Understanding Heart Palpitations and Cholesterol Concerns: A Guide
Cardiac issues Hello Doctor, I would like to ask for your advice. Recently, I have been experiencing frequent palpitations and irregular heartbeats. Sometimes, I feel sharp pain in my chest and around my heart area, and I also have pain in my left shoulder and back, although I&#x...
Dr. He Dongjin Reply:
Hello, for women of this age, experiencing palpitations and pain in the heart area is likely due to autonomic nervous system dysfunction, and the probability of a myocardial infarction is low, so there is no need to worry. Pain in the left shoulder and back is more likely to be m...[Read More] Understanding Heart Palpitations and Cholesterol Concerns: A Guide
Understanding Blood Pressure Fluctuations: When to Seek Cardiac Care
Blood pressure issues? Hello, doctor. I would like to ask a question... My mother is 64 years old. When she consumes a salty diet, her blood pressure can rise to the 160s (measured about 40 to 60 minutes after eating), and she also experiences dizziness! If she eats a lighter die...
Dr. He Dongjin Reply:
Hello, it is normal for blood pressure to rise after consuming salty foods, so it is advisable to control your diet by reducing salt and oil intake. If your weight continues to decrease, it may be concerning, and I recommend seeing a specialist in metabolism for an evaluation. Ta...[Read More] Understanding Blood Pressure Fluctuations: When to Seek Cardiac Care
Understanding Your 24-Hour ECG Report: Key Insights on Heart Health
Electrocardiogram (ECG) report inquiry? Hello, doctor. A few days ago, I had a 24-hour Holter monitor test, but unfortunately, I missed my follow-up appointment. I would like to ask if this report is serious. Diagnosis: Hypertensive heart disease without heart failure Indicat...
Dr. He Dongjin Reply:
Hello, non-sustained ventricular tachycardia (VT) with the longest run of 11 beats seems to be more serious. It is recommended to consult with your cardiologist in the outpatient clinic to discuss treatment options. Changhua Hospital cares about your well-being.[Read More] Understanding Your 24-Hour ECG Report: Key Insights on Heart Health
Managing Hypertension in Patients with Valvular Heart Disease: Key Considerations
Issues with Hypertension Medications for Cardiovascular Disease Hello Doctor: I have valvular heart disease and need to take antihypertensive medication long-term to control my blood pressure. However, I have recently been measuring higher blood pressure (systolic 160-170 / diast...
Dr. He Dongjin Reply:
Hello, you can try to divide the medications as follows: take Nifedipine with breakfast and dinner, INDAP S.R. at lunch, and Diovan before bedtime. Monitor your blood pressure changes, and if it remains elevated, discuss with your physician about adjusting the medication. Changhu...[Read More] Managing Hypertension in Patients with Valvular Heart Disease: Key Considerations
Managing Irregular Heartbeat in Elderly Patients: A Guide for Caregivers
Arrhythmia Hello Doctor, My mother has been experiencing a high frequency of pulse wave instability when measuring her blood pressure at home over the past three months (she measures her blood pressure twice daily). After auscultation, the doctor noted slight arrhythmia, but th...
Dr. He Dongjin Reply:
Hello, the elderly person does not have any particular discomfort. After using the treatment, the frequency of arrhythmia has decreased. It is advisable to observe the situation for now. Changhua Hospital cares about you.[Read More] Managing Irregular Heartbeat in Elderly Patients: A Guide for Caregivers
Sudden Cold Weather: Understanding Heart Discomfort and Seeking Help
The sudden drop in temperature has caused discomfort in the heart? Hello, doctor. Recently, with the significant changes in weather, I have been experiencing shortness of breath and chest tightness, making it difficult for me to sleep at night. I have not had similar issues in th...
Dr. Bai Xiyan Reply:
Ms. HsinWen, I hope you are well: Every year, as the weather gets colder, there is a notable increase in cases of cardiovascular issues and asthma. It is essential to focus on health maintenance in our daily lives, which includes maintaining a regular routine, balanced diet, mode...[Read More] Sudden Cold Weather: Understanding Heart Discomfort and Seeking Help
Managing Hypertension Medications and Erectile Dysfunction: Key Insights
Blood pressure medications and erectile dysfunction? Hello Doctor, I have been taking medication for primary hypertension for the past six years. For the first two years, I was on Epaned 5/80mg, which caused erectile dysfunction, and even with the use of Viagra or Cialis, the eff...
Dr. He Dongjin Reply:
Hello, Koyue. You and De'an should belong to the same family of medications (ARBs), and their side effects are expected to be similar. Whether or not side effects occur can vary from person to person. In theory, antihypertensive medications and Viagra should not conflict wit...[Read More] Managing Hypertension Medications and Erectile Dysfunction: Key Insights
Should You See a Doctor for Elevated Blood Pressure and Heart Rate?
Should I see a doctor if my blood pressure and heart rate are elevated? Hello doctor, I have been recording my blood pressure and heart rate every morning before getting up, and I have been trying to lose weight recently. However, my weight hasn’t changed in a month, so this week...
Dr. Bai Xiyan Reply:
The response to the user's question is as follows: 1. It is speculated that the user is a young woman, but we do not know her weight, height, or BMI. BMI is calculated as weight (in kilograms) divided by height (in meters) squared. In Taiwan, a normal BMI for adults is gen...[Read More] Should You See a Doctor for Elevated Blood Pressure and Heart Rate?
Understanding Blood Pressure Changes During Exercise: What You Need to Know
Exercise electrocardiogram blood pressure Hello doctor, today I had an exercise electrocardiogram. Initially, they measured my blood pressure while I was sitting, and the results were SYS: 130, DIA: 83. After I started exercising, my blood pressure changed to SYS: 132, DIA: 73. W...
Dr. He Dongjin Reply:
Hello, your blood pressure is normal and there is no hypertension, so please don't worry. Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Changes During Exercise: What You Need to Know
Is Your Arterial Stiffness a Cause for Concern? Understanding baPWV Results
Is the condition of atherosclerosis severe? Hello, Director: During my health check-up yesterday, I underwent an examination at the health screening center using the Omron arterial stiffness meter, which indicated that my aortic pulse wave velocity (baPWV) is approximately 1650 c...
Dr. He Dongjin Reply:
Hello, your condition is acceptable. If you are very concerned, it is advisable to first manage your blood pressure properly. The lower the blood pressure, the slower the progression of vascular sclerosis. Changhua Hospital cares about you.[Read More] Is Your Arterial Stiffness a Cause for Concern? Understanding baPWV Results
Understanding Persistent Palpitations: When to Seek Medical Advice
Persistent palpitations Hello, doctor! About a month and a half ago, I started to feel my heartbeat before going to bed (is this palpitations?). The rate isn't particularly fast; I just feel my heart beating. It's intermittent, so I didn't pay much attention to it....
Dr. Cai Guiqin Reply:
It is advisable for you to visit a medical facility for a consultation and to provide your doctor with detailed information about your symptoms. Wishing you good health![Read More] Understanding Persistent Palpitations: When to Seek Medical Advice
Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?
Chest tightness or chest discomfort? Hello Dr. Huang: I am a 38-year-old male, 178 cm tall and weighing 78 kg. I measure my blood pressure twice daily, with readings of 110-130/70-80 in the morning and before bed, and my heart rate ranges from 70 to 90 bpm. I have a 20-year smoki...
Dr. Huang Yinghe Reply:
Hello Ms. Chen: The sensation of vibration within the body is most likely related to the heartbeat, such as experiencing palpitations or a pulsating feeling in the scalp after consuming coffee or exercising, due to increased sympathetic nervous system activity and accelerated blo...[Read More] Chest Pain Concerns: Should You Consider a CT Scan for Heart Issues?
Managing Heart Health: Concerns About Medication and Symptoms
Medication issues I previously visited a doctor due to insomnia caused by palpitations. An electrocardiogram and blood tests were performed. I have mild fatty liver, and my thyroid-stimulating hormone levels are normal. The doctor mentioned that I have slightly elevated blood pre...
Dr. Huang Yinghe Reply:
Hello Ms. Chen: The sensation of vibration in your body is most likely related to your heartbeat. For example, after consuming coffee or exercising, you may experience palpitations or a twitching sensation in your scalp due to increased sympathetic nervous system activity and acc...[Read More] Managing Heart Health: Concerns About Medication and Symptoms
Understanding Blood Pressure Fluctuations: When to Worry and When Not
Blood pressure issues? Hello, Doctor: My usual morning blood pressure is around 110/76. However, this morning my electronic blood pressure monitor showed a reading of 180/80, and then it increased to 220/80 on a subsequent measurement. I felt a bit startled but did not experience...
Dr. He Dongjin Reply:
Hello, we are treating hypertension rather than occasional fluctuations in blood pressure such as 180/80 or 220/80. There is no need to take long-acting antihypertensive medication. Ping An Changhua Hospital cares about you.[Read More] Understanding Blood Pressure Fluctuations: When to Worry and When Not
Understanding Sudden High Blood Pressure: Risks and Next Steps
Sudden spike in blood pressure? Hello, doctor. My family member's blood pressure suddenly spiked to 168/118 in the morning, accompanied by severe dizziness and nausea. Since it was a holiday, the hospital outpatient services and clinics were closed, so we quickly took medica...
Dr. Bai Xiyan Reply:
Hello Ms. Jiang, regarding the issue of your family member's unstable blood pressure, it is important to note that hypertension is typically a chronic condition and often coexists with diabetes and hyperlipidemia, all of which are risk factors for cardiovascular diseases. Th...[Read More] Understanding Sudden High Blood Pressure: Risks and Next Steps
Understanding Heart Rate Changes: When to Worry About Your Heart
It seems like my heart rate has slowed down? Previously, my heart rate was around 90-110 beats per minute, but today it suddenly dropped to around 70-80. Is there something wrong with my heart? I have high blood pressure and am on medication. My blood pressure is generally stable...
Dr. He Dongjin Reply:
Hello, diastolic pressure is not too high; 70-80-90-110 are all within the normal range. You can continue to monitor it. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Changes: When to Worry About Your Heart
Can Hormone Replacement Therapy Affect Blood Pressure Levels?
Blood pressure issues? Hello Doctor, Two years ago, I went to the emergency room due to acute hypertension (my systolic blood pressure spiked to 208) and was subsequently diagnosed with hypertension. I have been taking antihypertensive medication for two years, and recently my ...
Dr. He Dongjin Reply:
Hello, hormones can raise blood pressure? It should not be the case that hormonal instability affects blood pressure stability. Currently, it is recommended to just monitor the situation without the need for medication. Changhua Hospital cares about you.[Read More] Can Hormone Replacement Therapy Affect Blood Pressure Levels?
Post-Stent Dietary Guidelines for Seniors with Heart Conditions
Diet after the placement of a drug-eluting stent? My grandmother just had a drug-eluting stent placed last week. I would like to ask a few questions. She has a history of hypertension, dyslipidemia, and diabetes, but her diabetes is currently well-controlled. She takes her medica...
Dr. He Dongjin Reply:
Hello, blood pressure should be measured on the left arm or the right arm; it is sufficient to consistently measure one arm. I understand that your grandmother sometimes sneaks some bread and chocolate to satisfy her cravings. If it can make her happy and you mentioned that her d...[Read More] Post-Stent Dietary Guidelines for Seniors with Heart Conditions
Managing Blood Pressure and Heart Health: Key Insights and Tips
Blood Pressure and Heart Problems 1. My blood pressure readings at home are mostly between 100-120 mmHg in the morning and evening, but sometimes at work it goes up to 130 mmHg and at the hospital it measures around 140 mmHg. Should I consider the readings at home as the primary ...
Dr. He Dongjin Reply:
Hello, you are correct. Blood pressure measurement should primarily be done at home, where it is usually around 10X-12X. It is advisable to observe it for now. Dietary changes and exercise can help manage your lifestyle, and medication may not be necessary. Engaging in physical a...[Read More] Managing Blood Pressure and Heart Health: Key Insights and Tips
Understanding Low Blood Pressure After Stent Placement in Seniors
Low blood pressure? Hello doctor, my father recently had a stent placed and he is in his sixties. He is taking anticoagulant medication, and after each dose, his blood pressure tends to be low, around 105/68. Is this situation normal? Thank you.
Dr. Lin Jixiong Reply:
Hello: Normally, blood pressure should not be low after taking anticoagulant medication. It is advisable to discuss the related situation with the patient's cardiologist. Dr. Lin Chi-Hsiung.[Read More] Understanding Low Blood Pressure After Stent Placement in Seniors