Understanding Heart Palpitations and Dizziness: When to Seek Help
Cardiac and dizziness issues? Hello Doctor: Recently, I have been experiencing episodes of sudden heart palpitations and the need to breathe forcefully, or I feel sharp pains in my heart that resolve quickly. Sometimes, these episodes are accompanied by dizziness, migraines, weak...
Dr. He Dongjin Reply:
Hello, the entire symptom is caused by autonomic nervous system dysfunction and is unrelated to the heart. If you are concerned about any previous valve abnormalities and feel uneasy, you can return to the cardiology outpatient clinic for follow-up examinations. Changhua Hospital...[Read More] Understanding Heart Palpitations and Dizziness: When to Seek Help
Understanding Suspected Anterior Wall ST Elevation: What You Need to Know
Suspected anterior wall ST segment elevation? Hello Doctor: I would like to ask you about my recent company health check-up results, which indicated "suspected anterior ST elevation." What does this mean? Is there a need for further examination for myocardial infarction...
Dr. He Dongjin Reply:
Hello, this is autonomic nervous system dysfunction, not an anterior ST-segment elevation myocardial infarction, which is an emergency. Your symptoms do not resemble that at all; we cannot make such a conclusion based solely on one electrocardiogram, especially since Changhua Hos...[Read More] Understanding Suspected Anterior Wall ST Elevation: What You Need to Know
Understanding Aortic Atherosclerosis from Chest X-Ray Reports
Chest X-ray report from health examination - Atherosclerosis of the aorta? Hello, Dr. He: In my routine comprehensive health check report, there are many comments under the "Chest and Abdominal X-ray Imaging Examination" section. I have extracted the parts related to th...
Dr. He Dongjin Reply:
Hello, it is advisable to discuss this matter directly with a cardiologist at the outpatient clinic. To be honest, I have not seen the imaging, so I have some doubts about the report mentioned above. However, even if there is atherosclerosis of the aorta, it is sufficient to moni...[Read More] Understanding Aortic Atherosclerosis from Chest X-Ray Reports
Understanding Dizziness and High Blood Pressure: When to Seek Help
Intermittent dizziness - elevated blood pressure? Hello, doctor. I have been experiencing some issues recently and I'm unsure which department to visit, so I would like to consult here first. Let me explain what has been happening. I noticed some pain at the lower edge of my...
Dr. He Dongjin Reply:
Hello, it seems you may be overworked. A blood pressure reading of 130-145 mmHg systolic and 80-90 mmHg diastolic is not considered high blood pressure. Recently, with the changing seasons and unstable weather, it is common to experience dizziness, which may not necessarily be re...[Read More] Understanding Dizziness and High Blood Pressure: When to Seek Help
Understanding Heart Rate Variability: Insights on Bradycardia and Stress
Bradycardia Hello Doctor: My blood pressure is normal, and I feel fine while running; my heart feels normal and I don't experience any discomfort. In October, I had a lot of work-related stress. During that month, I noticed that on several days, at random times during the da...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to slow down while you sleep. The heart also needs to rest for more than 3 seconds. Considering the installation of a pacemaker is not wrong, but it should be based on daytime standards. If there are no discomforts at night, there is no imm...[Read More] Understanding Heart Rate Variability: Insights on Bradycardia and Stress
Understanding Blood Pressure Medication: Key Questions Answered
Blood pressure medication issues? Hello, doctor. About six months ago, during a health check, my blood pressure was 150/101. Since then, at the hospital, my systolic blood pressure has been around 150 to 160, and my diastolic pressure has been in the 90s to low 100s. I then bough...
Dr. Li Han Reply:
Hello, if your blood pressure is above 140/90 or requires medication to maintain it within that range, it can be considered hypertension. Based on your blood pressure readings after taking losartan, it seems to be an appropriate medication for you. For non-pharmacological managem...[Read More] Understanding Blood Pressure Medication: Key Questions Answered
Understanding Blood Pressure Adaptation: Is Your Sensitivity Normal?
The importance of the body's adaptation to blood pressure? Hello, Doctor He: I have had high blood pressure for 3 years and have been taking medication to control it. Recently, I noticed a phenomenon: my blood pressure is consistently controlled at around 104-110 mmHg for sy...
Dr. He Dongjin Reply:
Hello, 1. There is no impact or harm. Even the best students do not score 100 points every time. A poor performance on one test does not mean they have become a bad student. 2. Actually, perhaps as you mentioned, you need to maintain a lower blood pressure. It could also be t...[Read More] Understanding Blood Pressure Adaptation: Is Your Sensitivity Normal?
Understanding Atenolol: Side Effects and Heart Health Concerns
Hello, Dr. He. I'm sorry to bother you again? During my follow-up appointment, I described my symptoms to the doctor, who expressed concern that they might not be neurologically related. He noted that the pain symptoms were quite extreme, occurring even at rest without any m...
Dr. He Dongjin Reply:
Hello, please check your overall health. You may consider stopping atenolol since your blood pressure is not high and it has unwanted side effects. Changhua Hospital cares about you.[Read More] Understanding Atenolol: Side Effects and Heart Health Concerns
Understanding Chest Pain and Rapid Heartbeat: Possible Causes and Concerns
Chest pain and rapid heartbeat? Hello Doctor: I have been experiencing chest pain since elementary school, which is always near the heart area. The pain worsens with each breath, causing me to hold my breath, making it even more difficult to breathe, and it lasts for 2-3 minutes ...
Dr. He Dongjin Reply:
Hello, your symptoms appear to be related to autonomic nervous system dysfunction and mitral valve prolapse. It is recommended that you visit a cardiology clinic for further examination and treatment. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain and Rapid Heartbeat: Possible Causes and Concerns
Are Frequent Ventricular Premature Contractions Harmful to Your Health?
Is having a higher frequency of ventricular premature contractions harmful to the body? Dear Doctor He, I would like to ask about some symptoms I've been experiencing recently. I often have brief episodes of shortness of breath, where I suddenly feel a sensation of tightnes...
Dr. He Dongjin Reply:
Hello, if you have over 3000 instances of isolated ventricular premature contractions, it is not considered excessive and does not indicate abnormal heart function. Additionally, reducing stimulation and stress can help improve the issue of ventricular premature contractions. Cha...[Read More] Are Frequent Ventricular Premature Contractions Harmful to Your Health?
Understanding Chest Pain: Insights from Cardiovascular Specialists
Hello, Dr. He, regarding our last discussion..? I previously reported discomfort from the end of August until early October, and the symptoms have persisted. I experience a tight, pressing sensation in my chest that occasionally occurs, usually easing after about half a day. Howe...
Dr. He Dongjin Reply:
Hello, you can visit the neurology outpatient clinic to check on the tingling sensations that change locations, as they may resemble neuropathic pain. Changhua Hospital cares about you.[Read More] Understanding Chest Pain: Insights from Cardiovascular Specialists
Understanding Low Blood Pressure and Heart Palpitations: Key Insights
Low blood pressure and heart rate, but noticeable palpitations? Hello, Director: I usually take 1 tablet of Moxonidine 5mg and half a tablet of Bisoprolol 5mg daily. (Previously, I only took one tablet of Moxonidine daily, but after my blood pressure remained between 135-150, I a...
Dr. He Dongjin Reply:
Hello, please stop taking Pulse Advantage for weight loss as it has helped lower your blood pressure. There is no need for such a high dosage; with a blood pressure of 105/60 (heart rate 62), you can take 0.25 mg without further lowering your blood pressure or heart rate. You may...[Read More] Understanding Low Blood Pressure and Heart Palpitations: Key Insights
Understanding the Use of Bisoprolol for Mitral Valve Prolapse Symptoms
Mitral Valve Prolapse Syndrome treated with Carvedilol? Hello, I have recently been experiencing sharp pains in my heart and chest tightness. The examination results indicated that I have mitral valve prolapse syndrome. Initially, the doctor prescribed Inderal, but I still felt s...
Dr. He Dongjin Reply:
Hello, HBP-Smooth is not a medication for treating hypertension; it is only 30 mg. Generally, the treatment for blood pressure may require up to 180 mg. You can take it and compare its effects with Inderal without worrying. Ping An Changhua Hospital cares about you.[Read More] Understanding the Use of Bisoprolol for Mitral Valve Prolapse Symptoms
Understanding the Relationship Between Arrhythmia and Blood Pressure
The relationship between arrhythmias and blood pressure? Hello, Doctor He: I am 38 years old and would like to ask a few questions. (1) When I experience sinus arrhythmia, I sometimes take my blood pressure and notice that the readings can be abnormal. For example, during an epis...
Dr. He Dongjin Reply:
Hello, when you feel unwell, measuring your blood pressure may result in a higher reading, so it's advisable not to check your blood pressure during such times. Your pulse pressure difference is considered normal, so there's no need to worry. Additionally, if your blood...[Read More] Understanding the Relationship Between Arrhythmia and Blood Pressure
Understanding Blood Pressure Readings and Heart Symptoms: A Guide
Cardiac issues 1. Blood pressure readings: Systolic ~ Diastolic ~ Pulse: 97 72 63; 108 84 67; 105 68 69; 109 62 63; 105 61 61; 116 67 64; 97 76 65; 101 58 68; 107 65 68; 90 63 6...
Dr. He Dongjin Reply:
Hello, based on your age, this blood pressure seems to be within the normal range. It sounds like mitral valve prolapse. If you still feel unwell, it is advisable to visit an outpatient clinic for a check-up. Changhua Hospital cares about your well-being.[Read More] Understanding Blood Pressure Readings and Heart Symptoms: A Guide
Understanding Rapid Heartbeat: Is It a Sign of Heart Issues?
Tachycardia Hello Doctor: Recently, the school has been measuring blood pressure and pulse, but every time it's my turn, I get nervous and my heart rate increases. This doesn't happen normally. Is this a sign of a heart problem?
Dr. He Dongjin Reply:
Hello, this reaction is caused by anxiety and is not related to heart problems. There is no need for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Is It a Sign of Heart Issues?
Could It Be Myocarditis? Understanding Chest Pain and Heart Symptoms
Is it myocarditis? I have been experiencing pain in my left chest over the past few days; it comes and goes quickly. Since high school, I have had episodes of rapid heartbeat and mild mitral valve prolapse, along with some anxiety. On August 29, I had a cold and developed a high ...
Dr. He Dongjin Reply:
Hello, myocarditis is not that easy to contract. Out of 10,000 cases, there may be only one. Don't worry, let's observe for now. If you still feel unwell, please visit the outpatient clinic for further examination. Changhua Hospital cares about you.[Read More] Could It Be Myocarditis? Understanding Chest Pain and Heart Symptoms
Persistent Atrial Fibrillation After Two Ablations: Causes and Solutions
Frequent recurrence of arrhythmia after radiofrequency ablation? Hello, Doctor. In the past two years, I have undergone two catheter ablation procedures for atrial fibrillation at the Taipei Veterans General Hospital. After the first procedure, my symptoms did not improve, so I h...
Dr. He Dongjin Reply:
Hello, it seems that with your ongoing arrhythmia and atrial fibrillation, the risk of stroke is quite high. The symptoms can vary from person to person, and whether you can take medication should be discussed with your attending physician. Essentially, your attending physician w...[Read More] Persistent Atrial Fibrillation After Two Ablations: Causes and Solutions
Can Temporary Use of Concor Lead to Medication Reduction?
Is there a possibility of reducing the dosage if I temporarily increase the use of Concor? Dear Director He, 1. After diagnosis, I suspect I have symptoms of anxiety-induced hypertension. I have been taking Zanidip 10mg and Anxin 0.5mg once daily for the past two months. 2. A f...
Dr. He Dongjin Reply:
Hello, it is recommended to take Amberen 0.5 mg once daily, which can be increased to twice daily in the morning and evening. Concor 0.5 mg can be maintained, and Zanidip 10 mg can be reduced to 0.5 mg or even discontinued. Ping An Changhua Hospital cares about you.[Read More] Can Temporary Use of Concor Lead to Medication Reduction?
Understanding Symptoms: Is It Heart Attack or Autonomic Nervous Disorder?
I'm not sure if it's a precursor to a myocardial infarction or autonomic nervous system dysfunction..? I am a 28-year-old male (almost 29, as I prefer to refer to myself as 28 due to superstition), with a height of 166 cm and a weight of 58 kg, but I have abdominal obes...
Dr. He Dongjin Reply:
Hello, the symptoms are due to autonomic nervous system dysfunction, not a myocardial infarction. If it were, I would have been in serious trouble by now. I haven't been sleeping well these past few days, which can lead to the symptoms mentioned above. There's no need t...[Read More] Understanding Symptoms: Is It Heart Attack or Autonomic Nervous Disorder?