Understanding Pulmonary Hypertension: Treatment Options and Surgical Risks
Pulmonary hypertension Hello Doctor: My mother experiences shortness of breath and ankle swelling when climbing stairs, so she visited a medical center for evaluation. The doctor diagnosed her with pulmonary hypertension leading to cardiac hypertrophy. Her pulmonary function test...
Dr. Chen Guifeng Reply:
Hello: If pulmonary hypertension is classified as severe primary pulmonary hypertension, it is more challenging to treat. If it is associated with pulmonary fibrosis, it is also difficult to manage. Medical treatment is considered conservative, and surgical options must be carefu...[Read More] Understanding Pulmonary Hypertension: Treatment Options and Surgical Risks
Managing Sudden Blood Pressure Spikes: Key Questions Answered
Hypertension Hello, I have a history of hypertension for one year and take my medication regularly, once in the morning and once in the evening. My blood pressure is normal (105-120/65-80, heart rate 60-80). I have a chronic prescription, but recently my blood pressure has sudden...
Dr. Lin Changqi Reply:
1. Morning from 8:00 to 9:00, and in the evening between 7:00 and 8:00. 2. What are the current antihypertensive medications? Some medications are long-acting and extended-release formulations, which can maintain their effects for 1 to 2 days and do not cause a sudden increase ...[Read More] Managing Sudden Blood Pressure Spikes: Key Questions Answered
Understanding My Blood Pressure Concerns: A Journey Through Diagnosis
My hypertension issue? Last year during my physical examination, I struggled to pass the blood pressure test, but I barely managed to get through. Coincidentally, I extended my studies for another year, which led me to visit the hospital (National Defense Medical Center Songshan ...
Dr. Huang Guosheng Reply:
Blood pressure can be easily influenced by external factors such as stress, anxiety, insomnia, discomfort, smoking, and irregular lifestyle. Therefore, it is recommended to rest for ten minutes before measuring blood pressure to minimize external disturbances. If the blood pressu...[Read More] Understanding My Blood Pressure Concerns: A Journey Through Diagnosis
Understanding Ventricular Hypertrophy: Risks and Prevention Strategies
The issue of ventricular hypertrophy? Hello, I would like to ask about a health check report that shows ventricular hypertrophy. I am unsure if this could lead to heart disease or pose any health risks. How can I improve or prevent this condition? Please help me, thank you.
Dr. Huang Guosheng Reply:
Ventricular hypertrophy is a cardiac abnormality that increases the risk of arrhythmias. The causes of ventricular hypertrophy include hypertension, diabetes, aortic stenosis, genetics, and obesity. Controlling the factors that lead to ventricular hypertrophy is essential for imp...[Read More] Understanding Ventricular Hypertrophy: Risks and Prevention Strategies
Understanding CABG Surgery: Insights for Young Patients with Heart Issues
About Coronary Artery Bypass Grafting (CABG) Surgery Hello Dr. Chen, I would like to ask you some questions regarding heart issues. I apologize if I am bothering you. I am 28 years old with a cholesterol level of 240. There are no heart-related problems in my family (my mother ha...
Dr. Chen Guifeng Reply:
Coronary artery disease requires long-term medication management and dietary control. Family members should also be attentive and ensure regular health check-ups. The recurrence rate after bypass surgery can be reduced through medication and diet. If symptoms of angina occur, imm...[Read More] Understanding CABG Surgery: Insights for Young Patients with Heart Issues
Understanding Myocardial Infarction in Young Women: Causes and Recovery
About myocardial infarction? Hello Dr. Huang, I am 28 years old with a cholesterol level of 230. There is no history of heart disease in my family (my mother has hypertension controlled by medication, and my father has slightly elevated uric acid). However, I experienced a myocar...
Dr. Huang Guosheng Reply:
Hello: The recurrence of coronary artery bypass grafting (CABG) surgery is associated with graft occlusion, which can lead to symptoms of chest discomfort, particularly during physical activity, and tends to improve with rest. Postoperatively, it is important to take medications ...[Read More] Understanding Myocardial Infarction in Young Women: Causes and Recovery
Managing Mild Hypertension with Mitral Valve Prolapse: A Guide
Hypertension and Mitral Valve Prolapse Hello Dr. Chen, About five or six years ago, I sought medical attention due to chest pain, and the doctor discovered that I have mitral valve prolapse. Two years ago, during a cardiac examination at the military hospital, the doctor indicat...
Dr. Chen Guifeng Reply:
Hypertension and mitral valve prolapse are assessed based on their severity and associated complications, and the positional determination varies accordingly. The specific details must be based on the positional assessment chart. Thank you for your inquiry.[Read More] Managing Mild Hypertension with Mitral Valve Prolapse: A Guide
Understanding Moderate Tricuspid Regurgitation: Risks and Replacement Timeline
Moderate tricuspid regurgitation? Hello Doctor: I am 23 years old and was recently diagnosed with moderate tricuspid regurgitation. Clinically speaking, if I do not develop any other cardiovascular diseases in the future, what is the likelihood that I will need valve replacement?...
Dr. He Dongjin Reply:
Dear Sony, Thank you for your letter regarding moderate tricuspid regurgitation. It is often associated with changes in pulmonary artery pressure, and even pulmonary hypertension. However, if you do not have any specific symptoms, you only need to follow up with your cardiologis...[Read More] Understanding Moderate Tricuspid Regurgitation: Risks and Replacement Timeline
Understanding Pacemaker Surgery for Heart Rhythm Issues in Seniors
Cardiac arrest for 2 seconds? My mother is 72 years old, taking medication for hypertension, and her blood pressure is well controlled. She experiences shortness of breath while walking, and her heart rate ranges from 45 to 55 beats per minute, with no other discomfort. An electr...
Dr. Huang Guosheng Reply:
Hello: A pacemaker can improve symptoms caused by a fast or paused heartbeat, such as dizziness and fainting. The placement of a pacemaker is generally quite safe, with only a few cases of complications such as damage to the heart vessels, pneumothorax, or wound infection. The in...[Read More] Understanding Pacemaker Surgery for Heart Rhythm Issues in Seniors
Understanding the Link Between Hypertension, Dizziness, and Headaches
The association between hypertension and headache/dizziness? Hello, I am inquiring on behalf of my mother, who is 61 years old. With the aging process, she has developed hypertension and experiences occasional dizziness and blurred vision, especially in the evenings when she feel...
Dr. Lin Changqi Reply:
A 61-year-old patient is not considered to be in an older age group for cardiology. Based on your description, your mother may have some minor circulatory issues or occasional elevated blood pressure. Since the information provided does not include diastolic pressure or other dat...[Read More] Understanding the Link Between Hypertension, Dizziness, and Headaches
Can Viagra Cause High Blood Pressure in Patients with Adrenal Tumors?
Does taking Viagra cause high blood pressure issues? Hello Doctor: I am a patient who has undergone two surgeries for pheochromocytoma. I take one tablet each of Norvasc (5mg) and Labetalol (200mg) daily to control my blood pressure. For the past year, I have experienced erectile...
Dr. Huang Guosheng Reply:
Hello: Viagra works by dilating blood vessels, leading to increased blood flow to the penis and resulting in an erection. If used in combination with cardiac medications, it may cause a drop in blood pressure, so caution is advised. If you have erectile issues, you can visit a ur...[Read More] Can Viagra Cause High Blood Pressure in Patients with Adrenal Tumors?
Understanding Aortic Aneurysm and Atherosclerosis: Symptoms and Dietary Tips
Aortic dilation and atherosclerosis..? My mother's recent health check report indicated "aortic dilation and atherosclerosis." What does this signify? What symptoms might it present? What dietary and lifestyle considerations should be taken into account? Thank you ...
Dr. Huang Guosheng Reply:
Hello: The causes of aortic dilation and atherosclerosis include hypertension, high cholesterol, diabetes, smoking, and age. If atherosclerosis and aortic dilation are not severe, there are generally no symptoms. Aortic dilation and arteriosclerosis are phenomena of aging and can...[Read More] Understanding Aortic Aneurysm and Atherosclerosis: Symptoms and Dietary Tips
Managing Hypertension and Headaches: Insights on Adrenal Hyperplasia
Hypertension and Headaches Hello, I was diagnosed with hypertension during a hospital check-up last August. In May of this year, I was found to have mild adrenal hyperplasia. I am currently controlling it with medication, and my blood pressure has been maintained at around 105-12...
Dr. Lin Changqi Reply:
Adrenal hyperplasia may be one of the causes of hypertension. Please first evaluate the results of the blood tests and the condition of adrenal hyperplasia. Using spironolactone and bisoprolol to control blood pressure within the range of 105-120/70-80 is acceptable. Headaches (w...[Read More] Managing Hypertension and Headaches: Insights on Adrenal Hyperplasia
Understanding Hypertension: Causes, Risks, and Management for Seniors
Hypertension issues? Hello Doctor: My mother is over fifty years old and often experiences rapid heartbeat and dizziness. We took her to a clinic for examination, and upon measuring her blood pressure, we discovered it was alarmingly high, with a systolic pressure of 180 mmHg and...
Dr. Lin Changqi Reply:
There are many causes of hypertension, with approximately 90% classified as essential hypertension (of unknown origin) and the remaining 10% as secondary hypertension (such as renal, endocrine, and vascular hypertension). Due to the various causes of hypertension, initial cases r...[Read More] Understanding Hypertension: Causes, Risks, and Management for Seniors
Understanding Unexplained Heart Palpitations: Causes and Solutions
Involuntary increase in heart rate? Hello, Dr. Huang! I have noticed that for the past week, approximately every two hours, I experience a sudden increase in heart rate (85 beats per minute) along with a noticeable force of my heartbeat, lasting about 5 to 10 minutes. What could ...
Dr. Huang Guosheng Reply:
Hello: A fast heartbeat accompanied by an awareness of the heartbeat may indicate arrhythmia. Irregular eating habits or high stress levels can lead to gastrointestinal disorders. It is important to maintain regular and balanced meals and to manage stress appropriately, as this c...[Read More] Understanding Unexplained Heart Palpitations: Causes and Solutions
Understanding Myocarditis: Recovery and Heart Rate Concerns After Viral Infection
Myocarditis Hello Dr. Zhong, In mid-April of this year, I was diagnosed with acute viral myocarditis (likely caused by Coxsackie virus) and was urgently admitted to the intensive care unit. After one week of support with a venous catheter and pacemaker, my fever subsided, and m...
Dr. Zhong Yuxun Reply:
Hello Alex: Your heart rate is currently slower, which may be influenced by the cardiac medication you are taking. Whether myocarditis has affected the cardiac conduction system will depend on subsequent clinical symptoms and changes in the electrocardiogram. Generally, outpatien...[Read More] Understanding Myocarditis: Recovery and Heart Rate Concerns After Viral Infection
Can Aortic Dissection Fully Heal? Medications and Lifestyle Tips Explained
Can aortic dissection fully recover? What medications can help regenerate the vessel wall? Hello Dr. Huang: A friend was urgently hospitalized due to chest pain and diagnosed with aortic dissection. After a CT scan, the physician stated that surgery is not an option and that medi...
Dr. Huang Guosheng Reply:
Hello: The causes of aortic dissection include hypertension, infection, atherosclerosis, and connective tissue disorders. The treatment for aortic dissection primarily focuses on controlling the underlying causes and regular monitoring. Aortic dissection cannot be completely heal...[Read More] Can Aortic Dissection Fully Heal? Medications and Lifestyle Tips Explained
Understanding Sinus Rhythm and Left Ventricular Hypertrophy: Key Insights
Sinoatrial rhythm 1. The results of my physical examination indicate that I have sinus rhythm and left ventricular hypertrophy. What does this mean? 2. How serious is sinus rhythm, and what should I be aware of in my daily life? Thank you for your response, doctor.
Dr. Huang Guosheng Reply:
Hello: Sinus rhythm is a normal phenomenon, and breathing can influence the heart's rhythm, but not everyone experiences this. Left ventricular hypertrophy indicates thickening of the ventricular muscle, which can be caused by hypertension or genetic factors. It is best to c...[Read More] Understanding Sinus Rhythm and Left Ventricular Hypertrophy: Key Insights
Understanding Genetic Factors in High Blood Pressure and Management Tips
Blood pressure issues? Hello, Dr. Huang. I would like to ask if hypertension can be influenced by genetics in the next generation? My father has hypertension, and I was recently diagnosed with hypertension as well, with readings of 160/110 (variable). Are there any methods to all...
Dr. Huang Guosheng Reply:
Hello: The causes of hypertension are mostly primary (with no identifiable cause), and only a small percentage are related to genetics. Blood pressure tends to increase with age (for example, 40-50% of individuals over 60 years old may have hypertension). Additionally, blood pres...[Read More] Understanding Genetic Factors in High Blood Pressure and Management Tips
Optimal Blood Pressure Targets for Hypertensive Patients Post-Stent Placement
The standard for blood pressure control in patients with hypertension undergoing pharmacological treatment? A sixty-year-old man who has recently undergone catheterization with two vascular stents and has a history of diabetes mellitus and hypertension should aim for a blood pres...
Dr. Han Zhilu Reply:
Due to the patient's conditions of hypertension, diabetes, and coronary heart disease, the treatment goal for blood pressure remains at 120/80 mmHg.[Read More] Optimal Blood Pressure Targets for Hypertensive Patients Post-Stent Placement