Managing High Blood Pressure: Understanding Medication and Side Effects at 40
Blood pressure issues I am 40 years old and have had several visits to the clinic where my blood pressure was consistently high, around 150/90. The doctor prescribed a 7-day course of antihypertensive medication (one pill per day). During my follow-up, my blood pressure was aroun...
Dr. He Dongjin Reply:
Hello, if you have hypertension, it is advisable to stop the medication and measure your blood pressure at home. Use one arm to take a reading, then wait a few minutes and take another reading. You should measure your blood pressure for at least a week and keep a record of the re...[Read More] Managing High Blood Pressure: Understanding Medication and Side Effects at 40
Understanding Heart Palpitations and Numbness During Stressful Situations
During times of anxiety, the heart may race, or there may be sensations of numbness in the body. Sometimes, while walking, one might feel their heartbeat and experience shortness of breath, though it does not reach the point of being unable to breathe? Hello doctor, recently I of...
Dr. He Dongjin Reply:
Hello, it seems that the autonomic nervous system disorder is caused by anxiety. Engaging in more physical activity and finding appropriate stress relief methods should help. If that doesn't work, you can consider using some auxiliary medications. There is no major concern, ...[Read More] Understanding Heart Palpitations and Numbness During Stressful Situations
Understanding Heart Issues: Why Tests May Not Reveal the Problem
Cannot be detected? Recently, I went to the emergency department of a regional hospital at night due to chest tightness and arrhythmia (my blood pressure was measured at 153/85). They arranged for an electrocardiogram (ECG), chest X-ray, and blood tests. The emergency physician s...
Dr. He Dongjin Reply:
Hello, if you have visited the emergency department and the ECG, chest X-ray, and blood tests do not reveal any acute issues, such as myocardial infarction or paroxysmal palpitations and arrhythmias, these cannot be diagnosed using the aforementioned methods. It sounds more like ...[Read More] Understanding Heart Issues: Why Tests May Not Reveal the Problem
Common Issues When Walking to Work: Heart Health Concerns Explained
Problems that may occur while walking to work every day? Hello, doctor! My height and weight are 157 cm and 45 kg. Currently, I commute to work by walking, which takes about 15 minutes. Along the way, I have to cross two overpasses. Due to the design of the office building, I nee...
Dr. He Dongjin Reply:
Hello, you may be too anxious or have insufficient physical activity. Your blood pressure is normal for your age. It is advisable to visit a cardiology clinic for further examination. Ping An Changhua Hospital cares about you.[Read More] Common Issues When Walking to Work: Heart Health Concerns Explained
Managing Hypertension Medications: When to Stop and Seek Help
Antihypertensive medications Hello Doctor: Last year, I discovered a heart issue during a health check-up, and after visiting the hospital, the doctor prescribed heart medication. However, I developed a persistent cough due to a cold (lasting for a month), so I consulted a differ...
Dr. He Dongjin Reply:
Hello, there's no need to rush into taking blood pressure medication. Let's keep a good record for a while and focus on stabilizing your cough first. Changhua Hospital cares about you.[Read More] Managing Hypertension Medications: When to Stop and Seek Help
Understanding Arrhythmias After Weight Loss: A Cardiovascular Perspective
Arrhythmia after weight loss Hello, Doctor! Since 2004, I have been taking antihypertensive medication (Cozaar + Concor 2.5 mg) for hypertension (approximately 140/90), and my blood pressure has been controlled around 120/80. At that time, I did not experience any arrhythmias or ...
Dr. He Dongjin Reply:
Hello, simple exercise for weight loss? Weight loss can help lower blood pressure. As for whether there is a correlation with arrhythmia, it's hard to say; it may be more likely due to anxiety causing symptoms. Whether it truly is premature contractions is uncertain without ...[Read More] Understanding Arrhythmias After Weight Loss: A Cardiovascular Perspective
Understanding Chest Pain: When to Worry About Heart Issues
Cardiac abnormalities I would like to ask if there is a problem with my heart. Recently, while sleeping, I suddenly felt a sharp pain in my left chest, and it was painful to breathe. After a while, it got better, but I have been experiencing a persistent dull pain lately. I usual...
Dr. He Dongjin Reply:
Hello, your symptoms may be caused by mitral valve prolapse. If you still feel unwell, it is advisable to visit a cardiology clinic for further examination. Changhua Hospital cares about your well-being.[Read More] Understanding Chest Pain: When to Worry About Heart Issues
Why Do Blood Pressure Medications Make Me Dizzy and Tired?
Why do I feel dizzy after taking blood pressure medication? I am overweight, my menstrual cycle is irregular, and I have had a cold for almost a month. Last week, my blood pressure suddenly became very high and wouldn't come down. The doctor prescribed me two blood pressure ...
Dr. He Dongjin Reply:
Hello, please refrain from taking medication for now and observe for a while to understand how high your blood pressure usually is before deciding whether medication intervention is necessary. It is possible that the discomfort is caused by taking too much blood pressure medicati...[Read More] Why Do Blood Pressure Medications Make Me Dizzy and Tired?
Understanding Mean Arterial Pressure and Its Impact on Heart Health
Blood pressure represents the force exerted by circulating blood on the walls of blood vessels. It is a critical indicator of cardiovascular health Is mean arterial pressure related to the heart rate? If mean arterial pressure is below normal values, does it indicate poor cardiac...
Dr. He Dongjin Reply:
Hello, the mean arterial pressure is not directly related to the heart rate. A mean arterial pressure below the normal range does not necessarily indicate poor cardiac function. Given your age, a lower blood pressure can be considered normal. What constitutes a normal value? It s...[Read More] Understanding Mean Arterial Pressure and Its Impact on Heart Health
Understanding High Blood Pressure: What You Need to Know at 24
Blood pressure issues Hello, I am currently 24 years old and have issues with high blood pressure. I have been monitoring my blood pressure regularly, with systolic pressure typically around 130-140 mmHg, but diastolic pressure often ranging from 60-70 mmHg. I researched online a...
Dr. He Dongjin Reply:
Hello, I believe there is no major issue and observation should suffice without any need for concern. A low-sodium diet, regular exercise, and maintaining a normal daily routine should be sufficient. Changhua Hospital cares about you.[Read More] Understanding High Blood Pressure: What You Need to Know at 24
Is This Heart Palpitations? Understanding Your Symptoms and Concerns
Could you please tell me if this is considered palpitations? The symptoms are as follows: last night, while reading in bed before sleep, I suddenly felt chest tightness and a bit of anxiety, which made me uncomfortable, so I quickly went to sleep. The next morning, I experienced ...
Dr. Lin Jixiong Reply:
Hello, the symptoms you are experiencing resemble palpitations. It is advisable to discuss this with a cardiologist. Dr. Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Is This Heart Palpitations? Understanding Your Symptoms and Concerns
Understanding Heart Palpitations: Causes and Concerns
The heartbeat may pause momentarily? Hello Doctor: Recently, I have been feeling my heart skip a beat occasionally, and then it resumes (the intervals vary; sometimes it skips after two beats, and other times it may take a few minutes before it skips again. Usually, my pulse feel...
Dr. He Dongjin Reply:
Hello, the symptoms appear to be related to premature ventricular contractions, which should not pose a significant risk. It is recommended that you visit a cardiology outpatient clinic for further diagnosis. Additionally, consider weight loss and smoking cessation, and ensure th...[Read More] Understanding Heart Palpitations: Causes and Concerns
Understanding Blood Pressure Issues: What Your Readings Mean
Blood pressure issues? Hello doctor, my blood pressure started to rise to an average of 120-150 last year. Is this a problem? In August of last year, I went for a cardiovascular check-up, and the report showed the following: - Creatine Kinase: 158 (high) - High-Sensitivity C-Re...
Dr. He Dongjin Reply:
Hello, based on the information you provided, it may be related to your anxiety and stress. It is recommended to simply observe your condition, adopt a low-sodium diet, engage in more physical activity, and relax. You have not reached true hypertension, so there is no need for me...[Read More] Understanding Blood Pressure Issues: What Your Readings Mean
Understanding Heart Palpitations: When to Seek Further Medical Advice
My heart is racing, but the hospital says everything is fine? Hello, I am 24 years old and have had issues with obesity and hypertension. Since June of last year (2015), I have been seeing a cardiologist who diagnosed me with hypertension. The doctor mentioned that my high blood ...
Dr. He Dongjin Reply:
Hello, it is likely caused by autonomic nervous system dysregulation. It is recommended to use some simple medications for improvement, such as 0.5 mg Bisoprolol or Cardiolol. Seasonal changes and weather may also have an impact. There is no need to worry; everything should be fi...[Read More] Understanding Heart Palpitations: When to Seek Further Medical Advice
Can Blood Pressure Medication Dosage Be Reduced Safely?
Can blood pressure medication be reduced? Dear Doctor, My uncle, Mr. Huang Ben-yao, is 61 years old and suffers from multiple conditions including diabetes, hypertension, and schizophrenia. I would like to know if it is possible to cut his hypertension medication, the round pill...
Dr. He Dongjin Reply:
Hello, it is recommended that you bring a complete record of your blood pressure to your outpatient appointment with Dr. Liao Wen-jun. The attending physician will adjust the medication based on your uncle's overall condition. The opinions of Dr. A or Dr. B may complicate th...[Read More] Can Blood Pressure Medication Dosage Be Reduced Safely?
Managing Sudden High Blood Pressure: Emergency Medications and Concerns
Medications for sudden spikes in blood pressure? <Background> A 60-year-old patient has been suffering from hypertension since the age of 40. In 2003, he underwent balloon angioplasty and stent placement due to acute myocardial infarction (AMI). His systolic blood pressure ...
Dr. He Dongjin Reply:
Hello, you are too nervous. Seeing high blood pressure can make you anxious, which keeps your blood pressure elevated. There's no need to go to the emergency room; just calm down and take bisoprolol and Xanax, then rest for a while. A slow heart rate is not a problem! A low ...[Read More] Managing Sudden High Blood Pressure: Emergency Medications and Concerns
How Breathing Compulsions Can Lead to High Blood Pressure and Heart Issues
Respiratory compulsions can lead to hypertension, palpitations, and dizziness? Hello Doctor, I have obsessive-compulsive disorder related to breathing, which causes my blood pressure to be very high every time I measure it. I would like to ask if this breathing-related OCD can le...
Dr. He Dongjin Reply:
Hello, obsessive-compulsive disorder related to breathing can lead to high blood pressure; however, the hypertension caused by this condition does not have a significant impact on the body. For example, during running or exercise, blood pressure may also rise, but it does not adv...[Read More] How Breathing Compulsions Can Lead to High Blood Pressure and Heart Issues
Understanding Tachycardia: Insights on VMA Levels and Blood Pressure Management
Tachycardia Thank you, doctor. After reading your explanation, I feel much better emotionally, and my heart rate has also calmed down a bit. Following your advice, I visited a cardiologist and asked about my VMA levels. He told me that my VMA is slightly elevated but generally no...
Dr. He Dongjin Reply:
Hello, I support the physician's statement that the average blood pressure is around 135/97, with a heart rate ranging from the 90s to about 110. It may not be necessary to take antihypertensive medication, as it could be related to panic disorder. Changhua Hospital cares ab...[Read More] Understanding Tachycardia: Insights on VMA Levels and Blood Pressure Management
Is It Normal? Understanding Symptoms of Dizziness and Cold Extremities
Is it normal? Hello doctor, I often feel dizzy, have difficulty breathing, and sometimes experience palpitations. My limbs are cold every day. My parents have a history of hypertension and hypotension. When I measured my blood pressure at the hospital, it was only 106/33. Is this...
Dr. He Dongjin Reply:
Hello, considering your age, this blood pressure is acceptable. However, if you frequently feel dizzy, short of breath, and sometimes experience palpitations, along with cold extremities every day, it may be related to autonomic nervous system dysfunction. It is advisable to visi...[Read More] Is It Normal? Understanding Symptoms of Dizziness and Cold Extremities
Understanding Chest Pain, Dizziness, and Low Blood Pressure: A Cardiac Perspective
Chest pain, fainting, low blood pressure, external impact? Doctor, I occasionally experience sharp pain in my chest, which has been severe enough to require a visit to the emergency room. However, the doctors could not determine the cause. A chest CT scan showed normal results. M...
Dr. He Dongjin Reply:
Hello, based on your description, it seems to be postural hypotension causing your movements to slow down. Please take care, and Changhua Hospital is concerned about you.[Read More] Understanding Chest Pain, Dizziness, and Low Blood Pressure: A Cardiac Perspective