Understanding Fast Heart Rate: When to Seek Medical Attention
Tachycardia Hello: Sometimes when I rest, my heart rate is quite fast (around 110 bpm or higher), but aside from feeling it beating quickly (not sure if that counts as palpitations), I don't have any other uncomfortable symptoms. If I'm not feeling unwell, what heart ra...
Dr. He Dongjin Reply:
Hello, everyone's resting heart rate is different. As long as you don't feel unwell, just observe it; there's no need to seek medical attention. For example, your heart rate is 110, while your father's is between 50 and 60. Just like height varies from person ...[Read More] Understanding Fast Heart Rate: When to Seek Medical Attention
Understanding Breathing Difficulties and Hypertension Symptoms
Shortness of breath, difficulty in breathing? Doctor He would like to ask you a question. Since childhood, I have occasionally experienced difficulty breathing, where I feel like I can't get enough air despite trying hard to inhale. Sometimes I can breathe normally, but it v...
Dr. He Dongjin Reply:
Hello, you seem to be quite anxious. The symptoms you mentioned may be related to hyperventilation syndrome. Continue with your running; mild hypertension typically has few symptoms, and blood pressure readings should be used to assess it. Changhua Hospital is concerned about you...[Read More] Understanding Breathing Difficulties and Hypertension Symptoms
Unexplained Chest Pain: Understanding Heart Issues in Teens
Experiencing unexplained pain while breathing? Hello, I am currently a sophomore in high school. In middle school, I experienced sudden heart pain after bending over right after a meal, but it went away. Recently, however, it has been happening more frequently. For instance, afte...
Dr. Lin Jixiong Reply:
Hello: Based on the described symptoms, it does not seem to be chest pain solely caused by the heart. I recommend discussing this with a cardiologist. Dr. Lin Chi-Hsiung, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Unexplained Chest Pain: Understanding Heart Issues in Teens
Managing Leg Edema in Elderly Patients with Heart Conditions
Unilateral edema Hello, I would like to ask about an elderly person who is 93 years old and has a history of high uric acid, a heart condition with a pacemaker, and high blood pressure. Recently, he has been experiencing noticeable swelling in his left leg, which is less pronounc...
Dr. He Dongjin Reply:
Hello, it is not always necessary to see a cardiologist if there are no apparent issues. Elderly individuals often have less efficient circulation, which can lead to conditions like edema. Some medications prescribed by doctors may contain diuretics, which can help prevent swelli...[Read More] Managing Leg Edema in Elderly Patients with Heart Conditions
Understanding Sudden Bradycardia: Causes and Solutions for Your Heart Rate
Sudden decrease in heart rate? Hello, doctor. I am 37 years old, with a blood pressure of 170/70. I have a habit of smoking. Over the past two years, due to excessive alcohol intake, approximately one bottle of red wine per day, I developed hypertension and sought medical attenti...
Dr. He Dongjin Reply:
Hello, you can first visit the cardiology outpatient clinic for an examination, which showed no other abnormalities. You may consider reducing the SSRI medication as a trial. Changhua Hospital is concerned about you.[Read More] Understanding Sudden Bradycardia: Causes and Solutions for Your Heart Rate
Understanding Chest Pain: Is It Angina or Myocardial Ischemia?
Am I experiencing typical angina? Do I have myocardial ischemia? Dr. He: Hello, I asked a question on July 15, and today, since you haven't responded yet, I made some slight modifications to my question. I apologize. I am a 57-year-old male, weighing approximately 66 kg and ...
Dr. He Dongjin Reply:
Hello, a myocardial perfusion scan is like examining which area of the field has poor soil quality, while a 256-slice cardiac CT scan is used to check for blockages in the irrigation channels, essentially functioning as angiography. If you're worried, getting a 256-slice car...[Read More] Understanding Chest Pain: Is It Angina or Myocardial Ischemia?
Understanding Ventricular Fibrillation and Mitral Valve Prolapse Risks
Arrhythmia-related issues? Hello, Doctor: I would like to ask if mitral valve prolapse can lead to the occurrence of ventricular fibrillation. If so, what is the likelihood? Additionally, what is idiopathic ventricular fibrillation? Where can I find related information? It seems ...
Dr. He Dongjin Reply:
Hello, this matter should not be related to the mitral valve prolapse. As for your question, to be honest, I do not know. I do not have the relevant medical records on hand, and the doctors present are unable to provide an explanation. We cannot make assumptions without reviewing...[Read More] Understanding Ventricular Fibrillation and Mitral Valve Prolapse Risks
Can You Undergo General Anesthesia with a Heart Rate of 40 BPM?
Is it safe to undergo general anesthesia with a heart rate of 40 beats per minute due to arrhythmia? Thank you? Regarding your inquiry about the possibility of undergoing general anesthesia with a heart rate of 40 beats per minute due to arrhythmia, it is essential to consult wit...
Dr. Lin Jixiong Reply:
Hello: There are many factors to consider when performing general anesthesia. Regarding arrhythmia with a heart rate of 40 beats per minute, it is important to determine whether this is a temporary condition, sustained for a period of time, or persistent. Each of these scenarios ...[Read More] Can You Undergo General Anesthesia with a Heart Rate of 40 BPM?
Understanding Dizziness from Low Blood Pressure: Causes and Solutions
Dizziness due to hypotension? Dear Doctor, my mother is 61 years old and has a hereditary condition of low blood pressure. Her blood pressure readings usually show a systolic pressure that does not exceed 80 and a diastolic pressure that hovers around 50. She has long-term poor s...
Dr. He Dongjin Reply:
Hello, the dizziness symptoms you mentioned could possibly be caused by hypotension. The prevention of orthostatic hypotension involves rising slowly, especially when getting up from a squatting or lying position, as symptoms can be more pronounced. It's important to slow do...[Read More] Understanding Dizziness from Low Blood Pressure: Causes and Solutions
Can Stress and High Blood Pressure Affect Nose Stitch Healing?
Nasal suture removal? Doctor, I am very curious and would like to ask, since it has been two days since my nose stitches were removed, could it be possible for my emotional stress and muscle tension to cause an increase in blood pressure that might lead to the reopening of my nas...
Dr. He Dongjin Reply:
Hello, the probability of complications after suture removal is extremely low, so there is no need to worry. Changhua Hospital cares about you.[Read More] Can Stress and High Blood Pressure Affect Nose Stitch Healing?
Impact of Muscle Tension and Autonomic Dysfunction on Cardiovascular Health
Autonomic nervous system Hello Doctor, I would like to ask: 1. Can frequent muscle tightness lead to vascular compression, causing narrowing of blood vessels and resulting in damage to body organs? 2. Does the increased heart rate and blood pressure caused by autonomic nervous sy...
Dr. He Dongjin Reply:
Hello, frequent muscle tension does not cause blood vessels to narrow due to muscle compression, which would harm bodily organs. Dysregulation of the autonomic nervous system and stress can lead to increased heart rate and blood pressure, but this does not damage blood vessels or...[Read More] Impact of Muscle Tension and Autonomic Dysfunction on Cardiovascular Health
Understanding White Coat Hypertension: Anxiety or Real Health Risk?
Is it white coat hypertension or just anxiety? Hello Dr. He, I have a few concerns regarding my blood pressure readings. When I measure my blood pressure at the hospital, the values are significantly higher than those taken at home (about a 100 mmHg difference in systolic press...
Dr. He Dongjin Reply:
Hello, you are too anxious. You know that your readings tend to be higher when you are nervous. Let's avoid measuring for now and focus on lifestyle adjustments, such as exercise, controlling salt intake, and maintaining a stable routine. We can start measuring again in a mo...[Read More] Understanding White Coat Hypertension: Anxiety or Real Health Risk?
Does Duloxetine and Bromazepam Increase Heart Rate and Blood Pressure?
Tachycardia Hello Doctor: I would like to ask if taking Duloxetine (Cymbalta) and Bromazepam (Lexotan) for depression can cause an increased heart rate and elevated blood pressure? My mother is 68 years old, and her blood pressure has been measured around the 140s over the past y...
Dr. He Dongjin Reply:
Hello, high blood pressure and rapid heartbeat may be related to autonomic nervous system excitability. It does not necessarily mean that you have hypertension. You might consider starting with a low dose of a beta-blocker to adjust the autonomic nervous system and then monitor t...[Read More] Does Duloxetine and Bromazepam Increase Heart Rate and Blood Pressure?
Understanding Heart Palpitations After Stent Placement: Causes and Concerns
The heart is contracting? Hello Dr. Lin, I have had a stent placed for one year and eight months. During this time, I have frequently experienced chest discomfort or sharp pain in the middle of my chest. However, subsequent follow-up tests, including several electrocardiograms (b...
Dr. Lin Wenpei Reply:
It's great to hear that your symptoms have improved. Please stay in close contact with your original medical team for follow-up. Wishing you well.[Read More] Understanding Heart Palpitations After Stent Placement: Causes and Concerns
Understanding the Link Between Hypertension and Diabetes Risks
Hypertension and Diabetes Hello, doctor. I have primary hypertension, and whenever I read health-related books, I often see that diabetes can easily lead to high blood pressure. My question is, conversely, can high blood pressure also increase the likelihood of developing diabete...
Dr. He Dongjin Reply:
Hello, there is no theory suggesting that hypertension causes diabetes, so please don't worry. Just maintain your body shape and exercise regularly. Changhua Hospital cares about you.[Read More] Understanding the Link Between Hypertension and Diabetes Risks
Understanding Hypertrophic Cardiomyopathy: Your Health Questions Answered
Does this qualify as hypertrophic cardiomyopathy? Hello Doctor, during my military service physical examination, my blood pressure was elevated (I have been taking antihypertensive medication regularly) and my electrocardiogram showed abnormalities (suspected left ventricular hyp...
Dr. He Dongjin Reply:
Hello, it should not be classified as hypertrophic cardiomyopathy since there is a specific structure involved. It is not just a single data point; the entire area is hypertrophied, not just the posterior wall. Changhua Hospital is concerned about you.[Read More] Understanding Hypertrophic Cardiomyopathy: Your Health Questions Answered
Understanding Your Echocardiogram: Key Insights on Heart Health
Echocardiogram Report Hello Dr. He, I received my health check report which shows: 1. Elevated white blood cell count (11.75 x 10^3/µL) 2. Echocardiogram shows: mild mitral valve prolapse, left ventricular ejection fraction 57%, mild tricuspid regurgitation, very mild mitral regu...
Dr. He Dongjin Reply:
Hello, your doctor is correct; there is no need to worry. Your left ventricular ejection fraction is 57%, which is normal. The mentioned mitral valve prolapse and insufficiency are not indicative of heart disease. Rest assured, Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram: Key Insights on Heart Health
Understanding Blood Pressure and Pulmonary Artery Pressure: Key Insights
Blood pressure and pulmonary artery pressure? Hello, Dr. He. Due to my high blood pressure and tendency to get nervous, my blood pressure has always been elevated during military service physical examinations. As a result, I was required to wear a 24-hour blood pressure monitorin...
Dr. He Dongjin Reply:
Hello, you mentioned two issues: high blood pressure and elevated pulmonary artery pressure. In terms of military service, a 24-hour monitoring is sufficient; there is no need to perform cardiac catheterization or echocardiography solely for diagnosing hypertension, as pulmonary ...[Read More] Understanding Blood Pressure and Pulmonary Artery Pressure: Key Insights
Managing Severe Dizziness from Beta Blockers: Safe Medication Options
Dizziness preventing the ability to sit up? If a patient has experienced a significant drop in heart rate to around 50 beats per minute due to long-term use of beta-blockers, resulting in severe dizziness (unable to sit up and only able to lie down), it is important to consult a ...
Dr. He Dongjin Reply:
Hello, first it is important to distinguish whether the slow heart rate is causing discomfort. What is the heart rate per minute when you are feeling well, and how does it change when you feel unwell? If the heart rate significantly slows down and then you feel discomfort, it may...[Read More] Managing Severe Dizziness from Beta Blockers: Safe Medication Options
Is It Safe to Switch Blood Pressure Medications Suddenly?
Switching antihypertensive medications? Hello, Doctor. I usually take Atenolol 50mg for hypertension. On March 1, I forgot to take my blood pressure medication, and when I woke up on March 2, I felt unwell. I was supposed to go to work, but after walking a few steps, I felt very ...
Dr. He Dongjin Reply:
Hello, there is nothing unsafe; it’s just that the original medication was a beta-blocker with stronger exclusivity. The process of switching may cause some discomfort, but it is not dangerous, so please rest assured. Alternatively, you may suggest to your doctor to prescribe Con...[Read More] Is It Safe to Switch Blood Pressure Medications Suddenly?