Understanding Dizziness After Stent Placement: Causes and Concerns
After the stent placement, there was a final issue of dizziness? Dear Dr. Lin, My father had a vascular stent placed nearly a year ago and has been taking antihypertensive medication for several months without any changes in his prescription. Therefore, it is unlikely that his r...
Dr. Lin Jixiong Reply:
Hello: Approximately six months after the placement of a vascular stent, some patients may experience restenosis due to their constitution or dietary habits. The incidence of restenosis with drug-eluting stents is lower compared to traditional stents. When restenosis occurs, pati...[Read More] Understanding Dizziness After Stent Placement: Causes and Concerns
Managing Blood Pressure and Heart Health: Key Questions Answered
Please ask your question? Hello Dr. Lin, I measure my blood pressure every day, and it usually ranges between 130 and 150. I've recorded readings as low as 120 and as high as 167. I have a poor habit of taking my medication and often forget to take it. I also dislike being ...
Dr. Lin Jixiong Reply:
Hello: The relationship between hypertension and heart disease is a long-term impact, as chronic high blood pressure causes gradual damage to the cardiovascular system. Over time, this can lead to damage of small blood vessels, resulting in complications such as stroke, myocardia...[Read More] Managing Blood Pressure and Heart Health: Key Questions Answered
Understanding High Blood Pressure: What to Do When It Reaches 230
Blood pressure skyrocketed to 230? Hello Doctor: Today my blood pressure reached 230, but I don't feel unwell. I have no noticeable changes in my mental or physical state. Could you please advise me on the implications of such high blood pressure? I am a rare disease patient...
Dr. Bu Shiyun Reply:
High blood pressure does not always present symptoms. It is indeed advisable to monitor your blood pressure multiple times under resting conditions and provide these records to your physician for reference.[Read More] Understanding High Blood Pressure: What to Do When It Reaches 230
Understanding Slightly Enlarged Heart from Chest X-Ray Results
Chest X-ray examination shows slight cardiomegaly? Hello Dr. Bu, I am 25 years old (just graduated from my master's program and am a fresh graduate in the workforce). I recently underwent a health check-up at my company, and the results were generally good (I also paid out o...
Dr. Bu Shiyun Reply:
Determining heart size from a chest X-ray can lose accuracy due to various factors (such as incomplete inhalation, obesity, aging, etc.). Therefore, a slightly enlarged heart may be normal. If there are still concerns, a cardiac ultrasound can be performed for confirmation.[Read More] Understanding Slightly Enlarged Heart from Chest X-Ray Results
Understanding Blood Pressure and Chest Tightness: Heart Health Insights
Blood pressure chest tightness? Hello doctor, recently my blood pressure and heart rate have been normal at times but somewhat high at others. I experience chest tightness, though it's not painful, and I feel like I'm not getting enough oxygen when I breathe, requiring ...
Dr. Bu Shiyun Reply:
Based on what you described, it doesn't seem to be a heart issue. It is likely related to emotional stress and insomnia. You should increase your physical activity to relax and avoid staying up late. As for the color of your lips, I cannot comment without seeing them; it wou...[Read More] Understanding Blood Pressure and Chest Tightness: Heart Health Insights
Managing High Blood Pressure: Medication Habits and Heart Health Tips
Blood Pressure Issues and Medication Adherence For many years, I was unaware that I belonged to the high blood pressure group. I have experienced episodes of arrhythmia and chest tightness in my daily life. Six months ago, I visited a doctor who diagnosed me with slightly elevate...
Dr. Lin Jixiong Reply:
Hello: 1. The correct way to take blood pressure medication is to take it daily. As for which medication to take and the appropriate dosage, these are professional considerations. It is recommended that you visit a cardiology clinic to have a cardiologist adjust the best medica...[Read More] Managing High Blood Pressure: Medication Habits and Heart Health Tips
Managing Mitral Valve Prolapse: Treatment Options and Medication Guidance
Treatment directions and medication consultation for mitral valve prolapse? In 2003, I visited the emergency department due to suspected panic attacks, and the electrocardiogram (ECG) showed no abnormalities. In 2006, a health check revealed ST segment or T wave changes, and I wa...
Dr. He Dongjin Reply:
Dear Tony, I also believe that there is no need for aggressive treatment of mitral valve prolapse; instead, focusing on mental health treatment is sufficient. Taking Inderal can help avoid tachycardia. I am skeptical about the claim that it protects the heart, and considering the...[Read More] Managing Mitral Valve Prolapse: Treatment Options and Medication Guidance
Understanding Coronary Artery Narrowing: Tests and Lifestyle Changes
Cardiovascular stenosis Hello Doctor: I have been experiencing left chest tightness (I previously had a heartbeat stop for about 3-5 seconds) and went to the hospital for a series of examinations. The results are as follows: 1. Electrocardiogram: Normal. 2. Chest X-ray: No enlarg...
Dr. Bu Shiyun Reply:
1. A multi-slice computed tomography (CT) angiography can be considered; if cardiovascular issues are identified, then cardiac catheterization may be warranted. However, the CT angiography is an out-of-pocket expense (not covered by national health insurance) and costs approximat...[Read More] Understanding Coronary Artery Narrowing: Tests and Lifestyle Changes
Persistent Left Chest Pain: Understanding Causes and Next Steps
Left chest tightness and pain? Hello Doctor: Six months ago, I experienced a sensation as if my heart was being tightly squeezed, accompanied by shortness of breath, dizziness, and weakness in my limbs. I went to the hospital for X-rays and both static and dynamic electrocardiogr...
Dr. He Dongjin Reply:
Hello, it feels like my heart is being tightly squeezed, making it hard to breathe, followed by dizziness, weakness in my limbs, and a persistent dull pain in my left chest. Sometimes the symptoms worsen, and I feel like I can't catch my breath, while at other times I experi...[Read More] Persistent Left Chest Pain: Understanding Causes and Next Steps
Understanding Anemia: Symptoms, Risks, and When to Seek Help
Anemia Hello Dr. He, I have been experiencing persistent back pain for the past 4.5 years with no resolution. My appetite has decreased, and my weight has dropped from around 50 kg at 155 cm to 40 kg. I stopped menstruating about three years ago, which some doctors attributed to ...
Dr. He Dongjin Reply:
Dear Jessica, to determine if you have anemia, you should undergo a blood test as part of a health check-up. Your symptoms may be due to long-term insomnia causing autonomic nervous system dysregulation and low blood pressure. It is advisable to eliminate unhealthy habits first b...[Read More] Understanding Anemia: Symptoms, Risks, and When to Seek Help
Understanding Neck Stiffness and Nausea: Is It High Blood Pressure?
Could you please tell me about the symptoms of neck stiffness? Hello, doctor. I would like to ask about my mother, who is 50 years old. Recently, she mentioned that she feels stiffness in her neck and experiences nausea that comes and goes. Sometimes she feels clear-headed, while...
Dr. Bu Shiyun Reply:
Typically, a stiff neck is not a symptom of high blood pressure (most often it is due to muscle soreness in the neck), and similarly, individuals with high blood pressure may not necessarily experience neck stiffness! Therefore, to determine if blood pressure is elevated, it is n...[Read More] Understanding Neck Stiffness and Nausea: Is It High Blood Pressure?
Understanding Nighttime Heart Pain and Headaches: A Young Adult's Concern
Woke up in the middle of the night due to chest pain and headache? I have been experiencing frequent headaches for the past six months, along with a feeling of pressure in the back of my head before sleep, which has led to insomnia. Even when I do manage to fall asleep, I sometim...
Dr. Lin Jixiong Reply:
Hello: Patients with mitral valve prolapse often experience autonomic nervous system dysfunction, with 70% to 80% reporting symptoms such as palpitations, chest tightness, and shortness of breath. It is important to pay attention to diet, avoiding foods high in caffeine, and to r...[Read More] Understanding Nighttime Heart Pain and Headaches: A Young Adult's Concern
Understanding Blood Pressure Readings: What Do They Really Mean?
Hypertension Stage 2 Hello, Doctor: I would like to ask you again: Is it possible to have a systolic blood pressure under 120 and a diastolic blood pressure greater than 90? Or a systolic blood pressure greater than 140 and a diastolic blood pressure less than 90? If so, what kin...
Dr. Bu Shiyun Reply:
When measuring blood pressure, it is possible to have elevated diastolic pressure or isolated systolic pressure. However, there are many variables that can affect blood pressure readings, so it is more valuable to take multiple measurements while at rest and record them for compa...[Read More] Understanding Blood Pressure Readings: What Do They Really Mean?
Understanding Hypertension: Key Insights for Managing High Blood Pressure in Seniors
Hypertension Hello Doctor: My father is 68 years old. He recently went for a health check-up under the National Health Insurance, and everything was normal except for his blood pressure, which was around 160. The doctor prescribed him antihypertensive medication and told him to t...
Dr. Bu Shiyun Reply:
Blood pressure should be measured regularly to provide more reliable information. A single high reading may be influenced by temporary factors such as stress or current health conditions like a cold, headache, or insomnia. Therefore, it is advisable to take measurements while at ...[Read More] Understanding Hypertension: Key Insights for Managing High Blood Pressure in Seniors
Understanding Sudden High Blood Pressure in Elderly: When to Seek Help
I'm sorry, but I need more context or specific information to provide an appropriate response? My grandmother usually takes chronic medication for hypertension and also buys antacids on her own. Last week, her blood pressure suddenly skyrocketed to over 180, and she was swea...
Dr. Lin Jixiong Reply:
Hello: If you have high blood pressure and headaches, you can first consult a cardiologist to adjust your antihypertensive medications. If the blood pressure medications are adjusted and your blood pressure is within the normal range but you still experience headaches, you may th...[Read More] Understanding Sudden High Blood Pressure in Elderly: When to Seek Help
Understanding Palpitations: When Colds Trigger Heart Issues
Common cold When I was 20 years old, due to my job, I was drinking almost a cup of coffee every day, sometimes even two or three cups. One night, I suddenly experienced a rapid heartbeat while trying to sleep, which made it impossible for me to rest. After tossing and turning all...
Dr. He Dongjin Reply:
Dear Natasha, this is what is known as palpitations. Some stimulants, such as caffeine and cold medications, can trigger this. I recommend that you visit a cardiology clinic for further evaluation. Thanks.[Read More] Understanding Palpitations: When Colds Trigger Heart Issues
Managing High Blood Pressure for Older Mothers-to-Be: Safe Medication Options
Hypertension Hello, I am preparing for pregnancy, but I am already an advanced maternal age. My blood pressure is quite high, ranging from 152 to 165 / 98 to 115 (measured upon waking). My mother has hypertension and is on medication. I am not sure what is causing my high blood p...
Dr. Lin Jixiong Reply:
Hello: Beta-blockers are more effective for managing blood pressure in cases of autonomic nervous system dysfunction. However, animal studies suggest that beta-blockers may be harmful to the fetus, while human studies have not yet confirmed any fetal harm. Therefore, whether it i...[Read More] Managing High Blood Pressure for Older Mothers-to-Be: Safe Medication Options
Understanding the Causes of Rapid Heart Rate: From 45 to 90 BPM
The heart rate increased from slow (45 beats per minute) to fast (90 beats per minute)? Hello Doctor: I have always had a slow heart rate (40-50 beats per minute). Recently, I noticed that my heart rate has risen to 90 when measuring my blood pressure, and it seems to be consiste...
Dr. Lin Jixiong Reply:
Hello: It is possible for the general public to experience bradycardia if they engage in regular exercise. As for palpitations or tachycardia, there are many potential causes, such as excessive intake of caffeine-rich foods, staying up late, excitement, shock, stress, or emotiona...[Read More] Understanding the Causes of Rapid Heart Rate: From 45 to 90 BPM
Managing High Blood Pressure: When to Seek Medical Attention
Can blood pressure be lowered to a safe level all at once? Hello Dr. Lin, my sister discovered her blood pressure was high at 194 on the 25th. On the 27th, she and our mother returned to Taoyuan, and at home, her blood pressure readings were mostly around 175-200 after measuring ...
Dr. Lin Jixiong Reply:
Hello: It is recommended to sit quietly and rest before measuring blood pressure (you may also watch television during this time). After resting for 20 to 30 minutes, measure your blood pressure, as this will yield more accurate readings. If your blood pressure remains elevated a...[Read More] Managing High Blood Pressure: When to Seek Medical Attention
Understanding Hypertension in Young Adults: Causes and Solutions
Hypertension in Young Adults Hello, I have been measuring my blood pressure for the past three months, and my systolic blood pressure is around 140-147. I am 168 cm tall and weigh 54 kg, which is considered a slim build. I used to smoke but have quit for four months after an 8-ye...
Dr. Han Zhilu Reply:
Smoking can cause vasoconstriction and elevated blood pressure, as well as accelerate atherosclerosis. Therefore, quitting smoking is likely to lower blood pressure and reduce vascular damage. Additionally, adopting a lifestyle that includes a low-sodium diet, moderation in alcoh...[Read More] Understanding Hypertension in Young Adults: Causes and Solutions