Understanding Blood Pressure Fluctuations After Stopping Medication
Blood pressure issues Hello, doctor. At the end of January, I had a blood pressure reading of 160/110 at the clinic, so the doctor prescribed the antihypertensive medication Amlodipine 5/40, which I took once daily for five days. After discussing with the doctor, I decided to sto...
Dr. Wu Xueming Reply:
1. It is possible. 2. In May 2022, the Taiwan Society of Cardiology and the Taiwan Hypertension Society published guidelines that officially adjusted the definition of hypertension from 140/90 mmHg to 130/80 mmHg. It is recommended to measure blood pressure using "home blood...[Read More] Understanding Blood Pressure Fluctuations After Stopping Medication
Understanding Blood Pressure Fluctuations, Tinnitus, and Panic Disorders
Blood pressure fluctuations, tinnitus, and panic disorder? Hello Doctor, thank you for taking the time to advise me. A few months ago, I experienced an increase in blood pressure due to taking traditional Chinese medicine, which triggered a recurrence of my panic disorder (I have...
Dr. He Dongjin Reply:
Hello, first of all, you do not have hypertension, and blood pressure fluctuations are normal, especially since you are aware of your panic issues, which can make the fluctuations more pronounced. In this situation, a daytime systolic blood pressure of 130-140, with a usual range...[Read More] Understanding Blood Pressure Fluctuations, Tinnitus, and Panic Disorders
Understanding ST Segment Changes in ECG: Insights for Heart Health
Interpretation of ST Segment in Electrocardiogram (ECG) Hello Dr. Wu, I apologize for the interruption. I do not have hypertension, diabetes, or hyperlipidemia. I am 172 cm tall and weigh 73 kg, and I usually have a habit of exercising. Recently, I have been recovering from APL a...
Dr. Wu Xueming Reply:
To determine the presence of coronary artery disease, it is recommended to perform an exercise electrocardiogram, as a resting electrocardiogram cannot assess non-specific ST changes.[Read More] Understanding ST Segment Changes in ECG: Insights for Heart Health
Understanding Dizziness and Neck Tightness: Heart Health Insights
Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...
Dr. Li Han Reply:
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...[Read More] Understanding Dizziness and Neck Tightness: Heart Health Insights
Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Blood pressure issues? Hello Doctor, I started experiencing dizziness around the Lunar New Year when I returned to work, but I did not have dizziness during my time off. Starting from February 27, the dizziness suddenly worsened, and I felt dizzy all day long. I even began to exp...
Dr. Wu Xueming Reply:
Your blood pressure readings are within the normal range, so there is no need to worry.[Read More] Understanding Blood Pressure Issues: Dizziness, Medication, and Diagnosis
Understanding Your Mother's Heart Test Results: Key Insights and Implications
Could you please help me review my mother's heart examination report (dated March 6, 2024)? Echocardiogram (including single and dual views) Result: TAPE NO. < SC 2000 > BEGINS < > ENDS < > WT: < > KG TAPE NO. < > BEGINS < > ENDS < ...
Dr. Wu Xueming Reply:
The report indicates left atrial enlargement and moderate to severe mitral regurgitation, with normal systolic function of the left ventricle.[Read More] Understanding Your Mother's Heart Test Results: Key Insights and Implications
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin Reply:
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Do You Need Heart Medication for a Heart Rate of 80-90?
A heart rate of 80 to 90 beats per minute typically falls within the normal range for adults. Whether or not to take heart medication depends on various factors, including overall health, the presence of Hello, doctor! I am a patient with hypertension. My heart rate used to be be...
Dr. Li Shengkai Reply:
A normal heart rate ranges from 60 to 100 beats per minute, so your heart rate is within the normal range. Additionally, since you are not experiencing any discomfort, no special treatment is necessary.[Read More] Do You Need Heart Medication for a Heart Rate of 80-90?
Is Your Heart Rate Too High During Exercise? Understanding Safe Limits
Breathing and heart rate issues during exercise? When I run, if I push myself to run faster and longer, my heart rate stays close to 160 beats per minute for several minutes. Given my age, this seems too high, but since I have a consistent exercise routine, I don't feel shor...
Dr. Li Shengkai Reply:
The maximum heart rate is typically calculated by subtracting your age from 220. Therefore, if you are not experiencing any discomfort, maintaining a heart rate of 160 beats per minute is generally acceptable. It is very beneficial to maintain a healthy exercise routine, so you c...[Read More] Is Your Heart Rate Too High During Exercise? Understanding Safe Limits
Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Elderly individuals may experience rapid heart rates? Hello Doctor, thank you for taking the time to respond. My mother, who is in her 70s and has hypertension, usually has a heart rate of around 70-80 bpm. She has a regular exercise routine, but during the New Year holiday, she ...
Dr. He Dongjin Reply:
Hello, if you experience occasional arrhythmias that persist, it is advisable to schedule an earlier follow-up appointment. Changhua Hospital cares about your well-being.[Read More] Understanding Rapid Heartbeat in Seniors: When to Seek Medical Advice
Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients
Valvular insufficiency I'm sorry, doctor, my report is as follows: am I experiencing prolapse or insufficiency? Some doctors say I have prolapse, while others say I have mild to moderate insufficiency. I'm very confused, but it is true that I can only stay awake for thr...
Dr. Cai Guiqin Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Mitral Valve Prolapse vs. Regurgitation: Key Insights for Patients
Understanding Blood Pressure Medication Changes: Risks and Concerns
Issues with Hypertension Medications Hello, my mother has been taking half a tablet of Amlodipine at 6 PM for hypertension for over three years. Her usual morning blood pressure is around 120/59 with a heart rate of about 108. Recently, after breakfast, her blood pressure has dro...
Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Blood Pressure Medication Changes: Risks and Concerns
Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients
Myocardial perfusion imaging Hello Dr. Wu, I have a history of type B aortic dissection and have had an aortic stent placed for four and a half years. Over the years, I have occasionally experienced chest tightness and pain, which prompted me to undergo a myocardial perfusion stu...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows mild myocardial hypoxia. If symptoms persist despite pharmacological management, coronary angiography may be considered.[Read More] Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients
Understanding ECG and Coronary Artery Tests for Hypertension Patients
Electrocardiogram (ECG) and coronary artery examination? Familial hypertension, currently managed with medication, occasionally experiences chest tightness and pressure. On New Year's Day, there were several instances of sharp chest pain. On January 9th, a follow-up visit in...
Dr. Wu Xueming Reply:
The electrocardiogram report shows right atrial enlargement and T-wave abnormalities. If you have risk factors for heart disease such as hypertension, diabetes, or smoking, it is recommended that you undergo further tests to confirm the presence of cardiovascular disease.[Read More] Understanding ECG and Coronary Artery Tests for Hypertension Patients
Understanding Irregular Heartbeats: Causes and Concerns
Irregular heartbeat followed by acceleration? Hello Doctor, in the past few months, I have been waking up in the middle of my sleep with my heart suddenly beating irregularly (two strong beats), followed by a rapid heartbeat that accelerates to around 140 beats per minute before ...
Dr. Li Han Reply:
Hello, based on your description, the sensation of irregular heartbeat you are experiencing is likely indicative of arrhythmia. The subsequent feeling of a rapid heartbeat, approximately 140 beats per minute, followed by a gradual calming down, can occur even in young individuals...[Read More] Understanding Irregular Heartbeats: Causes and Concerns
Understanding Heart Issues: Is Concor Right for You?
How to assess and manage discomfort related to the heart in outpatient settings? Hello, Doctor. My usual blood pressure readings are 89-97 systolic and 53-65 diastolic, with a heart rate around 83. In the past, while working, I noticed significant hand tremors and experienced pal...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Heart Issues: Is Concor Right for You?
Understanding Mild Pulmonary Hypertension: Concerns and Treatment Options
Pulmonary Hypertension Issues Hello Doctor, I am patient number 65279 inquiring about my echocardiogram report which indicates mild pulmonary hypertension, with a PA systolic pressure of 40 mmHg. Since my follow-up appointment is still some time away, I would like to ask you a fe...
Dr. He Dongjin Reply:
Hello, not being very serious does not mean it will lead to a short life or that treatment is unnecessary. Occasionally, the heart may beat strongly, which is inevitable. It may not be related to pulmonary hypertension; it could be due to autonomic nervous system factors. Pingan ...[Read More] Understanding Mild Pulmonary Hypertension: Concerns and Treatment Options
Understanding Mild Pulmonary Hypertension: Key Questions Answered
Pulmonary hypertension issues? Hello Doctor, I am patient number 65279 inquiring about my echocardiogram report which indicates mild pulmonary hypertension, with a PA systolic pressure of 40 mmHg. Since it will be some time before my next appointment, I would like to ask you a fe...
Dr. He Dongjin Reply:
Hello, not being very serious does not mean it will lead to a short life or that treatment is unnecessary. Occasionally, the heart may beat strongly, which is inevitable. This is likely not related to pulmonary hypertension and may be due to autonomic nervous system factors. Chan...[Read More] Understanding Mild Pulmonary Hypertension: Key Questions Answered
Understanding Your Echocardiogram: Mild Pulmonary Hypertension Concerns Before Surgery
Echocardiogram Hello Doctor, here is my echocardiogram report: Chamber and function: - No chamber dilation - Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57.8% by M-mode - Normal LV diastolic function, average E/e' = ...
Dr. He Dongjin Reply:
Hello, the surgery on the nasal septum can be quite risky. Changhua Hospital cares about your well-being.[Read More] Understanding Your Echocardiogram: Mild Pulmonary Hypertension Concerns Before Surgery
Understanding Mild Pulmonary Hypertension: Key Questions and Concerns
Pulmonary hypertension issues? Hello Doctor, I recently had a cardiac ultrasound report. 1. Chamber and function: No chamber dilation. Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57.8% by M-mode. Normal left ventricular d...
Dr. Wu Xueming Reply:
Mild pulmonary hypertension without symptoms does not require treatment; regular monitoring is sufficient.[Read More] Understanding Mild Pulmonary Hypertension: Key Questions and Concerns