Cold Weather and Blood Pressure: Are Fluctuations Dangerous for Your Health?
Recent sudden drops in temperature and occasional increases in blood pressure can pose risks to the body? Hello, Doctor: I have hypertension and have been taking antihypertensive medication regularly. My blood pressure is usually around 110/70. However, recently due to the cold w...
Dr. He Dongjin Reply:
Hello, in cold weather, it is reasonable for blood pressure to temporarily rise to around 140/90. Therefore, the risk of sudden death is not high, and there is no need for excessive worry. Changhua Hospital cares about you.[Read More] Cold Weather and Blood Pressure: Are Fluctuations Dangerous for Your Health?
Should You Return to the Doctor for Elevated Blood Pressure Readings?
Should I return for a follow-up if my hypertension spikes significantly? Hello Doctor: I have been taking antihypertensive medication and measuring my blood pressure regularly in the morning and evening for over a year. My highest readings have been around 130s/80s. However, I st...
Dr. He Dongjin Reply:
Hello, due to your fear of elevated values, measuring your blood pressure may increase your anxiety. It is recommended that you refrain from measuring your blood pressure for now. If you are still concerned, you can adjust your Carvedilol dosage from half a tablet in the morning ...[Read More] Should You Return to the Doctor for Elevated Blood Pressure Readings?
Understanding Persistent Left Chest Pain: Insights and Next Steps
Persistent left chest pain for seven years? Hello, Doctor. I have some questions I would like to ask. I have undergone several tests, and here are my basic details: height 177 cm, weight 83 kg, BMI 26.4. My blood pressure, blood lipids (triglycerides, cholesterol, etc.), echocard...
Dr. He Dongjin Reply:
Hello, if you have been experiencing left chest discomfort for seven years without any serious issues, it should be okay, right? A CT scan is expensive, and the accuracy of a 24-hour Holter monitor and exercise stress test is not 100%. The symptoms are also atypical angina, so it...[Read More] Understanding Persistent Left Chest Pain: Insights and Next Steps
Could Your Nighttime Blood Pressure Spikes Indicate a Serious Condition?
Could this be a symptom of "nocturnal hypertension"? Hello, Doctor He: I have had high blood pressure for 5 years and have been following the doctor's advice to take antihypertensive medication regularly. My systolic blood pressure is usually controlled between 10...
Dr. He Dongjin Reply:
Hello, it's not that nighttime hypertension is more common; it should be considered as an episodic autonomic nervous system disorder. When an episode occurs, you can quickly take a Xanax (alprazolam) for calming. Don't worry, Changhua Hospital cares about you.[Read More] Could Your Nighttime Blood Pressure Spikes Indicate a Serious Condition?
Are These Symptoms Signs of Angina? Understanding Heart Health Risks
Are these symptoms indicative of angina? Hello Doctor: Sometimes when I exercise, I suddenly experience palpitations, a tight feeling in my chest, accompanied by shortness of breath, dizziness, blurred vision, tinnitus, nausea, weakness, and numbness (which extends to my arms, sh...
Dr. He Dongjin Reply:
Hello, it seems that your symptoms are likely due to insufficient physical activity during the weekdays and possibly related to mitral valve prolapse or hyperventilation, rather than angina. The situation for a 15-year-old is different from that of older adults, so there's n...[Read More] Are These Symptoms Signs of Angina? Understanding Heart Health Risks
Understanding Left Ventricular Hypertrophy: Causes Beyond Hypertension and Hyperlipidemia
Left ventricular hypertrophy Dr. He: Hello! Recently, I experienced chest tightness, palpitations, and sharp pain in my heart, so I went to the hospital for a series of tests, including blood tests, urine tests, a 24-hour Holter monitor, and a chest X-ray. Everything came back no...
Dr. He Dongjin Reply:
Hello, the left ventricular hypertrophy you are experiencing may be caused by hypertension and hyperlipidemia. It should be monitored. Additionally, it is uncertain whether the Herbalife meal replacement and fat-burning tea is causing your symptoms of chest tightness, palpitation...[Read More] Understanding Left Ventricular Hypertrophy: Causes Beyond Hypertension and Hyperlipidemia
Understanding Left Ventricular Enlargement: When to Seek Medical Advice
Left ventricular enlargement? Hello, Doctor!!! I had a labor health examination in August, and the report indicated: X-ray findings of thoracic scoliosis (approximately 5 degrees to the right), left ventricular enlargement, and aortic curvature. I am a hypertension patient and ha...
Dr. He Dongjin Reply:
Hello, this is a chronic issue and there is no need for an earlier follow-up appointment. Please inform your attending physician during your scheduled visit in November at Changhua Hospital. We care about your well-being.[Read More] Understanding Left Ventricular Enlargement: When to Seek Medical Advice
Managing Side Effects of Hypertension Medication: A Patient's Guide
Side effects of antihypertensive medications? Hello, I am inquiring on behalf of my mother, who has been experiencing unstable blood pressure recently. The doctor prescribed a new medication called Amlodipine, advising her to take half a tablet daily (each tablet is 100 mg). Afte...
Dr. He Dongjin Reply:
Hello, the levels have dropped too low. Let's pause and observe for a while. Changhua Hospital cares about you.[Read More] Managing Side Effects of Hypertension Medication: A Patient's Guide
Can You Stop Heart Medication After One Day of Breathing Issues?
If you have been taking heart medication for a day and are experiencing shortness of breath, should you stop the medication? Or how can you improve the situation? My mother is 83 years old and has asthma and hypertension. For the past three years, she has been using a bronchodila...
Dr. He Dongjin Reply:
Hello, you can stop the medication for now and discuss any adjustments with your physician during the outpatient visit. It appears that there are episodes of arrhythmia, but it seems more like a change in your condition. Due to your orthopnea, it is advisable to return for an ear...[Read More] Can You Stop Heart Medication After One Day of Breathing Issues?
Understanding Young Hypertension: Diagnosis and Testing Explained
Is this considered high blood pressure? Hello Doctor: Starting from May 5th (Friday), I began to feel that my heart sometimes beats very fast, and I have a warm, tight sensation in my left chest. On May 8th (Monday), I consulted a pulmonologist who measured my blood pressure twic...
Dr. He Dongjin Reply:
Hello, you are correct. Measuring blood pressure twice at 160-something does not definitively indicate hypertension; one cannot be diagnosed with high blood pressure based solely on two readings. This condition requires lifelong medication, and not resting beforehand can affect b...[Read More] Understanding Young Hypertension: Diagnosis and Testing Explained
Understanding Dizziness Before Leaving Work: Heart Health Insights
Dizziness before the end of the workday? Hello, Doctor. After work yesterday, I returned home and felt a bit of heaviness in my head, but it wasn't dizziness yet (I started feeling this around 4:30 PM while working, and it was very hot today). My balance while walking was st...
Dr. He Dongjin Reply:
Hello, acute dizziness is not necessarily related to blood pressure. It is advisable to consult a neurologist or an otolaryngologist for examination. Changhua Hospital cares about your well-being.[Read More] Understanding Dizziness Before Leaving Work: Heart Health Insights
Understanding Sudden High Blood Pressure: Causes and Concerns
Sudden increase in blood pressure? Hello, Doctor. I have some questions to ask you. I apologize for not being able to recall some of my blood pressure readings clearly, so I can only provide approximate numbers. On the morning of April 29th at around 10:30 AM, my blood pressure w...
Dr. He Dongjin Reply:
Hello, any discomfort in the body can lead to unstable blood pressure. However, it is difficult to say that one has hypertension solely based on short-term blood pressure abnormalities. It is possible that the fluctuations are due to factors such as tooth extraction, and it may b...[Read More] Understanding Sudden High Blood Pressure: Causes and Concerns
Understanding Tinnitus, Hypertension, and Tongue Deviations in Women
Tinnitus, hypertension, and deviation of the tongue root? Hello Doctor: My mother is 53 years old and has been experiencing long-term tinnitus, a deviation of the tongue root, and hand numbness. Occasionally, her blood pressure spikes to over 200 at night, and she feels discomfor...
Dr. He Dongjin Reply:
Hello, you can schedule an appointment with the cardiology department or another specialty, but the symptoms do not seem to be related to cardiology. Changhua Hospital is concerned about your well-being.[Read More] Understanding Tinnitus, Hypertension, and Tongue Deviations in Women
Understanding Abnormal Exercise ECG Results: What You Need to Know
Abnormal results in exercise electrocardiogram (ECG)? Hello Doctor, I am 30 years old and have been experiencing intermittent chest tightness, especially during emotional stress. I do not smoke or drink alcohol, and my comprehensive health check last November showed no signs of...
Dr. He Dongjin Reply:
Hello, please don't be anxious. 1. There will be no discomfort during the cardiac CT scan, so don't worry. 2. It is recommended to print out the exercise electrocardiogram and consult with other cardiologists. 3. The exercise electrocardiogram may have false positiv...[Read More] Understanding Abnormal Exercise ECG Results: What You Need to Know
Understanding Sleep-Related Heart Rate and Blood Pressure Fluctuations
Sleep center tachycardia and elevated blood pressure? Hello, Doctor. I have trouble sleeping and often wake up multiple times during the night. I take half a tablet of Candesartan (5 mg) and half a tablet of Doxazosin (160 mg) daily for my hypertension. My blood pressure at home ...
Dr. He Dongjin Reply:
Hello, you may be experiencing symptoms of respiratory arrest or having dreams at night or waking up during the night. It is advisable to arrange a 24-hour electrocardiogram to first understand if there are any arrhythmias. You might also consider taking half a tablet of Concan (...[Read More] Understanding Sleep-Related Heart Rate and Blood Pressure Fluctuations
Understanding Sudden Body Tension and Blood Pressure Spikes: Causes and Solutions
Sudden onset of generalized muscle tension and elevated blood pressure can be caused by several factors, including acute stress or anxiety, panic attacks, pain, or underlying medical conditions such as hyperthyroidism or pheochromocytoma. It is important to evaluate the individua...
Dr. He Dongjin Reply:
Hello, this is not high blood pressure; it is caused by autonomic nervous system dysregulation due to your excessive anxiety. After an episode, you may feel a bit uneasy in the evening, and any slight symptom triggers a severe reaction. You see, it's happening again. I recom...[Read More] Understanding Sudden Body Tension and Blood Pressure Spikes: Causes and Solutions
Managing Hypertension: What to Do After Stopping Blood Pressure Meds?
Discomfort after discontinuing antihypertensive medication? I previously took medication for high blood pressure, but I stopped taking it for a while. Recently, my blood pressure spiked above 140/80, sometimes reaching 150, and I experienced discomfort in my heart, which led me t...
Dr. He Dongjin Reply:
Hello, it seems that your elevated blood pressure may be due to anxiety. Typically, blood pressure increases to levels of 140-150 mmHg do not cause discomfort unless it reaches 180-200 mmHg. The strong heartbeat and shortness of breath you are experiencing are likely related to a...[Read More] Managing Hypertension: What to Do After Stopping Blood Pressure Meds?
Understanding Heart Pain: Causes and When to Seek Further Evaluation
Chest pain? Hello Doctor: I have a personal medical history of hypertension and regularly take medication for it. However, I sometimes experience sharp chest pain, which has been troubling me for a long time. When this occurs, my blood pressure spikes, especially at night when I ...
Dr. He Dongjin Reply:
Hello, you have undergone a stress electrocardiogram and a nuclear medicine imaging examination at the hospital, and the results are normal. It seems that you may have a higher chance of experiencing neuralgia or gastroesophageal reflux. It is recommended to take some relaxants a...[Read More] Understanding Heart Pain: Causes and When to Seek Further Evaluation
Understanding Blood Pressure Control: Height's Impact on Hypertension
Regarding blood pressure control? Hello Doctor: Recently, I had a severe cold and a serious cough, and during a medical visit, I discovered that my blood pressure was elevated at around 155/107. After a week of observation, the clinic doctor started me on two antihypertensive med...
Dr. He Dongjin Reply:
Hello, tall individual. Blood pressure and height do not influence each other. When experiencing a severe cold and serious cough, elevated blood pressure does not necessarily indicate hypertension. Dizziness may occur when standing up from a sitting or squatting position, which c...[Read More] Understanding Blood Pressure Control: Height's Impact on Hypertension
Understanding High Blood Pressure: Causes and Concerns for Women
Hypertension My mother had a systolic blood pressure of 147 and diastolic blood pressure of 110 last month. A week ago, her systolic was 168 and diastolic was 90. This week, her systolic is 170 and diastolic is 85. She mentioned that it might be due to menopause causing her blood...
Dr. Lin Jixiong Reply:
Based on the described blood pressure readings, the blood pressure is elevated and meets the definition of hypertension. It is recommended to consult a cardiologist to discuss the possibility of starting medication treatment.[Read More] Understanding High Blood Pressure: Causes and Concerns for Women