Understanding Irregular Heartbeats: When to Seek Medical Attention
Irregular heartbeat? During elementary school, I often experienced dizziness. Recently, I've felt my heart suddenly beating irregularly, but it resolves within a few seconds. The timing of these episodes is unpredictable, and they occurred more frequently last semester. Occa...
Dr. He Dongjin Reply:
Hello, you likely have mitral valve prolapse and some benign arrhythmias, which should be monitored without concern. Changhua Hospital cares about you.[Read More] Understanding Irregular Heartbeats: When to Seek Medical Attention
Understanding Blood Pressure Issues: The Role of Medication in Management
Blood pressure issues are related to medication problems? Hello, Doctor He. I have been taking hypertension medications for a long time, including 10 mg of Baken enteric-coated tablets, 5 mg of Anpress stable tablets, 160 mg of Felodipine enteric-coated tablets, and three years a...
Dr. He Dongjin Reply:
Hello, your systolic blood pressure is 113, and your diastolic pressure is around 55 to 62. It may be related to the medication. You can reduce the dosage of Amlodipine 5 mg by half and monitor your condition. Changhua Hospital is concerned about you.[Read More] Understanding Blood Pressure Issues: The Role of Medication in Management
Managing Blood Pressure: Medication Concerns and Monitoring Issues
Blood pressure issues are related to medication problems? Dr. Li, I have been taking medication for hypertension for a long time, including 10 mg of Betaloc (metoprolol) extended-release tablets, 5 mg of Amlodipine (Amlodipine besylate), 160 mg of Perindopril (Perindopril erbumin...
Dr. Li Han Reply:
Hello Mr. Tsai, based on your description, you have hypertension, dyslipidemia, and "heart disease"—which may suggest coronary artery disease given the significant proportion of anti-anginal medications in your treatment regimen. You may also be experiencing "anxie...[Read More] Managing Blood Pressure: Medication Concerns and Monitoring Issues
Understanding Rapid Heartbeat: Causes and Solutions for High Blood Pressure
Tachycardia Hello, I have recently been experiencing high blood pressure at 144/98 and issues with obesity. Lately, I occasionally wake up feeling uncomfortable due to rapid heartbeats after sleeping, and I have been sweating profusely (the blanket is quite thick). I find it diff...
Dr. He Dongjin Reply:
Hello, it seems that there is a case of overall endocrine dysfunction and mitral valve prolapse. It is recommended to undergo further examination and to take some medications as appropriate. Changhua Hospital is concerned about you.[Read More] Understanding Rapid Heartbeat: Causes and Solutions for High Blood Pressure
Understanding Cold Hands and Feet: Is It Related to Vascular Health?
Cold hands and feet? Hello, doctor. My blood pressure is not high, but whenever the weather gets a bit cooler, I become extremely sensitive to the cold, and my hands and feet feel cold. My toenails can also appear slightly purple. When the weather is a bit warm or the air is not ...
Dr. He Dongjin Reply:
Hello, vascular sclerosis is not related; it seems more like a deficiency syndrome mentioned in traditional Chinese medicine. You should consider seeking treatment from a Chinese medicine practitioner to help regulate your body. Changhua Hospital cares about you.[Read More] Understanding Cold Hands and Feet: Is It Related to Vascular Health?
Understanding Unexplained Rapid Heartbeat: Causes and Solutions
Simple tachycardia? Last September, I had a simple health check-up, during which my pulse was only 84 beats per minute, and there was only one abnormal result: my cholesterol level was high at 228. However, over the past five months, my heart rate has been inexplicably increasing...
Dr. He Dongjin Reply:
Hello, there is no danger to your life, so please don't be anxious. Your current concern about the heart rhythm issue is causing your heart rate to increase. Please continue to take your medication as prescribed and try not to measure your heart rate constantly, as this will...[Read More] Understanding Unexplained Rapid Heartbeat: Causes and Solutions
Understanding Rapid Heartbeat: Anxiety and Its Impact on Heart Health
Feeling a rapid heartbeat? I am a person who gets nervous easily and had mild anxiety several years ago. Recently, I have been experiencing occasional rapid heartbeats, difficulty falling asleep at night, and palpitations after meals, with my heart rate measuring around 100 at th...
Dr. Lin Jixiong Reply:
Hello, it seems to be a problem related to autonomic nervous system dysfunction. You can discuss this further with a cardiologist. Dr. Lin Chi-Hsiung.[Read More] Understanding Rapid Heartbeat: Anxiety and Its Impact on Heart Health
Managing Heart Conditions: Medication and Exercise Guidelines
Cardiac issues and medication concerns? Dr. Lin, I have been taking medication for hypertension for a long time, including 10 mg of Baken enteric-coated tablets, 5 mg of Anpress steady-release tablets, and 160 mg of Felodipine enteric-coated tablets. Three years ago, I added 10 m...
Dr. Lin Jixiong Reply:
Hello, the types and dosages of antihypertensive medications need to be adjusted over time. As age increases and weight also rises, it may be necessary to increase the dosage and variety of blood pressure medications. Dr. Lin Chi-Hsiung.[Read More] Managing Heart Conditions: Medication and Exercise Guidelines
Understanding Chest Tightness and Cold Extremities After Running
Frequent chest tightness and cold hands and feet..? After my morning run, my heart rate used to decrease quickly, but now it takes several minutes before I feel that my heartbeat is not as strong. I also experience some chest tightness and often need to take deep breaths. My hand...
Dr. He Dongjin Reply:
Hello, recently due to weather conditions, many people are experiencing symptoms such as chest discomfort and shortness of breath. This is likely related to low atmospheric pressure and should not be a cause for concern. Please observe your symptoms. Changhua Hospital cares about...[Read More] Understanding Chest Tightness and Cold Extremities After Running
Understanding Autonomic Nervous System Disorders and Their Symptoms
Suspected autonomic nervous system dysfunction? Thank you for the doctor's previous response. My stomach condition did not improve significantly after taking medication, and my heart rate does not decrease even after resting post-exercise. I underwent a stress echocardiogram...
Dr. He Dongjin Reply:
Hello, this is regarding the condition of autonomic nervous system disorder. Rivotril may cause dizziness and drowsiness, which can lead to poor daytime alertness and increased sleepiness. It is advisable to return to the outpatient clinic to discuss with your physician about adj...[Read More] Understanding Autonomic Nervous System Disorders and Their Symptoms
Managing Blood Pressure: When to Continue or Stop Medication
Blood pressure issues? I previously asked about blood pressure medication. After taking antihypertensive medication for a month, I experienced dizziness and unsteady gait. Following your advice, I stopped taking the medication for two weeks, and my blood pressure readings have co...
Dr. He Dongjin Reply:
Hello, your blood pressure is currently good, and there is no need for medication. Please continue to monitor it. Changhua Hospital cares about you.[Read More] Managing Blood Pressure: When to Continue or Stop Medication
Understanding Palpitations: Causes, Symptoms, and Treatment Options
Palpitations? Three years ago, I experienced dizziness when I got up in the middle of the night to use the restroom. After standing up, I felt dizzy for a moment but then returned to normal. Since then, I have frequently experienced palpitations for three years, without any chest...
Dr. He Dongjin Reply:
Hello, it seems that you may be experiencing bradycardia due to long-term exercise, with a heart rate of 46-50 beats per minute. Therefore, when your heart rate increases slightly, such as to around 60-70 beats per minute, it is very likely that you may feel palpitations. If thes...[Read More] Understanding Palpitations: Causes, Symptoms, and Treatment Options
Understanding Unexplained Chest Tightness and High Blood Pressure
Unexplained chest tightness? Hello doctor, this afternoon after lunch, I started feeling chest tightness and had difficulty breathing. After returning home, I measured my blood pressure with a monitor, and the reading was quite high at 143/98 with a heart rate of 86 beats per min...
Dr. He Dongjin Reply:
Hello, having high blood pressure means that you cannot determine discomfort based on a single blood pressure measurement. Blood pressure can certainly be unstable; just like the sea is not calm during a storm. Let's wait for a while and measure your blood pressure again. Ch...[Read More] Understanding Unexplained Chest Tightness and High Blood Pressure
Why Your Heart Rate Remains High After Exercise: A Cardiovascular Concern?
Heart rate does not decrease after exercise? Two days ago (March 16) at 2 PM, I went out for a bike ride and covered about 10 kilometers. I started to feel unwell, with some weakness in my legs, and I stopped exercising and returned home to rest by 3 PM. I was wearing a heart rat...
Dr. He Dongjin Reply:
Hello, it is possible that other physical discomforts are causing your autonomic nervous system to remain continuously activated, which is why your blood pressure and heart rate are taking longer to return to baseline compared to before. This should not be a concern; just monitor...[Read More] Why Your Heart Rate Remains High After Exercise: A Cardiovascular Concern?
Do Hypertensive Patients Need Anticoagulants? Understanding the Connection
What is the relationship between hypertension and anticoagulation? Is it necessary for someone with high blood pressure to take anticoagulant medications?
Dr. He Dongjin Reply:
Hello, patients with hypertension do not necessarily need to take anticoagulant medications. You can consult your attending physician to understand why you may need to take them. Changhua Hospital cares about you.[Read More] Do Hypertensive Patients Need Anticoagulants? Understanding the Connection
Understanding Chest Discomfort and Numbness During Sleep
Numbness during sleep? Hello doctor, when I first lie down to sleep, I feel a pressure in my chest, as if blood is pooling in my chest and head. At that time, my blood pressure is not high. For the past two weeks, when I wake up, my tongue feels numb, and my head and chest also f...
Dr. He Dongjin Reply:
Hello, it doesn't seem like a heart or vascular issue; rather, it appears to be caused by autonomic nervous system dysfunction. It would be advisable to consult a neurologist for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Discomfort and Numbness During Sleep
Understanding Sudden Heart Muscle Strain: Causes and Concerns
The sensation of a heart strain? Hello, Doctor. I apologize for the interruption, but I would like to ask about the sudden muscle strain sensation in my heart. In the past, after intense exercise, I experienced symptoms such as sudden blurred vision, dizziness, pale complexion, a...
Dr. He Dongjin Reply:
Hello, was this run more intense than before? It’s possible that you might be too fatigued, which could lead to a drop in blood pressure. Additionally, it could be due to paroxysmal arrhythmia caused by mitral valve prolapse. It might be a good idea to prepare some Inderal for em...[Read More] Understanding Sudden Heart Muscle Strain: Causes and Concerns
Understanding Long-Term Hypertension: Risks and Management Strategies
Chronic Hypertension Hello, I have had blood pressure between 130 and 150 for over ten years. In the past six months, my readings have consistently been around 130, but I occasionally experience brief episodes of dizziness, about once a month, lasting for about a week. I have con...
Dr. He Dongjin Reply:
Hello, the doctor is correct; maintaining this blood pressure is not a problem, and there is no need for concern. Changhua Hospital cares about you.[Read More] Understanding Long-Term Hypertension: Risks and Management Strategies
Understanding Low Blood Pressure and High Heart Rate After Meals
Low blood pressure and high heart rate? Hello, doctor: Sometimes after meals, I experience a feeling of dizziness and my heart beats strongly when I try to sleep. Occasionally, I have headaches, and when it's severe, it affects my sleep. A few days ago, I measured my blood p...
Dr. He Dongjin Reply:
Hello, considering your age, it's common for young women to have normal blood pressure, so your readings are reasonable. The post-meal dizziness and the sensation of a racing heart while trying to sleep, along with occasional headaches that can severely impact your sleep, ar...[Read More] Understanding Low Blood Pressure and High Heart Rate After Meals
Understanding Rapid Heartbeat: Causes and Concerns for Your Health
The heartbeat is getting faster and faster? Hello Doctor: Previously, my heart rate was in the 80s, and it improved significantly, with normal blood pressure. However, recently my heart rate has started to increase again, reaching 97 beats per minute, almost 100, and my blood pre...
Dr. He Dongjin Reply:
Hello, do you feel any discomfort? It could be that some physical discomfort is causing an increased heart rate, or perhaps you are experiencing excessive heat in your body. You can observe it for now, but if you are still concerned, you may visit a cardiology clinic for a check-...[Read More] Understanding Rapid Heartbeat: Causes and Concerns for Your Health