Managing Rapid Heartbeat and High Blood Pressure in Anxiety Disorders
Rapid heartbeat and hypertension? Dear Doctor, I have generalized anxiety disorder, autonomic nervous system dysregulation, and panic disorder. Over the past two years, I have experienced tachycardia (suspected to be anxiety-related), with my heart rate occasionally exceeding 200...
Dr. He Dongjin Reply:
Hello, if you do not have hypertension, there is no need to take antihypertensive medication. You can continue with your current medication. Changhua Hospital cares about you.[Read More] Managing Rapid Heartbeat and High Blood Pressure in Anxiety Disorders
Is My Blood Pressure Considered High? Understanding Hypertension Concerns
I would like to ask if this is high blood pressure? In January of this year, I visited a doctor due to neck stiffness and unexpectedly discovered that my blood pressure was around 158/80. I then underwent a series of tests (I have thalassemia) but the cardiologist did not give a ...
Dr. He Dongjin Reply:
Hello, it seems that you should just observe and make lifestyle adjustments without the need for medication. Changhua Hospital cares about you.[Read More] Is My Blood Pressure Considered High? Understanding Hypertension Concerns
Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Tachycardia Dear Dr. He, Thank you very much for your response. I would like to ask what beta-blockers are and what calcium channel blockers are. What are their pharmacological actions and effects? Can these two different classes of medications be used interchangeably for sympto...
Dr. He Dongjin Reply:
Beta-blockers have peripheral and central nervous pharmacological effects, which can slow the heart rate and decrease the contractility of the heart muscle. They are widely used in clinical practice for the treatment of hypertension, angina pectoris, arrhythmias, palpitations, an...[Read More] Understanding Beta Blockers and Calcium Channel Blockers for Fast Heartbeat
Understanding Cardiac Catheterization: Insights for Patients with Chest Pain
Cardiac catheterization? Hello Dr. Lee: I experienced chest discomfort at the end of February (not persistent). My blood pressure is relatively high, usually around 140-150. Previously, during a health check, the doctor recorded it as 177/81. Later, the doctor prescribed medicati...
Dr. Li Han Reply:
Hello Nick, based on your inquiry, you have a history of hypertension and high cholesterol, which were previously managed with medication. Both of these conditions are risk factors for cardiovascular disease. In February, you sought medical attention due to chest discomfort, and ...[Read More] Understanding Cardiac Catheterization: Insights for Patients with Chest Pain
Post-Meal Dizziness and Rapid Heartbeat: Understanding Blood Pressure Fluctuations
Feeling dizzy and bloated after meals, with elevated blood pressure and rapid heartbeat? Hello, recently I have been experiencing episodes of rapid heartbeat after meals, along with feelings of dizziness and lightheadedness. When I measured my blood pressure, it was 170/120 mmHg,...
Dr. He Dongjin Reply:
Hello, it seems that dietary stimulation is causing changes in your blood pressure and heart rate. Try not to eat too much or consume overly stimulating foods. This may be a sign of autonomic nervous system imbalance rather than hypertension. You can monitor the situation, or you...[Read More] Post-Meal Dizziness and Rapid Heartbeat: Understanding Blood Pressure Fluctuations
Understanding Dizziness in Older Adults: Heart Health Concerns
Dad suddenly feels dizzy? Hello Doctor, my father is 65 years old and has a habit of walking for exercise, walking for an hour every morning and evening. He does not have any issues with hypertension, diabetes, or hyperlipidemia, and his body type is moderately slim. After his wa...
Dr. Li Han Reply:
Hello Ms. Yen, based on your inquiry, your father generally has good health and does not have any significant cardiovascular risk factors aside from his age. However, if his heart rate is only around 50 beats per minute after walking in the evening, this is concerning. Typically,...[Read More] Understanding Dizziness in Older Adults: Heart Health Concerns
Key Questions About Heart Health and Arrhythmias: A Patient's Journey
Some questions about the heart? Hello, doctor. Before I ask my questions, I would like to thank you for your patience in reading my message. Thank you. Height: 183 cm, Weight: 101 kg (Hypertension before medication [five years ago]) -> 126 (last June) -> 118 (February) -&...
Dr. He Dongjin Reply:
1. The electrocardiogram report appears to be normal. 2. Based on the symptoms, it does not seem necessary to visit a cardiology clinic for further examination. 3. In theory, premature beats should not affect exercise; however, during the smoking cessation process, there may ...[Read More] Key Questions About Heart Health and Arrhythmias: A Patient's Journey
Managing Heart Rate and Medication for Cardiovascular Health
Heart rate issues and medication concerns? Dr. Lin, I would like to ask about my daily blood pressure readings. Usually, my diastolic pressure is around 65, but on the night of April 10th, just before bed, it was only 55. Isn't the normal range for most people between 60 and...
Dr. Lin Jixiong Reply:
Hello: During sleep at night, the heart rate can easily drop below 60 beats per minute. Patients with hypertension are prone to cardiac hypertrophy, but if they adhere to their medication regimen, there may be a chance for some reduction in size. If the heart rate is slower both ...[Read More] Managing Heart Rate and Medication for Cardiovascular Health
Understanding Shortness of Breath: Heart Health and Medication Guidance
Shortness of breath? Hello, doctor. I would like to ask you a question. On the 10th, I went out and suddenly felt very unwell, experiencing some shortness of breath. I went to the pharmacy and my blood pressure was 177. They gave me medication to lower my blood pressure, and the ...
Dr. He Dongjin Reply:
Hello, it's difficult to determine if you have hypertension based solely on your readings. You've recorded abnormal blood pressure twice, but there's no need to start medication just yet. Let's address your previous health issues first, and then check your blo...[Read More] Understanding Shortness of Breath: Heart Health and Medication Guidance
Understanding Heart Rate Issues: Managing Low Heartbeat and Hypertension
Heartbeat issues Doctor, I would like to ask about my blood pressure measurements. Usually, my readings are around 65 bpm, but on the night of March 10th, right before bed, it was only 55 bpm. Isn't the normal range for a healthy person between 60 to 100 bpm? I would like to...
Dr. He Dongjin Reply:
Hello, don't get too caught up in the numbers; the exact heart rate isn't important as long as you feel comfortable. The natural rhythm of your heartbeat is designed by God to suit your constitution. There's no need to worry about potential heart enlargement; it ma...[Read More] Understanding Heart Rate Issues: Managing Low Heartbeat and Hypertension
Understanding Blood Pressure Issues: The Role of Medication in Management
Blood pressure issues are related to medication problems? Hello, Doctor He. I have been taking hypertension medications for a long time, including 10 mg of Baken enteric-coated tablets, 5 mg of Anpress stable tablets, 160 mg of Felodipine enteric-coated tablets, and three years a...
Dr. He Dongjin Reply:
Hello, your systolic blood pressure is 113, and your diastolic pressure is around 55 to 62. It may be related to the medication. You can reduce the dosage of Amlodipine 5 mg by half and monitor your condition. Changhua Hospital is concerned about you.[Read More] Understanding Blood Pressure Issues: The Role of Medication in Management
Managing Blood Pressure: Medication Concerns and Monitoring Issues
Blood pressure issues are related to medication problems? Dr. Li, I have been taking medication for hypertension for a long time, including 10 mg of Betaloc (metoprolol) extended-release tablets, 5 mg of Amlodipine (Amlodipine besylate), 160 mg of Perindopril (Perindopril erbumin...
Dr. Li Han Reply:
Hello Mr. Tsai, based on your description, you have hypertension, dyslipidemia, and "heart disease"—which may suggest coronary artery disease given the significant proportion of anti-anginal medications in your treatment regimen. You may also be experiencing "anxie...[Read More] Managing Blood Pressure: Medication Concerns and Monitoring Issues
Understanding Left Anterior Fascicular Block: Should You Be Concerned?
Abnormal electrocardiogram (ECG) findings? The recent electrocardiogram report from your health check-up indicates left anterior fascicular block (also known as left anterior hemiblock), which has been consistent in your reports for the past two years. Is it necessary to return f...
Dr. He Dongjin Reply:
Hello, there is no need to worry. Intraventricular conduction block refers to the conduction block located below the His bundle, generally classified into left and right bundle branch blocks, as well as anterior and posterior divisions of the left bundle branch block. Clinically,...[Read More] Understanding Left Anterior Fascicular Block: Should You Be Concerned?
Understanding Rapid Heartbeat: Causes and Health Implications
Tachycardia Hello doctor, I recently had a health check-up, and the report indicated that my pulse is elevated. Sometimes, I can feel my heart beating even when I'm sitting or lying down, and my body vibrates due to the heartbeat. However, the electrocardiogram results were ...
Dr. Lin Jixiong Reply:
Hello, based on your description, this should be palpitations. If the heart rate is not too fast, it should not be a serious issue. High cholesterol and elevated blood sugar levels indicate that there has been a lack of dietary restraint. Such poor eating habits are more likely t...[Read More] Understanding Rapid Heartbeat: Causes and Health Implications
Managing Heart Conditions: Medication and Exercise Guidelines
Cardiac issues and medication concerns? Dr. Lin, I have been taking medication for hypertension for a long time, including 10 mg of Baken enteric-coated tablets, 5 mg of Anpress steady-release tablets, and 160 mg of Felodipine enteric-coated tablets. Three years ago, I added 10 m...
Dr. Lin Jixiong Reply:
Hello, the types and dosages of antihypertensive medications need to be adjusted over time. As age increases and weight also rises, it may be necessary to increase the dosage and variety of blood pressure medications. Dr. Lin Chi-Hsiung.[Read More] Managing Heart Conditions: Medication and Exercise Guidelines
Strong Heartbeats at Night: Should You Worry About Your Heart Health?
Strong heartbeat? Hello Doctor: Recently, I sometimes experience strong heartbeats while sleeping, accompanied by a warm sensation, and I feel a wave of heat flowing from my heart to the right side. After about 30 minutes, I feel the urge to have a bowel movement. There is a fami...
Dr. He Dongjin Reply:
Hello, this entire symptom should not be related to the heart, so there is no need for concern. Changhua Hospital cares about you.[Read More] Strong Heartbeats at Night: Should You Worry About Your Heart Health?
Managing Heart Health: Concerns About Multiple Medications and Side Effects
Medication-related heart issues? Dear Dr. He, I have been taking medication for hypertension, including 10 mg of Betaloc (metoprolol), 5 mg of Amlodipine, and 160 mg of Perindopril. Three years ago, I added 10 mg of Rosuvastatin to my regimen. In October of last year, I experie...
Dr. He Dongjin Reply:
Hello, these medications are all related to cardiac treatment and generally can be taken together without significant interactions. However, if you experience headaches or dizziness, it could be concerning. It's difficult to determine whether this is angina or not. I recomme...[Read More] Managing Heart Health: Concerns About Multiple Medications and Side Effects
Do Hypertensive Patients Need Anticoagulants? Understanding the Connection
What is the relationship between hypertension and anticoagulation? Is it necessary for someone with high blood pressure to take anticoagulant medications?
Dr. He Dongjin Reply:
Hello, patients with hypertension do not necessarily need to take anticoagulant medications. You can consult your attending physician to understand why you may need to take them. Changhua Hospital cares about you.[Read More] Do Hypertensive Patients Need Anticoagulants? Understanding the Connection
Understanding Long-Term Hypertension: Risks and Management Strategies
Chronic Hypertension Hello, I have had blood pressure between 130 and 150 for over ten years. In the past six months, my readings have consistently been around 130, but I occasionally experience brief episodes of dizziness, about once a month, lasting for about a week. I have con...
Dr. He Dongjin Reply:
Hello, the doctor is correct; maintaining this blood pressure is not a problem, and there is no need for concern. Changhua Hospital cares about you.[Read More] Understanding Long-Term Hypertension: Risks and Management Strategies
Managing High Blood Pressure: Understanding Medication and Side Effects at 40
Blood pressure issues I am 40 years old and have had several visits to the clinic where my blood pressure was consistently high, around 150/90. The doctor prescribed a 7-day course of antihypertensive medication (one pill per day). During my follow-up, my blood pressure was aroun...
Dr. He Dongjin Reply:
Hello, if you have hypertension, it is advisable to stop the medication and measure your blood pressure at home. Use one arm to take a reading, then wait a few minutes and take another reading. You should measure your blood pressure for at least a week and keep a record of the re...[Read More] Managing High Blood Pressure: Understanding Medication and Side Effects at 40