Understanding Sudden Chest Pain: Causes and When to Seek Help
Sudden onset of abnormal chest pain? My father is 54 years old, 176 cm tall, and weighs 66 kg. He has a family history of hyperlipidemia, but his levels have normalized after medication. His blood pressure has always been within normal limits, and he does not smoke or drink alcoh...
Dr. Cai Guiqin Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult a medical center. Thank you. Wishing you good health![Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Managing Fluctuating Blood Pressure: A Guide for Seniors
Blood pressure fluctuations? Hello Doctor: My mother is 66 years old and has slightly elevated cholesterol, which she is managing with medication. Recent blood tests have been normal. Besides taking serotonin, she does not have any other diseases. However, she experiences low blo...
Dr. Wu Xueming Reply:
Based on your mother's condition, it is recommended to visit the outpatient clinic for the physician to adjust her current medication.[Read More] Managing Fluctuating Blood Pressure: A Guide for Seniors
Understanding Back Pain: Stress, Heart Health, and Medication Effects
Back pain I'm sorry to hear that you've been feeling unwell due to stress. It sounds like you've been experiencing discomfort throughout your body, along with gastroesophageal reflux. Last Saturday, you underwent an electrocardiogram and ultrasound, which indicated...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Additionally, your symptoms are not typical of heart disease. It is recommended that you consult with an orthopedic or neurosurgery specialist.[Read More] Understanding Back Pain: Stress, Heart Health, and Medication Effects
Understanding Elevated Heart Rate During Fever: When to Seek Help
Heart rate issues Hello, doctor. I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius. I measured my blood pressure, which is normal, but my heart rate has surged to 100 beats per minute (I don't feel unwell). My usual heart rate is arou...
Dr. Cai Guiqin Reply:
Recommendation: Please seek medical examination. Thank you. Wishing you good health![Read More] Understanding Elevated Heart Rate During Fever: When to Seek Help
Understanding Elevated Heart Rate During Fever: When to Seek Help
Heartbeat issues Hello, doctor. I was diagnosed today and have been experiencing a high fever of around 38 degrees Celsius. I measured my blood pressure, which was normal, but my heart rate shot up to 100 beats per minute (I don't feel unwell). My usual heart rate is around ...
Dr. Cai Guiqin Reply:
Recommendation: Please seek medical examination. Thank you. Wishing you good health![Read More] Understanding Elevated Heart Rate During Fever: When to Seek Help
Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...
Dr. Huang Yinghe Reply:
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Understanding High Diastolic Blood Pressure: When to Seek Medical Advice
Diastolic hypertension Hello, doctor. I have a habit of measuring my blood pressure. My systolic pressure has consistently been in the 110s or 120s, but my diastolic pressure ranges from 80 to 90, sometimes dropping to the 70s and other times rising to the 90s. In early March, I ...
Dr. Li Shengkai Reply:
According to the guidelines from the Taiwan Hypertension Society, a home blood pressure reading exceeding 130/80 mmHg is considered hypertension. Blood pressure measurements should be standardized; it is important to rest for 5-10 minutes before measuring and to avoid vigorous ex...[Read More] Understanding High Diastolic Blood Pressure: When to Seek Medical Advice
Managing Heart Rate Issues with KanKen: A Patient's Inquiry
The issue of slowed heart rate after taking Kankun? Hello, Director: Since the beginning of January this year, I have been experiencing ventricular premature contractions. My doctor prescribed me 5 mg of Concor, half a tablet daily, 75 mg of Plavix, and one tablet of Lipitor. I t...
Dr. Wu Xueming Reply:
You can first reduce the dosage, and if the heart rate remains below 60 beats per minute after the reduction, you may consider discontinuing Kankun.[Read More] Managing Heart Rate Issues with KanKen: A Patient's Inquiry
Should You Worry About Numbness and Swelling in Your Fingers?
Numbness and swelling in the fingers? Hello Doctor, I would like to ask if my girlfriend needs to go to the hospital for a heart examination given her current condition. Recently, her fingers have been feeling swollen and numb, affecting all four fingers on both hands except for ...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Should You Worry About Numbness and Swelling in Your Fingers?
Should You Worry About Numbness and Low Blood Pressure? A Heart Health Guide
Numbness in the hands, blood pressure, electrocardiogram? Hello, doctor. I would like to ask if my girlfriend needs to go to the hospital for a heart examination given the following situation. Recently, her fingers have been feeling swollen and numb, affecting all four fingers on...
Dr. He Dongjin Reply:
Hello, the electrocardiogram (ECG) is normal with T waves and R waves at the same height. The ECG measured by the Apple Watch cannot assess this; it can only be used as a reference and primarily checks for arrhythmias. If your fingers feel swollen or numb, and you're still c...[Read More] Should You Worry About Numbness and Low Blood Pressure? A Heart Health Guide
Managing Morning Blood Pressure and Heart Rate: Expert Insights on Medication Use
Follow-up Inquiry #196108 Consultation Dear Dr. He, Thank you very much for your response and suggestions in the inquiry consultation "#196108." I would like to express my gratitude on behalf of my mother. I have some additional questions for you as follows: Q1. Recen...
Dr. He Dongjin Reply:
Hello, Q1: There are many causes of autonomic nervous system disorders, and it is difficult to pinpoint the exact reason. Q2: Taking medication when necessary does not mean it is stronger or harmful to the body. Generally, the strengths of Amlodipine (referred to as "压血泰...[Read More] Managing Morning Blood Pressure and Heart Rate: Expert Insights on Medication Use
Understanding Blood Pressure Medications: Labtal vs. Diovan for Seniors
Medication inquiries Dear Dr. Wu, My mother is nearly 70 years old. Over the past two months, she has experienced several episodes of sudden high blood pressure, reaching 200/100 mmHg. We have two types of antihypertensive medications at home: "Labetalol 200 mg" and &q...
Dr. Wu Xueming Reply:
1. "Labtal (Labetalol) 200mg" has a rapid onset of action but a shorter duration of effect; "Diovan (Valsartan) 160mg" is a long-acting medication. 2. Long-acting antihypertensive medications are still the first choice for blood pressure control, and it is rec...[Read More] Understanding Blood Pressure Medications: Labtal vs. Diovan for Seniors
Managing Blood Pressure and Heart Rate in Autonomic Nervous System Disorders
Follow-up question #196144 regarding medication inquiry? Dear Dr. Wu, Thank you very much for your response and suggestions regarding the medication inquiry #196144. My mother also expresses her gratitude to you. I apologize for not explaining some aspects clearly in my previous...
Dr. Wu Xueming Reply:
1. If blood pressure is well controlled, it is certainly possible. 2. It can be taken long-term.[Read More] Managing Blood Pressure and Heart Rate in Autonomic Nervous System Disorders
Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management
Inquiry Consultation Dear Dr. He, I would like to express my gratitude for your previous guidance regarding my mother's health concerns. I have some additional questions I would like to ask you. To provide a brief overview of my mother's condition: she is 68 years old...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are typical of autonomic nervous system dysfunction. Labtal has therapeutic effects on the autonomic nervous system and can be used regularly and long-term. However, Diovan 160mg does not have effects on the autonomic nervous system, which...[Read More] Understanding Cardiovascular Symptoms: Expert Insights on Treatment and Management
Managing High Blood Pressure in Elderly Patients with Shingles
After taking 160 mg of De-An-Wen and 5 mg of Mai-You, my blood pressure still won't come down? Hello Doctor, my mother is 88 years old and has recently developed shingles on her face and head (she is still experiencing symptoms). Her blood pressure has skyrocketed. I have he...
Dr. Huang Yinghe Reply:
Hello: Daily blood pressure can fluctuate based on physical condition; activities, emotional changes, and discomfort can all lead to elevated blood pressure, which is a normal physiological response. Therefore, higher blood pressure during illness does not necessarily require int...[Read More] Managing High Blood Pressure in Elderly Patients with Shingles
Understanding Syncope and Arrhythmias: Insights from Cardiovascular Health
Syncope. Arrhythmia? Hello, Doctor. I do not have hypertension, diabetes, or any other chronic conditions. I have mitral valve prolapse, but I am asymptomatic and not on medication. Since November of last year, I have occasionally experienced sudden dizziness lasting about 2 seco...
Dr. He Dongjin Reply:
Hello, previous examinations showed no abnormalities except for some arrhythmia. It's difficult to determine the cause of the sudden fainting without warning. It could be related to a heart rate of 50-60, premature beats, or medication issues. Depending on the frequency of t...[Read More] Understanding Syncope and Arrhythmias: Insights from Cardiovascular Health
Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
Electrocardiogram and other examination reports, please consult a physician for advice. Thank you! I do not have habits of smoking, drinking alcohol, or chewing betel nut. Sometimes when I sit and measure my blood pressure, my heart rate can jump to 90-100 beats per minute, and o...
Dr. He Dongjin Reply:
Hello, everything is normal. A slow heart rate is a good sign, indicating that the heart is strong and the cardiac output is sufficient. Therefore, a slower heartbeat is adequate, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
What to Do If You Miss Your Blood Pressure Medication: Expert Advice
Blood pressure issues? Hello, doctor. I usually take my blood pressure medication between 12 and 1 PM every day, but today I forgot and took it at 4 PM instead. What will happen as a result?
Dr. Wu Xueming Reply:
I cannot.[Read More] What to Do If You Miss Your Blood Pressure Medication: Expert Advice
Understanding Your Heart Echo Report: Key Insights for Health Concerns
Hello Dr. Wu, I would like to ask for your help in determining if there are any areas of concern in the echocardiogram report? Due to a recent sudden increase in blood pressure, sometimes my systolic pressure spikes to 165, but when measured at home, the average is around 110 to ...
Dr. Wu Xueming Reply:
Mild tricuspid regurgitation does not affect cardiac function. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Your Heart Echo Report: Key Insights for Health Concerns
Understanding Heart Palpitations: When to Seek Medical Attention
Heartbeat issues Recently, I had a check-up with a cardiologist where I underwent a standard electrocardiogram, a stress test, and an echocardiogram. The doctor indicated that I only have mitral valve prolapse and no significant issues. After that, I started engaging in higher-in...
Dr. He Dongjin Reply:
Hello, a slow heart rate is a good thing as it indicates strong cardiac output. Therefore, a slower heartbeat is sufficient, and this is a normal phenomenon that does not require medical attention. Ping An Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Attention