarding your question about "dietary restrictions for hypertension," there are generally no specific limitations. The basic principles include reducing salt intake, increasing the consumption of fruits and vegetables, substituting white meat for red meat, or fi...[Read More] Essential Dietary Guidelines for Managing High Blood Pressure
Understanding Myocardial Perfusion Scan Results: A Guide for Patients
Stress and Redistribution Myocardial Perfusion Scan Report Results Dr. Huang: Hello! My mother is 70 years old and has low blood pressure (approximately 100+/60-70 mmHg; this has been her baseline). She has a history of hypercholesterolemia (most recent lab report on 9/30: total ...
Dr. Huang Yinghe Reply:
Hello: "Stress and Redistribution Myocardial Perfusion Imaging" is a type of nuclear medicine examination that uses radioactive tracers to assess blood flow to the heart muscle, allowing for a rough determination of regional perfusion deficits in the myocardium. Your mo...[Read More] Understanding Myocardial Perfusion Scan Results: A Guide for Patients
Understanding Heart Palpitations: Causes and Management Tips
Tachycardia Hello doctor, I often feel chest tightness and difficulty breathing. I previously experienced palpitations and was sent to the emergency room (at that time, my blood pressure was around 150 and my heart rate was also very fast). However, the tests including ECG, blood...
Dr. He Dongjin Reply:
Hello, it's normal for values to fluctuate; no one's numbers are fixed and unchanging. As long as they remain within the normal range, fluctuations are not a concern. This doesn't seem to indicate a heart problem; it's best to observe for now. Changhua Hospita...[Read More] Understanding Heart Palpitations: Causes and Management Tips
Understanding Aortic Dissection Risks After Intense Exercise
Possibility of Aortic Dissection Hello, Doctor. I do not have high blood pressure, do not smoke or drink, but I do not have a regular exercise habit. Today, I went out to exercise and attempted to do pull-ups, which I am not accustomed to. I managed to do two pull-ups and felt pa...
Dr. Wu Xueming Reply:
The symptoms of aortic dissection are usually very severe; based on your description, it may not be the case. The most accurate test is a chest computed tomography (CT) scan.[Read More] Understanding Aortic Dissection Risks After Intense Exercise
Understanding the Impact of Emotions on Blood Pressure and Cholesterol Levels
Emotions, blood pressure, and blood lipids? Hello Doctor: I have a habit of measuring my blood pressure regularly. My systolic pressure has consistently been below 120, but my diastolic pressure fluctuates between 80 and 90, which makes me worried that it might develop into hyper...
Dr. He Dongjin Reply:
Hello, a systolic blood pressure below 120 and a diastolic blood pressure between 80-90 indicates a very stable condition with no hypertension. Don't worry; anxiety and stress can affect the accuracy of blood pressure readings and can also impact your heart rate, making such...[Read More] Understanding the Impact of Emotions on Blood Pressure and Cholesterol Levels
Understanding Sudden Blood Pressure Spikes: Causes and Treatment Options
Hypertension Hello, doctor. My father has a family history of hypertension and is currently on medication to manage it. His systolic blood pressure has been consistently around 150, but recently it has suddenly risen to 180-200. He does not have any discomfort. Could this be due ...
Dr. Wu Xueming Reply:
Climate change can indeed affect blood pressure, so it is advisable to visit a clinic for medication adjustment by a physician.[Read More] Understanding Sudden Blood Pressure Spikes: Causes and Treatment Options
Understanding Chest Discomfort and Heart Rhythm Issues in Teens
Cardiac thoracic issues? Hello Doctor, I would like to inform you that I am currently 16 years old. About 4 to 6 months ago, I began experiencing chest tightness. I have seen multiple doctors and had X-rays taken, which the doctors said looked fine. Later, I went to a pediatric c...
Dr. Wu Xueming Reply:
Based on your symptoms, it is recommended to visit a cardiology clinic for further evaluation.[Read More] Understanding Chest Discomfort and Heart Rhythm Issues in Teens
Understanding Withdrawal Symptoms After Stopping Concan: A Guide for Patients
Kanken withdrawal Hello, I am a patient with hypertension and diabetes. I have been on medication for a long time, and one of my blood pressure medications is Concor (bisoprolol). Due to my regular exercise routine (jogging five times a week for 35 minutes each time), my heart ra...
Dr. Wu Xueming Reply:
Kanken does not exhibit significant withdrawal symptoms.[Read More] Understanding Withdrawal Symptoms After Stopping Concan: A Guide for Patients
Can I Get the BNT Vaccine with Heart Rhythm Issues and GERD?
VPC and BNT vaccines The patient has been on antihypertensive medication for 15 years and has been continuously monitored at Hospital A. The original prescription included Metoprolol and Tenormin 25mg, which was changed to Concor 2.5mg a year and a half ago, maintaining stable co...
Dr. He Dongjin Reply:
Hello, it's just a few days away. Let's wait until the echocardiogram is completed on 11/18, and then we can discuss the report with the attending physician. Everyone is more at ease. Changhua Hospital cares about you.[Read More] Can I Get the BNT Vaccine with Heart Rhythm Issues and GERD?
Post-Exercise Arrhythmia in Dialysis Patients: What You Need to Know
Arrhythmia after exercise As a dialysis patient, I often experience palpitations. After undergoing an examination by a cardiologist, I was diagnosed with atrial premature contractions and prescribed rhythm control medication along with anti-anxiety medication. After exercising, I...
Dr. Huang Yinghe Reply:
Hello: During the dialysis process, a large volume of blood is drawn out of the body and returned after dialysis, which can activate the sympathetic nervous system and lead to arrhythmias or fluctuations in blood pressure. Exercise, stress, or emotional changes can increase the o...[Read More] Post-Exercise Arrhythmia in Dialysis Patients: What You Need to Know
Managing Hypertension and Heart Rate Issues During Menopause: A Patient's Journey
Issues with Hypertension Medications It seems that your autonomic nervous system is disrupted due to menopause, which has led to issues such as tachycardia and elevated blood pressure. You have also been experiencing anxiety. At home, your blood pressure typically ranges from 120...
Dr. Wu Xueming Reply:
If blood pressure is not very stable, it is advisable to start with half a dose and monitor the response.[Read More] Managing Hypertension and Heart Rate Issues During Menopause: A Patient's Journey