Understanding Blood Pressure Variations: Morning vs. Evening Readings
Which measurement is used as the standard for blood pressure? Hello Doctor, I have hypertension and am currently on medication. I take "Olmetec 20mg" once a day. My blood pressure in the morning right after I wake up tends to be quite high, around 160-170 mmHg systolic....
Dr. He Dongjin Reply:
Hello, please do not measure your blood pressure immediately upon waking. It is better to measure it after you have gotten up and engaged in some activity, and before taking your medication. This will help you understand the differences. According to your previous measurements, t...[Read More] Understanding Blood Pressure Variations: Morning vs. Evening Readings
Understanding Echocardiogram Results: Heart Function and Progress Assessment
Echocardiogram Here are the translated reports: **Report 1:** 1. **Chamber and Function** - Left Atrium (LA), Right Atrium (RA), Left Ventricle (LV) dilatation - Adequate global LV systolic function, LVEF = 57.6% by M-mode - Normal LA (LV filling) pressure, average E/e’...
Dr. Wu Xueming Reply:
The left atrial enlargement has improved compared to last year.[Read More] Understanding Echocardiogram Results: Heart Function and Progress Assessment
Understanding Echocardiogram Reports: Key Insights for Cardiovascular Health
Echocardiogram Interpretation 1. Chamber and Function - Left Atrium (LA), Right Atrium (RA), Left Ventricle (LV) dilatation - Eccentric Left Ventricular Hypertrophy (LVH) - Adequate global Left Ventricular (LV) systolic function, LV Ejection Fraction (LVEF) = 67% by M-mode ...
Dr. Li Shengkai Reply:
According to the echocardiogram report you provided: left atrial and right atrial enlargement, left ventricular chamber enlargement, left ventricular hypertrophy, normal cardiac systolic function, abnormal cardiac diastolic function, normal right ventricular function, acceptable ...[Read More] Understanding Echocardiogram Reports: Key Insights for Cardiovascular Health
Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Echocardiogram AO (mm) = 27. LA (mm) = 32 [Left Ventricle] IVS (mm) = 8 PW (mm) = 8 EDD (mm) = 51 ESD (mm) = 35 EDV (ml) = 125 ESV (ml) = 52 LV mass (mg) = 143 LVEF: by M-mode measurement: 58% by 2D Simpson measurement: 56% (LVEDV/LVESV (ml) = 75/33) IV Wall motion: Normal wall m...
Dr. He Dongjin Reply:
Hello, this score is the same as a normal person's, so don't worry. The heartbeat sound is measuring blood flow. There are no issues regarding the risk factors for cardiomyopathy? I don't know about this; perhaps if you give me the English terms, I would understand...[Read More] Understanding Echocardiogram Results: Key Insights for Expecting Mothers
Managing Hypertension: Medication Interactions and Fish Oil Safety
Issues with Hypertension Medications Hello Doctor: I am 173 cm tall and weigh 95 kg. I currently have high blood pressure and am taking the following medications: 1. Lercanidipine 10 mg 2. Amlodipine 40 mg 3. Nebivolol 5 mg. Are there any contraindications with these antihyperten...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Hypertension: Medication Interactions and Fish Oil Safety
Managing Hypertension Medications: A Case Study and Concerns
Issues with Hypertension Medications Hello Doctor, a 42-year-old female patient was originally taking Amlodipine 40 mg, with a blood pressure of 120/90. She switched to Shumai Kang 5/20 mg, but experienced dizziness and discomfort after taking one tablet, with blood pressure read...
Dr. He Dongjin Reply:
Hello, can I switch to only taking Maiyou 5 and my blood pressure medication? It should not be related to my missed period; I will consult a gynecologist. Best wishes from Changhua Hospital.[Read More] Managing Hypertension Medications: A Case Study and Concerns
Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Does Wolff-Parkinson-White (WPW) syndrome require catheter ablation (can one fly)? Hello, Director He. I would like to consult you regarding issues related to WPW syndrome. First, please review my examination results below: 1. I have undergone two 24-hour Holter ECGs (the first ...
Dr. He Dongjin Reply:
Hello, the echocardiogram and exercise electrocardiogram both appear normal. An inconclusive result means there is nothing wrong. It is normal for blood pressure to increase during exercise. In the case of Wolff-Parkinson-White (WPW) syndrome, ablation is recommended unless you n...[Read More] Do You Need Ablation for WPW Syndrome? Can You Fly Safely?
Understanding Postural Hypotension: Symptoms and Concerns Explained
Orthostatic hypotension It is suspected that the individual may be experiencing orthostatic hypotension. While bending down to pick something up, they noticed sensations resembling retrograde blood flow to the nasal cavity. Currently, there is no obstruction in breathing, but the...
Dr. Li Shengkai Reply:
The use of antihypertensive medications, aging leading to impaired vascular regulation, or dehydration can all contribute to "orthostatic hypotension." This condition can be improved by adjusting medications or by slowing down the rate of position changes. Orthostatic h...[Read More] Understanding Postural Hypotension: Symptoms and Concerns Explained
Understanding Suspected Left Ventricular Hypertrophy in ECG Results
Electrocardiogram suggestive of left ventricular hypertrophy? Hello Doctor: I had an electrocardiogram during my health check-up, which indicated "suspected left ventricular hypertrophy." However, I do not have any symptoms or discomfort, nor do I have high blood pressu...
Dr. He Dongjin Reply:
Hello, Changhua Hospital is concerned about your well-being.[Read More] Understanding Suspected Left Ventricular Hypertrophy in ECG Results
Understanding Echocardiogram Results: Key Insights for Heart Health
Could you please have Dr. He take a look at these two echocardiogram reports? Echocardiogram (including both 2D and Doppler) Result: < Interpretations and summary > #Dilated left atrial (LA) size and normal left ventricular (LV) size #Good LV contractility #Moderate mitral ...
Dr. He Dongjin Reply:
Hello, it would be best to discuss any discomfort you may have along with the examination reports. Initially, everything seems to be fine. I recommend discussing this with your attending physician during your outpatient visit. Changhua Hospital cares about your well-being.[Read More] Understanding Echocardiogram Results: Key Insights for Heart Health
Understanding the Link Between Coughing and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. I am a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia. I do not smoke or drink alcohol, am slightly underweight, exercise occasionally, and do ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Coughing and Pulmonary Hypertension in Women
Understanding the Link Between Cough and Pulmonary Hypertension in Women
Continuing from #197363, I would like to inquire about cough and pulmonary hypertension? Hello, Doctor. My background is a 37-year-old female with no history of hypertension, diabetes, or hyperlipidemia, non-smoker, non-drinker, slightly underweight, engages in minimal exercise, ...
Dr. He Dongjin Reply:
Hello, frequent coughing with phlegm and an itchy throat that makes you want to cough are likely related to respiratory issues and are not associated with pulmonary hypertension. Don't overthink it. Changhua Hospital cares about you.[Read More] Understanding the Link Between Cough and Pulmonary Hypertension in Women
Understanding Chest Discomfort and Ischemia in a Young Female Patient
Left chest tightness and discomfort, seeking advice on angina? Hello, Director. I would like to ask you to take some time to analyze the echocardiogram results for a 37-year-old female patient with no history of hypertension, diabetes, or hyperlipidemia, who does not smoke or dri...
Dr. He Dongjin Reply:
Hello, myocardial ischemia and angina? I haven't seen relevant evidence to assess the severity of the disease; perhaps an exercise electrocardiogram could be arranged? There shouldn't be significant issues with the echocardiogram. If you're feeling uncomfortable, i...[Read More] Understanding Chest Discomfort and Ischemia in a Young Female Patient
Understanding Your Echocardiogram: When to See a Cardiologist
Echocardiogram Hello Dr. He, I have been troubled by chest pain for over four years and have been taking my medications regularly (for hypertension, diabetes, and vasodilators) and following up with my family physician. Recently, I had an echocardiogram, and I would like to know ...
Dr. He Dongjin Reply:
Hello, it is recommended to follow up with the cardiology department for further monitoring. Donating blood is fine. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram: When to See a Cardiologist
Understanding Pulmonary Hypertension: Your Health Concerns Explained
Pulmonary hypertension Hello Doctor, my examination report indicates pulmonary hypertension, but the doctor did not explain much to me at the time. Last July, my RVSP was 34 mmHg and EF was 70%. After being diagnosed with COVID-19 in September last year, my examination in May thi...
Dr. Huang Yinghe Reply:
Hello: RVSP stands for Right Ventricular Systolic Pressure, measured in millimeters of mercury (mmHg). It is used to assess the pressure conditions on the right side of the heart, including the pressure in the pulmonary artery. EF stands for Ejection Fraction, expressed as a perc...[Read More] Understanding Pulmonary Hypertension: Your Health Concerns Explained
Understanding Pulmonary Hypertension: Your Concerns and Next Steps
Pulmonary hypertension Hello Doctor, my examination report indicates pulmonary hypertension, but the physician did not explain anything to me at the time. In July last year, my RVSP was 34 mmHg and EF was 70%. After being diagnosed with COVID-19 in September last year, my examina...
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Pulmonary Hypertension: Your Concerns and Next Steps
Understanding Back Pain: Stress, Heart Health, and Medication Effects
Back pain I'm sorry to hear that you've been feeling unwell due to stress. It sounds like you've been experiencing discomfort throughout your body, along with gastroesophageal reflux. Last Saturday, you underwent an electrocardiogram and ultrasound, which indicated...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Additionally, your symptoms are not typical of heart disease. It is recommended that you consult with an orthopedic or neurosurgery specialist.[Read More] Understanding Back Pain: Stress, Heart Health, and Medication Effects
Understanding Your Echocardiogram: Do You Need Further Testing for Pulmonary Hypertension?
Echocardiogram Report Hello, doctor. In 2020, I had an echocardiogram that indicated pulmonary hypertension, but the physician did not inform me, did not prescribe any medication, and did not recommend further testing. Currently, I do not have any symptoms of pulmonary hypertensi...
Dr. Li Shengkai Reply:
According to your echocardiogram report, it indeed confirms the diagnosis of pulmonary hypertension. Further examinations can be conducted to check for other pulmonary diseases, thromboembolic conditions, or rheumatologic and autoimmune disorders. If pulmonary hypertension is asy...[Read More] Understanding Your Echocardiogram: Do You Need Further Testing for Pulmonary Hypertension?
Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Regarding pulmonary artery diagnostic issues? Hello, doctor. Over a decade ago, I experienced shortness of breath while walking and consulted a cardiologist. During an echocardiogram, the doctor mentioned that I had pulmonary hypertension, but did not provide any specific diagnos...
Dr. Huang Yinghe Reply:
Hello: Pulmonary hypertension refers to elevated blood pressure in the pulmonary arteries, which can damage the blood vessels in the lungs and potentially lead to increased cardiac workload, resulting in heart disease. Echocardiography can estimate pulmonary artery pressure, but ...[Read More] Understanding Pulmonary Hypertension: Misdiagnosis and Next Steps
Understanding High Diastolic Blood Pressure: When to Seek Medical Advice
Diastolic hypertension Hello, doctor. I have a habit of measuring my blood pressure. My systolic pressure has consistently been in the 110s or 120s, but my diastolic pressure ranges from 80 to 90, sometimes dropping to the 70s and other times rising to the 90s. In early March, I ...
Dr. Li Shengkai Reply:
According to the guidelines from the Taiwan Hypertension Society, a home blood pressure reading exceeding 130/80 mmHg is considered hypertension. Blood pressure measurements should be standardized; it is important to rest for 5-10 minutes before measuring and to avoid vigorous ex...[Read More] Understanding High Diastolic Blood Pressure: When to Seek Medical Advice