Can I Take Isosorbide and Heart Rate Medication Together Safely?
Could you please advise if two types of heart medications can be taken together? Hello, I was recently diagnosed with congenital myocardial bridge. The doctor prescribed "Isosorbide Mononitrate 40 mg" to be taken twice daily, in the morning and evening. However, I notic...
Dr. Wu Xueming Reply:
Both medications have the effect of lowering heart rate. If taken together, there may be a risk of bradycardia. Please discuss with your outpatient physician whether to adjust the medication dosage.[Read More] Can I Take Isosorbide and Heart Rate Medication Together Safely?
How to Advocate for a Heart Catheterization After Years of Symptoms?
Cardiac catheterization? I have seen countless doctors, and they only prescribe medications for my heart rhythm without offering any further treatment. How can I guide my doctor to perform a cardiac catheterization? Whenever I am in a slightly warm environment and walk for more t...
Dr. Wu Xueming Reply:
According to health insurance regulations, the indications for cardiac catheterization must include typical angina symptoms along with objective evidence of myocardial ischemia, such as a stress electrocardiogram or nuclear medicine myocardial perfusion imaging. Please discuss wi...[Read More] How to Advocate for a Heart Catheterization After Years of Symptoms?
Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...
Dr. He Dongjin Reply:
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?
Understanding Sudden Dizziness: Potential Cardiovascular Connections
Regarding sudden dizziness? Hello Doctor: Yesterday morning around 11 AM, while I was in class, I suddenly felt unwell, experiencing dizziness and a sensation of pressure in my head, almost as if I were about to faint. I am certain that my limbs and face did not feel numb, my vis...
Dr. Wu Xueming Reply:
If you frequently experience sudden loss of consciousness or syncope, it is recommended that you consult a cardiologist and a neurologist for further evaluation.[Read More] Understanding Sudden Dizziness: Potential Cardiovascular Connections
Understanding Myocardial Ischemia: When to Consider Angiography?
Myocardial hypoxia Hello Doctor, I occasionally experience chest tightness and chest pain. I arranged for an exercise electrocardiogram, and the report is as follows: METs: 10.80, HR: 101%, ST change during exercise stage 4, 9:33. Flat ST depression at II (-2.90), III (-2.20), aV...
Dr. Wu Xueming Reply:
If symptoms can be improved under medication control, it may not be necessary to perform a cardiac catheterization.[Read More] Understanding Myocardial Ischemia: When to Consider Angiography?
Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Is there a problem if the resting heart rate drops below 45? Thank you! Due to hypertension issues, I have been taking Sevikar 40/5/12.5 mg for the past few years, and my blood pressure has been well controlled. During my last follow-up appointment last month, my fasting blood su...
Dr. Li Han Reply:
Hello, based on your description, after changing the medication, Nebilet has reduced your resting heart rate to 50 beats per minute. If you are not experiencing any discomfort and your heart rate can appropriately increase during activity, it may indicate that your heart function...[Read More] Is a Resting Heart Rate Below 45 BPM a Cause for Concern?
Managing High Heart Rate: Essential Steps for ICD Patients
Arrhythmia is elevated? Hello, I have an ICD implanted, and the manufacturer has already reviewed my case. I have been experiencing high heart rates without ICD-assisted shocks for about a month now. Recently, my resting heart rate, as shown on my watch, averages around 75 during...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your daily routine and engage in regular exercise. However, if the heart rate remains excessi...[Read More] Managing High Heart Rate: Essential Steps for ICD Patients
Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Antiarrhythmic medications I have ventricular premature contractions (VPC) and have undergone stent placement, and I am currently receiving ongoing treatment. My doctor has prescribed medications including Clopidogrel, Aspirin, Dronedarone, Atorvastatin, Bisoprolol, Diltiazem, So...
Dr. He Dongjin Reply:
Hello, you should first clarify whether your discomfort, such as chest tightness, dizziness, and shortness of breath, occurs when there are frequent ventricular premature contractions (VPCs). If not, there is no need to take Metoprolol; just monitor your symptoms for any worsenin...[Read More] Managing VPC and Medication Adjustments for Heart Rhythm Disorders
Understanding Blood Pressure: When Lifestyle Changes Aren't Enough
Blood Pressure Assessment Issues A few months ago, during a health check-up, my systolic blood pressure was in the 130s, approaching 140, and there was mild plaque buildup in my carotid arteries. Other factors like cholesterol, triglycerides, and BMI were all within normal limits...
Dr. He Dongjin Reply:
Hello, for individuals with autonomic nervous system imbalance, it is important to rest adequately and practice deep breathing to help alleviate symptoms. There is no need to take medication; your well-being is our concern at Changhua Hospital.[Read More] Understanding Blood Pressure: When Lifestyle Changes Aren't Enough
Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Long-term dizziness, chest tightness, and rapid heartbeat? Hello, two years ago I experienced dizziness and consulted a doctor. The symptoms have been intermittent. I also paid for an MRI of the brain's blood vessels, which showed no issues. My heart rate was around 150 bpm,...
Dr. He Dongjin Reply:
Hello, it sounds like you are experiencing autonomic nervous system dysfunction rather than a heart issue, so there is no need for further cardiac examinations. Ping An Changhua Hospital cares about you.[Read More] Understanding Persistent Dizziness and Heart Symptoms: When to Seek Cardiac Evaluation
Understanding Brief Loss of Consciousness: Causes and Next Steps
Brief loss of consciousness for one to two seconds? Hello, doctor. Last night after taking a shower, I sat at my desk and suddenly seemed to lose consciousness for a second or two. When I came to, I realized my body was leaning forward to the left, and I quickly sat up straight a...
Dr. Wu Xueming Reply:
Based on your condition, it is recommended that you undergo further examinations with a cardiologist and a neurologist.[Read More] Understanding Brief Loss of Consciousness: Causes and Next Steps
Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Dr. Huang, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly after the surg...
Dr. Huang Yinghe Reply:
Hello: 1. There were no significant changes in the electrocardiogram (ECG) before and after coronary artery bypass grafting (CABG), indicating the possibility of myocardial ischemia. 2. The ECG from March 1 of this year compared to the postoperative ECG shows a new (complete) lef...[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
Understanding Blood Pressure Fluctuations: Causes and Concerns
Blood pressure issues inquiry? Hello Doctor, I have a problem with valve regurgitation, as well as symptoms of autonomic nervous system dysfunction and anxiety. My usual blood pressure is around 115/70 to 125/80. Previously, I experienced a sudden spike in blood pressure to 160/9...
Dr. Wu Xueming Reply:
Emotional anxiety, changes in weather, irregular routines, and insufficient sleep are among many factors that can affect blood pressure. Please adjust these lifestyle factors and incorporate regular exercise.[Read More] Understanding Blood Pressure Fluctuations: Causes and Concerns
Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
Ventricular fibrillation I have been experiencing severe symptoms since I received an injection (Diphenhydramine hydrochloride) at Chang Gung Hospital two years ago, which may have interacted with my sedative medication. This led to palpitations and fainting. After that, I was ad...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with the cardiology department at another medical center. Wishing you good health. Thank you![Read More] Understanding Ventricular Fibrillation: Symptoms, Causes, and Treatment Options
When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients
When should medication be taken for blood pressure? I am a patient with arrhythmia (premature ventricular contractions) and have undergone catheter ablation. I am currently taking one antiarrhythmic medication daily. My blood pressure tends to be low in the summer (80-110) and hi...
Dr. He Dongjin Reply:
Hello, it seems more like winter weather. The unstable atmospheric pressure may cause dizziness and lightheadedness, leading to fluctuations in blood pressure, which may not necessarily indicate hypertension. Taking antihypertensive medication could potentially worsen discomfort....[Read More] When to Start Blood Pressure Medication: A Guide for Arrhythmia Patients
Understanding Blood Pressure Fluctuations After Stopping Medication
Blood pressure issues Hello, doctor. At the end of January, I had a blood pressure reading of 160/110 at the clinic, so the doctor prescribed the antihypertensive medication Amlodipine 5/40, which I took once daily for five days. After discussing with the doctor, I decided to sto...
Dr. Wu Xueming Reply:
1. It is possible. 2. In May 2022, the Taiwan Society of Cardiology and the Taiwan Hypertension Society published guidelines that officially adjusted the definition of hypertension from 140/90 mmHg to 130/80 mmHg. It is recommended to measure blood pressure using "home blood...[Read More] Understanding Blood Pressure Fluctuations After Stopping Medication
Understanding Persistent Left Chest Discomfort: Causes and Solutions
Prolonged discomfort and mild pain in the left chest? At 32 years old, I have no bad habits such as smoking or drinking. Currently, I am taking medication for high blood pressure. Before starting the medication, my blood pressure was around 165/90, but now it is controlled to abo...
Dr. Wu Xueming Reply:
If coronary artery disease is suspected, an exercise electrocardiogram or a nuclear medicine myocardial perfusion scan can be performed for evaluation.[Read More] Understanding Persistent Left Chest Discomfort: Causes and Solutions
Understanding Blood Pressure Fluctuations, Tinnitus, and Panic Disorders
Blood pressure fluctuations, tinnitus, and panic disorder? Hello Doctor, thank you for taking the time to advise me. A few months ago, I experienced an increase in blood pressure due to taking traditional Chinese medicine, which triggered a recurrence of my panic disorder (I have...
Dr. He Dongjin Reply:
Hello, first of all, you do not have hypertension, and blood pressure fluctuations are normal, especially since you are aware of your panic issues, which can make the fluctuations more pronounced. In this situation, a daytime systolic blood pressure of 130-140, with a usual range...[Read More] Understanding Blood Pressure Fluctuations, Tinnitus, and Panic Disorders
Heart Palpitations and Myocardial Infarction After Antihistamine Injection
The injection of "Diphenhydramine Hydrochloride" from Chang Gung has led to palpitations and myocardial infarction, and the pain has persisted for three years. I feel like I want to die? Antihistamine Diphenhydramine Hydrochloride has caused palpitations. Since I receiv...
Dr. Wu Xueming Reply:
Regarding your symptoms, it is recommended to visit a cardiology clinic for further evaluation.[Read More] Heart Palpitations and Myocardial Infarction After Antihistamine Injection
Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Blood pressure issues? Hello Doctor, I started experiencing dizziness around the Lunar New Year when I returned to work, but I did not have dizziness during my time off. Starting from February 27, the dizziness suddenly worsened, and I felt dizzy all day long. I even began to exp...
Dr. Wu Xueming Reply:
Your blood pressure readings are within the normal range, so there is no need to worry.[Read More] Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis