Feeling Pulsations in the Abdomen While Lying Flat: Is It Normal?
When lying flat on your stomach, there is a sensation of pulsation in the abdomen? Hello doctor, I am 19 years old, my blood pressure is normal, and I am slightly overweight with a BMI close to 24. I do not smoke or drink alcohol, and I am not sexually active. Recently, I noticed...
Dr. He Dongjin Reply:
Hello, everything is normal. Don't worry, Changhua Hospital cares about you.[Read More] Feeling Pulsations in the Abdomen While Lying Flat: Is It Normal?
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and shortness of breath, worse than before the surgery? Hello, Dr. Huang! My brother underwent a cardiac catheterization due to chest tightness, which revealed 50% blockage at the ostium of the left main coronary artery ...
Dr. Huang Yinghe Reply:
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a blood vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. Typic...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
After coronary bypass surgery, I still feel chest tightness and have difficulty breathing, worse than before the surgery? Hello, Dr. Huang! (I apologize for not providing enough details in my previous message, so I am resending it.) My brother underwent a coronary angiogram due t...
Dr. Huang Yinghe Reply:
Hello: Coronary artery bypass grafting (CABG) is, as the name suggests, a procedure that bridges a vessel from the aorta to the distal end of the coronary artery, "bypassing" the obstructed lesion to ensure adequate blood supply to the myocardium downstream. The standar...[Read More] Post-Bypass Surgery: Why Am I Still Experiencing Chest Pain and Breathlessness?
Understanding the Health Implications of a Slower Heart Rate
Bradycardia Hello doctor, my heart rate used to be around 75 beats per minute or higher. A few months ago, I felt like my heart would suddenly stop for a moment, and then I felt dizzy. When I checked my blood pressure, I found that my heart rate had dropped to around 65, and some...
Dr. He Dongjin Reply:
Hello, a slower heart rate compared to before may not be related to health issues and does not necessarily indicate paroxysmal arrhythmia; further examination is needed to determine this. If you continue to feel unwell, it is advisable to visit a cardiology clinic for further eva...[Read More] Understanding the Health Implications of a Slower Heart Rate
Managing Breathing OCD: Heart Health and Blood Pressure Concerns
Respiratory compulsive disorder can lead to heart and blood pressure issues? Hello Doctor: I have been suffering from respiratory compulsions for about 20 years, starting in elementary school. Due to the self-regulation of my breathing, my blood pressure is always high, and my he...
Dr. Chen Jili Reply:
(1) When experiencing difficulty breathing, it can be helpful to divert attention by engaging in other activities. (2) It is advisable to seek treatment at a hospital, as severe cases of breathing-related obsessive-compulsive disorder also constitute a medical condition that requ...[Read More] Managing Breathing OCD: Heart Health and Blood Pressure Concerns
Understanding the Impact of Breathing Disorders on Heart Health and Blood Pressure
Cardiovascular and blood pressure issues? Hello, Doctor: I have been suffering from respiratory compulsive disorder for about 20 years and have developed a habit of controlling my breathing. It seems that this disorder can lead to high blood pressure and palpitations (my heartbea...
Dr. Chen Jili Reply:
(1) When experiencing difficulty breathing, it can be helpful to distract yourself by engaging in other activities. (2) It is advisable to seek treatment at a hospital, as severe respiratory obsession is also a condition that requires medical attention. (3) If necessary, consult ...[Read More] Understanding the Impact of Breathing Disorders on Heart Health and Blood Pressure
Understanding Heart Palpitations: Causes, Concerns, and Next Steps
Arrhythmia Hello Doctor, I have been taking medication for high blood pressure for several years, and my blood pressure has been well controlled. Since last year, I have occasionally felt my heart beating forcefully, though not frequently. However, this year it seems to be happen...
Dr. He Dongjin Reply:
Hello, you can increase the dosage of Inderal 10mg. If you still feel unwell, it is advisable to return for an earlier consultation. We recommend arranging a 24-hour Holter ECG monitoring. Experiencing two consecutive skipped beats should not pose a danger. Changhua Hospital care...[Read More] Understanding Heart Palpitations: Causes, Concerns, and Next Steps
Understanding Sudden Blood Pressure Changes in Elderly Patients
Grandma's hypertension has suddenly turned into low blood pressure, and her pulse has become rapid? Hello, Director He. My grandmother is 87 years old and has a history of hypertension. She exercises in the morning and has been on medication for long-term control, with her s...
Dr. He Dongjin Reply:
Hello, your blood pressure is too low, which may be due to a high concentration of Concor and Co-Diovan in your system. It is recommended to stop the medication for one day and resume it once your blood pressure stabilizes. Changhua Hospital cares about you.[Read More] Understanding Sudden Blood Pressure Changes in Elderly Patients
Is Anesthesia Safe for Patients with Rapid Heart Rate?
Can anesthesia be administered if the heart rate is too fast? Hello, Doctor! My heart rate has been consistently around 85 beats per minute, but recently it has suddenly increased to between 90 and 100 beats per minute, with a couple of instances reaching as high as 107 or 108. I...
Dr. He Dongjin Reply:
Hello, there are no contraindications for anesthesia. The increased heart rate may be due to anxiety about the surgery, but it does not significantly affect the risks of anesthesia. Changhua Hospital cares about you.[Read More] Is Anesthesia Safe for Patients with Rapid Heart Rate?
Managing Rapid Heartbeat: Insights on Propranolol and Hypertension
Tachycardia Hello, doctor. I have been experiencing symptoms of rapid heartbeat since the end of March this year. I have a history of hypertension and am currently taking antihypertensive medication. My heart rate is consistently around 80 to 90 beats per minute in the morning, a...
Dr. Bai Xiyan Reply:
Thank you for your inquiry. 1. The causes of tachycardia include hyperthyroidism, anemia, dehydration, fever, anxiety, and other issues. It can also be influenced by autonomic nervous system disorders, certain medications, caffeine, and tea. To manage palpitations, it is essent...[Read More] Managing Rapid Heartbeat: Insights on Propranolol and Hypertension
Understanding Rapid Heartbeat: Risks and Management for Patients
Tachycardia Hello Doctor, I discovered at the end of March that my heart rate is somewhat elevated. I have a problem with obesity and hypertension (which I manage with medication). In the morning, my heart rate is around 80-100 bpm, close to noon it ranges from 95-110 bpm, and in...
Dr. He Dongjin Reply:
Hello, if there is no arrhythmia and the heart rate is simply elevated without any issues, there is no need to worry. However, if you still cannot find peace of mind, you may ask your physician to adjust your blood pressure medication to one that can simultaneously control both b...[Read More] Understanding Rapid Heartbeat: Risks and Management for Patients
Understanding Blood Pressure Readings: Is Your Heart Health at Risk?
Blood pressure measurement The patient's blood pressure is 130/70 mmHg with a heart rate of 87 beats per minute. This blood pressure reading indicates that the systolic pressure is elevated (130 mmHg), while the diastolic pressure is within the normal range (70 mmHg). A hear...
Dr. He Dongjin Reply:
Hello, don't worry, everything is fine. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Readings: Is Your Heart Health at Risk?
Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Myocardial perfusion tomography and 24-hour electrocardiogram? Dear Director: I would like to request your interpretation of the following two reports: (1) Myocardial Perfusion Tomography: IMP: The study suggests possible myocardial ischemia in the lateral wall of the left ve...
Dr. Huang Yinghe Reply:
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to dilate the coron...[Read More] Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Understanding 24-Hour Holter Monitoring: Key Insights and Findings
24-hour Holter monitor? Dear Director: I am the patient who asked you about the myocardial perfusion tomography and 24-hour electrocardiogram report two days ago. Since the previous 24-hour electrocardiogram only included the conclusion and omitted the details, I am providing the...
Dr. Huang Yinghe Reply:
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to induce vasodilat...[Read More] Understanding 24-Hour Holter Monitoring: Key Insights and Findings
Managing Blood Pressure: Can Viagra Affect Your Heart Medications?
Medication consultation Hello, I recently started taking Concor 1.25 mg tablets and Exforge (combination of 5/80 mg) in the morning due to blood pressure issues. Previously, I would take Viagra (sildenafil) once a week for erectile dysfunction. I would like to ask: 1. Could takin...
Dr. Bai Xiyan Reply:
1. Not necessarily related. 2. Concor belongs to the class of beta-blockers, which may affect sexual function. The use of Viagra may not be suitable in combination with certain medications such as nitrates and sorbitrate. It is advisable to consult a urologist for guidance on its...[Read More] Managing Blood Pressure: Can Viagra Affect Your Heart Medications?
Understanding Infective Endocarditis: Risks, Treatments, and Recovery Insights
Infective endocarditis Hello, Doctor. Since the attending physician explained my mother's condition in front of other family members, I couldn't ask some questions. I would like to know your experience regarding her situation. My mother (56) has been diagnosed with infe...
Dr. He Dongjin Reply:
Hello, endocarditis can lead to aneurysms. Antibiotics may be able to treat aneurysms caused by endocarditis, but the time required for a patient to receive a prosthetic valve depends on each patient's recovery status, making it difficult to determine. The success rate for p...[Read More] Understanding Infective Endocarditis: Risks, Treatments, and Recovery Insights
Understanding Strong Heartbeats in a 13-Year-Old: When to Seek Help
Increased heart contractions? Hello, doctor. My daughter is 13 years old, has a slim build, is 162 cm tall, and weighs 38 kg. She has not yet entered puberty. This month, she has occasionally experienced symptoms of her heart beating stronger (which I believe is palpitations). Wh...
Dr. He Dongjin Reply:
Hello, based on your description, it seems to be normal. You should just observe for now. Changhua Hospital cares about you.[Read More] Understanding Strong Heartbeats in a 13-Year-Old: When to Seek Help
Understanding Fluctuating Blood Pressure and Irregular Heartbeat Risks
Blood pressure fluctuates between high and low, and when blood pressure is low, the heartbeat becomes irregular? My father is 54 years old, 180 cm tall, and weighs 64 kg. He has been consistently exercising but has habits of smoking and drinking alcohol. He has a very bad temper ...
Dr. He Dongjin Reply:
Hello, I am more concerned about my arrhythmia situation. 1. I have quit smoking and drinking; stimulants easily cause irregular heartbeats. 2. I adjusted my dosage of Dronedarone to 0.5, taking half a tablet at a time. My heart rate is very slow, below 60 beats per minute, so I ...[Read More] Understanding Fluctuating Blood Pressure and Irregular Heartbeat Risks
Managing Blood Pressure Medication: Is My Dosage Too High?
Blood pressure medication issues? Hello Doctor: I am 48 years old and have been taking antihypertensive medication since January 2017. Initially, I was taking Amlodipine 80 mg every afternoon, but within just two years, my medication has increased to Amlodipine 80 mg in the morni...
Dr. Bai Xiyan Reply:
Hello! Typically, measuring blood pressure in the morning and evening can help determine if it is stable and within 140/90 mmHg. Blood pressure tends to fluctuate with age, and it is more common for women around the age of 50 to experience instability during menopause. Your curre...[Read More] Managing Blood Pressure Medication: Is My Dosage Too High?
Understanding Heart Health: Interpreting Your Checkup Results and Risks
Cardiac issues Hello Doctor, I previously inquired about some issues, and this time I would like to ask about my health check report. Static Electrocardiogram: Sinus bradycardia at 57 beats per minute. Arterial stiffness analysis: Pulse wave analysis (1-7 scale) shows vascula...
Dr. He Dongjin Reply:
Hello, it's not that serious. Don't scare yourself. Vascular elasticity analysis is just an estimate and may not be entirely accurate. Don't let the numbers control you. If possible, engage in more exercise, control your diet, manage your weight, and regulate your ...[Read More] Understanding Heart Health: Interpreting Your Checkup Results and Risks