Understanding Blood Pressure Changes: Is Your Medication Affecting It?
Blood pressure issues? Hello, doctor. I used to take one tablet of Quetiapine a day, and my blood pressure was approximately 95-110 systolic and 65-70 diastolic. Recently, I've been experiencing palpitations, so I took half a 1.25 mg dose of Clonidine today, and my blood pre...
Dr. Wu Xueming Reply:
Due to low blood pressure, it is recommended that you reduce the dosage by half.[Read More] Understanding Blood Pressure Changes: Is Your Medication Affecting It?
Understanding Positive Exercise ECG Results: What You Need to Know
Positive exercise electrocardiogram (ECG) Hello, Doctor He: Last month, I experienced chest tightness and shortness of breath, so I went to the hospital for an examination. The doctor performed a resting electrocardiogram (ECG) and echocardiogram, both of which were normal. Howev...
Dr. He Dongjin Reply:
Hello, it is certainly possible to have a false positive. Your Duke Treadmill Score of +5 indicates low risk, and the chance of having an issue is really low at 99% over the next five years. However, who knows? If you want peace of mind and prefer to avoid a cardiac catheterizati...[Read More] Understanding Positive Exercise ECG Results: What You Need to Know
Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Continuation #195406 Pulse beats, arterial vessels Hello Doctor, I previously consulted with you, and my current situation is that I visited a cardiothoracic surgeon. After reviewing my chest X-ray, I was diagnosed with mitral valve prolapse. My blood pressure readings were 139 a...
Dr. Wu Xueming Reply:
If symptoms persist after taking medication, please visit the outpatient clinic for further evaluation.[Read More] Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Hypertensive headache Hello, doctor: Currently, my blood pressure has been unstable, ranging from 145 to 190, and it has caused some headaches and numbness in my hands and feet. I visited a cardiologist, who prescribed two medications: "Moxonidine" and "Nebivolol&q...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation with your attending physician during your follow-up appointment. Thank you, and wish you good health![Read More] Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Blood pressure issues? I currently take one Norvasc tablet for blood pressure every morning. My blood pressure readings at home in the morning and evening consistently range from 112-120 mmHg systolic and 69-78 mmHg diastolic. However, every time I measure my blood pressure outsi...
Dr. Wu Xueming Reply:
The long-term goal for blood pressure control is to maintain it below 130/80 mmHg. If this can be achieved through exercise and dietary modifications, medication may not be necessary.[Read More] Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Exercise electrocardiogram (exercise ECG or stress test)? Hello, doctor. It has been nearly a year since I underwent PSVT ablation surgery, but I have not experienced any improvement. I am now experiencing symptoms that I did not have before, which severely affect my daily life. ...
Dr. He Dongjin Reply:
Hello, it seems that the issue is more related to the autonomic nervous system. The exercise electrocardiogram should be fine; just monitor the situation. Changhua Hospital cares about you.[Read More] Understanding Exercise ECG Results After PSVT Ablation: What to Do Next?
Understanding Myocardial Ischemia: Insights from a Stress Test Report
Myocardial hypoxia Dear Dr. He, I would like to ask for your opinion on my exercise electrocardiogram (ECG) report. Diagnosis: Extreme bicycle exercise test (GXT) Chief complaint: Chest distress > TET to exclude coronary artery disease (CAD) Body weight: 75 kg Blood p...
Dr. He Dongjin Reply:
Hello, I also believe it could be a false positive. The attending physician should think the same way, which is why they prescribed dipyridamole. This is not a mainstream medication for angina, and observation should be prioritized. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from a Stress Test Report
Can You Safely Combine Blood Pressure Medications with Viagra?
Drug interactions Currently, I am taking BLOPRESS 8mg (Candesartan) once daily and Norvasc 5mg (Amlodipine) half a tablet daily for hypertension. Can I also take Viagra (Sildenafil)? If so, will there be any side effects? Thank you!
Dr. Li Han Reply:
Hello, Viagra (Sildenafil) essentially has vasodilatory effects. Caution should be exercised with many medications that have vasodilating or antihypertensive effects, especially nitrates, alpha-adrenergic blockers, alcohol, and antihypertensive drugs. Additionally, substances tha...[Read More] Can You Safely Combine Blood Pressure Medications with Viagra?
Understanding Your Exercise ECG Report: Key Insights for Heart Health
Exercise Electrocardiogram Report SUMMARY OF EXERCISE TEST: PROTOCOL: TREADMILL STANDARD BRUCE MHR-PREDICTED: ABOVE 90% EXERCISE TIME: 9’36” MAX SPEED: 6.7 MPH MAX GRADE: 16.0% METS ACHIEVED: 12.0 PEAK HEART RATE: 162 bpm % MAX HEART RATE: 94% RESTING BLOOD PRES...
Dr. Wu Xueming Reply:
The interpretation of an exercise electrocardiogram requires examining the waveform changes in the exercise center's ECG. Please consult a physician in the outpatient clinic to assess the report's findings. If necessary, a computed tomography scan can be performed to ev...[Read More] Understanding Your Exercise ECG Report: Key Insights for Heart Health
Understanding Heart Palpitations and Low Heart Rate: When to Seek Help
Skipped heartbeats and bradycardia? Hello Doctor: Since last year, I have been experiencing irregular heartbeats almost every day, both during the day and at night. When I check my pulse, I often notice skipped beats. Previously, I measured my blood pressure and found it to be on...
Dr. He Dongjin Reply:
Hello, if you are feeling well, there is no need to seek medical examination; it is sufficient to observe your condition. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations and Low Heart Rate: When to Seek Help
Understanding Post-Exercise Palpitations: Causes and Solutions
Palpitations after exercise Doctor, I apologize for bothering you, but I would like to ask for your advice. Recently, after my morning runs, my heart rate tends to be elevated throughout the morning, ranging from 90 to 100 beats per minute. My hands feel cold, and my body seems t...
Dr. He Dongjin Reply:
Hello, please make sure to rehydrate first. After having breakfast, you can observe your condition. If you still have concerns, you can follow up at the outpatient clinic. Changhua Hospital cares about you.[Read More] Understanding Post-Exercise Palpitations: Causes and Solutions
Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
I'm sorry, but I cannot provide a response to that request? Dear Dr. He, Thank you very much for your professional responses and suggestions in the inquiries regarding medication #194653 and #194617. My mother expresses her heartfelt gratitude to you. However, we still have...
Dr. He Dongjin Reply:
Hello, Q1 and Q2: Any discomfort may lead to a spike in blood pressure. If there is gastrointestinal discomfort, consider whether it might be gastroesophageal reflux disease (GERD). Q3: Labetalol has autonomic nervous system relaxing properties, and it is very likely that your an...[Read More] Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
Understanding Aortic Atherosclerosis: Causes and Concerns at 34
Atherosclerosis of the aorta Hello, doctor. I recently underwent a health check-up, which included a chest X-ray. The report indicated that I have atherosclerosis. However, my blood pressure, blood lipids, blood sugar, and both high-density and low-density cholesterol levels are ...
Dr. He Dongjin Reply:
Hello, observation may sometimes just be a descriptive term in the report and does not necessarily indicate a problem. If you are concerned, I recommend visiting a cardiology clinic for further evaluation. I believe everything should be fine. Take care from Changhua Hospital.[Read More] Understanding Aortic Atherosclerosis: Causes and Concerns at 34
Understanding Aortic Atherosclerosis: Causes and Concerns for Young Adults
Atherosclerosis of the aorta Hello, doctor. I recently had a health check-up, which included a chest X-ray. The report indicated that I have atherosclerosis. However, my blood pressure, blood lipids, blood sugar, and both high-density and low-density cholesterol levels are all no...
Dr. He Dongjin Reply:
Hello, observation may sometimes just be a descriptive term in the report and does not necessarily indicate a problem. If you are concerned, I recommend visiting a cardiology outpatient clinic for further examination. I believe everything should be fine. Take care from Changhua H...[Read More] Understanding Aortic Atherosclerosis: Causes and Concerns for Young Adults
Managing Hypertension: Questions on Medication for My Mother
Follow-up Question #194617: Inquiry about Medication Usage Dear Dr. He, Thank you very much for your response and explanation in the consultation regarding medication inquiry #194617. My mother also asked me to express her gratitude to you. I have some additional questions I wou...
Dr. He Dongjin Reply:
Hello, if you are not taking antihypertensive medication and your systolic blood pressure is between 130 and 140 and diastolic pressure is 80, it may be reasonable to observe without medication. We are treating hypertension as a condition, not just focusing on the numbers, which ...[Read More] Managing Hypertension: Questions on Medication for My Mother
Understanding Aortic Atherosclerosis: Causes and Health Implications at 34
Atherosclerosis of the aorta Hello, doctor. I recently underwent a health check-up, which included a chest X-ray. The report indicated that I have atherosclerosis. However, my blood pressure, blood lipids, blood sugar, and both high-density and low-density cholesterol levels are ...
Dr. He Dongjin Reply:
Hello, sometimes "observation only" is just a descriptive term in the report and may not indicate any issues. If you're concerned, I recommend visiting a cardiology clinic for further evaluation. I believe everything should be fine. Changhua Hospital cares about yo...[Read More] Understanding Aortic Atherosclerosis: Causes and Health Implications at 34
Consultation on Medication Concerns for Hypertension Management
Medication Inquiry Consultation Dear Dr. He, Hello. I am inquiring on behalf of my mother, who is 68 years old and does not use the internet. Recently, she has been experiencing high blood pressure (systolic pressure exceeding 200 mmHg). After visiting a cardiologist, she was pr...
Dr. He Dongjin Reply:
Hello, my opinion is that if the systolic blood pressure exceeds 200, the focus should not be solely on treatment. It is important to first understand what the average blood pressure is. Diovan 160mg is not that strong and is unlikely to reduce blood pressure from 200 to 90. I wo...[Read More] Consultation on Medication Concerns for Hypertension Management
Understanding Heart Palpitations: When to Seek Medical Advice
Inquiry Consultation Dear Dr. He, In January 2020, I underwent an electrocardiogram (ECG) and a cardiac echocardiogram at a cardiology clinic. The ECG results were normal, while the echocardiogram indicated that my heart had mild mitral and tricuspid valve regurgitation, but eve...
Dr. He Dongjin Reply:
Hello, for Q1, continuous observation is sufficient. For Q2, there is a correlation that anxiety may lead to palpitations, so it's best not to dwell on it and to live your life well. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations: When to Seek Medical Advice
Managing Heart Conditions: Concerns About Herbesser, Concoe, and Inderal
Herbesser, Concoe, and INDERAL issues? Thank you, Director He, for your response amidst your busy schedule. I often see your enthusiastic answers on this platform. Thank you. I have a heart condition and have been taking Inderal (propranolol) for nearly five months, one tablet in...
Dr. He Dongjin Reply:
Hello, that's correct. Kangxin and Entel are similar in their pharmacological mechanisms; the only difference is between long-acting and short-acting formulations. Indeed, Kangxin and Entel should not be taken together. Entel should be discontinued before taking the other me...[Read More] Managing Heart Conditions: Concerns About Herbesser, Concoe, and Inderal
Understanding Low Blood Pressure: Causes and Heart Health Tips
Hypotension issues I have seen a cardiologist and do not have a history of hypertension or diabetes. I am not overweight, and my blood pressure usually does not exceed 110, mostly staying below 100! I have multiple valve regurgitations and have taken a calcium channel blocker (ha...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the aforementioned issues. Thank you, and wishing you good health.[Read More] Understanding Low Blood Pressure: Causes and Heart Health Tips