Does Atenolol Cause Insomnia in Hypertension Patients?
Can antihypertensive medications cause insomnia? Hello, doctor. I have a history of hypertension and I am taking Atenolol 50mg to control my blood pressure. I notice that whenever I take the medication, I tend to experience insomnia at night, but when I stop taking it, I sleep we...
Dr. He Dongjin Reply:
Hello, I haven't heard of that side effect, but everyone has a different constitution. It's hard to say. If you are experiencing this issue, please discuss with your physician whether it is possible to switch to another medication. Changhua Hospital cares about you.[Read More] Does Atenolol Cause Insomnia in Hypertension Patients?
Managing Blood Pressure Anxiety: Insights from Recent Health Tests
Blood Pressure and Medication (Follow-up Inquiry) Hello Director He, after following my attending physician's advice to rest for 2 weeks without exercise, I had my blood drawn again for testing. **Blood Test Results:** - "Hemoglobin" increased from 37 to 36.1, w...
Dr. He Dongjin Reply:
Hello, please stop measuring your blood pressure. It only creates anxiety and can lead to uncontrolled blood pressure and even complications. At your age, I have not seen this happen. We are here to treat people, not numbers. You know that stress and anxiety cause those numbers t...[Read More] Managing Blood Pressure Anxiety: Insights from Recent Health Tests
Understanding Unexplained Palpitations: Causes and Solutions
Palpitations of unknown origin? Hello doctor, about a month ago, one night I suddenly felt my heart racing and couldn't sleep (I had been smoking and it was almost 4 AM). I went to the emergency room where the doctor gave me a sedative so I could go home and sleep. The next ...
Dr. He Dongjin Reply:
Hello, please stop scaring yourself. You are experiencing anxiety, not a heart disease. You have undergone all necessary heart examinations, and everything is fine. The symptoms you are experiencing are due to panic attacks. You should visit a mental health specialist and conside...[Read More] Understanding Unexplained Palpitations: Causes and Solutions
Understanding Blood Pressure and Lab Results: Key Questions Answered
Blood Pressure and Medication (Continued) Hello Director He, I apologize for bothering you again. I previously consulted you about blood pressure issues, and my attending physician later asked me to undergo blood and urine tests. After reviewing the reports, I would like to ask s...
Dr. He Dongjin Reply:
Hello, there are no issues with the first and second tests, so there's no need to worry. The presence of protein in the urine is a bit more difficult to explain and is likely related to exercise. If you're concerned, you may want to visit a nephrology clinic for further...[Read More] Understanding Blood Pressure and Lab Results: Key Questions Answered
Managing Blood Pressure: Insights on Weight Loss, Medication, and Exercise
Regarding blood pressure and medication? Hello, Director He. I have been on antihypertensive medication for over four years. Initially, I attributed my high blood pressure to being overweight, but I have gradually lost weight, and in the last three months, I have lost about 10 ki...
Dr. He Dongjin Reply:
Hello, I believe your persistent anxiety is causing your blood pressure to remain abnormal despite multiple measurements. Moderate exercise is sufficient; the recommendation is 30 minutes a day. Diuretics are not related to lower back pain, and excessive weight loss or intense ex...[Read More] Managing Blood Pressure: Insights on Weight Loss, Medication, and Exercise
Understanding Blackouts and Breathing Difficulties During Exercise
Blurred vision and difficulty breathing? Hello Doctor: I usually have a habit of jogging, running about 6 to 10 kilometers at least three times a week. I don't typically experience shortness of breath during or after my runs. However, yesterday I ran faster than usual, and a...
Dr. He Dongjin Reply:
Thank you for your letter.[Read More] Understanding Blackouts and Breathing Difficulties During Exercise
Understanding Sudden Chest Pain: Insights from Cardiovascular Specialists
Supplementary question? Hello, doctor. I just sent an email with a question and would like to add something I forgot to mention: I occasionally experience sudden chest tightness, but it doesn't last long and usually resolves within ten seconds.
Dr. He Dongjin Reply:
Hello, being able to run 6-10 km indicates that your cardiovascular fitness is quite good. Since your blood pressure is already low, exercising can cause blood to be redistributed to the periphery, which may lead to orthostatic hypotension when you stand up after squatting, exace...[Read More] Understanding Sudden Chest Pain: Insights from Cardiovascular Specialists
Understanding Malignant Hypertension and Its Relation to Heart Disease
Hypertensive heart disease Hello Director He, first of all, thank you very much for your previous responses to my questions. Today, I would like to add another question for your guidance. From some medical information I have read, malignant hypertension is defined as a diastolic ...
Dr. He Dongjin Reply:
Hello, the situation you mentioned is more related to an emergency and differs from this diagnostic condition. Changhua Hospital is concerned about you.[Read More] Understanding Malignant Hypertension and Its Relation to Heart Disease
Managing Blood Pressure: Key Questions for Heart Health and Lifestyle Changes
Please ask your questions about blood pressure? Hello Doctor, I have previously consulted you about several issues regarding blood pressure management, and I have a few more questions to ask. You mentioned before that most people's blood pressure is caused by lifestyle and o...
Dr. He Dongjin Reply:
Hello, I suggest that you temporarily refrain from measuring your blood pressure. Focus on maintaining a normal routine with exercise and diet, and consider measuring it again after spring next year. Being overly concerned about this number can lead to anxiety. It's importan...[Read More] Managing Blood Pressure: Key Questions for Heart Health and Lifestyle Changes
Understanding Blood Pressure Readings: Home vs. Hospital Accuracy
Accuracy of Blood Pressure Monitors I would like to ask about the blood pressure readings I obtained at the hospital using an electronic blood pressure monitor, which were consistently high, around 130/80. Once, a doctor measured it with a mercury sphygmomanometer, and it was app...
Dr. He Dongjin Reply:
Hello, the blood pressure readings you provided are all normal, so there is no need to worry about hypertension. Blood pressure measured in a hospital or clinic is generally higher than that measured at home, which is commonly referred to as "white coat syndrome." There...[Read More] Understanding Blood Pressure Readings: Home vs. Hospital Accuracy
Managing Young Hypertension: Risks and Long-Term Medication Effects
Please ask your question about blood pressure again? Hello, doctor. I would like to ask you again. Since I am so young and already showing symptoms of hypertension, will this make it easier for me to develop complications or diseases in middle or old age? Or as long as I take my ...
Dr. He Dongjin Reply:
Hello, as long as you take your medication on time, exercise regularly, and keep your blood pressure under control, you will not develop high blood pressure at such a young age, which could increase the risk of complications later on. Additionally, taking blood pressure medicatio...[Read More] Managing Young Hypertension: Risks and Long-Term Medication Effects
Understanding Blood Pressure Variations: Sitting vs. Lying Down
Blood pressure values in sitting and lying positions? Hello Doctor, I noticed while measuring my blood pressure that when I take it lying down on my left arm, the systolic pressure is 10-15 mmHg higher (at least 5 mmHg higher) compared to sitting. However, the diastolic pressure ...
Dr. He Dongjin Reply:
Hello, the blood pressure values can vary for each individual depending on whether they are sitting or lying down, and there is no absolute "correct" value; all readings are valid. However, when measuring, please use a consistent method by measuring from the same arm an...[Read More] Understanding Blood Pressure Variations: Sitting vs. Lying Down
Understanding Post-Stent Care: Addressing Patient Concerns and Communication
Post-Stent Placement P2 The system seems to be malfunctioning. My email is correct, yet I am not receiving replies and cannot select satisfaction ratings. Regarding the previous question: 1. Currently, my physician, although not the original attending doctor, possesses expertise,...
Dr. Li Han Reply:
Hello Mr. Lee, I have not received a response to your previous inquiry, which I find puzzling. However, I will reflect this matter from the hospital's side regarding the persistent chest pain and elevated blood pressure that have been troubling you. I can imagine your anxiet...[Read More] Understanding Post-Stent Care: Addressing Patient Concerns and Communication
Post-Stent Care: Addressing Concerns After Heart Procedure
Post-stent placement follow-up Hello Dr. Lee, First of all, thank you for taking the time to clarify my concerns. To avoid wasting your time, I will present my questions in order of importance. Thank you. a. Last October, I had a stent placed in the emergency department. In De...
Dr. Li Han Reply:
Hello Mr. Lee, based on your statement, it seems that you experienced a myocardial infarction last October and underwent emergency percutaneous coronary intervention (PCI) to open the blocked artery and place a stent. This procedure is both appropriate and necessary in the case o...[Read More] Post-Stent Care: Addressing Concerns After Heart Procedure
Understanding Diastolic Blood Pressure: Risks and Management Strategies
(Continued) Inquire about blood pressure issues? Hello Doctor, I have a few questions I would like to ask you: 1. Is having a higher diastolic blood pressure significantly harmful to the body? 2. Besides controlling diet and increasing physical activity, what other methods can be...
Dr. He Dongjin Reply:
Hello, you are correct that blood pressure can be elevated due to anxiety. Using distraction techniques to measure blood pressure can yield more reliable values. Additionally, while systolic blood pressure is relatively higher than diastolic blood pressure, it poses less risk to ...[Read More] Understanding Diastolic Blood Pressure: Risks and Management Strategies
Understanding Left Ventricular Hypertrophy: Causes and Concerns for Young Adults
Left ventricular hypertrophy During my military service health examination, my electrocardiogram (ECG) showed abnormalities, while the chest X-ray was normal. The ECG indicated a low atrial rhythm, which led to a follow-up examination. It was found that I have left ventricular hy...
Dr. He Dongjin Reply:
Hello, if you are concerned, you should follow up with a cardiology clinic. Basically, the blood pressure values you mentioned are not indicative of hypertension. Whether there is left ventricular hypertrophy may require further examination to determine. The sharp pain you are ex...[Read More] Understanding Left Ventricular Hypertrophy: Causes and Concerns for Young Adults
Managing Blood Pressure: Concerns About Medication and Weight Control
Inquire about blood pressure issues? Hello Doctor, I would like to ask: 1. Due to concerns about future fertility, I switched from beta-blockers to calcium channel blockers, but my diastolic blood pressure has been decreasing slowly and remains relatively high. I have been on t...
Dr. He Dongjin Reply:
Hello, actually, beta-blockers do not affect fertility; they may only reduce libido, which young people need not worry about. Regarding stress relief, you are correct that calcium channel blockers are less effective for diastolic blood pressure. A BMI below 23 should show more si...[Read More] Managing Blood Pressure: Concerns About Medication and Weight Control
Impact of Different Brands of Hypertension Medications on Blood Pressure Control
Different brands Can antihypertensive medications affect blood pressure control due to different brands? My mother experienced a nosebleed and had to call an ambulance to go to the emergency room. The emergency physician needed to determine the cause, and she was eventually refer...
Dr. He Dongjin Reply:
Hello, different brands may have varying efficacy; for example, two cars with the same 2000cc engine, like Nissan and Toyota, may perform differently, but they should be relatively similar. Regarding at what age men might develop high blood pressure, there is no standardized answ...[Read More] Impact of Different Brands of Hypertension Medications on Blood Pressure Control
Understanding Reflex Hypertension: Causes and the Role of Pain
Reflex hypertension Reflex hypertension is caused by a variety of pathological mechanisms, primarily involving the autonomic nervous system's response to stimuli. It can occur due to conditions such as renal artery stenosis, pheochromocytoma, or other forms of sympathetic ne...
Dr. He Dongjin Reply:
Hello, basically any discomfort in the body can trigger autonomic nervous system excitation, which in turn stimulates unstable blood pressure and causes reflex hypertension. This is not the same as having hypertension as a disease, so there is no need to be overly anxious. Changh...[Read More] Understanding Reflex Hypertension: Causes and the Role of Pain
How Stress and Muscle Tension Contribute to High Blood Pressure
Blood Pressure and Emotions 2 Hello, doctor. I read online that emotional stress and muscle tension can lead to elevated blood pressure. I'm curious if chronic mental stress and muscle tension can cause long-term increases in blood pressure, potentially damaging blood vessel...
Dr. He Dongjin Reply:
Hello, emotional tension and muscle tightness can lead to elevated blood pressure. However, this does not necessarily indicate hypertension as a medical condition. Often, mental stress and muscle tension can stimulate the autonomic nervous system, resulting in increased blood pre...[Read More] How Stress and Muscle Tension Contribute to High Blood Pressure