Understanding Blood Pressure Fluctuations: Causes and Concerns
Recent blood pressure? Hello doctor, two months ago my blood pressure readings were between 80-100 for diastolic and 50-70 for systolic. During that time, I wasn't feeling well and was resting at home. Recently, I’m not sure if it’s due to too much stress or fatigue, but my ...
Dr. He Dongjin Reply:
Hello, although you feel that your blood pressure fluctuates significantly, according to your records, these numbers are still within the normal range. Anxiety and stress can lead to instability in blood pressure. The issue does not seem to be with the blood pressure itself, so t...[Read More] Understanding Blood Pressure Fluctuations: Causes and Concerns
Understanding Sudden High Blood Pressure: Causes and Concerns
Sudden spike in blood pressure? Hello, Doctor He. I apologize for bothering you, but I would like to ask you a question. I am 160 cm tall and weigh between 48-50 kg, so I do not consider myself overweight. Previously, my blood pressure readings at the hospital were always normal,...
Dr. He Dongjin Reply:
Hello, there is no need to measure your blood pressure for now. It is likely elevated due to anxiety; just seeing the blood pressure monitor can make you nervous. The numbers you get will naturally be distorted. After a while, try measuring it again in a more relaxed environment....[Read More] Understanding Sudden High Blood Pressure: Causes and Concerns
Managing Fast Heartbeat and Shortness of Breath on Hypertension Medication
I am taking medication for high blood pressure, but I often experience a rapid heartbeat and shortness of breath? I have high blood pressure and a rapid heartbeat, so I went to see my family doctor who prescribed me 5 mg of Sandostatin to take once a day. I started experiencing i...
Dr. Lin Jixiong Reply:
Hello, your wheezing is caused by an increased heart rate. You may want to discuss with a cardiologist about adjusting your medication. Dr. Lin Chi-Hsiung.[Read More] Managing Fast Heartbeat and Shortness of Breath on Hypertension Medication
Understanding Chest Pain and Symptoms in Angina Patients
Cardiovascular issues Hello Dr. Lin, I am a patient with angina and have been seeking medical care. However, I have asked two doctors who have examined me, and neither has answered this question: when I sleep on my left side, I immediately experience a feeling of pressure in my c...
Dr. Lin Jixiong Reply:
Hello: I apologize for any disappointment this may cause you, but I will also become one of the physicians unable to answer your questions. The symptoms you described may be related to your autonomic nervous system regulation, and it might be helpful to consult a neurologist. Dr....[Read More] Understanding Chest Pain and Symptoms in Angina Patients
Understanding Heart Rate Changes and Medication Concerns
Consultation on Heartbeat Issues and Medication Hello, Doctor He. 1. I have been wearing a sports heart rate monitor and have observed my heart rate over the past two days. While sitting or lying down, my heart rate is normally in the 60s to 80s. However, when I stand up, my he...
Dr. He Dongjin Reply:
Hello, if there are no discomforting symptoms regardless of the measured numbers, there is actually no need for medication; natural methods are preferable. It is possible that the body feels the need, which may cause an increased heart rate. If there are discomforts, first consid...[Read More] Understanding Heart Rate Changes and Medication Concerns
Managing Post-Amputation Edema: Effective Strategies for Relief
Dorsal edema after toe amputation? Dear Dr. Lee, My father is 67 years old and has had high blood pressure for about two years and diabetes for ten years. In February of this year, due to poor care of a foot wound, he developed an infection that ultimately led to the amputation ...
Dr. Li Han Reply:
Hello, A-Bing. Your father's condition is quite complex, involving peripheral artery and possible venous return issues. The former is a major cause of diabetic foot ulcers. Despite undergoing peripheral angioplasty and hyperbaric oxygen therapy on the right foot, he still fa...[Read More] Managing Post-Amputation Edema: Effective Strategies for Relief
Managing Blood Pressure and Medication: A Patient's Journey
Blood pressure... medication issues? Hello, Dr. Lin. This morning, I took my insomnia medication along with my high blood pressure medication, which includes 0.5 mg of Methylcobalamin (MeCbl) and "Yuli Shupan" tablets at 0.25 mg. For high blood pressure, I take "An...
Dr. Lin Jixiong Reply:
Hello: You have a wide variety of medications, which may cause some side effects leading to discomfort. It is recommended that you discuss this directly with the prescribing physician to better understand the correct reasons. Dr. Lin Chi-Hsiung[Read More] Managing Blood Pressure and Medication: A Patient's Journey
Understanding Rapid Heartbeat: Does It Affect Blood Pressure Levels?
Tachycardia Hello, Doctor: I have some questions regarding my symptoms of tachycardia. I have not yet seen a cardiologist, but my resting heart rate has been between 100 to 110 beats per minute. Because of my rapid heartbeat, I measure my blood pressure morning and evening, which...
Dr. He Dongjin Reply:
Hello, you should take 5 mg of Candesartan (康肯) every morning. It should help manage your blood pressure, but it should not be too low. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Does It Affect Blood Pressure Levels?
Understanding Rapid Heartbeat: Symptoms, Causes, and When to Seek Help
Tachycardia Hello, I would like to ask if my usual heart rate of about 90 beats per minute is considered fast. Recently, I've felt that my heart rate is quite rapid, measuring around 100 beats per minute. Does this indicate arrhythmia? Additionally, I experience shortness of...
Dr. He Dongjin Reply:
Hello, a heart rate of 90 beats per minute is not considered excessively fast. However, if you are experiencing shortness of breath, dizziness, and chest tightness, it may be related to mitral valve prolapse. It is advisable to go to the hospital for an examination, specifically ...[Read More] Understanding Rapid Heartbeat: Symptoms, Causes, and When to Seek Help
Managing Rapid Heartbeat and High Blood Pressure in Anxiety Disorders
Rapid heartbeat and hypertension? Dear Doctor, I have generalized anxiety disorder, autonomic nervous system dysregulation, and panic disorder. Over the past two years, I have experienced tachycardia (suspected to be anxiety-related), with my heart rate occasionally exceeding 200...
Dr. He Dongjin Reply:
Hello, if you do not have hypertension, there is no need to take antihypertensive medication. You can continue with your current medication. Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat and High Blood Pressure in Anxiety Disorders
Understanding Cholesterol: Good vs. Bad and the Latest Insights
High cholesterol Hello, Director He. Recently, I had a health check-up, and I noticed that "high-density lipoprotein cholesterol" (HDL-C) and "low-density lipoprotein cholesterol" (LDL-C) are commonly referred to as good and bad cholesterol, respectively. Howe...
Dr. He Dongjin Reply:
Currently, low-density lipoprotein (LDL) cholesterol remains a major culprit in atherosclerosis. Dietary restrictions on cholesterol have been relaxed compared to the past because approximately 80% of cholesterol is produced by the body, with only 20% coming from dietary sources....[Read More] Understanding Cholesterol: Good vs. Bad and the Latest Insights
Is My Blood Pressure Considered High? Understanding Hypertension Concerns
I would like to ask if this is high blood pressure? In January of this year, I visited a doctor due to neck stiffness and unexpectedly discovered that my blood pressure was around 158/80. I then underwent a series of tests (I have thalassemia) but the cardiologist did not give a ...
Dr. He Dongjin Reply:
Hello, it seems that you should just observe and make lifestyle adjustments without the need for medication. Changhua Hospital cares about you.[Read More] Is My Blood Pressure Considered High? Understanding Hypertension Concerns
Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Tachycardia Dear Dr. He, Thank you very much for your response. I would like to ask what beta-blockers are and what calcium channel blockers are. What are their pharmacological actions and effects? Can these two different classes of medications be used interchangeably for sympto...
Dr. He Dongjin Reply:
Beta-blockers have peripheral and central nervous pharmacological effects, which can slow the heart rate and decrease the contractility of the heart muscle. They are widely used in clinical practice for the treatment of hypertension, angina pectoris, arrhythmias, palpitations, an...[Read More] Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Can Sleep Deprivation Cause High Blood Pressure? Understanding the Connection
Hypertension I previously measured my blood pressure regularly, with an average value of about 135/85. However, I stopped measuring for six days. The day before yesterday, I couldn't sleep while lying in bed and only fell asleep around 3 AM. When I woke up, I felt a bit dizz...
Dr. He Dongjin Reply:
Hello, if you haven't slept well, there's no need to measure your blood pressure as it may not be accurate. Changhua Hospital cares about you.[Read More] Can Sleep Deprivation Cause High Blood Pressure? Understanding the Connection
Understanding Paroxysmal Atrial Fibrillation: Symptoms, Diagnosis, and Management
Paroxysmal Atrial Fibrillation Dear Dr. Lin: Previously, I experienced discomfort near my chest after exercising, so I went to the hospital for a check-up. Initially, I visited a municipal teaching hospital, where I was prescribed Concor and Earlet after the first consultation a...
Dr. Lin Jixiong Reply:
Hello, 1. Concor may affect heart rate and rhythm, which could potentially influence the results of a 24-hour Holter monitor. 2. Very brief episodes of atrial fibrillation may not be detected during the examination. 3. If arrhythmia resolves within a very short period, it is ...[Read More] Understanding Paroxysmal Atrial Fibrillation: Symptoms, Diagnosis, and Management
Persistent Head Discomfort and Slow Heart Rate: What You Need to Know
Persistent discomfort in the head for one month accompanied by bradycardia? Hello, Doctor. At the beginning of February this year, I started experiencing a sensation of shaking in my head. There were two instances when I felt blood rushing to my head while standing. At that time,...
Dr. He Dongjin Reply:
Hello, I also believe that there is nothing wrong. I don't think the medication is affecting my heart and causing it to beat slower, which would hinder blood flow to the brain. Based on your previous assessment, my heart rate during the aviation medical examination was aroun...[Read More] Persistent Head Discomfort and Slow Heart Rate: What You Need to Know
Managing Rapid Heartbeat: Medication Effects and Safety Concerns
Tachycardia Hello Dr. He: I have a problem with tachycardia and am currently taking Concor 1.25 mg, one tablet in the morning and one in the evening. 1. Can this medication help lower my heart rate and relieve chest tightness? 2. After starting the medication, I felt dizzy ever...
Dr. He Dongjin Reply:
Hello, during the summer, blood pressure tends to be lower. If you are taking medication and your blood pressure drops too low, you might consider discussing a dosage reduction with your physician. Is there any conflict with taking these medications together? It should be fine. A...[Read More] Managing Rapid Heartbeat: Medication Effects and Safety Concerns
Understanding Cardiac Catheterization: Insights for Patients with Chest Pain
Cardiac catheterization? Hello Dr. Lee: I experienced chest discomfort at the end of February (not persistent). My blood pressure is relatively high, usually around 140-150. Previously, during a health check, the doctor recorded it as 177/81. Later, the doctor prescribed medicati...
Dr. Li Han Reply:
Hello Nick, based on your inquiry, you have a history of hypertension and high cholesterol, which were previously managed with medication. Both of these conditions are risk factors for cardiovascular disease. In February, you sought medical attention due to chest discomfort, and ...[Read More] Understanding Cardiac Catheterization: Insights for Patients with Chest Pain
Medication and Supplements: Managing Heart Health and Diabetes
Regarding medication and dietary supplement issues? Hello Doctor, I am 180 cm tall, weigh 140 kg, and am 27 years old. I was diagnosed with diabetes after experiencing acute pancreatitis. In February of this year, one night during dinner, I suddenly felt dizzy and had a rapid hea...
Dr. He Dongjin Reply:
Hello, I am not clear about the effects of these three dietary supplements, so I apologize for not being able to tell you how to take them. It should be fine to take them together, but if you're concerned, you can space them out by an hour. However, I believe that exercising...[Read More] Medication and Supplements: Managing Heart Health and Diabetes
Understanding Dizziness and Rapid Heartbeat: When to Seek Help
Dizziness for one month? Hello, I have been experiencing dizziness frequently while studying, and my heart rate suddenly increases to 100 beats per minute. In severe cases, I also have difficulty breathing and a bit of chest tightness. My blood pressure is generally around 116/69...
Dr. He Dongjin Reply:
Hello, it is recommended to visit the outpatient clinic for further examination as you have been experiencing high levels of stress lately. It seems that the symptoms you are experiencing may be caused by stress-induced autonomic nervous system dysregulation. Changhua Hospital ca...[Read More] Understanding Dizziness and Rapid Heartbeat: When to Seek Help