Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Chest tightness and inability to sleep? Hello, doctor. I apologize for the previous message being incomplete due to formatting issues on my phone. I would like to ask for your guidance again. Thank you. I would like to inquire about what type of heart disease my condition may fal...
Dr. He Dongjin Reply:
Hello, the coronary catheterization shows 10% blockage, which does not affect functional capacity. Overall, there seems to be no cardiac issues; it is likely related to anxiety and autonomic nervous system dysregulation. It is recommended to visit a psychosomatic medicine special...[Read More] Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have already had an ultrasound, and the doctor said there were no issues, but I often wake up at night sweating cold, my feet feel cold, and I experience chest tightness and pressure. Sometimes I can't sleep all night, and I have severe palpitati...
Dr. Wu Xueming Reply:
Typical angina occurs during physical activity or heavy lifting, presenting symptoms such as chest tightness or shortness of breath. Patients often have risk factors for heart disease, such as hypertension, diabetes, and smoking. It is recommended that you visit an outpatient cli...[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Mild mitral valve prolapse + exercise electrocardiogram? Hello Doctor: My cholesterol level is 241, and my low-density lipoprotein (LDL) cholesterol is 171. I have not taken any lipid-lowering medications for five years. My father has a history of hypertension, diabetes, and hype...
Dr. Li Han Reply:
Hello, regarding your inquiry, you are experiencing chest tightness and stabbing pain; however, the exercise electrocardiogram was able to complete the fourth stage of the BRUCE protocol, showing only exercise-induced dyspnea without the aforementioned chest tightness symptoms. F...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Understanding Dizziness and Blood Pressure: When to Seek Help
Dizziness and blood pressure? Hello, at the end of November, I experienced a spike in blood pressure up to 200 while in Germany and went to the emergency room. I was prescribed two medications: Metoprolol and Diltiazem 80 mg. After taking them for three days, I returned to Taiwan...
Dr. He Dongjin Reply:
Hello, not all discomfort is caused by blood pressure, but discomfort can lead to fluctuations in blood pressure, causing symptoms like head heaviness and dizziness, as well as numbness in the face and back of the head. It would be advisable to consult a neurologist. For now, the...[Read More] Understanding Dizziness and Blood Pressure: When to Seek Help
Understanding Atrial Fibrillation: Risks, Treatment, and Management Tips
Atrial fibrillation Hello Doctor, I was recently diagnosed with atrial fibrillation by a hospital physician. The doctor mentioned that this condition increases the risk of stroke, and that if there are no risk factors, I do not need to take anticoagulants. However, my blood press...
Dr. He Dongjin Reply:
Hello, 1. What are the dangers of long-term use? The side effects of medications vary from person to person; not everyone experiences them, and most people do not. In fact, not taking the medication may increase the risk of stroke. Comparing the two, it is advisable to continue...[Read More] Understanding Atrial Fibrillation: Risks, Treatment, and Management Tips
Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Heart rate issues Hello, Doctor. A few years ago, I underwent catheter-based medication treatment for cardiac spasms and have been taking autonomic nervous system medications long-term. I use a ventilator at night due to sleep apnea and also take cardiology medications including ...
Dr. He Dongjin Reply:
Hello, this symptom does not seem to indicate a heart problem and should be monitored. For heart spasms and chest pain, sublingual tablets should be administered first, followed by observation. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues: When to Seek Immediate Medical Attention
Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Distressing Questions Dear Dr. He, I apologize for the lengthy description below. For the past two years, I have been troubled by a significant issue: my mother experiences episodes of sudden hypertension, which makes her feel unwell. She is nearly 69 years old. In April of last...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to feel more discomfort during seasonal transitions, especially for older individuals. Blood pressure merely reflects a person's current condition. In response to the recent instability of your aunt's autonomic nervous system...[Read More] Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Palpitations? Hello doctor, I have been experiencing panic anxiety and hypochondria for over a year after giving birth. About every 2-3 months, I wake up in the middle of the night after using the bathroom, and when I lie back down, I start to feel palpitations (my heart beats ve...
Dr. He Dongjin Reply:
Hello, recently my blood pressure before sleep was 120/90, which is still far from hypertension. Don't worry, Ping An Changhua Hospital cares about you.[Read More] Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Medication consultation Dear Dr. Lee, Hello. My mother (69 years old) has experienced occasional episodes of sudden increased heart rate and elevated blood pressure over the past 1-2 years. Her resting heart rate is usually around 60 beats per minute, but during these episodes, ...
Dr. Li Han Reply:
Hello, regarding your inquiry about your mother (69 years old) experiencing occasional episodes of sudden heart rate increase and elevated blood pressure over the past 1-2 years. Her normal heart rate is usually around 60 beats per minute, but during these episodes, it can sudden...[Read More] Managing Heart Rate and Blood Pressure: Expert Insights on Medication Use
Do You Need Another Heart Catheterization After Last Year's Procedure?
Do I need to undergo another cardiac catheterization this year if I had one last year? Hello Dr. Lee, I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes, along with coronary artery disease and mild arrhythmia. Recently, in the past...
Dr. Li Han Reply:
Hello, regarding your inquiry, "In the past half month, I experienced two episodes of blood pressure drops during dialysis, accompanied by symptoms such as cold sweats, vomiting, and nearly fainting. While this could be considered a common occurrence, both times my heart rat...[Read More] Do You Need Another Heart Catheterization After Last Year's Procedure?
Managing Hypertension: Effective Medications Without Sexual Side Effects
Issues with Hypertension Medications At the age of 35, my blood pressure was 170, and I started taking Amlodipine (5/160). After six months, my blood pressure did not decrease, so the cardiologist at Cathay General Hospital switched me to a combination of Amlodipine (5/160/12.5)....
Dr. Huang Yinghe Reply:
Dear Mr. Jan, Erectile function is influenced by multiple factors, and poorly controlled hypertension can lead to vascular dysfunction, resulting in erectile dysfunction. Other common causes such as testosterone deficiency, diabetes, smoking, and psychological factors can also a...[Read More] Managing Hypertension: Effective Medications Without Sexual Side Effects
Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Inquiry Consultation Dear Dr. He, Hello. Below is a description of my mother's symptoms: She is approximately 69 years old and has recently experienced episodes of sudden increased heart rate accompanied by elevated blood pressure. Her usual heart rate is around 60 beats pe...
Dr. He Dongjin Reply:
Hello, 1. It seems that the autonomic nervous system disorder is caused by seasonal factors and unstable external environmental changes. 2. This is not a warning; it is just that there is no need to take medication regularly. It is not that the medication is very strong or ha...[Read More] Understanding Sudden Heart Rate Increases and High Blood Pressure in Seniors
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
When blood pressure drops during dialysis, resulting in a decrease in heart rate, how should it be managed? Hello, doctor. I have been a dialysis patient for over a year and have hypertension, diabetes, and coronary artery disease, along with mild arrhythmia. Last year, I underwe...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...
Dr. Wu Xueming Reply:
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
During dialysis, when blood pressure drops, the heart rate also decreases? Hello, Doctor. I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and coronary artery disease, along with mild arrhythmia. Last year, I underwent a cardiac catheterizatio...
Dr. Wu Xueming Reply:
A left ventricular systolic power of over 60% in a cardiac ultrasound is considered normal and should not be a cause for concern. Regarding the heart rate issue, the 24-hour Holter monitor in October did not show any signs of bradycardia.[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
Can You Take D3+K2 Supplements with Blood Pressure Medications?
Issues with dietary supplements and antihypertensive medications? Hello, doctor. I am currently taking 5 mg of Amlodipine daily. Due to accompanying tinnitus symptoms, I use 2 mg of Diazepam before bed. Recently, I saw recommendations for a combination of D3 and K2 to reduce calc...
Dr. Li Shengkai Reply:
Upon investigation, Amlodipine (Norvasc) does not have any significant interactions with Vitamin D3. Therefore, the two medications you mentioned (Amlodipine & Diazepam) and the health supplements (D3 + K2) can be taken together.[Read More] Can You Take D3+K2 Supplements with Blood Pressure Medications?
Does Monacolin K from Red Yeast Rice Share Statin Side Effects?
Questions regarding the health supplement Monacolin K (red yeast rice)? Hello, doctor. I would like to ask you some questions about lowering blood lipids. I have read online that the main active component of red yeast rice, Monacolin K, has the effect of inhibiting cholesterol sy...
Dr. He Dongjin Reply:
Hello, similar does not mean the same; the two are completely different things. The efficacy can vary significantly, and regarding side effects, it is even more difficult to determine as they can differ from person to person. One cannot say that taking red yeast rice will have th...[Read More] Does Monacolin K from Red Yeast Rice Share Statin Side Effects?
Understanding Slow Heartbeat and Discomfort: When to Seek Cardiology Care
Recently, I have been feeling discomfort in my heart, accompanied by a slower heartbeat? Hello Doctor, I have hyperthyroidism (my levels are normal after medication and I have stopped taking it under the doctor's advice) and hypertension. I am currently taking 80 mg of Amlod...
Dr. He Dongjin Reply:
Hello, it is recommended to visit the cardiology outpatient clinic for further examination. Pingan Changhua Hospital cares about you.[Read More] Understanding Slow Heartbeat and Discomfort: When to Seek Cardiology Care
Can I Reduce or Stop Hypertension Medication After Years of Control?
Issues with hypertension medication, specifically regarding dose reduction? Hello, Doctor. I would like to ask about the issue of reducing medication for high blood pressure. I have been taking antihypertensive medication for several decades, but in recent years, with dietary con...
Dr. He Dongjin Reply:
Hello, you may want to reduce the dosage to half and monitor your condition. Changhua Hospital cares about you.[Read More] Can I Reduce or Stop Hypertension Medication After Years of Control?
Interactions Between Blood Pressure Medications and Other Drugs
Interactions between antihypertensive medications and other drugs? I am currently taking Norvasc (Amlodipine) 5 mg for blood pressure management, but I also visited another specialist who prescribed the following two medications to be taken at bedtime: Fluzine (Fluoxetine) 5 mg a...
Dr. Li Shengkai Reply:
Norvasc is a commonly used antihypertensive medication with a long half-life, so even if you forget to take it for a day, your blood pressure will likely remain normal. The three medications you mentioned can be taken together without significant interactions, and if you prefer c...[Read More] Interactions Between Blood Pressure Medications and Other Drugs