Are Brand Name and Generic Blood Pressure Medications Really Different?
Is there a difference between brand-name drugs and generic drugs? I would like to ask the doctor, if I have been taking the brand-name blood pressure medication Tenomin and have now switched to atenolol, but I feel that after taking the latter, I experience more chest tightness. ...
Dr. He Dongjin Reply:
Hello, theoretically there is no difference, but each person's constitution is different, and reactions to medications from different manufacturers may vary. If the response is not satisfactory, you can request a prescription to obtain the original manufacturer's medica...[Read More] Are Brand Name and Generic Blood Pressure Medications Really Different?
Understanding Left Ventricular Hypertrophy: Symptoms and Treatment Options
Left ventricular hypertrophy I went to the hospital for a health check-up, and the report showed left ventricular hypertrophy. I occasionally experience slight stabbing pain in my heart, and I have low blood pressure. How should this be treated?
Dr. He Dongjin Reply:
Hello, do you have the results of the electrocardiogram (ECG) examination? If the ECG report is not necessarily accurate, it is recommended to arrange further evaluation at a cardiology outpatient clinic to clarify the findings before considering medication. Changhua Hospital car...[Read More] Understanding Left Ventricular Hypertrophy: Symptoms and Treatment Options
Understanding Tachycardia: Symptoms, Causes, and Diagnosis
Tachycardia I have a heart rate of over 110 beats per minute, sometimes in the 90s, and I experience pain in my left chest. I underwent a myocardial perfusion scan and it was normal, as was the echocardiogram. My blood pressure is 135/100, and my 24-hour urine vanillylmandelic ac...
Dr. He Dongjin Reply:
Hello, based on the data you provided, it does not seem to indicate a pheochromocytoma, but rather it could be related to autonomic dysregulation or panic disorder. It may be advisable to consider the use of beta-blockers. I recommend consulting a cardiologist for further evaluat...[Read More] Understanding Tachycardia: Symptoms, Causes, and Diagnosis
Can Taking Blood Pressure Medications at Night Lower Morning Hypertension?
Taking blood pressure medication before bedtime can help reduce morning hypertension? Hello, Doctor. If I change my blood pressure medication (Atenolol) to take it before bedtime, will it help reduce the issue of elevated morning blood pressure during winter? Currently, I feel un...
Dr. He Dongjin Reply:
Hello, switching your blood pressure medication Atenolol to be taken at bedtime may help reduce morning hypertension during the winter. You may want to give it a try. Changhua Hospital cares about you.[Read More] Can Taking Blood Pressure Medications at Night Lower Morning Hypertension?
Understanding Fluctuating Blood Pressure: When to Seek Medical Advice
Blood pressure fluctuates between high and low? Hello doctor, I would like to ask about my father who is 61 years old and has been smoking for over 20 years. There is a family history of diabetes and colorectal cancer. Recently, my father mentioned that his blood pressure fluctua...
Dr. He Dongjin Reply:
Hello, it is possible that the changes in weather are causing this. It is recommended to visit the hospital for a check-up. Ping An Changhua Hospital cares about you.[Read More] Understanding Fluctuating Blood Pressure: When to Seek Medical Advice
Cold Sweats at Night: Is It a Sign of Heart Failure?
Woken up by the cold in the middle of the night? Hello Doctor, I have been feeling cold frequently (and I am also very sensitive to heat). I often wake up in the middle of the night feeling cold and experience overall weakness, shivering, and a rapid heartbeat. I wear a lot of cl...
Dr. Lin Jixiong Reply:
Hello: The symptoms you described are not indicative of heart failure. Dr. Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Cold Sweats at Night: Is It a Sign of Heart Failure?
Midnight Discomfort: Understanding Heart and Vascular Issues
Feeling unwell in the middle of the night? Hello Doctor, I have been feeling very cold lately and often wake up in the middle of the night feeling weak and cold. My heart rate seems to be very slow, and I feel a tightness in my chest, somewhat like a sensation of hypoxia. My usua...
Dr. Li Han Reply:
Hello Ms. Lin, based on your statements of weakness, sensitivity to cold, low blood pressure, bradycardia, chest tightness, shortness of breath, dizziness, and facial flushing, these symptoms are generally non-specific and require more details for further differential diagnosis. ...[Read More] Midnight Discomfort: Understanding Heart and Vascular Issues
Should I Increase My Atenolol Dosage for Better Blood Pressure Control?
Is it possible to increase the dosage? Hello, I am currently taking Atenolol 50mg (25mg in the morning and 25mg in the evening) to control my blood pressure. In the summer, my blood pressure is well controlled. However, during the winter, when it gets cold, my blood pressure beco...
Dr. He Dongjin Reply:
Hello, you may consider increasing the dosage to 100 mg. Changhua Hospital cares about you.[Read More] Should I Increase My Atenolol Dosage for Better Blood Pressure Control?
Understanding Heart Rate Variability and Low Blood Pressure Concerns
Cardiac issues Hello doctor, my heart rate is between 90 to 110 beats per minute every day, and it tends to increase when I stand up. My blood pressure is low, around 55 to 100, and sometimes it suddenly spikes to over 120, accompanied by chest tightness and difficulty breathing....
Dr. He Dongjin Reply:
Hello, it is recommended to visit the cardiology outpatient clinic for an examination. In addition to checking for arrhythmias, endocrine issues should also be evaluated. Changhua Hospital cares about your health.[Read More] Understanding Heart Rate Variability and Low Blood Pressure Concerns
Understanding Arrhythmias: My Journey Through Heart Health Challenges
Arrhythmia During my first visit to the cardiology outpatient clinic, I experienced symptoms of chest pain, shortness of breath, and palpitations. All necessary tests were conducted, and the original physician diagnosed me with mitral valve prolapse and started treatment accordin...
Dr. He Dongjin Reply:
Hello, it is certainly fine to take Kankang before your follow-up appointment to review the report. In fact, I recommend taking an additional dose before bedtime since you have taken medication during the day but not at night. This could help alleviate the more severe palpitation...[Read More] Understanding Arrhythmias: My Journey Through Heart Health Challenges
Understanding Heart Issues: Symptoms, Diagnosis, and Lifestyle Tips
Cardiac issues? S: Improving chest tightness with palpitations for 1 week. No history of smoking, diabetes mellitus, or hypertension. O: Blood pressure 122/72, heart rate 99 bpm. HS: Systolic click over left sternal border. BS: Clear. Leg: No edema. T4: 8.07, TSH: 2.010...
Dr. He Dongjin Reply:
Hello, the records above are almost normal and unrelated to your symptoms. Consider adjusting the medication dosage. You can try taking both medications in the morning and evening. Changhua Hospital cares about you.[Read More] Understanding Heart Issues: Symptoms, Diagnosis, and Lifestyle Tips
Understanding Unstable Blood Pressure: Symptoms and Potential Causes
Unstable blood pressure? Hello doctor, I have been experiencing frequent palpitations, chest tightness, and dizziness, sometimes feeling like I might faint. I also have anxiety and panic, with my blood pressure being very unstable, reaching as high as 17X/12X, but sometimes dropp...
Dr. He Dongjin Reply:
Hello, your symptoms do not seem to resemble those of a pheochromocytoma; they are more likely related to autonomic nervous system dysfunction. It is advisable to consult a cardiologist for further evaluation. Changhua Hospital cares about your well-being.[Read More] Understanding Unstable Blood Pressure: Symptoms and Potential Causes
Understanding Dizziness: Possible Causes and When to Seek Help
Dizziness in the head? Hello Doctor: For the past four months, I have been feeling dizzy. My usual blood pressure readings are around 100 to 120. I have fainted before while donating blood, and recently, whenever I go to crowded places, hear loud voices, witness arguments, or fee...
Dr. He Dongjin Reply:
Hello, it seems that autonomic nervous system dysfunction may be at play. It is advisable to visit a neurology clinic for further examination. Changhua Hospital cares about you.[Read More] Understanding Dizziness: Possible Causes and When to Seek Help
Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Use of Anticoagulants Hello, I have a history of hypertension for about 20 years. I initially took medication to control it for about 10 years, but then I stopped taking the medication on my own. During this period, I experienced frequent headaches. It wasn't until a recent ...
Dr. Li Han Reply:
Hello, A-mei. The purpose of administering anticoagulants is to prevent thromboembolism, which, as the name suggests, inhibits the coagulation mechanism. Therefore, the risk associated with these medications is the risk of bleeding. You can weigh the benefits of preventing thromb...[Read More] Understanding Anticoagulant Use in Hypertension and Heart Rhythm Issues
Post-Meal Heart Rate: Understanding Causes and Concerns
Postprandial tachycardia...2 Hello doctor, I have had a long-standing issue of experiencing a rapid heartbeat after meals or when I eat too much. Recently, I visited a cardiologist due to my blood pressure being around 145 and underwent an echocardiogram, which indicated a slight...
Dr. He Dongjin Reply:
Hello, the heart rate after meals should not be related to the heart structure but rather more associated with autonomic nervous system regulation. Therefore, an echocardiogram may not be helpful. It might be advisable to arrange for autonomic nervous system testing or a 24-hour ...[Read More] Post-Meal Heart Rate: Understanding Causes and Concerns
Top Foods to Lower High Blood Pressure for Heart Health
High blood pressure What foods should be consumed to lower high blood pressure?
Dr. He Dongjin Reply:
Hello, I am unsure about my blood pressure levels and what types of food can help lower it. Generally, it should be low in oil and salt. Changhua Hospital cares about you.[Read More] Top Foods to Lower High Blood Pressure for Heart Health
Is Rapid Heartbeat a Sign of Arrhythmia? Understanding Your Symptoms
Is a rapid heartbeat considered an arrhythmia? Hello, today during physical education class at school, after running, my heart was beating very fast, and I could clearly feel my heart pounding strongly. After about twenty minutes, I went to the health room to check my blood press...
Dr. He Dongjin Reply:
Hello, if you are feeling uneasy, it is advisable to visit the hospital for an electrocardiogram (ECG) examination. Changhua Hospital cares about you.[Read More] Is Rapid Heartbeat a Sign of Arrhythmia? Understanding Your Symptoms
Understanding High Diastolic Blood Pressure: Should You Be Concerned?
Mildly elevated low blood pressure? I would like to ask the doctor, I measure my blood pressure at home every morning and evening. My systolic pressure is usually in the 120s or 130s, but my diastolic pressure is almost always in the 90s, and it takes a long time of resting for i...
Dr. He Dongjin Reply:
Hello, you probably don't need to take medication, but you should improve your lifestyle by reducing oil and salt intake, increasing exercise, and boosting your metabolism. Maintaining a regular routine is important. Changhua Hospital cares about you.[Read More] Understanding High Diastolic Blood Pressure: Should You Be Concerned?
Understanding Medication Effects on Arrhythmia: When to Seek Help?
Questions Regarding Medication for Arrhythmia My mother (74 years old) was diagnosed with arrhythmia and palpitations after being treated in the emergency room and outpatient clinic. Her medications include Cnocor 5 mg, Meletin 100 mg twice daily, Fluitran 2 mg, and Blopress 8 mg...
Dr. He Dongjin Reply:
Hello, it is recommended to return to the outpatient clinic for medication adjustments. Changing hospitals frequently and starting over each time is not ideal, and it may not be beneficial to return to the outpatient clinic too early. Changhua Hospital cares about you.[Read More] Understanding Medication Effects on Arrhythmia: When to Seek Help?
Understanding Chest Pain in Mitral Valve Prolapse Patients: Key Insights
Frequent chest pain? I am a patient with mild mitral valve prolapse. Initially, I frequently experienced chest pain, which led me to consult a cardiologist. After examination, I was prescribed Concor 1.25 mg to take once every morning, and I have been on this medication for sever...
Dr. Lin Jixiong Reply:
Hello: 1. The primary function of Kankin is to lower the heart rate. If the heart rate is too slow, specifically below 60 beats per minute, do not take it. If you forget to take your medication, it is generally not dangerous; if you notice an increased heart rate, you can take th...[Read More] Understanding Chest Pain in Mitral Valve Prolapse Patients: Key Insights