Understanding Malignant Hypertension and Its Relation to Heart Disease
Hypertensive heart disease Hello Director He, first of all, thank you very much for your previous responses to my questions. Today, I would like to add another question for your guidance. From some medical information I have read, malignant hypertension is defined as a diastolic ...
Dr. He Dongjin Reply:
Hello, the situation you mentioned is more related to an emergency and differs from this diagnostic condition. Changhua Hospital is concerned about you.[Read More] Understanding Malignant Hypertension and Its Relation to Heart Disease
Understanding Malignant Hypertensive Heart Disease: Risks and Treatment Insights
Hypertensive heart disease Hello, Director He. My mother is 64 years old. In early March 2014, she was hospitalized for about 15 days due to a mild stroke caused by atrial fibrillation. She has been recovering well since her discharge (able to live and walk independently). Recent...
Dr. He Dongjin Reply:
Hello, this is just a diagnosis and may not necessarily reflect your mother's actual condition. Please take your mother to the outpatient clinic when you have time, where the physician can explain her condition more clearly. Based on what you mentioned, the most important me...[Read More] Understanding Malignant Hypertensive Heart Disease: Risks and Treatment Insights
Managing Blood Pressure: Key Questions for Heart Health and Lifestyle Changes
Please ask your questions about blood pressure? Hello Doctor, I have previously consulted you about several issues regarding blood pressure management, and I have a few more questions to ask. You mentioned before that most people's blood pressure is caused by lifestyle and o...
Dr. He Dongjin Reply:
Hello, I suggest that you temporarily refrain from measuring your blood pressure. Focus on maintaining a normal routine with exercise and diet, and consider measuring it again after spring next year. Being overly concerned about this number can lead to anxiety. It's importan...[Read More] Managing Blood Pressure: Key Questions for Heart Health and Lifestyle Changes
Understanding Blood Pressure Readings: Home vs. Hospital Accuracy
Accuracy of Blood Pressure Monitors I would like to ask about the blood pressure readings I obtained at the hospital using an electronic blood pressure monitor, which were consistently high, around 130/80. Once, a doctor measured it with a mercury sphygmomanometer, and it was app...
Dr. He Dongjin Reply:
Hello, the blood pressure readings you provided are all normal, so there is no need to worry about hypertension. Blood pressure measured in a hospital or clinic is generally higher than that measured at home, which is commonly referred to as "white coat syndrome." There...[Read More] Understanding Blood Pressure Readings: Home vs. Hospital Accuracy
Managing Young Hypertension: Risks and Long-Term Medication Effects
Please ask your question about blood pressure again? Hello, doctor. I would like to ask you again. Since I am so young and already showing symptoms of hypertension, will this make it easier for me to develop complications or diseases in middle or old age? Or as long as I take my ...
Dr. He Dongjin Reply:
Hello, as long as you take your medication on time, exercise regularly, and keep your blood pressure under control, you will not develop high blood pressure at such a young age, which could increase the risk of complications later on. Additionally, taking blood pressure medicatio...[Read More] Managing Young Hypertension: Risks and Long-Term Medication Effects
Understanding Left Ventricular Hypertrophy: Causes and Concerns for Young Adults
Left ventricular hypertrophy During my military service health examination, my electrocardiogram (ECG) showed abnormalities, while the chest X-ray was normal. The ECG indicated a low atrial rhythm, which led to a follow-up examination. It was found that I have left ventricular hy...
Dr. He Dongjin Reply:
Hello, if you are concerned, you should follow up with a cardiology clinic. Basically, the blood pressure values you mentioned are not indicative of hypertension. Whether there is left ventricular hypertrophy may require further examination to determine. The sharp pain you are ex...[Read More] Understanding Left Ventricular Hypertrophy: Causes and Concerns for Young Adults
Impact of Different Brands of Hypertension Medications on Blood Pressure Control
Different brands Can antihypertensive medications affect blood pressure control due to different brands? My mother experienced a nosebleed and had to call an ambulance to go to the emergency room. The emergency physician needed to determine the cause, and she was eventually refer...
Dr. He Dongjin Reply:
Hello, different brands may have varying efficacy; for example, two cars with the same 2000cc engine, like Nissan and Toyota, may perform differently, but they should be relatively similar. Regarding at what age men might develop high blood pressure, there is no standardized answ...[Read More] Impact of Different Brands of Hypertension Medications on Blood Pressure Control
Understanding Pseudohypertension: Risks and Long-Term Effects
Pseudohypertension Hello, doctor. I would like to ask if pseudohypertension caused by emotional stress, muscle tension, and autonomic nervous system activation can cause damage to the body's organs and blood vessels? If pseudohypertension frequently occurs, can it turn into ...
Dr. He Dongjin Reply:
Hello, please don't worry as it will not affect your internal organs. Changhua Hospital cares about you.[Read More] Understanding Pseudohypertension: Risks and Long-Term Effects
Understanding Reflex Hypertension: Causes and the Role of Pain
Reflex hypertension Reflex hypertension is caused by a variety of pathological mechanisms, primarily involving the autonomic nervous system's response to stimuli. It can occur due to conditions such as renal artery stenosis, pheochromocytoma, or other forms of sympathetic ne...
Dr. He Dongjin Reply:
Hello, basically any discomfort in the body can trigger autonomic nervous system excitation, which in turn stimulates unstable blood pressure and causes reflex hypertension. This is not the same as having hypertension as a disease, so there is no need to be overly anxious. Changh...[Read More] Understanding Reflex Hypertension: Causes and the Role of Pain
How Stress and Muscle Tension Contribute to High Blood Pressure
Blood Pressure and Emotions 2 Hello, doctor. I read online that emotional stress and muscle tension can lead to elevated blood pressure. I'm curious if chronic mental stress and muscle tension can cause long-term increases in blood pressure, potentially damaging blood vessel...
Dr. He Dongjin Reply:
Hello, emotional tension and muscle tightness can lead to elevated blood pressure. However, this does not necessarily indicate hypertension as a medical condition. Often, mental stress and muscle tension can stimulate the autonomic nervous system, resulting in increased blood pre...[Read More] How Stress and Muscle Tension Contribute to High Blood Pressure
Can Stress and Tension Elevate Blood Pressure in Healthy Individuals?
Blood Pressure and Emotions Doctor, does emotional stress or muscle tension in individuals without hypertension lead to a significant increase in blood pressure? Could this further develop into hypertension?
Dr. He Dongjin Reply:
Hello, for individuals without hypertension, emotional stress or muscle tension can lead to a significant increase in blood pressure due to sympathetic nervous system activation. However, this does not progress to hypertension. Changhua Hospital cares about your well-being.[Read More] Can Stress and Tension Elevate Blood Pressure in Healthy Individuals?
Understanding Pain-Induced Hypertension: Risks and Treatment Options
Pain-induced hypertension? Is the hypertension caused by pain merely reflexive? If the pain persists for several hours, should hypertension be treated? Could it lead to severe conditions? It has been reported that there have been cases of significantly elevated blood pressure res...
Dr. He Dongjin Reply:
Hello, pain-induced hypertension is merely reflexive. Even if the pain persists for several hours, there is no need for special treatment for hypertension; the focus should be on addressing the source of discomfort. It will not lead to serious conditions, and elevated blood press...[Read More] Understanding Pain-Induced Hypertension: Risks and Treatment Options
Does Muscle Tension Contribute to Long-Term High Blood Pressure?
Blood Pressure and Muscle Tension Hello doctor, I would like to ask if long-term muscle tension can lead to high blood pressure? Is the increase in blood pressure caused by muscle tension temporary or will it persist? Thank you, doctor.
Dr. Lin Jixiong Reply:
Hello: Muscle tension can potentially lead to elevated blood pressure, but it is generally expected to be temporary. However, if muscle tension persists over a long period, it may cause prolonged high pressure on the blood vessels, resulting in a sustained condition of hypertensi...[Read More] Does Muscle Tension Contribute to Long-Term High Blood Pressure?
Understanding Occasional Heart Palpitations: Causes and Concerns
Occasionally, I feel a pause in my heartbeat? Hello, I am currently 23 years old. Last year, during my military service health examination, I was found to have blood pressure issues. I have since sought medical attention for my heart and hypertension problems and am currently tak...
Dr. Lin Jixiong Reply:
Based on the described content, it is possible that you are experiencing ventricular premature contractions (VPCs). Currently, the medication you are taking may alleviate these symptoms; however, it is important to pay attention to your diet by avoiding beverages high in caffeine...[Read More] Understanding Occasional Heart Palpitations: Causes and Concerns
Managing High Blood Pressure: Questions About Medication and Lifestyle Changes
Inquiry about antihypertensive medications? Hello Doctor, I would like to ask you some questions. After switching to a different blood pressure medication (originally taking a beta-blocker, now switched to a calcium channel blocker, with similar dosages), my blood pressure has be...
Dr. He Dongjin Reply:
Hello, young individuals with hypertension often experience this condition due to overactivity of the autonomic nervous system. Therefore, taking a beta-blocker may yield better results, while other types of medications may be less effective. It is recommended to switch back to a...[Read More] Managing High Blood Pressure: Questions About Medication and Lifestyle Changes
Understanding Heart Damage: Insights on Myocardial Health and Concerns
The heart is damaged? I have been on medication for hypertension for about three years. Recently, I discovered mild symptoms of metabolic syndrome, and I experience chest tightness when running or hiking. A cardiology evaluation including an EKG and a myocardial perfusion scan wa...
Dr. Lin Jixiong Reply:
Hello, based on the report, there may be narrowing or blockage in the coronary arteries. It is recommended that you discuss with your cardiologist whether to arrange for a cardiac catheterization to confirm the condition. Sincerely, Dr. Lin Chi-Hsiung, Taoyuan General Hospital, M...[Read More] Understanding Heart Damage: Insights on Myocardial Health and Concerns
Understanding the Impact of Autonomic Nervous System Disorders on Heart Health
Diseases caused by autonomic nervous system dysfunction? Doctor, I’m sorry to bother you again. I would like to ask if the high blood pressure, high cholesterol, and palpitations caused by autonomic nervous system dysfunction really have no relation? Do they have no impact on the...
Dr. He Dongjin Reply:
Hello, first of all, palpitations are not a disease and will not damage the heart. Secondly, autonomic nervous system dysregulation does not cause excessive cholesterol elevation that would lead to vascular obstruction. Hypertension is a medical condition, but having one high blo...[Read More] Understanding the Impact of Autonomic Nervous System Disorders on Heart Health
Understanding Head Pressure, Heart Palpitations, and Cholesterol Issues
Headache, palpitations, high cholesterol, elevated blood pressure, low white blood cell count? Hello Doctor, I would like to ask you a few questions: 1. I feel a constant pressure in my head throughout the day, and I can feel my heartbeat, which causes pain that seems to pulse w...
Dr. He Dongjin Reply:
Hello, high cholesterol is not necessarily a bad thing. It can be categorized into so-called "good" cholesterol and "bad" cholesterol, as well as low-density lipoprotein (LDL). It is advisable to go to the hospital for further analysis; you can consult with a ...[Read More] Understanding Head Pressure, Heart Palpitations, and Cholesterol Issues
Is There a Link Between Essential Hypertension and Car Accidents?
Is the occurrence of hypertension related to car accidents? (Forwarded from the Minister's mailbox) The other party involved in the car accident has a disability certificate (the specific condition is unknown) and presented a medical certificate stating "essential hyper...
Dr. Lin Jixiong Reply:
Hello: If there is unstable blood pressure after a car accident, it may be due to shock, leading to emotional distress and blood pressure instability. Essential hypertension refers to primary hypertension that is not caused by secondary factors such as adrenal tumors or renal art...[Read More] Is There a Link Between Essential Hypertension and Car Accidents?
Understanding Hypertension: Genetic Factors and Medication Management
Questions about blood pressure? Hello Doctor, I would like to describe my situation: I have been taking antihypertensive medication for the past four years due to obesity and retinal hemorrhage that affected my vision. My doctor advised me to start medication for control, so I ha...
Dr. He Dongjin Reply:
Hello, while genetics can be difficult to discuss, factors such as previous obesity, academic pressure, and an excessive focus on numbers can contribute to your condition. The latter can be particularly distracting. It is more effective to focus on overall well-being rather than ...[Read More] Understanding Hypertension: Genetic Factors and Medication Management