Understanding Hypertension in Young Adults: Causes and Solutions
Hypertension in Young Adults Hello, I have been measuring my blood pressure for the past three months, and my systolic blood pressure is around 140-147. I am 168 cm tall and weigh 54 kg, which is considered a slim build. I used to smoke but have quit for four months after an 8-ye...
Dr. Han Zhilu Reply:
Smoking can cause vasoconstriction and elevated blood pressure, as well as accelerate atherosclerosis. Therefore, quitting smoking is likely to lower blood pressure and reduce vascular damage. Additionally, adopting a lifestyle that includes a low-sodium diet, moderation in alcoh...[Read More] Understanding Hypertension in Young Adults: Causes and Solutions
Does Fever Cause High Blood Pressure? Understanding the Connection
Can a fever cause an increase in blood pressure? Can a fever cause an increase in blood pressure? My mother has a history of hypertension, which is usually well-controlled. However, during her hospitalization for a urinary tract infection, her blood pressure rose to 165/85. Does ...
Dr. Zheng Shumeng Reply:
Blood pressure is inherently dynamic and can change based on various physical conditions. Factors such as body pain, discomfort, mental stress, emotional agitation, environmental changes, lack of sleep, and climate variations can all lead to an increase in blood pressure. Therefo...[Read More] Does Fever Cause High Blood Pressure? Understanding the Connection
Managing Heart Pain: Tips for High Blood Pressure and Arrhythmia
The heart is in pain..? Doctor, my mother is 50 years old and has high blood pressure and arrhythmia. Recently, she has been experiencing chest pain that radiates to her left shoulder. The nearby hospital only has outpatient services available on Tuesday. What should I do to alle...
Dr. Zheng Shumeng Reply:
There are many causes of chest pain, including heart disease, gastrointestinal disorders, neuromuscular inflammation, and lung diseases, among others. If a 50-year-old mother with hypertension experiences persistent chest pain, the primary concern should be heart disease, which i...[Read More] Managing Heart Pain: Tips for High Blood Pressure and Arrhythmia
Understanding Heart Rate and Blood Pressure: What You Need to Know
Heart rate and blood pressure? Hello, Doctor Bu: I would like to ask you about my health check-up results. During the examination, my heart rate was measured at less than 60 beats per minute, around 50. I do exercise regularly, but not at the level of a professional athlete who t...
Dr. Bu Shiyun Reply:
Individuals who engage in regular exercise tend to have better cardiovascular endurance and a lower resting heart rate, which is a normal result of physical training. A systolic blood pressure of 150 is considered elevated; however, it is important to measure blood pressure multi...[Read More] Understanding Heart Rate and Blood Pressure: What You Need to Know
Understanding the Risks and Treatment Options for Extra Heart Vessels in Children
An additional blood vessel in the heart (Part 2) Hello Dr. Liu, it's me again. Thank you for your response. I have confirmed the symptoms. The doctor pointed out during the ultrasound that there is an additional blood vessel connected to the lung. I would like to ask: 1. B...
Dr. Liu Duying Reply:
Hello Mr. Jerry: First of all, I still recommend that you consult directly with the attending physician or seek a second opinion from a pediatric cardiologist. Secondly, "the ultrasound shows an additional vessel connected to the lung," which may suggest a patent ductus...[Read More] Understanding the Risks and Treatment Options for Extra Heart Vessels in Children
Understanding Autonomic Nervous System and Its Impact on Blood Pressure
Autonomic Nervous System and Hypertension The doctor mentioned that I have issues with autonomic nervous system dysregulation, and my blood pressure often fluctuates between normal and high (normal readings are 128-140/85-95, while high readings can reach 150-165/95-115). Is this...
Dr. Bu Shiyun Reply:
Autonomic nervous system dysfunction can indeed affect blood pressure stability. If you are currently preparing for pregnancy, given your blood pressure situation, you may not need medication for treatment. However, it is important to monitor your blood pressure closely. Engaging...[Read More] Understanding Autonomic Nervous System and Its Impact on Blood Pressure
Understanding High Diastolic Blood Pressure: Causes and Treatment Options
Elevated diastolic blood pressure? My blood pressure upon waking is between 146-155 mmHg systolic and 95-110 mmHg diastolic. Once or twice a week, my blood pressure suddenly spikes to 155-165/100-110 mmHg, sometimes before bed, sometimes in the middle of the night, and sometimes ...
Dr. Bu Shiyun Reply:
Elevated diastolic blood pressure is a common phenomenon in middle-aged individuals, and your current blood pressure status indicates stage 1 (mild) hypertension. Medication can provide better control, but it is also important to make adjustments in lifestyle, diet, exercise, and...[Read More] Understanding High Diastolic Blood Pressure: Causes and Treatment Options
Understanding Hypertension: When to Seek Treatment and Medication Options
Hypertension Hello: The general definition of hypertension is a systolic blood pressure of 140 mmHg or higher and/or a diastolic blood pressure of 90 mmHg or higher. Some doctors define hypertension as a systolic blood pressure of 160 mmHg or higher and/or a diastolic blood press...
Dr. Lin Jixiong Reply:
Hello: The medication you are currently taking is a type of beta-blocker, and the previously used medications, Concor and Inderal, are also beta-blockers. For pregnant women, among various cardiovascular medications, the selection of beta-blockers is relatively safe. Sincerely, D...[Read More] Understanding Hypertension: When to Seek Treatment and Medication Options
Understanding Swollen and Painful Big Toe: Is it a Heart Issue?
What disease is this? I would like to inquire about my father's condition. He mentioned that his left big toe is swollen and experiences sharp pain (even while walking). Soaking it in hot water has not alleviated the swelling (currently, it only hurts when swollen, and this ...
Dr. He Dongjin Reply:
Dear Yuki, based on your description, it doesn't seem to be a cardiovascular disease. It could possibly be gout, but a definitive diagnosis requires an in-person examination. Hypertension is diagnosed through blood pressure measurement and is not directly related to the toes...[Read More] Understanding Swollen and Painful Big Toe: Is it a Heart Issue?
Understanding Severe Palpitations: When to Seek Medical Attention
Severe palpitations Hello Dr. Lin, I have been monitoring my hypertension for nearly 10 years, with readings ranging from 120-139/80-90 to the current 105-155/65-100. My blood pressure is unstable; it tends to be lower during good weather and higher during cold fronts. I have bee...
Dr. Lin Changqi Reply:
Patients with early contractions may experience arrhythmias and should seek assistance from a cardiologist as soon as possible. If they feel unwell, it is advisable to go to the hospital, as an electrocardiogram during an episode can be very helpful.[Read More] Understanding Severe Palpitations: When to Seek Medical Attention
Post-PCI Hypertension: Causes, Diagnosis, and Management Insights
Hypertension discovered after cardiac catheterization? Hello Doctor: Thank you for your previous helpful responses. My father underwent PCI (PTCA & PTCS) six months ago due to an acute myocardial infarction (AMI). In the first two to three months, he occasionally experienced ...
Dr. He Dongjin Reply:
Dear Jiun, generally, undergoing cardiac catheterization does not cause high blood pressure. There are many reasons for high blood pressure. To put it simply, this winter has been colder, and blood pressure tends to be higher than usual; this is a common situation recently. Alcoh...[Read More] Post-PCI Hypertension: Causes, Diagnosis, and Management Insights
Rapid Heartbeat and Weakness: Understanding Possible Causes and Next Steps
Rapid heartbeat accompanied by limb weakness? Hello, doctor. I would like to ask about my mother's condition. She is 50 years old and has recently experienced sudden weakness in her limbs, mild dizziness, rapid heartbeat, and slight tremors in her hands. She visited a nearby...
Dr. Bu Shiyun Reply:
Hello: A 50-year-old woman may be experiencing menopausal symptoms. If she has a history of chronic conditions such as hypertension or diabetes, she should consider visiting a cardiologist. If there is no significant medical history, she can start with an electrocardiogram and bl...[Read More] Rapid Heartbeat and Weakness: Understanding Possible Causes and Next Steps
Understanding the Link Between Heart Enlargement and Myocardial Infarction
Cardiomegaly Hello, Doctor: My father had a health check-up two years ago, and the results indicated "cardiac hypertrophy." My grandfather's brothers both passed away due to myocardial infarction (MI), and my grandfather is currently on medication for cardiovascula...
Dr. Bu Shiyun Reply:
Hello: For older individuals undergoing a health check-up, using a chest X-ray to assess for cardiomegaly may only serve as a reference. Therefore, a more accurate evaluation of heart size and function can be achieved through echocardiography. If hypertension is present, long-ter...[Read More] Understanding the Link Between Heart Enlargement and Myocardial Infarction
Understanding Cardiac Conditions: A Guide to Hypertrophy and Valve Issues
Thickening of the interventricular septum, mild mitral and tricuspid regurgitation, and pulmonary valve insufficiency? Hello Dr. Bu: Recently, my father underwent a health check-up, and the results showed that, in addition to elevated uric acid and cholesterol levels (he has a hi...
Dr. Bu Shiyun Reply:
Hello: Interventricular septal hypertrophy is usually a result of long-term hypertension leading to ventricular hypertrophy. However, hypertrophic cardiomyopathy can also cause significant interventricular septal hypertrophy. Additionally, if there is mild valvular insufficiency,...[Read More] Understanding Cardiac Conditions: A Guide to Hypertrophy and Valve Issues
Post-Cardiac Catheterization Complications: Understanding Risks and Symptoms
Post-catheterization complications? Hello Doctor: My father underwent coronary stenting and balloon angioplasty in mid-August this year due to an acute myocardial infarction. He has been taking his medications on schedule and attending regular follow-up appointments. However, he ...
Dr. He Dongjin Reply:
Dear Jiun, The prognosis after acute myocardial infarction (AMI) surgery differs from that after surgery for simple angina. AMI involves myocardial necrosis, and factors such as which artery is occluded, the location of the infarction, the time taken to receive medical attention...[Read More] Post-Cardiac Catheterization Complications: Understanding Risks and Symptoms
Understanding Mild Heart Conditions: Managing Symptoms Without Medication
The symptoms of heart disease are becoming increasingly severe? Hello, Doctor. I was recently diagnosed with mitral valve prolapse with mild mitral regurgitation, mild aortic regurgitation, mild tricuspid regurgitation, and probable pulmonary hypertension. The doctor prescribed I...
Dr. Zhuang Junbin Reply:
Hello Coeur, 1. If you experience any reactions due to side effects from other medications after taking your prescribed drugs, you can return for a follow-up consultation with your physician. Based on the symptoms reported by the patient, the current treatment with Inderal (10 m...[Read More] Understanding Mild Heart Conditions: Managing Symptoms Without Medication
Understanding Heart Hypertrophy: Causes, Dietary Tips, and Complications
Cardiomegaly What are the causes of cardiac hypertrophy? What dietary considerations should be taken into account? Can it lead to other health complications?
Dr. Zhuang Junbin Reply:
Hello: Common causes of cardiac hypertrophy include hypertension, hypertrophic cardiomyopathy, valvular heart disease, and athlete's heart. Among these, hypertension is the most prevalent and should be managed with regular antihypertensive medication and follow-up visits to ...[Read More] Understanding Heart Hypertrophy: Causes, Dietary Tips, and Complications
Understanding Ventricular Septal Defect: Risks, Surgery, and Recovery
Ventricular septal defect (VSD) Individuals with a ventricular septal defect (VSD) who do not undergo surgical repair may experience progressive deterioration of their heart function over time. This can lead to complications such as heart failure, pulmonary hypertension, and arrh...
Dr. He Dongjin Reply:
Small ventricular septal defects (VSDs) do not necessarily require surgery. Regular check-ups are essential to assess the pressure gradient between the two sides; if the pressure difference decreases or if the blood flow velocities on both sides become comparable, surgical interv...[Read More] Understanding Ventricular Septal Defect: Risks, Surgery, and Recovery
Can Cozaar Be Safely Combined with Concor for Hypertension?
Can Cozaar be used in combination with Concor? I am a patient with hypertension and I am currently taking Cozaar, but my blood pressure is not decreasing. Can I combine it with Concor? If so, how should I take it? Thank you!
Dr. Huang Guosheng Reply:
Hello: In addition to medication, controlling hypertension also involves diet (low salt, low oil, and increased consumption of vegetables and fruits), exercise (at least three times a week, with each session lasting more than 30 minutes), and smoking cessation. If dietary and exe...[Read More] Can Cozaar Be Safely Combined with Concor for Hypertension?
Understanding Left Ventricular Hypertrophy: Risks and Complications
Ventricular hypertrophy Hello Doctor: I would like to ask if "ventricular hypertrophy" can lead to any complications in the future. My brother was diagnosed with left ventricular hypertrophy during a health check-up three years ago, and now the insurance company is sayi...
Dr. He Dongjin Reply:
Dear, left ventricular hypertrophy is often a complication primarily caused by hypertension. The hypertrophy itself typically does not influence the occurrence of future complications. Three years ago, during a health check-up, left ventricular hypertrophy was detected. Is he ove...[Read More] Understanding Left Ventricular Hypertrophy: Risks and Complications