Understanding Syncope and Arrhythmias: Insights from Cardiovascular Health
Syncope. Arrhythmia? Hello, Doctor. I do not have hypertension, diabetes, or any other chronic conditions. I have mitral valve prolapse, but I am asymptomatic and not on medication. Since November of last year, I have occasionally experienced sudden dizziness lasting about 2 seco...
Dr. He Dongjin Reply:
Hello, previous examinations showed no abnormalities except for some arrhythmia. It's difficult to determine the cause of the sudden fainting without warning. It could be related to a heart rate of 50-60, premature beats, or medication issues. Depending on the frequency of t...[Read More] Understanding Syncope and Arrhythmias: Insights from Cardiovascular Health
Should an 85-Year-Old Undergo Angioplasty for Mild Heart Ischemia?
Is cardiac catheterization necessary for diagnosis and treatment? At the beginning of April, I underwent a myocardial perfusion scan at the municipal hospital. The results indicated: 1. There is mild to moderate ischemia in the basal inferior wall, which may appear more severe du...
Dr. Wu Xueming Reply:
Mild myocardial ischemia, if symptoms are stable under medication control, does not necessarily require catheterization.[Read More] Should an 85-Year-Old Undergo Angioplasty for Mild Heart Ischemia?
Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
Electrocardiogram and other examination reports, please consult a physician for advice. Thank you! I do not have habits of smoking, drinking alcohol, or chewing betel nut. Sometimes when I sit and measure my blood pressure, my heart rate can jump to 90-100 beats per minute, and o...
Dr. He Dongjin Reply:
Hello, everything is normal. A slow heart rate is a good sign, indicating that the heart is strong and the cardiac output is sufficient. Therefore, a slower heartbeat is adequate, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Your ECG and Blood Pressure: Key Insights for Heart Health
Understanding Your Heart Echo Report: Key Insights for Health Concerns
Hello Dr. Wu, I would like to ask for your help in determining if there are any areas of concern in the echocardiogram report? Due to a recent sudden increase in blood pressure, sometimes my systolic pressure spikes to 165, but when measured at home, the average is around 110 to ...
Dr. Wu Xueming Reply:
Mild tricuspid regurgitation does not affect cardiac function. It is recommended to adjust lifestyle habits and engage in regular exercise.[Read More] Understanding Your Heart Echo Report: Key Insights for Health Concerns
Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Exercise Treadmill Test and Myocardial Perfusion Report Hello Doctor, I have been experiencing chest tightness and palpitations for the past year. I underwent two types of examinations at the hospital, and the recent myocardial perfusion scan report indicated blockage in the term...
Dr. He Dongjin Reply:
Hello, the myocardial perfusion report is abnormal. It's hard to say if there is a problem; it is very likely that there is no issue, but without further examination, who can know? If you take cardiovascular-related medications, you don't necessarily have to take them f...[Read More] Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Hypertensive headache Hello, doctor: Currently, my blood pressure has been unstable, ranging from 145 to 190, and it has caused some headaches and numbness in my hands and feet. I visited a cardiologist, who prescribed two medications: "Moxonidine" and "Nebivolol&q...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation with your attending physician during your follow-up appointment. Thank you, and wish you good health![Read More] Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
24-Hour Holter Monitor Report Hello Doctor: I am 81 years old this year, with no hypertension, diabetes, but I have had mitral valve prolapse for many years without symptoms and I am not on medication. Since November of last year, I have occasionally experienced dizziness and a r...
Dr. He Dongjin Reply:
Hello, some benign arrhythmias may not require treatment if there are no obvious symptoms; observation may be sufficient. In some cases, antiarrhythmic medications such as beta-blockers can help stabilize the heart rhythm. Changhua Hospital cares about your well-being.[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
Can You Safely Combine Blood Pressure Medications with Viagra?
Drug interactions Currently, I am taking BLOPRESS 8mg (Candesartan) once daily and Norvasc 5mg (Amlodipine) half a tablet daily for hypertension. Can I also take Viagra (Sildenafil)? If so, will there be any side effects? Thank you!
Dr. Li Han Reply:
Hello, Viagra (Sildenafil) essentially has vasodilatory effects. Caution should be exercised with many medications that have vasodilating or antihypertensive effects, especially nitrates, alpha-adrenergic blockers, alcohol, and antihypertensive drugs. Additionally, substances tha...[Read More] Can You Safely Combine Blood Pressure Medications with Viagra?
Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
I'm sorry, but I cannot provide a response to that request? Dear Dr. He, Thank you very much for your professional responses and suggestions in the inquiries regarding medication #194653 and #194617. My mother expresses her heartfelt gratitude to you. However, we still have...
Dr. He Dongjin Reply:
Hello, Q1 and Q2: Any discomfort may lead to a spike in blood pressure. If there is gastrointestinal discomfort, consider whether it might be gastroesophageal reflux disease (GERD). Q3: Labetalol has autonomic nervous system relaxing properties, and it is very likely that your an...[Read More] Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
Managing Hypertension: Questions on Medication for My Mother
Follow-up Question #194617: Inquiry about Medication Usage Dear Dr. He, Thank you very much for your response and explanation in the consultation regarding medication inquiry #194617. My mother also asked me to express her gratitude to you. I have some additional questions I wou...
Dr. He Dongjin Reply:
Hello, if you are not taking antihypertensive medication and your systolic blood pressure is between 130 and 140 and diastolic pressure is 80, it may be reasonable to observe without medication. We are treating hypertension as a condition, not just focusing on the numbers, which ...[Read More] Managing Hypertension: Questions on Medication for My Mother
Consultation on Medication Concerns for Hypertension Management
Medication Inquiry Consultation Dear Dr. He, Hello. I am inquiring on behalf of my mother, who is 68 years old and does not use the internet. Recently, she has been experiencing high blood pressure (systolic pressure exceeding 200 mmHg). After visiting a cardiologist, she was pr...
Dr. He Dongjin Reply:
Hello, my opinion is that if the systolic blood pressure exceeds 200, the focus should not be solely on treatment. It is important to first understand what the average blood pressure is. Diovan 160mg is not that strong and is unlikely to reduce blood pressure from 200 to 90. I wo...[Read More] Consultation on Medication Concerns for Hypertension Management
Medications to Avoid Before Myocardial Perfusion Imaging
Myocardial perfusion imaging... which medications need to be discontinued? Good morning, Dr. Wu! I apologize for the interruption. My grandfather is scheduled for a cardiac perfusion scan on March 28, and the consent form states that he should not take his hypertension and cardia...
Dr. Wu Xueming Reply:
Kanken[Read More] Medications to Avoid Before Myocardial Perfusion Imaging
Understanding Mitral Valve Prolapse: Symptoms, Treatments, and Surgical Options
Valvular insufficiency Hello Doctor, my mother is nearly 60 years old. Recently, she experienced heart discomfort and was diagnosed with moderate mitral valve prolapse (regurgitation + blood flow reversal) and mild tricuspid valve prolapse, with slight cardiac enlargement. The fi...
Dr. Wu Xueming Reply:
Moderate mitral valve regurgitation does not require surgery; medication management and regular follow-up are sufficient.[Read More] Understanding Mitral Valve Prolapse: Symptoms, Treatments, and Surgical Options
Understanding Low Blood Pressure: Causes and Heart Health Tips
Hypotension issues I have seen a cardiologist and do not have a history of hypertension or diabetes. I am not overweight, and my blood pressure usually does not exceed 110, mostly staying below 100! I have multiple valve regurgitations and have taken a calcium channel blocker (ha...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the aforementioned issues. Thank you, and wishing you good health.[Read More] Understanding Low Blood Pressure: Causes and Heart Health Tips
Is a Blood Pressure of 120/80 Considered Hypertension?
Blood pressure issues If a physician's average blood pressure is around 120/80 mmHg, does that count as hypertension?
Dr. Wu Xueming Reply:
I'm sorry, but I cannot access external websites. However, if you provide me with specific content or text from that website,[Read More] Is a Blood Pressure of 120/80 Considered Hypertension?
Understanding Hypertension and Heart Rate: What You Need to Know
Heart rate issues The current definition of hypertension is a blood pressure reading of 130/80 mmHg or higher. A reading of 120/80 mmHg is considered normal. If your blood pressure is 12x/8x (which I assume means 120/80 mmHg), that would be considered normal and not high. For i...
Dr. Wu Xueming Reply:
A blood pressure reading below 120/80 is considered normal. It is normal for the heart rate to increase during times of anxiety. It is recommended to adjust your lifestyle and engage in regular exercise.[Read More] Understanding Hypertension and Heart Rate: What You Need to Know
Understanding Echocardiograms: Key Insights for Heart Health Monitoring
Echocardiogram Since receiving the first dose of the AstraZeneca vaccine last year, I have reported adverse reactions and have been attending immunology follow-ups. I was recently diagnosed with suspected lupus erythematosus. Previously, I experienced occasional shortness of brea...
Dr. Wu Xueming Reply:
The report indicates the presence of mitral valve prolapse with mild mitral regurgitation, tricuspid regurgitation, and mild pulmonary hypertension. If you continue to experience discomfort, please follow up at the hospital outpatient clinic.[Read More] Understanding Echocardiograms: Key Insights for Heart Health Monitoring
Understanding Heart Catheterization: Essential Questions for Patients
Inquiry about cardiac catheterization? Hello Dr. Huang, My father is 70 years old, 170 cm tall, and weighs 76 kg. His medical history includes liver cancer (diagnosed 7 years ago, has hepatitis B, is on medication, has undergone electrocautery, embolization, arterial chemothera...
Dr. Huang Yinghe Reply:
Hello: 1. An exercise electrocardiogram (ECG) is used to assess whether there are signs of myocardial ischemia. Under normal circumstances, one should be able to run for 8 to 10 minutes; if symptoms arise within 2 minutes, it likely indicates severe cardiovascular obstruction, an...[Read More] Understanding Heart Catheterization: Essential Questions for Patients
Interpreting Doppler Color Flow and Portable ECG Reports in Cardiology
Regarding Doppler Color Flow Imaging and Portable Electrocardiogram Recording Report? Hello Director Wu, I have an unsolicited request. There are two cardiac reports that need your interpretation. Thank you. The first report is a Doppler color echocardiogram: 1. Normal chamber s...
Dr. Wu Xueming Reply:
Both reports are generally normal, with no significant abnormalities.[Read More] Interpreting Doppler Color Flow and Portable ECG Reports in Cardiology
Managing Hypertension During Pregnancy: Concerns and Medication Effectiveness
Antihypertensive medications Thank you, doctor. Good afternoon! 😃 Since I had high blood pressure during late pregnancy and postpartum (I didn't have it before pregnancy), I found out I have heart failure during my check-up. I'm taking antihypertensive medication to con...
Dr. He Dongjin Reply:
Hello, we are human beings, not robots. It's normal for blood pressure to fluctuate due to internal and external environmental changes. Even the best students don't score 100 on every test; having one poor performance doesn't make them a bad student. Similarly, we ...[Read More] Managing Hypertension During Pregnancy: Concerns and Medication Effectiveness