Understanding Bradycardia: Causes, Risks, and Treatment Options for Seniors
Bradycardia My father is seventy-nine years old. Two years ago, he underwent surgery for carotid artery stenosis, but the following day he suffered a right middle cerebral artery stroke, resulting in hemiplegia while remaining conscious. Two and a half months later, he had surger...
Dr. Chen Guifeng Reply:
There are many reasons for bradycardia. In elderly individuals, it is sometimes caused by the degeneration of the cardiac pacemaker. Generally, a heart rate of 50 beats per minute is considered acceptable, and during sleep, a heart rate as low as 40 beats per minute can also be a...[Read More] Understanding Bradycardia: Causes, Risks, and Treatment Options for Seniors
Managing High Blood Pressure and Cholesterol: Dietary Guidelines
Foods for Hypertension and High Cholesterol Is it necessary to take medication long-term if my blood pressure is often around 160? (I have seen a doctor, but they only prescribed a diuretic.) My cholesterol levels are still within the normal range; should I restrict my intake of ...
Dr. Zhuang Junbin Reply:
Hello: 1. If your systolic blood pressure is around 160 mmHg and cannot be lowered through dietary control and increased physical activity, it is recommended to consider pharmacological treatment. 2. It is best to limit daily cholesterol intake to no more than 300 milligrams. Foo...[Read More] Managing High Blood Pressure and Cholesterol: Dietary Guidelines
Understanding Blood Pressure Readings: Causes of Low Diastolic and Heart Valve Issues
For example, a systolic blood pressure of 120, diastolic blood pressure of 43, and a pulse rate of 56 could indicate several potential causes. This combination may suggest a condition known as isolated diastolic hypotension, where the diastolic pressure is significantly lower tha...
Dr. Zhuang Junbin Reply:
Hello: 1. Please measure your blood pressure several times and bring the records to your doctor for reference. 2. Two valves are not functioning properly; one is likely the mitral valve (due to prolapse). Sincerely, Dr. Chuang Jun-bin, Internal Medicine.[Read More] Understanding Blood Pressure Readings: Causes of Low Diastolic and Heart Valve Issues
Understanding Blood Pressure Discrepancies and AV Fistula Concerns
Please inquire about blood pressure and fistula issues? I would like to ask the doctor two questions: First, why is there a significant difference in blood pressure readings between my left and right arms? The systolic pressure can differ by as much as 20 mmHg, and the diastolic ...
Dr. Huang Guosheng Reply:
Hello: A significant difference in blood pressure between the left and right arms may indicate vascular obstruction in the arm with the lower reading, which can be diagnosed using ultrasound or angiography. Additionally, blood pressure should be measured using the arm with the hi...[Read More] Understanding Blood Pressure Discrepancies and AV Fistula Concerns
Understanding Genetic Factors in High Blood Pressure and Management Tips
Blood pressure issues? Hello, Dr. Huang. I would like to ask if hypertension can be influenced by genetics in the next generation? My father has hypertension, and I was recently diagnosed with hypertension as well, with readings of 160/110 (variable). Are there any methods to all...
Dr. Huang Guosheng Reply:
Hello: The causes of hypertension are mostly primary (with no identifiable cause), and only a small percentage are related to genetics. Blood pressure tends to increase with age (for example, 40-50% of individuals over 60 years old may have hypertension). Additionally, blood pres...[Read More] Understanding Genetic Factors in High Blood Pressure and Management Tips
Managing Low Blood Pressure: Dietary Tips and Treatment Options
How to treat low blood pressure and what dietary considerations should be taken into account? During the company's health check-up, I had a blood pressure reading of 101/41, which indicates hypotension. What should I pay attention to or how should I treat this condition?
Dr. Han Zhilu Reply:
1. A single blood pressure measurement is not sufficient to diagnose hypotension; it is advisable to take multiple readings. 2. The presence of symptoms of hypotension is important. 3. Engaging in certain physical activities can help elevate blood pressure.[Read More] Managing Low Blood Pressure: Dietary Tips and Treatment Options
Optimal Blood Pressure Targets for Hypertensive Patients Post-Stent Placement
The standard for blood pressure control in patients with hypertension undergoing pharmacological treatment? A sixty-year-old man who has recently undergone catheterization with two vascular stents and has a history of diabetes mellitus and hypertension should aim for a blood pres...
Dr. Han Zhilu Reply:
Due to the patient's conditions of hypertension, diabetes, and coronary heart disease, the treatment goal for blood pressure remains at 120/80 mmHg.[Read More] Optimal Blood Pressure Targets for Hypertensive Patients Post-Stent Placement
Why Your Face Turns Blue and Lips Pale After Running: A Heart Health Concern
After running, the face may turn pale and the lips may become white? I have been serving for three months now, and during the 3000-meter run, I consistently fall behind. My superior often comments that my complexion has changed, and halfway through the run, I am told to stop and ...
Dr. Huang Guosheng Reply:
Hello: Experiencing chest tightness or abnormal facial color after running may indicate potential issues with the heart or lungs. If the echocardiogram and electrocardiogram are normal, you may consider scheduling a stress test or pulmonary function tests.[Read More] Why Your Face Turns Blue and Lips Pale After Running: A Heart Health Concern
Understanding Rapid Heartbeat and Chest Pain: Causes and Concerns
Rapid heartbeat ~ chest pain Hello, doctor. Recently, I've been experiencing frequent chest pain, as if someone is forcefully pulling on my nerves. I've measured my blood pressure and pulse several times, and they have all been high: once it was 110, another time 105, a...
Dr. Zhong Yuxun Reply:
Miss Ben: Chest pain and rapid heartbeat can have many causes. Please seek medical attention from an internist or cardiologist as soon as possible! Dr. Zhong Yuxuan[Read More] Understanding Rapid Heartbeat and Chest Pain: Causes and Concerns
Understanding Low Blood Pressure: Risks and Management Strategies
Questions about hypotension? Hello Dr. Cheng, I have low blood pressure, usually around 105/70 mmHg. I generally do not experience any issues in daily life, but I have experienced shock during intense physical activities or exertion on several occasions: once in middle school, o...
Dr. Zheng Shumeng Reply:
Normal blood pressure values vary for each individual. Please visit the outpatient clinic for follow-up to clarify your condition.[Read More] Understanding Low Blood Pressure: Risks and Management Strategies
Timing of Hypertension Medication: Morning vs. Evening Dosing Explained
Timing for Hypertension Medication I have been taking antihypertensive medication for a long time, but I haven't seen any improvement. Recently, my blood pressure spiked suddenly, and I almost had a stroke. While I was in the hospital, I heard from friends that they take the...
Dr. Zheng Shumeng Reply:
Each medication has its own characteristics, and most are taken in the morning. Please discuss your medication regimen with your outpatient physician.[Read More] Timing of Hypertension Medication: Morning vs. Evening Dosing Explained
Why Is My Heart Racing? Understanding Fast Heartbeat Symptoms
Is your heart racing? Hello, doctor. I have a question: I often feel my heart racing and it makes me very uncomfortable. In the mornings, I usually have no appetite and only drink a can of beverage to stave off hunger, but soon after, I end up vomiting. I walk to school every mor...
Dr. Zhong Yuxun Reply:
Hello, Mimi: For an 18-year-old, a fast heartbeat can be measured by checking the pulse at the wrist. Generally, a normal heart rate for adults ranges from 60 to 90 beats per minute. There are many reasons for a fast heartbeat, including stress, anxiety, obesity, fever, anemia, a...[Read More] Why Is My Heart Racing? Understanding Fast Heartbeat Symptoms
Post-Stent Concerns: Facial Swelling and Back Pain After One Month
One month after receiving a drug-eluting stent, facial swelling occurred? Hello Doctor, my mother is 57 years old and had a successful drug-eluting stent placement in mid-December last year. She has started to exercise gradually. However, there are a few issues she mentioned that...
Dr. Zhong Yuxun Reply:
Hello, One user: Drug-eluting stents were officially launched worldwide (including Taiwan) in 2004, with a restenosis rate of less than 5%. The two symptoms you described do not seem to be directly related to the stent. It is recommended to discuss this further with your attendin...[Read More] Post-Stent Concerns: Facial Swelling and Back Pain After One Month
Navigating Heart Valve Issues After Endocarditis: Treatment Options Explained
Endocarditis Hello Dr. Lin, Last month, I developed infective endocarditis due to a green streptococcal infection, which my doctor said was triggered by a dental procedure. This led to pulmonary edema, and I underwent four weeks of antibiotic treatment and have since been discha...
Dr. Lin Liangyu Reply:
Hello: Endocarditis is primarily a condition treated by internal medicine, with surgery required only in a few specific situations. During the acute phase, surgery may be necessary if there is heart failure, large bacterial vegetations, poor response to medication, septic emboli,...[Read More] Navigating Heart Valve Issues After Endocarditis: Treatment Options Explained
Should You Seek Medical Attention for High Pulse and Chest Pain?
Should I seek medical attention for a high pulse and chest pain? Hello doctor, every time I visit the hospital for treatment, I also measure my blood pressure and pulse. I have measured my pulse four times, with a minimum of 95 and a maximum of 110, while the other two readings w...
Dr. Chen Guifeng Reply:
A normal heart rate ranges from 60 to 100 beats per minute. Factors such as stress or anxiety can cause an increase in heart rate. If there are additional symptoms, seek medical attention.[Read More] Should You Seek Medical Attention for High Pulse and Chest Pain?
Should You Get Renal Artery Imaging for High Blood Pressure?
Should I undergo this examination? Recently, due to high blood pressure issues, I went to the hospital for an examination. After reviewing the blood test results, the doctor recommended proceeding directly with renal artery angiography. Can blood tests determine if high blood pre...
Dr. Lin Liangyu Reply:
Hello, blood tests can assist in diagnosis. However, to obtain a definitive diagnosis, vascular imaging is necessary. If you have concerns, you may also consider less invasive tests such as magnetic resonance imaging (MRI). However, vascular imaging not only provides diagnostic i...[Read More] Should You Get Renal Artery Imaging for High Blood Pressure?
Managing Hereditary Hypertension: Medication, Diet, and Health Risks
Hereditary hypertension My husband (who is the same age as me) recently learned that he has hereditary hypertension. He is 20 kilograms overweight and does not have time to exercise. He is currently on medication to manage it. I would like to know if long-term use of medication c...
Dr. Tang Jieru Reply:
Hello: Any medication has some side effects. For antihypertensive drugs, ACE inhibitors are known to cause cough, calcium channel blockers may occasionally lead to headaches, diuretics can cause electrolyte imbalances and cramps, and beta-blockers may trigger asthma attacks. Howe...[Read More] Managing Hereditary Hypertension: Medication, Diet, and Health Risks
Managing Hypertension: Concerns After Mild Stroke and Medication Adherence
Hypertension Is hereditary hypertension associated with a mild stroke experienced in July-August? Could forgetting to take medication lead to fluctuating blood pressure? Additionally, is it possible to have slurred speech, memory decline, or reduced limb strength, along with prol...
Dr. Lin Changqi Reply:
When discontinuing medication, there may be an increase in symptoms, but ongoing medication management can control this. Blood pressure may need to be lowered slightly, and it is advisable to consult both cardiology and neurology, as well as rehabilitation medicine, for comprehen...[Read More] Managing Hypertension: Concerns After Mild Stroke and Medication Adherence
Understanding Elevated Diastolic Blood Pressure: Causes and Concerns
What is the reason? Hello, I would like to ask: My husband has a family history of hypertension, and he has consistently had elevated blood pressure. He is 172 cm tall and weighs 68 kg. He does not smoke, does not drink alcohol, does not stay up late, and has regular annual healt...
Dr. Zheng Shumeng Reply:
In simple terms, high diastolic pressure indicates poor vascular elasticity. Regardless of whether it is diastolic or systolic pressure, any value exceeding the normal range may suggest a tendency towards hypertension. Generally, 95% of individuals cannot identify a specific caus...[Read More] Understanding Elevated Diastolic Blood Pressure: Causes and Concerns
Understanding Fluctuating Blood Pressure: When to See a Cardiologist
Hypertension I recently visited the doctor and my blood pressure was measured at 156/84. Today, I went again without resting and it was 172/77 with a heart rate of 91. After measuring every five to six minutes, it was 144/79 with a heart rate of 89. The third measurement was also...
Dr. Wang Yizhi Reply:
Hello, if your blood pressure remains greater than 140/90 mmHg after sitting quietly for ten minutes, please visit a cardiology department for a detailed examination.[Read More] Understanding Fluctuating Blood Pressure: When to See a Cardiologist