Can Hormone Replacement Therapy Affect Blood Pressure Levels?
Blood pressure issues? Hello Doctor, Two years ago, I went to the emergency room due to acute hypertension (my systolic blood pressure spiked to 208) and was subsequently diagnosed with hypertension. I have been taking antihypertensive medication for two years, and recently my ...
Dr. He Dongjin Reply:
Hello, hormones can raise blood pressure? It should not be the case that hormonal instability affects blood pressure stability. Currently, it is recommended to just monitor the situation without the need for medication. Changhua Hospital cares about you.[Read More] Can Hormone Replacement Therapy Affect Blood Pressure Levels?
Post-Stent Dietary Guidelines for Seniors with Heart Conditions
Diet after the placement of a drug-eluting stent? My grandmother just had a drug-eluting stent placed last week. I would like to ask a few questions. She has a history of hypertension, dyslipidemia, and diabetes, but her diabetes is currently well-controlled. She takes her medica...
Dr. He Dongjin Reply:
Hello, blood pressure should be measured on the left arm or the right arm; it is sufficient to consistently measure one arm. I understand that your grandmother sometimes sneaks some bread and chocolate to satisfy her cravings. If it can make her happy and you mentioned that her d...[Read More] Post-Stent Dietary Guidelines for Seniors with Heart Conditions
Managing Blood Pressure and Heart Health: Key Insights and Tips
Blood Pressure and Heart Problems 1. My blood pressure readings at home are mostly between 100-120 mmHg in the morning and evening, but sometimes at work it goes up to 130 mmHg and at the hospital it measures around 140 mmHg. Should I consider the readings at home as the primary ...
Dr. He Dongjin Reply:
Hello, you are correct. Blood pressure measurement should primarily be done at home, where it is usually around 10X-12X. It is advisable to observe it for now. Dietary changes and exercise can help manage your lifestyle, and medication may not be necessary. Engaging in physical a...[Read More] Managing Blood Pressure and Heart Health: Key Insights and Tips
Managing Neck Pain and High Blood Pressure: Effective Strategies
There is a tight and painful sensation from the head to the neck? Hello, Doctor He: Recently, I have been experiencing a tight and painful sensation from the back of my head to my neck. In last year's health check report, my blood pressure was 131 systolic. My friend mention...
Dr. He Dongjin Reply:
Hello, recently I have been experiencing a tight and painful sensation from the back of my head to my neck. Please address the symptoms first; it may not necessarily be caused by blood pressure, as my systolic blood pressure is 131, which is not considered high. Additionally, thi...[Read More] Managing Neck Pain and High Blood Pressure: Effective Strategies
Understanding Chest Discomfort: When to Consult a Cardiologist
Thoracic issues Hello, Director: I have some thoracic issues I would like to consult you about. 1. During the summer, I easily experience a tingling sensation in my chest when climbing stairs or even when at rest. Due to my asthma, I asked a pulmonologist during my follow-up vi...
Dr. He Dongjin Reply:
Hello, it is possible that your symptoms are due to asthma causing hyperventilation or a higher likelihood of autonomic nervous system dysregulation. Although there is a family history of heart disease, the probability of heart issues at your age is very low. If you still feel un...[Read More] Understanding Chest Discomfort: When to Consult a Cardiologist
Strong Heartbeat and Shortness of Breath: Understanding Your Symptoms
Experiencing a strong heartbeat and shortness of breath while speaking? Hello Doctor, I have stage 1 hypertension and have been taking antihypertensive medication for about a month. A few days ago, I suddenly felt my heart beating very strongly. When sitting still or lying down t...
Dr. He Dongjin Reply:
Hello, some people may experience reactions when taking antihypertensive medications. It may be worth considering reducing the dosage by half or even stopping the medication temporarily to see if there are any changes in symptoms. Please discuss this with your physician. Changhua...[Read More] Strong Heartbeat and Shortness of Breath: Understanding Your Symptoms
Chest Tightness and Shortness of Breath: When Tests Come Back Normal
Chest tightness and shortness of breath, but examinations are normal? Hello Doctor: For the past five days, I have been feeling a significant pressure in my chest, as if a heavy stone is pressing down on it. Initially, it occurred occasionally, but the duration of the discomfort ...
Dr. He Dongjin Reply:
Hello, your heart sounds are normal, and the ultrasound, blood tests, and chest X-ray results are all normal. You are young, with no risk factors such as hypertension, diabetes, or smoking, which makes the likelihood of angina or pulmonary hypertension low. You can consider doing...[Read More] Chest Tightness and Shortness of Breath: When Tests Come Back Normal
Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Three blocked coronary arteries? Hello everyone, my father is 60 years old (I created this account for him to facilitate the review of his basic information by various doctors). Recently, he underwent a cardiac examination at the hospital, starting with an MRI, which revealed som...
Dr. Huang Yinghe Reply:
Hello: In the case of narrowing or blockage in all three coronary arteries, lifestyle modifications and medication therapy are fundamental and necessary. This includes controlling hypertension, blood cholesterol, and blood sugar levels, as well as using antiplatelet medications. ...[Read More] Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Understanding Heart Issues: Concerns About Exercise ECG and Hypertrophy
Cardiac issues Hello doctor, I have been troubled by heart and chest pain for a month. I went to see a doctor, but the CT scan showed nothing wrong. During the exercise stress test, I could only run for three minutes because I experienced chest pain, tightness, shortness of breat...
Dr. Chen Jili Reply:
It is recommended to discuss further with your attending physician. Thank you![Read More] Understanding Heart Issues: Concerns About Exercise ECG and Hypertrophy
Understanding Heart Issues: Symptoms and Concerns About Valve Prolapse
Cardiac issues Previously, I underwent a stress echocardiogram, which was normal, and I do not have high blood pressure or thyroid issues. The echocardiogram showed mild prolapse and regurgitation of the mitral and tricuspid valves. However, recently I have been experiencing pain...
Dr. He Dongjin Reply:
Hello, your exercise electrocardiogram is normal, and there are no signs of hypertension, thyroid issues, or significant tricuspid valve prolapse with regurgitation. You are experiencing left shoulder pain, numbness in your hand, and some sharp pain near the left rib area. These ...[Read More] Understanding Heart Issues: Symptoms and Concerns About Valve Prolapse
Managing Hypertension Medications for Foreign Workers in Taiwan
Blood Pressure Medication Inquiry for Foreigners I would like to ask: Due to work-related matters, I have been assisting Japanese individuals who are coming to Taiwan for long-term work with their daily living affairs. During this period, I helped a 50-year-old man who has been t...
Dr. He Dongjin Reply:
Hello, 1. Let's change the doctor. 2. It doesn't matter whether it's a black cat or a white cat, as long as it catches mice, it's a good cat. What you eat is not important; the key is whether your blood pressure is under control. Regardless of whether it'...[Read More] Managing Hypertension Medications for Foreign Workers in Taiwan
Understanding Heart Pain at 20: Causes and Concerns for Young Adults
Cardiac issues I apologize for the inconvenience, but I would like to ask a question. I am currently 20 years old and experiencing chest pain. I went to the hospital and had an electrocardiogram, but the doctor said it was normal. A subsequent echocardiogram revealed mitral valve...
Dr. Huang Yinghe Reply:
Hello: The heart is located in the center of the thoracic cavity, commonly referred to as the epigastric region. Typical heart pain often presents as a pressure-like discomfort in the epigastric area, similar to the sensation of a heavy weight pressing down. Sometimes, this pain ...[Read More] Understanding Heart Pain at 20: Causes and Concerns for Young Adults
Understanding High Blood Pressure and Symptoms in Elderly Patients
Elderly individuals with high blood pressure may experience tremors and cold sweats? Hello, doctor. I would like to ask you about a 74-year-old female patient with hypertension who suddenly experienced a high blood pressure reading of 160, while her diastolic pressure was slightl...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 160 is likely caused by discomfort in some part of the body, accompanied by tremors and cold sweats, as well as some weakness. Sudden increases in blood pressure should be monitored. It is advisable to first drink some warm water and rest, addre...[Read More] Understanding High Blood Pressure and Symptoms in Elderly Patients
Understanding Chest Pain Near the Armpit: When to Seek Further Evaluation
Sharp pain or electric shock sensation near the left chest close to the armpit? Hello doctor, I am 32 years old, with a height of 175 cm and a weight of 72 kg. There is a family history of hypertension. I have a smoking history of about 5-6 years (I have quit). About a year ago, ...
Dr. He Dongjin Reply:
Hello, please remain calm. The sharp pain in the left chest area near the armpit is more likely related to muscle or nerve issues rather than the heart, which would not typically present pain this far out. You can take some B vitamins or acetaminophen and monitor your symptoms. T...[Read More] Understanding Chest Pain Near the Armpit: When to Seek Further Evaluation
Managing Hypertension: Understanding Home vs. Clinic Blood Pressure Readings
Inquiry about hypertension issues? Hello Doctor, (1) I have been monitoring my blood pressure since I was 18, and it was recorded at 160/90. Subsequently, during regular check-ups at the hospital, it has consistently been above 179/95. By the age of 30, I started taking antihyp...
Dr. He Dongjin Reply:
Hello, that's correct. White coat syndrome can cause blood pressure readings in the hospital to reach as high as 170/100. Therefore, current treatment guidelines suggest that monitoring blood pressure at home is more important. How can we overcome this issue to ensure that t...[Read More] Managing Hypertension: Understanding Home vs. Clinic Blood Pressure Readings
Understanding Elevated Blood Pressure: When to See a Cardiologist
Hypertension Hello, Doctor He: I have mild ventricular premature contractions, and my usual heart rate is between 58-62 beats per minute. My blood pressure has been around 60-90 for decades. Recently, my blood pressure has risen to 139-89. My face often feels warm, and I have a s...
Dr. He Dongjin Reply:
Hello, a blood pressure reading of 139/89 does not necessarily indicate hypertension, and it may not be related to blood pressure. I have reservations about taking medication like Pulse Care, which is why I haven't taken it for long. The heart pain extending to the armpit an...[Read More] Understanding Elevated Blood Pressure: When to See a Cardiologist
Managing Hypertension: Choosing Between Specialists in Northern and Central Taiwan
Referral related to hypertension? In mid-February, I was diagnosed with malignant hypertension. However, due to the Lunar New Year holiday, I sought medical attention in central Taiwan, where I underwent an electrocardiogram and cardiac catheterization, among other related tests....
Dr. He Dongjin Reply:
Hello, please inform the physician directly that I would like to transfer my care back to the northern region due to my residence in the north. I would appreciate your assistance in issuing a medical summary and whether you could recommend a physician at Ping An Changhua Hospital...[Read More] Managing Hypertension: Choosing Between Specialists in Northern and Central Taiwan
Understanding Vascular Issues: From Brain Embolism to Heart Complications
I have issues such as cerebral vascular embolism and myocardial ischemia? About 4 to 5 years ago, I started experiencing issues and was diagnosed with cerebral vascular embolism. Later, I was also found to have myocardial ischemia, hypertension, and surprisingly, my blood glucose...
Dr. Lin Jixiong Reply:
Hello: Swelling in the limbs may be indicative of heart problems or obstruction in the venous blood vessels of the lower extremities. To confirm the diagnosis, it is advisable to consult a cardiologist for an echocardiogram or venography of the lower limbs. As for the caliber of ...[Read More] Understanding Vascular Issues: From Brain Embolism to Heart Complications
Understanding Blood Pressure: When to Seek Medical Advice at 20
Blood pressure issues? Hello, doctor. I recently started measuring my blood pressure regularly and found that my readings are mostly elevated, with systolic pressure around 140 and heart rate around 85. My systolic pressure sometimes drops to 120 but can also go as high as 155. I...
Dr. Lin Jixiong Reply:
Hello: You can start by measuring your blood pressure daily and recording it. After a month, schedule an appointment with a cardiologist to discuss it with Dr. Lin Chi-Hsiung.[Read More] Understanding Blood Pressure: When to Seek Medical Advice at 20
Prioritizing Cardiovascular Care: A Self-Assessment Guide for Patients
I have a lot of physical and mental health issues that I need to self-assess, and I would like to ask the director to evaluate the priority of treatment? Self-assessment items for evaluating physical and mental health issues: Have you ever been diagnosed with the following unde...
Dr. He Dongjin Reply:
Hello, you may consider using a positive airway pressure (PAP) device to treat moderate obstructive sleep apnea. First, continue to manage your blood pressure, and for now, just observe other conditions. Changhua Hospital cares about you.[Read More] Prioritizing Cardiovascular Care: A Self-Assessment Guide for Patients