Managing Neck Pain and High Blood Pressure: Effective Strategies
There is a tight and painful sensation from the head to the neck? Hello, Doctor He: Recently, I have been experiencing a tight and painful sensation from the back of my head to my neck. In last year's health check report, my blood pressure was 131 systolic. My friend mention...
Dr. He Dongjin Reply:
Hello, recently I have been experiencing a tight and painful sensation from the back of my head to my neck. Please address the symptoms first; it may not necessarily be caused by blood pressure, as my systolic blood pressure is 131, which is not considered high. Additionally, thi...[Read More] Managing Neck Pain and High Blood Pressure: Effective Strategies
Is My Irregular Heartbeat Due to Increased Blood Pressure Medication?
Recently, my heart rate has been fluctuating rapidly, feeling like severe palpitations, similar to an earthquake. Could this be related to an increase in my blood pressure medication dosage? Hello Doctor: I was originally taking 80mg of Dexamethasone once every night, but my bloo...
Dr. He Dongjin Reply:
Hello, it seems that the palpitations and unstable blood pressure you are experiencing may be related to autonomic nervous system dysregulation caused by perimenopause. Increasing the dosage of blood pressure medication may not necessarily be related; perhaps adding some medicati...[Read More] Is My Irregular Heartbeat Due to Increased Blood Pressure Medication?
Understanding Chest Tightness and Breathing Difficulties: Possible Causes
Chest tightness and difficulty breathing? I have been experiencing shortness of breath for the past two years, and in the last two months, I have started to feel chest tightness and difficulty breathing. Sometimes, I feel sharp pain in my heart while breathing. I have seen a pulm...
Dr. He Dongjin Reply:
Hello, long-term insomnia may lead to autonomic nervous system dysregulation, causing chest tightness and difficulty breathing. If you still feel unwell, it is recommended to seek further evaluation from a psychosomatic medicine specialist. Changhua Hospital cares about your well...[Read More] Understanding Chest Tightness and Breathing Difficulties: Possible Causes
Understanding the New Generation of Beta Blockers for Blood Pressure
"Third-generation" beta-blockers for hypertension issues? Hello, Doctor: Recently, I saw news online stating that there is a new type of blood pressure medication in Taiwan called "third-generation" beta-blockers. However, I seem to be unable to find the scien...
Dr. He Dongjin Reply:
Hello, I am also unclear about what is meant by third-generation beta-blockers, so I cannot provide you with an appropriate response. I apologize, and Changhua Hospital cares about you.[Read More] Understanding the New Generation of Beta Blockers for Blood Pressure
Strong Heartbeat and Shortness of Breath: Understanding Your Symptoms
Experiencing a strong heartbeat and shortness of breath while speaking? Hello Doctor, I have stage 1 hypertension and have been taking antihypertensive medication for about a month. A few days ago, I suddenly felt my heart beating very strongly. When sitting still or lying down t...
Dr. He Dongjin Reply:
Hello, some people may experience reactions when taking antihypertensive medications. It may be worth considering reducing the dosage by half or even stopping the medication temporarily to see if there are any changes in symptoms. Please discuss this with your physician. Changhua...[Read More] Strong Heartbeat and Shortness of Breath: Understanding Your Symptoms
Understanding Rapid Heartbeat and High Blood Pressure in Young Adults
Rapid heartbeat Hello Doctor: I am currently 18 years old and weigh 50 kg. I am not overweight, but every time I visit the doctor, my blood pressure is around 140-160/80-90, and my heart rate is between 90-125. Even when I measure it at home, the lowest is 134/82, and my heart ra...
Dr. He Dongjin Reply:
Hello, heart rate itself is not an issue; it's important to check for any arrhythmias. If there are no irregularities, observation is sufficient. It seems that anxiety may be causing autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat and High Blood Pressure in Young Adults
Chest Tightness and Rapid Heartbeat: Seeking Answers Beyond Cardiology
When lying down, I experience chest tightness and a sensation of a rapid heartbeat, with blood pressure readings around 60 to 70 bpm? Hello doctor: I am 163 cm tall and weigh 150 kg. At the beginning of July, I was still 160 kg, but I have recently lost 10 kg. Lately, I often wak...
Dr. Bai Xiyan Reply:
Note: Symptoms of chest tightness and palpitations are somewhat related to obesity, and please pay attention to slightly elevated blood pressure. Although X-rays and electrocardiograms show no abnormalities, it is still necessary to check cholesterol, blood lipids, liver, and kid...[Read More] Chest Tightness and Rapid Heartbeat: Seeking Answers Beyond Cardiology
Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Three blocked coronary arteries? Hello everyone, my father is 60 years old (I created this account for him to facilitate the review of his basic information by various doctors). Recently, he underwent a cardiac examination at the hospital, starting with an MRI, which revealed som...
Dr. Huang Yinghe Reply:
Hello: In the case of narrowing or blockage in all three coronary arteries, lifestyle modifications and medication therapy are fundamental and necessary. This includes controlling hypertension, blood cholesterol, and blood sugar levels, as well as using antiplatelet medications. ...[Read More] Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Understanding Elevated Blood Pressure and Heart Rate: When to Seek Medical Help
Both blood pressure and heart rate are elevated? I previously had low blood pressure, around 100/50, with a heart rate of 60 to 80. Recently, this week, my blood pressure has risen to 130/85, and my heart rate has increased to 110 to 130. I feel uncomfortable and somewhat fatigue...
Dr. He Dongjin Reply:
Hello, have you been experiencing a lot of stress or any discomfort lately? It sounds like it may be caused by autonomic nervous system dysfunction. I recommend monitoring your condition, and if there is no improvement, it would be advisable to visit a clinic for medical treatmen...[Read More] Understanding Elevated Blood Pressure and Heart Rate: When to Seek Medical Help
Understanding Heart Issues: Symptoms and Concerns About Valve Prolapse
Cardiac issues Previously, I underwent a stress echocardiogram, which was normal, and I do not have high blood pressure or thyroid issues. The echocardiogram showed mild prolapse and regurgitation of the mitral and tricuspid valves. However, recently I have been experiencing pain...
Dr. He Dongjin Reply:
Hello, your exercise electrocardiogram is normal, and there are no signs of hypertension, thyroid issues, or significant tricuspid valve prolapse with regurgitation. You are experiencing left shoulder pain, numbness in your hand, and some sharp pain near the left rib area. These ...[Read More] Understanding Heart Issues: Symptoms and Concerns About Valve Prolapse
Concerns About Heart Rate Increase After Starting Blood Pressure Medication
Questions and concerns after taking blood pressure medication? Hello, Doctor: I have a question regarding the use of antihypertensive medication. My blood pressure tends to be elevated during external health check-ups (140-150 mmHg / 90-85 mmHg), while at home, I measure around 1...
Dr. Cai Guiqin Reply:
It is advisable to visit a hospital for consultation. Wishing you good health.[Read More] Concerns About Heart Rate Increase After Starting Blood Pressure Medication
Managing Hypertension Medications for Foreign Workers in Taiwan
Blood Pressure Medication Inquiry for Foreigners I would like to ask: Due to work-related matters, I have been assisting Japanese individuals who are coming to Taiwan for long-term work with their daily living affairs. During this period, I helped a 50-year-old man who has been t...
Dr. He Dongjin Reply:
Hello, 1. Let's change the doctor. 2. It doesn't matter whether it's a black cat or a white cat, as long as it catches mice, it's a good cat. What you eat is not important; the key is whether your blood pressure is under control. Regardless of whether it'...[Read More] Managing Hypertension Medications for Foreign Workers in Taiwan
Is Your Discomfort a Sign of Angina? Understanding Heart Health Symptoms
Could this situation be caused by angina? Hello, Doctor. I underwent a health examination at the end of last year, and a CT scan revealed signs of blockage at the distal end of the left anterior descending artery. After further coronary angiography, my attending physician indicat...
Dr. He Dongjin Reply:
Hello, since the cardiac catheterization showed no need for stent placement and you are not experiencing any chest discomfort, chest pain, or shortness of breath while jogging, let's hold off on medication for now if your blood pressure is normal. If the aforementioned sympt...[Read More] Is Your Discomfort a Sign of Angina? Understanding Heart Health Symptoms
Can You Safely Combine Blood Pressure Medications with Viagra?
Can medications be taken together? I take blood pressure medication (Cozaar 50mg) once daily. Is this medication classified as a nitrate? Can I also take Viagra? Will there be any interactions or side effects between the two medications? Thank you!
Dr. He Dongjin Reply:
Hello, he is not taking nitrate medications, so it is safe to take Viagra without affecting him or causing side effects. Changhua Hospital cares about you.[Read More] Can You Safely Combine Blood Pressure Medications with Viagra?
Understanding Heart Health: Key Questions About Mitral Valve and Medication
Follow-up on heart issues? Hello Dr. He, I am the patient with ID <a href="https://adoctor.tw/article/135059">#135059</a>. Thank you for your response, which has reassured me a bit. When I feel happy, I think everything is fine. However, I would like to ask ...
Dr. He Dongjin Reply:
Hello, you have mild mitral regurgitation - no need to worry about exercise electrocardiograms indicating mild myocardial ischemia - observe echocardiography to assess for coronary artery stenosis - theoretically, ultrasound cannot visualize coronary arteries. Medication and incr...[Read More] Understanding Heart Health: Key Questions About Mitral Valve and Medication
Understanding High Blood Pressure and Symptoms in Elderly Patients
Elderly individuals with high blood pressure may experience tremors and cold sweats? Hello, doctor. I would like to ask you about a 74-year-old female patient with hypertension who suddenly experienced a high blood pressure reading of 160, while her diastolic pressure was slightl...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 160 is likely caused by discomfort in some part of the body, accompanied by tremors and cold sweats, as well as some weakness. Sudden increases in blood pressure should be monitored. It is advisable to first drink some warm water and rest, addre...[Read More] Understanding High Blood Pressure and Symptoms in Elderly Patients
Understanding Heart Issues: Key Questions About Your Cardiovascular Health
Cardiac issues Hello Doctor, I would like to ask some questions. After experiencing several episodes of palpitations, I visited a cardiologist last year for an electrocardiogram, echocardiogram, and exercise stress test. The results indicated mild myocardial ischemia during the e...
Dr. He Dongjin Reply:
Hello, 1. Pain in the center of the chest without difficulty in breathing or palpitations, and no discomfort elsewhere, does not seem to indicate a heart problem. It is more likely related to mild mitral valve regurgitation and autonomic nervous system dysregulation rather than...[Read More] Understanding Heart Issues: Key Questions About Your Cardiovascular Health
Managing Hypertension: Understanding Home vs. Clinic Blood Pressure Readings
Inquiry about hypertension issues? Hello Doctor, (1) I have been monitoring my blood pressure since I was 18, and it was recorded at 160/90. Subsequently, during regular check-ups at the hospital, it has consistently been above 179/95. By the age of 30, I started taking antihyp...
Dr. He Dongjin Reply:
Hello, that's correct. White coat syndrome can cause blood pressure readings in the hospital to reach as high as 170/100. Therefore, current treatment guidelines suggest that monitoring blood pressure at home is more important. How can we overcome this issue to ensure that t...[Read More] Managing Hypertension: Understanding Home vs. Clinic Blood Pressure Readings
Post-Exercise Palpitations and Dizziness: Understanding Your Heart Health
After exercise, experiencing a rapid heartbeat and dizziness? Hello, Director. I have mild mitral valve prolapse. During high school and college, I was very passionate about sports and exercised almost every day. Aside from feeling palpitations when I was tired, I didn't hav...
Dr. He Dongjin Reply:
Hello, since your electrocardiogram and ultrasound results are normal, it is likely that the decline in your physical fitness is due to a lack of exercise. It would be advisable to gradually increase your activity level. I experienced something similar during my internship; after...[Read More] Post-Exercise Palpitations and Dizziness: Understanding Your Heart Health
Understanding Elevated Blood Pressure: When to See a Cardiologist
Hypertension Hello, Doctor He: I have mild ventricular premature contractions, and my usual heart rate is between 58-62 beats per minute. My blood pressure has been around 60-90 for decades. Recently, my blood pressure has risen to 139-89. My face often feels warm, and I have a s...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 139/89 does not necessarily indicate hypertension, and it may not be related to blood pressure. I have reservations about taking medication like Pulse Care, which is why I haven't taken it for long. The heart pain extending to the armpit an...[Read More] Understanding Elevated Blood Pressure: When to See a Cardiologist