Understanding Unexplained High Blood Pressure in Older Adults
Abnormal hypertension My father, 76 years old, has no history of hypertension. Recently, he suffered three fractures in his toes due to external force without realizing it and sought treatment from a traditional Chinese medicine practitioner, where he received acupuncture and top...
Dr. Wu Xueming Reply:
More than 95% of hypertension cases are classified as primary hypertension with unknown causes, which may be related to genetics, environment, and diet. Less than 5% of hypertension cases are secondary hypertension caused by endocrine disorders, kidney diseases, or vascular disea...[Read More] Understanding Unexplained High Blood Pressure in Older Adults
Understanding Chest Discomfort: Causes and Concerns for Heart Health
Chest discomfort? Doctor, I have some questions to ask you. I've been under a lot of stress these past couple of days, mostly self-imposed. I don't know why, but last night I had no issues until I felt my heart racing in my dreams. Soon after, I woke up and went to the ...
Dr. Chen Jili Reply:
I recommend that you discuss the above situation with your attending physician (I had an electrocardiogram four months ago) to see if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Chest Discomfort: Causes and Concerns for Heart Health
Understanding Panic Attacks: Impact on Heart Health and Biomarkers
Panic disorder emergency room visit (CPK and Troponin) Hello, cardiologist. I have been taking medication for panic disorder for over ten years (Xanax). On April 10, I went to the emergency room due to a panic attack, where my blood pressure was 177/133 and my heart rate was arou...
Dr. He Dongjin Reply:
Hello, a slightly elevated level may not necessarily be significant, so there's no need to worry. If there are no symptoms, and both the EKG and echocardiogram are normal, it is advisable to just monitor the situation. If you are constantly concerned about considering a self...[Read More] Understanding Panic Attacks: Impact on Heart Health and Biomarkers
Understanding Seasonal Heart Rate Variations and Blood Pressure Concerns
Heart rate issues Hello Doctor, during winter my heart rate is around 60 or even lower, but in summer it rises to over 80. I would like to know if this is a natural phenomenon caused by changes in basal body temperature. Additionally, whenever I feel my heart racing, I check my b...
Dr. He Dongjin Reply:
Hello, whether it's 60 or even lower, or in the summer when it's in the 80s, these are all within the normal range. There's no need to worry. It's normal for the first spike to return to below 120. This will not damage the inner walls of your blood vessels or ...[Read More] Understanding Seasonal Heart Rate Variations and Blood Pressure Concerns
Understanding Heart Rate Variations: When to Seek Medical Advice
Heart rate issues Hello, doctor. I would like to ask about my heart rate. When I am sitting or lying down, my heart rate is around 69-88 beats per minute, but when I stand up, it increases to 95-112 beats per minute. Even when I stand still for a while, my heart rate remains in t...
Dr. He Dongjin Reply:
Hello, the number of jumps depends on the brain and is controlled by the autonomic nervous system. Jumping according to the body's needs may indicate that your blood pressure is not high. If you experience orthostatic hypotension when standing, the brain commands the heart t...[Read More] Understanding Heart Rate Variations: When to Seek Medical Advice
Managing Occasional High Blood Pressure: What You Need to Know
Hypertension issues Hello, doctor. I have a family history of hypertension, but my blood pressure is usually normal, although I occasionally experience sudden spikes in blood pressure accompanied by headaches, about once every one to two months. I would like to ask what I should ...
Dr. Cai Guiqin Reply:
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant tests are needed. Thank you, and wishing you good health![Read More] Managing Occasional High Blood Pressure: What You Need to Know
Understanding Heart Rate Changes During Intense Exercise and Anxiety
Heart rate issues Doctor, I would like to ask you about something. After exercising, my heart rate usually returns to a normal range of 60 to 70 beats per minute. However, recently, after playing volleyball, which has become quite intense, my heart rate stays around 96 beats per ...
Dr. Wu Xueming Reply:
A heart rate of 60 to 100 beats per minute is considered normal. If you frequently experience palpitations, please adjust your lifestyle and reduce your intake of caffeinated beverages. If there is no improvement, you may visit a cardiology clinic for further evaluation.[Read More] Understanding Heart Rate Changes During Intense Exercise and Anxiety
Nighttime Palpitations: Struggling to Sleep and Waking Up Anxious
Palpitations before sleep, difficulty falling asleep, and experiencing palpitations upon waking? Premise: Recently, I sought traditional Chinese medicine for arthritis. After taking the medication prescribed by the doctor, I felt significantly uncomfortable, which led me to switc...
Dr. He Dongjin Reply:
Hello, it seems that you are experiencing autonomic nervous system dysfunction. It is advisable to monitor your condition for now, but if you continue to feel unwell, I recommend visiting an outpatient clinic for some medication. Changhua Hospital cares about your well-being.[Read More] Nighttime Palpitations: Struggling to Sleep and Waking Up Anxious
Understanding Palpitations and Shortness of Breath in Young Adults
Arrhythmia and shortness of breath? I am 23 years old and have anemia. A doctor advised me to take iron supplements. I also have issues with arrhythmia; I previously had a 24-hour monitoring which showed no problems, although I occasionally experience missed beats or increased he...
Dr. Chen Jili 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] Understanding Palpitations and Shortness of Breath in Young Adults
Managing Rapid Heartbeat After Surgery: When to Seek Cardiac Care
Arrhythmia Hello Doctor: I underwent an emergency cesarean section on April 11 due to preeclampsia. During my postpartum recovery, I have been taking antihypertensive medication, specifically one Adapine S.R. 30 mg tablet in the morning and four Atanaal 5 mg capsules throughout t...
Dr. He Dongjin Reply:
Hello, if you measure your pulse and it is regular without any significant discomfort, you can observe it for now, as it may be your body still adapting to the postpartum situation. It is advisable to supplement with nutrition and hydration. However, if you notice an irregular pu...[Read More] Managing Rapid Heartbeat After Surgery: When to Seek Cardiac Care
Understanding Palpitations Triggered by Swallowing, Speaking, and Breathing
Palpitations or arrhythmias triggered by swallowing, speaking, or deep breathing? Hello, doctor. Over the past month, I have suddenly experienced mild palpitations (which I have not felt significantly in the past). Gradually, I began to experience arrhythmias (four times within t...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Palpitations Triggered by Swallowing, Speaking, and Breathing
Understanding the Link Between Hypothyroidism and Heart Rate Issues
Hypertension and hypothyroidism? I would like to consult a doctor regarding my condition. I have hypothyroidism and experienced unexplained high blood pressure and rapid heart rate two to three days ago, which occurred twice. I was unsure why this happened, but I stabilized after...
Dr. He Dongjin Reply:
Hello, don't think too much about it. Just wait for the thyroid report and the 24-hour ECG report to come out tomorrow, and then discuss it with your attending physician. Don't worry, Changhua Hospital cares about you.[Read More] Understanding the Link Between Hypothyroidism and Heart Rate Issues
Experiencing Rapid Heartbeat at Night: Causes and Concerns
Sudden heart rate of 120 beats per minute at midnight, lasting until morning? I often experience rapid heartbeats, especially after meals, which can last for 1-2 hours. Last night, I suddenly woke up at 2 AM, and I’m not sure if it was due to the air conditioning, but I felt dry ...
Dr. Chen Jili 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] Experiencing Rapid Heartbeat at Night: Causes and Concerns
Understanding Low Blood Pressure: Links to Thyroid Issues and Heart Rate
Hypotension issues Hello Doctor: Due to hypothyroidism, I have issues with low blood pressure. Whenever I feel hungry, my blood sugar drops, which is accompanied by a gradual decrease in body temperature and heart rate. Then I start to experience palpitations, with my heart rate ...
Dr. Chen Jili Reply:
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant tests are needed. Thank you![Read More] Understanding Low Blood Pressure: Links to Thyroid Issues and Heart Rate
Understanding Autonomic Nervous System Impact on Blood Pressure and Heart Rate
Regarding the autonomic nervous system and blood pressure issues? Hello, Doctor! Because I have an anxious personality, I often find myself wanting to check my heart rate and worrying about daily fluctuations in my blood pressure. My family does not have any related diseases, but...
Dr. He Dongjin Reply:
Hello, experiencing palpitations and feeling the carotid pulse with mitral valve prolapse is normal. Variations in blood pressure due to anxiety are also normal. It seems that all of this is a normal response, so there’s no need to worry. For a healthy individual, as long as bloo...[Read More] Understanding Autonomic Nervous System Impact on Blood Pressure and Heart Rate
Understanding Mitral Valve Prolapse and Anxiety-Related Blood Pressure Issues
Mitral valve prolapse and autonomic nervous system dysfunction issues? Hello Doctor, I would like to ask a few questions. 1. Since I have an anxiety predisposition, I often monitor my blood pressure. In the past, I used to measure it almost every day, and it typically ranges fr...
Dr. He Dongjin Reply:
Hello, anxiety and high blood pressure for a prolonged period can affect your body, so don't worry. Try to focus your attention elsewhere. You don't have high blood pressure, so there's no need to measure it. Ping An Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse and Anxiety-Related Blood Pressure Issues
Can My Father Continue Heart Medications Despite New Symptoms?
If a patient with a history of heart failure and anticoagulant therapy suddenly experiences symptoms such as shortness of breath, palpitations, chest discomfort, hypotension, and dizziness, it is crucial to seek immediate medical attention. Continuing medication without consultin...
Dr. Wu Xueming Reply:
If blood pressure is low due to medication, it may be necessary to consult the prescribing physician to evaluate the situation and adjust the medication dosage. Do not discontinue the medication on your own.[Read More] Can My Father Continue Heart Medications Despite New Symptoms?
Potential Risks and Side Effects of Misusing Nitroglycerin
Misuse of nitroglycerin, a common medication for myocardial infarction, can lead to several adverse effects. These may include severe hypotension, tachycardia, headaches, dizziness, and potential exacerbation of angina symptoms. Inappropriate use can also result in tolerance, red...
Dr. Wu Xueming Reply:
Nitroglycerin can cause hypotension, and excessive amounts may lead to shock. However, due to its rapid metabolism, there are typically no significant side effects after the drug's effects wear off.[Read More] Potential Risks and Side Effects of Misusing Nitroglycerin
Understanding Abnormal Chest X-Ray and ECG Results in Cardiovascular Health
Abnormalities in X-ray and electrocardiogram (ECG) findings? Doctor: Hello, I recently had a physical examination. My height is 168 cm, and my weight is 91.9 kg. The results of the examination showed two abnormalities: an abnormal chest X-ray indicating "aortic sclerosis sha...
Dr. Wu Xueming Reply:
Chest X-ray showing aortic arteriosclerosis: This refers to the thickening and calcification of arterial walls, which is a phenomenon associated with aging. However, factors such as smoking, hypertension, hyperlipidemia, diabetes, and obesity can accelerate this process. The dang...[Read More] Understanding Abnormal Chest X-Ray and ECG Results in Cardiovascular Health
Understanding the Effects of Concor 1.25 on Blood Pressure and Heart Rate
Taking Concor 1.25 mg lowers diastolic blood pressure? Doctor, I have a question. I usually have a fast heartbeat, so I went to see a doctor who prescribed me Concor 1.25 mg to take one tablet every morning. After arriving at school, I measured my blood pressure and found it to b...
Dr. He Dongjin Reply:
Hello, your blood pressure is a bit low, but there is no danger as long as you feel fine. Just monitor it for now. If you are not taking any medication and have no discomfort, you can hold off on taking any medication and continue to observe. Changhua Hospital cares about you.[Read More] Understanding the Effects of Concor 1.25 on Blood Pressure and Heart Rate