Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Sudden elevation of blood pressure for unknown reasons that remains persistently high..? My father is 75 years old and did not have a habit of regularly monitoring his blood pressure. He would occasionally check it for fun, and his systolic pressure was around 120-130. However, h...
Dr. Wu Xueming Reply:
Please take your medication regularly, maintain a normal routine, engage in regular exercise, and control your salt intake. If your blood pressure remains uncontrolled, please visit the clinic for your physician to adjust your medication.[Read More] Understanding Sudden High Blood Pressure: Causes and Next Steps for Treatment
Understanding Mild Pulmonary Hypertension: Key Questions Answered
Pulmonary hypertension issues? Hello Doctor, I recently had a cardiac ultrasound report. 1. Chamber and function: No chamber dilatation. Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57.8% by M-mode. Normal LV diastolic fun...
Dr. Wu Xueming Reply:
Mild pulmonary hypertension does not require treatment and poses no life-threatening risk; regular monitoring is sufficient.[Read More] Understanding Mild Pulmonary Hypertension: Key Questions Answered
Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Chest tightness and inability to sleep? Hello, doctor. I apologize for the previous message being incomplete due to formatting issues on my phone. I would like to ask for your guidance again. Thank you. I would like to inquire about what type of heart disease my condition may fal...
Dr. He Dongjin Reply:
Hello, the coronary catheterization shows 10% blockage, which does not affect functional capacity. Overall, there seems to be no cardiac issues; it is likely related to anxiety and autonomic nervous system dysregulation. It is recommended to visit a psychosomatic medicine special...[Read More] Understanding Chest Discomfort and Sleep Issues: A Cardiovascular Perspective
Understanding Chest Pain: When to Seek Further Heart Evaluation
Suspected angina pectoris? I have already had an ultrasound, and the doctor said there were no issues, but I often wake up at night sweating cold, my feet feel cold, and I experience chest tightness and pressure. Sometimes I can't sleep all night, and I have severe palpitati...
Dr. Wu Xueming Reply:
Typical angina occurs during physical activity or heavy lifting, presenting symptoms such as chest tightness or shortness of breath. Patients often have risk factors for heart disease, such as hypertension, diabetes, and smoking. It is recommended that you visit an outpatient cli...[Read More] Understanding Chest Pain: When to Seek Further Heart Evaluation
Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Mild mitral valve prolapse + exercise electrocardiogram? Hello Doctor: My cholesterol level is 241, and my low-density lipoprotein (LDL) cholesterol is 171. I have not taken any lipid-lowering medications for five years. My father has a history of hypertension, diabetes, and hype...
Dr. Li Han Reply:
Hello, regarding your inquiry, you are experiencing chest tightness and stabbing pain; however, the exercise electrocardiogram was able to complete the fourth stage of the BRUCE protocol, showing only exercise-induced dyspnea without the aforementioned chest tightness symptoms. F...[Read More] Understanding Mitral Valve Prolapse and Its Impact on Heart Health
Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. After falling ...
Dr. He Dongjin Reply:
Hello, it doesn't seem to be a heart issue. A cardiac catheterization showed that one blood vessel is 10% blocked, which is not concerning. It may be related to cervical spine issues or autonomic nervous system problems. I recommend seeing a neurologist for further evaluatio...[Read More] Understanding Chest Discomfort and Insomnia: Heart Health Concerns
Can L-Arginine Supplements Benefit Heart Health in Hypertension Patients?
Nutritional supplementation Doctor: Hello, I have hypertension and moderate to severe mitral regurgitation (I do not feel any discomfort in daily life). In mid-October, during a cardiac catheterization, a stenosis was found, and a stent was placed. I am currently taking [Candesar...
Dr. He Dongjin Reply:
Hello, the addition of arginase as a health supplement is generally acceptable. Changhua Hospital cares about your well-being.[Read More] Can L-Arginine Supplements Benefit Heart Health in Hypertension Patients?
Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Distressing Questions Dear Dr. He, I apologize for the lengthy description below. For the past two years, I have been troubled by a significant issue: my mother experiences episodes of sudden hypertension, which makes her feel unwell. She is nearly 69 years old. In April of last...
Dr. He Dongjin Reply:
Hello, we are human and it's inevitable to feel more discomfort during seasonal transitions, especially for older individuals. Blood pressure merely reflects a person's current condition. In response to the recent instability of your aunt's autonomic nervous system...[Read More] Managing Uncontrolled Hypertension: Seeking Guidance for My Mother's Health
Does Long-Term Use of Antihypertensive Medications Affect Sexual Function?
Does Hengmai Xun Continuous Release Film-Coated Tablets affect sexual function? I have a family history of hereditary hypertension and have been on medication for about two years. I would like to inquire whether the medication I am currently using could affect my sexual function.
Dr. Cai Guiqin Reply:
We recommend that you discuss the above situation with your attending physician. Wishing you good health. Thank you![Read More] Does Long-Term Use of Antihypertensive Medications Affect Sexual Function?
Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Palpitations? Hello doctor, I have been experiencing panic anxiety and hypochondria for over a year after giving birth. About every 2-3 months, I wake up in the middle of the night after using the bathroom, and when I lie back down, I start to feel palpitations (my heart beats ve...
Dr. He Dongjin Reply:
Hello, recently my blood pressure before sleep was 120/90, which is still far from hypertension. Don't worry, Ping An Changhua Hospital cares about you.[Read More] Understanding Palpitations: Anxiety, Panic, and Heart Health After Pregnancy
Do You Need Another Heart Catheterization After Last Year's Procedure?
Do I need to undergo another cardiac catheterization this year if I had one last year? Hello Dr. Lee, I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes, along with coronary artery disease and mild arrhythmia. Recently, in the past...
Dr. Li Han Reply:
Hello, regarding your inquiry, "In the past half month, I experienced two episodes of blood pressure drops during dialysis, accompanied by symptoms such as cold sweats, vomiting, and nearly fainting. While this could be considered a common occurrence, both times my heart rat...[Read More] Do You Need Another Heart Catheterization After Last Year's Procedure?
Managing Hypertension: Effective Medications Without Sexual Side Effects
Issues with Hypertension Medications At the age of 35, my blood pressure was 170, and I started taking Amlodipine (5/160). After six months, my blood pressure did not decrease, so the cardiologist at Cathay General Hospital switched me to a combination of Amlodipine (5/160/12.5)....
Dr. Huang Yinghe Reply:
Dear Mr. Jan, Erectile function is influenced by multiple factors, and poorly controlled hypertension can lead to vascular dysfunction, resulting in erectile dysfunction. Other common causes such as testosterone deficiency, diabetes, smoking, and psychological factors can also a...[Read More] Managing Hypertension: Effective Medications Without Sexual Side Effects
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
When blood pressure drops during dialysis, resulting in a decrease in heart rate, how should it be managed? Hello, doctor. I have been a dialysis patient for over a year and have hypertension, diabetes, and coronary artery disease, along with mild arrhythmia. Last year, I underwe...
Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you![Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide
Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
During dialysis, when blood pressure drops, the heart rate also decreases? Hello, Doctor. I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and coronary artery disease, along with mild arrhythmia. Last year, I underwent a cardiac catheterizatio...
Dr. Wu Xueming Reply:
A left ventricular systolic power of over 60% in a cardiac ultrasound is considered normal and should not be a cause for concern. Regarding the heart rate issue, the 24-hour Holter monitor in October did not show any signs of bradycardia.[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern
Understanding Your Echocardiogram: Mitral Valve Prolapse and Heart Health
I would like to ask the doctor about my ultrasound report. Is my mitral valve prolapse severe or mild? Additionally, do I have any regurgitation in my heart, and what should I pay attention to? Thank you? I understand your concerns regarding the echocardiogram report. Here are so...
Dr. Wu Xueming Reply:
According to your report, a follow-up can be conducted after one year to monitor the condition.[Read More] Understanding Your Echocardiogram: Mitral Valve Prolapse and Heart Health
Understanding Slow Heartbeat and Discomfort: When to Seek Cardiology Care
Recently, I have been feeling discomfort in my heart, accompanied by a slower heartbeat? Hello Doctor, I have hyperthyroidism (my levels are normal after medication and I have stopped taking it under the doctor's advice) and hypertension. I am currently taking 80 mg of Amlod...
Dr. He Dongjin Reply:
Hello, it is recommended to visit the cardiology outpatient clinic for further examination. Pingan Changhua Hospital cares about you.[Read More] Understanding Slow Heartbeat and Discomfort: When to Seek Cardiology Care
Can I Reduce or Stop Hypertension Medication After Years of Control?
Issues with hypertension medication, specifically regarding dose reduction? Hello, Doctor. I would like to ask about the issue of reducing medication for high blood pressure. I have been taking antihypertensive medication for several decades, but in recent years, with dietary con...
Dr. He Dongjin Reply:
Hello, you may want to reduce the dosage to half and monitor your condition. Changhua Hospital cares about you.[Read More] Can I Reduce or Stop Hypertension Medication After Years of Control?
Managing Drug Interactions: Norvasc and Other Medications
Issues with Concurrent Use of Antihypertensive Medications and Other Specialty Drugs Hello, Doctor. I am currently taking Norvasc 5mg (Amlodipine) for hypertension, one tablet daily. Recently, I consulted an ENT specialist for tinnitus treatment, and the doctor prescribed the fol...
Dr. Wu Xueming Reply:
Can be used in combination.[Read More] Managing Drug Interactions: Norvasc and Other Medications
Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
The estimated systolic pulmonary artery pressure is 34 mmHg. Should this be monitored? Hello Doctor, I visited the cardiology department last year due to chest tightness and palpitations. The examination report at that time is as follows, and I would like to know if I should retu...
Dr. Li Shengkai Reply:
According to the definition, pulmonary hypertension is indicated when the pulmonary artery pressure exceeds 25 mmHg at rest or 30 mmHg during exercise. Based on your echocardiogram report, the result was 34 mmHg, which should be monitored further. Additionally, the report mention...[Read More] Should You Monitor Estimated Systolic Pulmonary Artery Pressure of 34 mmHg?
Understanding Blood Pressure Changes During Cold Weather: A Cardiovascular Perspective
The phenomenon of lower blood pressure during cold waves? Hello, Doctor. I would like to ask a question. I previously underwent a cardiac examination and was diagnosed with arrhythmia and mild hypertension, so I have been taking antiarrhythmic medication for a few months. During ...
Dr. Wu Xueming Reply:
Your blood pressure is still within the normal range, so there is no need to worry.[Read More] Understanding Blood Pressure Changes During Cold Weather: A Cardiovascular Perspective