Breathlessness and Chest Discomfort: When to Consult a Cardiologist?
Feeling short of breath? Hello, doctor. Since last year, I have been experiencing chest tightness intermittently and went to the hospital for a cardiology check-up. During the initial examination at the beginning of last year, my exercise stress test results were normal. However,...
Dr. He Dongjin Reply:
Hello Kenny, due to recent weather changes, the low atmospheric pressure can lead to symptoms of shortness of breath, which is commonly seen in outpatient clinics. It should not be a cause for concern. The symptoms are often caused by autonomic nervous system dysregulation, so At...[Read More] Breathlessness and Chest Discomfort: When to Consult a Cardiologist?
Does Cold and Fever Impact Heart Function? Insights on Cardiac Health
Does a cold or fever affect heart function? Hello Doctor: A few days ago, my father suddenly had a myocardial infarction and had an emergency stent placement. Afterward, he mentioned that he had a cold at the time, and the doctor suggested that the combination of the cold, smokin...
Dr. He Dongjin Reply:
Hello, a common cold with fever generally does not affect heart function unless it leads to myocarditis or myocardial infarction. Your symptoms are likely unrelated to myocardial infarction, which is more closely associated with smoking and genetic factors. It seems more like aut...[Read More] Does Cold and Fever Impact Heart Function? Insights on Cardiac Health
Managing Severe Tricuspid Regurgitation After Mitral Valve Replacement: Options?
After mitral valve replacement, there is now severe tricuspid regurgitation. Is surgery necessary? I am 40 years old. In 2013, I underwent surgery for severe heart failure and had my mitral valve replaced with a bioprosthetic valve. Since then, I have been regularly following up ...
Dr. He Dongjin Reply:
Hello, without more complete medical records, I cannot advise whether surgery is necessary. I recommend scheduling a time to visit the outpatient clinic to discuss your condition with the physician. Alternatively, obtaining a medical summary to discuss in person with a cardiac su...[Read More] Managing Severe Tricuspid Regurgitation After Mitral Valve Replacement: Options?
Understanding Blood Pressure Medication: Key Questions Answered
Blood pressure medication issues? Hello, doctor. About six months ago, during a health check, my blood pressure was 150/101. Since then, at the hospital, my systolic blood pressure has been around 150 to 160, and my diastolic pressure has been in the 90s to low 100s. I then bough...
Dr. Li Han Reply:
Hello, if your blood pressure is above 140/90 or requires medication to maintain it within that range, it can be considered hypertension. Based on your blood pressure readings after taking losartan, it seems to be an appropriate medication for you. For non-pharmacological managem...[Read More] Understanding Blood Pressure Medication: Key Questions Answered
Understanding Atenolol: Side Effects and Heart Health Concerns
Hello, Dr. He. I'm sorry to bother you again? During my follow-up appointment, I described my symptoms to the doctor, who expressed concern that they might not be neurologically related. He noted that the pain symptoms were quite extreme, occurring even at rest without any m...
Dr. He Dongjin Reply:
Hello, please check your overall health. You may consider stopping atenolol since your blood pressure is not high and it has unwanted side effects. Changhua Hospital cares about you.[Read More] Understanding Atenolol: Side Effects and Heart Health Concerns
Understanding the Use of Bisoprolol for Mitral Valve Prolapse Symptoms
Mitral Valve Prolapse Syndrome treated with Carvedilol? Hello, I have recently been experiencing sharp pains in my heart and chest tightness. The examination results indicated that I have mitral valve prolapse syndrome. Initially, the doctor prescribed Inderal, but I still felt s...
Dr. He Dongjin Reply:
Hello, HBP-Smooth is not a medication for treating hypertension; it is only 30 mg. Generally, the treatment for blood pressure may require up to 180 mg. You can take it and compare its effects with Inderal without worrying. Ping An Changhua Hospital cares about you.[Read More] Understanding the Use of Bisoprolol for Mitral Valve Prolapse Symptoms
Understanding the Relationship Between Arrhythmia and Blood Pressure
The relationship between arrhythmias and blood pressure? Hello, Doctor He: I am 38 years old and would like to ask a few questions. (1) When I experience sinus arrhythmia, I sometimes take my blood pressure and notice that the readings can be abnormal. For example, during an epis...
Dr. He Dongjin Reply:
Hello, when you feel unwell, measuring your blood pressure may result in a higher reading, so it's advisable not to check your blood pressure during such times. Your pulse pressure difference is considered normal, so there's no need to worry. Additionally, if your blood...[Read More] Understanding the Relationship Between Arrhythmia and Blood Pressure
Understanding Heart Pain: When to Seek Further Medical Evaluation
Cardiac issues Doctor, last year I experienced pain five centimeters to the right of my heart and five centimeters below it. I went to Kaohsiung Chang Gung Memorial Hospital for an examination, where I underwent an exercise electrocardiogram and echocardiogram. The report indicat...
Dr. He Dongjin Reply:
Hello, can this medication be taken long-term? What examinations should be done? I need to pay out of pocket for a 256-slice CT scan, but it's too expensive. To be honest, my symptoms are not typical of angina, but the exercise ECG shows abnormalities. If I still feel unwell...[Read More] Understanding Heart Pain: When to Seek Further Medical Evaluation
Managing Hypertension and Arrhythmia in Women Planning Pregnancy
Hypertension with arrhythmia A 35-year-old female friend has been diagnosed with hypertension and arrhythmia, and has been on medication for three years. Her doctor prescribed ATEOL 50MG STANDARD, one tablet daily, and NIFECARDIA SRFC 30MG, which she is currently taking at half a...
Dr. He Dongjin Reply:
Hello, if you are trying to conceive, there should be no issues. If you are already pregnant, an obstetrician will know how to prescribe medication appropriately, so there is no need for you to worry. Changhua Hospital cares about you.[Read More] Managing Hypertension and Arrhythmia in Women Planning Pregnancy
Can Temporary Use of Concor Lead to Medication Reduction?
Is there a possibility of reducing the dosage if I temporarily increase the use of Concor? Dear Director He, 1. After diagnosis, I suspect I have symptoms of anxiety-induced hypertension. I have been taking Zanidip 10mg and Anxin 0.5mg once daily for the past two months. 2. A f...
Dr. He Dongjin Reply:
Hello, it is recommended to take Amberen 0.5 mg once daily, which can be increased to twice daily in the morning and evening. Concor 0.5 mg can be maintained, and Zanidip 10 mg can be reduced to 0.5 mg or even discontinued. Ping An Changhua Hospital cares about you.[Read More] Can Temporary Use of Concor Lead to Medication Reduction?
Understanding Rapid Pulse in Elderly with Heart and Kidney Issues
The pulse is increasingly rapid? My grandmother has hypertrophy of the heart, hypertension, diabetes, and anemia. In March of this year, she was hospitalized due to kidney failure, with her kidney function at 6.0, close to the point of needing dialysis. However, recently her bloo...
Dr. He Dongjin Reply:
Hello, if there is simply tachycardia without arrhythmia, observation should suffice. It is advisable to first check the pulse; if irregular beats are detected, it is recommended to visit a cardiology clinic for evaluation. This is because, in cases of anemia, the heart must pump...[Read More] Understanding Rapid Pulse in Elderly with Heart and Kidney Issues
How Long Can High Blood Pressure Lead to Complications?
How long does it take for hypertension to cause complications? Hello doctor, my blood pressure has been elevated for over a year, usually around 140/70-80. I am very worried that my body may have already suffered damage due to high blood pressure, as I have read online that hyper...
Dr. He Dongjin Reply:
Hello, please record your blood pressure completely and then visit the cardiology outpatient clinic to discuss it with the physician in person. Together, you can decide whether further examination or medication is necessary. Changhua Hospital cares about you.[Read More] How Long Can High Blood Pressure Lead to Complications?
Should I Start Taking Blood Pressure Medication? Understanding My Readings
Do I need to start taking medication for high blood pressure? My blood pressure readings at home are generally normal, but my diastolic pressure is slightly high, averaging around 85. However, I am concerned because sometimes after eating or finishing household chores, my reading...
Dr. He Dongjin Reply:
Hello, please do not measure your blood pressure during activities as it may not be accurate. As you mentioned, you do not have hypertension and currently do not need to take medication. Changhua Hospital is concerned about your well-being.[Read More] Should I Start Taking Blood Pressure Medication? Understanding My Readings
Why Exercise and Weight Loss Didn't Lower My Blood Pressure
I've been exercising to lose fat for a year, but my blood pressure hasn't decreased... I feel like crying? Hello, Doctor. Last year, my blood pressure was around 150 to 160 over 100 to 110. I spent a year exercising and lost 15 kilograms, bringing my weight down to 70 k...
Dr. He Dongjin Reply:
Hello, it seems that Changhua Hospital is concerned about you.[Read More] Why Exercise and Weight Loss Didn't Lower My Blood Pressure
Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey
Arrhythmia or coronary artery obstruction? I do not smoke, am not obese, and have no family history of hypertension. However, over the past two to three years, my cholesterol levels have gradually increased beyond the normal range, and my blood pressure has also slightly exceeded...
Dr. He Dongjin Reply:
Hello, 1. The scan report indicates an arterial blockage rate of less than 25%, which suggests there is likely no blockage; however, the doctor mentioned that there is still a possibility of coronary artery obstruction. While nothing is ever 100% certain, the probability of cor...[Read More] Understanding Arrhythmias vs. Coronary Artery Blockage: A Patient's Journey
Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Please consult Dr. He for guidance. Thank you? Dear Dr. He, Good day. I have been experiencing a health issue since the end of May this year, which has persisted for over two months now. I have consulted several doctors from different hospitals and specialties, but I have not fo...
Dr. He Dongjin Reply:
Hello, the symptoms you described sound like a case of autonomic nervous system dysregulation syndrome combined with some neuromuscular symptoms. You have undergone multiple cardiac evaluations, and since your blood pressure, heart rate, and oxygen levels are all normal, there sh...[Read More] Seeking Guidance on Persistent Cardiovascular Symptoms: A Patient's Journey
Managing Complications of Hypertension and Diabetes: When to Seek Emergency Care
Hypertension, diabetes, fever, and lower limb weakness? Hello, my grandmother has a long history of hypertension and diabetes, and she has been taking her medications on time. A few months ago, she experienced hypoglycemia due to her medication, but she has since switched medicat...
Dr. He Dongjin Reply:
Hello, if you have an infection, please go to the emergency room immediately. Ping An Changhua Hospital cares about you.[Read More] Managing Complications of Hypertension and Diabetes: When to Seek Emergency Care
Managing Anxiety-Induced High Blood Pressure: Symptoms and Solutions
Anxiety triggers high blood pressure? Last night, my blood pressure suddenly spiked to 170/115. I experienced a severe headache, particularly a sharp, intermittent pain at the back of my head. I took an anti-anxiety medication and went to sleep without addressing it. When I woke ...
Dr. He Dongjin Reply:
Hello, you should take medication for anxiety and headaches, as anxiety can cause high blood pressure but will not lead to brain lesions. Relax, and there's no need to monitor your blood pressure. Changhua Hospital cares about you.[Read More] Managing Anxiety-Induced High Blood Pressure: Symptoms and Solutions
Managing Fast Heartbeat and Shortness of Breath on Hypertension Medication
I am taking medication for high blood pressure, but I often experience a rapid heartbeat and shortness of breath? I have high blood pressure and a rapid heartbeat, so I went to see my family doctor who prescribed me 5 mg of Sandostatin to take once a day. I started experiencing i...
Dr. Lin Jixiong Reply:
Hello, your wheezing is caused by an increased heart rate. You may want to discuss with a cardiologist about adjusting your medication. Dr. Lin Chi-Hsiung.[Read More] Managing Fast Heartbeat and Shortness of Breath on Hypertension Medication
Understanding Rapid Heartbeat: Does It Affect Blood Pressure Levels?
Tachycardia Hello, Doctor: I have some questions regarding my symptoms of tachycardia. I have not yet seen a cardiologist, but my resting heart rate has been between 100 to 110 beats per minute. Because of my rapid heartbeat, I measure my blood pressure morning and evening, which...
Dr. He Dongjin Reply:
Hello, you should take 5 mg of Candesartan (康肯) every morning. It should help manage your blood pressure, but it should not be too low. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Does It Affect Blood Pressure Levels?