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
Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination
Can I learn scuba diving if I have sinus bradycardia? Hello Dr. Huang, I would like to ask if I can practice scuba diving with sinus bradycardia. Will it affect the efficiency of nitrogen elimination?
Dr. Huang Yinghe Reply:
Hello: Scuba diving is an activity that requires a significant amount of oxygen and may impact the heart and circulatory system, increasing the risk of cardiovascular events. Individuals with confirmed structural heart disease, severe arrhythmias, or symptoms related to cardiovas...[Read More] Can I Dive with Sinus Bradycardia? Effects on Nitrogen Elimination
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 Body Tremors: Anxiety, Heart Issues, or Something Else?
Body tremors? Thank you, Doctor, for sharing so much knowledge about ventricular premature contractions (VPCs) with me. I have undergone 24-hour Holter monitoring five times, with the number of VPCs ranging from 55 to over 400, and my most recent result was 77 VPCs. I was genuine...
Dr. He Dongjin Reply:
Hello, experiencing several dozen VPCs (ventricular premature contractions) in a day is really not a big deal and is absolutely not life-threatening. The shaky feeling you are experiencing is likely caused by panic and anxiety. This type of trembling is not dangerous and is not r...[Read More] Understanding Body Tremors: Anxiety, Heart Issues, or Something Else?
Understanding Irregular Heartbeats: Insights from a Cardiologist
Inquiry Consultation Dear Dr. He, Recently, I have been using a mobile app called "Rhythm Cam" to monitor my heart rate and rhythm. Today, I recorded an instance of "irregular heartbeat" without experiencing any discomfort (such as palpitations, chest tightne...
Dr. He Dongjin Reply:
Hello, I do not recommend using the Love Heart Monitor as its accuracy may not be reliable and is related to the sensitivity of the device. Both overly sensitive and less sensitive devices can yield different results. Additionally, detecting irregular heart rhythms does not equat...[Read More] Understanding Irregular Heartbeats: Insights from a Cardiologist
Understanding VPC: Are Ventricular Premature Contractions Really Dangerous?
Ventricular Premature Contractions (VPC) Director He, I sincerely appreciate your patience and compassionate assistance. You are a physician with great medical ethics and a true benefactor to me. Let me summarize what you said: VPCs (ventricular premature contractions) are not da...
Dr. He Dongjin Reply:
Hello, yes, premature ventricular contractions (PVCs) are actually not dangerous and do not pose a threat to life. It's just that we may be startled by the symptoms or the sensation of missed beats. The discomfort is often caused by autonomic nervous system dysregulation or ...[Read More] Understanding VPC: Are Ventricular Premature Contractions Really Dangerous?
Understanding VPCs: Are Three Consecutive Beats Really Dangerous?
Arrhythmia issues? Hello, Director. Today I visited the neurology department due to dizziness and mentioned my condition of having ventricular premature contractions (VPCs). The doctor said that having three VPCs occurring simultaneously could be fatal, which made me very anxious...
Dr. He Dongjin Reply:
Hello, I don't believe that three VPCs occurring simultaneously would lead to autonomic nervous system dysfunction causing VT. I haven't heard of that either; it would be better to consult a cardiologist for professional advice. The exercise ECG also did not mention thr...[Read More] Understanding VPCs: Are Three Consecutive Beats Really Dangerous?
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 Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
24-Hour Holter Monitor Report Hello Doctor: I am 81 years old this year, with no hypertension, diabetes, but I have had mitral valve prolapse for many years without symptoms and I am not on medication. Since November of last year, I have occasionally experienced dizziness and a r...
Dr. He Dongjin Reply:
Hello, some benign arrhythmias may not require treatment if there are no obvious symptoms; observation may be sufficient. In some cases, antiarrhythmic medications such as beta-blockers can help stabilize the heart rhythm. Changhua Hospital cares about your well-being.[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
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
Understanding Ventricular Premature Contractions: Questions and Insights
Questions regarding premature ventricular contractions? Medical Summary: Approximately 10 years ago, I was diagnosed with premature ventricular contractions (PVCs). I began medication around 2018 to manage the condition (Dronedarone + Bisoprolol), but my symptoms remained variabl...
Dr. He Dongjin Reply:
Hello, anxiety may affect the autonomic nervous system and gastroesophageal reflux, which can trigger arrhythmias. Breathing through the mouth typically does not impact heart rate. Persistent ventricular premature contractions (VPCs) are unlikely to lead to heart failure or pose ...[Read More] Understanding Ventricular Premature Contractions: Questions and Insights
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 Ventricular Early Repolarization: When to Consider Ablation?
Ventricular early depolarization Hello, I was referred to the hospital for further examination due to arrhythmia. The static electrocardiogram report is as follows: 9150 ** abnormal ECG ** 1100 Sinus rhythm 1474 with frequent supraventricular premature complexes 3434 Septal myoca...
Dr. Wu Xueming Reply:
If medication is unable to effectively control the symptoms, electrocautery may be considered.[Read More] Understanding Ventricular Early Repolarization: When to Consider Ablation?
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
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 Mitral Valve Prolapse: Symptoms, Treatments, and Surgical Options
Valvular insufficiency Hello Doctor, my mother is nearly 60 years old. Recently, she experienced heart discomfort and was diagnosed with moderate mitral valve prolapse (regurgitation + blood flow reversal) and mild tricuspid valve prolapse, with slight cardiac enlargement. The fi...
Dr. Wu Xueming Reply:
Moderate mitral valve regurgitation does not require surgery; medication management and regular follow-up are sufficient.[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatments, and Surgical Options
Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Do I have blood clots in my blood vessels? I have had issues detected in both sides of my carotid arteries during the examination? I used to sit for long periods every day, combined with smoking and a diet high in salt and oil. For the past six months, I have been eating a lighte...
Dr. Li Shengkai Reply:
Hello, based solely on the information you provided, it is not possible to determine if there are any blood clots. If examinations reveal carotid artery stenosis, regular follow-up is recommended. Based on your situation, if there are no significant issues with cardiac-related te...[Read More] Understanding Vascular Issues: Symptoms and Solutions for Neck Pain and Discomfort
Understanding Low Blood Pressure: Causes and Symptoms Explained
High blood pressure, low blood pressure? Dear Doctor: (Female, 42 years old, 164 cm, 60 kg) When measuring my blood pressure in a resting state, my systolic pressure is usually in the 90s, and diastolic pressure is around 60, with a heart rate of 70 to over 90. In recent months, ...
Dr. He Dongjin Reply:
Hello, if your blood pressure has consistently been around 90 systolic and 60 diastolic, then these symptoms are likely not related to your blood pressure. They may be associated with your anxiety, hypothyroidism, and the fact that you are losing weight without eating properly, w...[Read More] Understanding Low Blood Pressure: Causes and Symptoms Explained
Understanding the Risks of Combined Atrial and Ventricular Premature Beats
Arrhythmia issues I apologize for asking you another question, but what happens if both ventricular premature contractions and atrial premature contractions occur together? Would it result in both the ventricles and atria missing a beat? Is this dangerous? If someone has prematur...
Dr. He Dongjin Reply:
Hello, the occurrence of premature ventricular contractions (PVCs) and premature atrial contractions (PACs) together is not dangerous. You can exercise normally and do not need to avoid anything. Dizziness is related to autonomic nervous system dysregulation, so try not to worry ...[Read More] Understanding the Risks of Combined Atrial and Ventricular Premature Beats