Understanding High Diastolic Blood Pressure and Elevated Heart Rate Risks
Blood pressure Hello, Dr. Zhong! My blood pressure is 125/98, and it seems that my diastolic pressure is too high? I read in a medical reference book that a high diastolic pressure is more dangerous than a high systolic pressure, as it may indicate issues with other organs. Why i...
Dr. Zhong Yuxun Reply:
Hello, Frj: Approximately 90% of hypertension is classified as essential hypertension, which is often of unknown origin and may be related to genetics. Additionally, about 5% to 10% of cases can be attributed to identifiable causes, known as secondary hypertension, which may aris...[Read More] Understanding High Diastolic Blood Pressure and Elevated Heart Rate Risks
Understanding Unstable Blood Pressure and Heart Health in Seniors
Please ask your question? Hello, I am 71 years old and have been experiencing very unstable blood pressure in recent years, sometimes rising above 200, which often leads me to the emergency room. In early January of this year, I was hospitalized for four days, and the doctor'...
Dr. Zhong Yuxun Reply:
Dear Mr. Hsu, There are many reasons for unstable blood pressure, including sleep, emotions, climate, and medications. It is advisable to consult a cardiologist for an examination. The intermittent whitening of the fingertips may indicate peripheral vascular disease, often cause...[Read More] Understanding Unstable Blood Pressure and Heart Health in Seniors
Understanding Heart-Related Symptoms: Tremors and Irregular Heartbeat
Regarding the disorders of the heart? Hello, Dr. Huang: Previously, my fingers would often shake uncontrollably, and the shaking worsened when I lifted heavy objects or exerted myself. A traditional Chinese medicine practitioner suggested that it might be due to heart weakness, s...
Dr. Huang Guosheng Reply:
High blood pressure and arrhythmia do not cause persistent finger tremors. Hyperthyroidism and neurological disorders may lead to hand tremors, but if thyroid function is normal, it could be a neurological issue. It is advisable to visit a neurology clinic for further evaluation.[Read More] Understanding Heart-Related Symptoms: Tremors and Irregular Heartbeat
Understanding Hypertension: Is Magnetic Wave Therapy a Real Solution?
Please ask about hypertension issues? I encountered a cultural and educational foundation on the street one day. They asked me to measure my blood pressure, which was 140 systolic and 100 diastolic. Is this normal? They told me I have hypertension, but I am only 18 years old. The...
Dr. Huang Guosheng Reply:
Many factors can affect blood pressure, such as stress, insomnia, high levels of pressure, or discomfort. Therefore, it is important to rest for a few minutes before measuring blood pressure to minimize external influences. A single elevated blood pressure reading does not indica...[Read More] Understanding Hypertension: Is Magnetic Wave Therapy a Real Solution?
Understanding Myocardial Infarction: Risks, Stenting, and Recovery Tips
Myocardial infarction Myocardial infarction occurs when there is a blockage in the coronary arteries, leading to a reduction or cessation of blood flow to a part of the heart muscle. This condition is serious as it can result in permanent damage to the heart tissue and can be lif...
Dr. Zhong Yuxun Reply:
Hello Nina: Myocardial infarction refers to the blockage or narrowing of the blood vessels (coronary arteries) that supply blood to the heart, resulting in injury or necrosis of the heart muscle supplied by these vessels, leading to functional impairment or loss. We know that the...[Read More] Understanding Myocardial Infarction: Risks, Stenting, and Recovery Tips
Managing Heart Health: Tips for Coping with Symptoms and Lifestyle Adjustments
Hello, Dr. Chen? Hello, I have a question for the doctor. In April of this year, I discovered that I cannot stay in stuffy places or areas with strong air conditioning, as I often feel uncomfortable and have difficulty breathing. In 1998, I underwent partial thyroidectomy due to ...
Dr. Chen Guifeng Reply:
Consulting a psychiatrist for psychotherapy may help improve psychosomatic disorders or anxiety disorders.[Read More] Managing Heart Health: Tips for Coping with Symptoms and Lifestyle Adjustments
Managing Cough and Throat Irritation from Blood Pressure Medications
Cardiovascular disease Dr. Zhong: Hello, I have been taking high blood pressure medication Encine (Aspirin 100mg) and Sintec (5mg) for about 20 days, and I have developed a dry cough that is persistent and my throat is itchy, making it very uncomfortable. I informed my primary ca...
Dr. Zhong Yuxun Reply:
Dear Mrs. Lin, Sintec is classified as an Angiotensin-Converting Enzyme Inhibitor (ACEI), and approximately 30% of Chinese individuals may experience a dry cough as a side effect. Cozaar, on the other hand, is an Angiotensin II Receptor Blocker (ARB) and has very few side effect...[Read More] Managing Cough and Throat Irritation from Blood Pressure Medications
Is Viagra Safe for Heart Valve Prolapse and Ankylosing Spondylitis?
Viagra Hello Doctor: I have mitral valve prolapse and ankylosing spondylitis. My usual blood pressure is in the 60s over 90s. Recently, I have been drinking green tea frequently, and I'm unsure if this is appropriate for my condition. I have always taken my medication at 6:3...
Dr. Zhong Yuxun Reply:
Hello Mr. Lin! There are many reports indicating that green tea is beneficial for health, such as cancer prevention and preventing vascular sclerosis; however, the principle is that the concentration of the tea should not be too high, as it may stimulate the heart and cause disco...[Read More] Is Viagra Safe for Heart Valve Prolapse and Ankylosing Spondylitis?
Understanding the Side Effects of Cardiovascular Medications and Their Impact on Health
Cardiovascular disease Dr. Zhong: I take three types of medications daily: hormone replacement therapy, hypertension medication (Aspirin 100 mg, Enalapril 5 mg), and medications for chronic conditions (Sulpiride 50 mg, Propranolol 10 mg, Alprazolam 0.5 mg, Sertraline (Zoloft)). A...
Dr. Zhong Yuxun Reply:
Mrs. Lin: The Sintec 5mg mentioned in your letter is an antihypertensive medication, specifically an angiotensin-converting enzyme (ACE) inhibitor. One of its side effects is that approximately 30% of patients may experience a cough. Aspirin 100mg is an antithrombotic medication;...[Read More] Understanding the Side Effects of Cardiovascular Medications and Their Impact on Health
Understanding Rheumatic Heart Disease: Post-Surgery Care and Concerns
Rheumatic heart disease Hello Doctor: I was diagnosed with rheumatic heart disease 16 years ago, but since the condition was not very severe, I managed my blood pressure with antihypertensive medications. However, this year my condition worsened, leading to an emergency hospitali...
Dr. Zhong Yuxun Reply:
Hello Andy, If the artificial valve is a porcine valve, it typically needs to be replaced after about 10 years. If it is a mechanical valve, it can be used for a lifetime, but lifelong anticoagulation with Coumadin is required. All artificial valves need to be well-maintained an...[Read More] Understanding Rheumatic Heart Disease: Post-Surgery Care and Concerns
Managing Long-Term Heart, Cough, and Headache Issues: A Patient's Journey
Heart, cough, and headache issues have been troubling me for a long time? Dear Dr. Chen, I have been suffering from persistent cough and headaches for over twenty years, and I have been on antihypertensive medication for the past ten years. For the last two months, I have freque...
Dr. Chen Guifeng Reply:
The only medication that must be taken daily in the long term is for hypertension; most other medications are for short-term use and are not of major concern. The adjustment of mindset is the most important factor![Read More] Managing Long-Term Heart, Cough, and Headache Issues: A Patient's Journey
Understanding Heart Symptoms: When to Seek Further Medical Advice
Please, doctor..? Hello, doctor. I am 24 years old. I often exercise (since childhood). I do not have high blood pressure (I had slightly elevated blood pressure in the past, but it is normal now). I suspected I had heart disease two years ago. After a vigorous workout, I experie...
Dr. Chen Guifeng Reply:
Mitral valve prolapse is usually just a constitutional condition and does not cause discomfort. Symptoms such as chest tightness, chest pain, shortness of breath, and feelings of asthma typically occur only during periods of high psychological stress, excessive tension, fatigue, ...[Read More] Understanding Heart Symptoms: When to Seek Further Medical Advice
Understanding the Link Between Arrhythmia and Hypertension in Young Adults
Arrhythmia and Hypertension I am 22 years old and have a history of arrhythmia. Two years ago, I discovered that I have hypertension. Every time I visit the hospital, my blood pressure is consistently between 150 and 155. Considering I am only 22, I wonder if my hypertension coul...
Dr. Zhong Yuxun Reply:
Dear Mr. Liao, From your letter, it is clear that you have young-onset hypertension. Hypertension can be classified into primary and secondary types. Primary hypertension, which accounts for approximately 90% of cases, has no identifiable cause in modern medicine and is largely ...[Read More] Understanding the Link Between Arrhythmia and Hypertension in Young Adults
Understanding Low Blood Pressure: Causes, Remedies, and Nutritional Needs
Low blood pressure? What happens when blood pressure is low? What should I eat to normalize my blood pressure? Whenever I catch a cold, my tonsils swell and hurt, and I also experience tooth nerve pain. What could be the cause of these cold symptoms? What vitamins might I be lack...
Dr. Zhong Yuxun Reply:
Dear Ms. Tang, Regarding your inquiry about low blood pressure, could you please specify what your blood pressure readings are? At 48 years of age, a normal blood pressure is typically around 130 mmHg systolic and 80 mmHg diastolic, but this can vary from person to person. For i...[Read More] Understanding Low Blood Pressure: Causes, Remedies, and Nutritional Needs
Understanding the Medications for Tachycardia: Irbesartan, Glimepiride, and Diltiazem
Medications for Tachycardia Hello Doctor: Thank you very much for your detailed response regarding my mother's "pulse frequency syndrome" medication during our last inquiry. On July 15, my mother had a follow-up appointment, and the doctor prescribed "IRBESART...
Dr. Zhong Yuxun Reply:
Hello, Ms. Qiu: Glimepiride is marketed under the brand name Amaryl and is classified as an antidiabetic medication. Diltiazem 120 is a type of calcium channel blocker that can be used for treating arrhythmias, lowering blood pressure, and managing myocardial ischemia. Its side e...[Read More] Understanding the Medications for Tachycardia: Irbesartan, Glimepiride, and Diltiazem
Post-Heart Catheterization: Understanding Low Heart Rate and Blood Pressure Fluctuations
Cardiac catheterization (balloon angioplasty) After surgery (more than a month), my heart rate is only around 50, and my blood pressure is abnormal. Upon getting out of bed, my systolic blood pressure is quite high (150 to 160), while my diastolic blood pressure is around 80. At ...
Dr. Chen Guifeng Reply:
Dear Mr. Chen, Thank you very much for your letter. Regarding your inquiry, Dr. Chen's response is as follows: The concentration of medication in the blood is related to the timing of administration. If blood pressure cannot be continuously controlled within normal limits o...[Read More] Post-Heart Catheterization: Understanding Low Heart Rate and Blood Pressure Fluctuations
Understanding Heart Medications: Long-term Use and Side Effects Explained
Inquiry about medication? Thank you very much for the previous explanation regarding "pulse frequency syndrome." This time, my mother visited the doctor (without any acute symptoms). The doctor prescribed three medications: IRBESARTAN (APROVEL), OXETHAZAINE & POLYMI...
Dr. Zhong Yuxun Reply:
Dear Ms. Qiu, Regarding the medications mentioned in your letter, Oxethazaine and Polygel are commonly used gastric medications. Irbesartan is a newer vasodilator that belongs to the class of "angiotensin receptor blockers," which is generally safe with minimal side ef...[Read More] Understanding Heart Medications: Long-term Use and Side Effects Explained
Should I See a Cardiologist? Understanding Heart Health Concerns
Should I see a cardiologist? Dear Dr. Zhong, I would like to ask you a question. I am 165 cm tall and weigh 73 kg. Last year, I was diagnosed with hyperlipidemia and hyperglycemia. After taking lipid-lowering medication for three months, I stopped for two months, and my choleste...
Dr. Zhong Yuxun Reply:
Dear Ms. Snoopy, Your letter indicates that your situation is quite complex. At 23 years old, with a height of 165 cm and a weight of 73 kg, you are clearly overweight. Being overweight can lead to numerous issues, including hyperlipidemia, hyperglycemia, and fatty liver, which ...[Read More] Should I See a Cardiologist? Understanding Heart Health Concerns
Understanding Blood Pressure and Heart Rate: Atenolol Effects Explained
Hypertension Hello Doctor: Recently, I visited the doctor due to high blood pressure (160/90), and the doctor prescribed Atenolol, half a tablet daily. After just one day of taking it, my blood pressure dropped to (145/80), but my pulse also decreased significantly to 50 (it was ...
Dr. Zhong Yuxun Reply:
Hello: I apologize for the delay in my response as I just returned from a conference in Australia. The Atenolol you are taking is a type of beta-blocker and is one of the first-line medications for hypertension. It is a long-acting medication taken once daily; in addition to lowe...[Read More] Understanding Blood Pressure and Heart Rate: Atenolol Effects Explained
Understanding Elevated Pulse Rates in Hypertensive Patients: Causes and Concerns
I'm sorry A pulse rate of 90 to 110 beats per minute can be attributed to various factors, especially considering your history of hypertension and the use of antihypertensive medication. Potential reasons for this elevated pulse rate may include anxiety, stress, physical act...
Dr. Huang Guosheng Reply:
The normal heart rate is 60 to 100 beats per minute. A pulse rate of 90 to 110 beats per minute is slightly elevated, which can be caused by factors such as stress, anxiety, hyperthyroidism, or intrinsic cardiac rhythm issues. If there is a history of hypertension, medications to...[Read More] Understanding Elevated Pulse Rates in Hypertensive Patients: Causes and Concerns