Hypertension, Cardiology FAQ

Understanding Pulmonary Hypertension: Risks and Management Strategies

Pulmonary hypertension issues? Hello Doctor, I have been experiencing hypertension since I was 30 years old and I am aware that I have right ventricular hypertrophy. I have been taking antihypertensive medication for over 26 years. Recently, I underwent a cardiac ultrasound and D...

Dr. Wu Xueming Reply:
According to the report, there is mild pulmonary hypertension. Please continue medication management, engage in regular exercise, and maintain a light diet.

Managing Peripartum Cardiomyopathy: Lifelong Medication or Hope for Recovery?

Thank you, doctor? Thank you, doctor. Good afternoon! 😃 I apologize for asking, but I have a question. For someone like me with peripartum cardiomyopathy, am I destined to take antihypertensive medication for the rest of my life? Even if my condition is well-controlled, is it sti...

Dr. He Dongjin Reply:
Hello, you don't necessarily have to take medication for a lifetime. You're not taking medication for hypertension, so the idea that you need to take antihypertensive drugs for life doesn't apply to you. Don't overthink it. Changhua Hospital cares about you.

Managing Peripartum Cardiomyopathy: Lifelong Medication or Hope for Recovery?

Thank you, doctor? Thank you, doctor. Good afternoon! 😃 I apologize for asking, but I have a question. For someone like me with peripartum cardiomyopathy, will I have to take antihypertensive medication for the rest of my life? Even if my condition is well-controlled, is it still...

Dr. He Dongjin Reply:
Hello, do you have to take hypertension medication for life? You have peripartum cardiomyopathy, not hypertension; the medication is just the same. Even if you need to take it for life, taking one pill to ensure lifelong safety is great. For now, it's better to focus on livi...

Managing Side Effects of Hypertension Medications: Constipation and Osteoporosis Concerns

Pukang enteric-coated tablets for blood pressure medication? How to address issues like constipation and other side effects from antihypertensive medications? If constipation occurs shortly after starting the medication, will long-term use lead to slower bowel movements or even b...

Dr. He Dongjin Reply:
Hello, Pukang is a beta-blocker that is a very effective medication for treating hypertension, arrhythmias, heart failure, and autonomic nervous system disorders. As for constipation, it varies from person to person, and generally, constipation is not a commonly reported side eff...

Understanding Blood Pressure Variability: When to Worry About Hypertension?

How to determine if you have high blood pressure? Hello, Doctor. Six months ago, during a hospital visit, my blood pressure was measured at around 140/90. The doctor advised me to monitor my blood pressure daily at home. I measure it in the morning after waking up, before going t...

Dr. He Dongjin Reply:
Hello, measuring your blood pressure in the morning and evening is sufficient. It's normal for your readings to fluctuate throughout the day due to activity. If you measure too frequently, it may cause anxiety and lead to dysregulation of your autonomic nervous system. You&#...

Understanding Echocardiogram Results: Key Insights for Heart Health

Echocardiogram Hello Doctor, I would like assistance in interpreting my mother's echocardiogram report for any abnormalities. Thank you. Measurements: - LVIDd: 4.33 cm - LVIDs: 2.43 cm - IVSd: 1.65 cm - LVPWd: 1.61 cm - LA: 3.8 cm - AO: 2.9 cm - ACS: 1.8 cm - EPSS: ...

Dr. He Dongjin Reply:
Hello, you have some ventricular hypertrophy and diastolic dysfunction, along with hypertension. Medication management is sufficient for control. Changhua Hospital cares about you.

Managing APCs: Is Switching to Inderal the Right Choice?

Issues with Medications for Premature Contractions Hello, Doctor! In November 2011, I wore a 7-day Holter monitor, and on the first day, I recorded 1800 APCs (atrial premature contractions). By the seventh day, I still had 300-400 APCs, but it later stabilized. I have been taking...

Dr. Wu Xueming Reply:
Will not worsen.

Understanding Echocardiogram Results: Assessing Heart Function and Pregnancy-Related Changes

Echocardiogram **Interpretations and Summary** 1. **Echocardiogram from 11/30:** - Mildly dilated left ventricle with global hypokinesia. - Left ventricular ejection fraction (LVEF) 47% by area-length assessed at bi-plane. - Normal right ventricular size and contractili...

Dr. Wu Xueming Reply:
The results from two examinations indicate that the cardiac contractile function is approximately the same, slightly below the normal range, with no signs of pulmonary hypertension. Continued monitoring is recommended.

Can Intense Exercise Offset a High-Salt, High-Sugar Diet?

Eating a high-salt diet without restrictions but engaging in a lot of physical activity? Hello, doctor. I would like to inquire about my dietary habits. I usually consume a diet high in salt, sugar, and fat, but my profession as an aerobic exercise instructor requires me to engag...

Dr. Li Shengkai Reply:
To control blood pressure through non-pharmacological means, there is a mnemonic "S-ABCDE." Here, S stands for sodium restriction, which means limiting daily sodium intake; D refers to dietary control, which includes a low-fat, high-fruit-and-vegetable diet. Although yo...

Understanding Arrhythmia: Insights on Heart Health and Symptoms

Arrhythmia Hello, Director. At the beginning of January, I woke up in the middle of the night due to a sharp pain in my jaw, which was accompanied by left chest discomfort, making it difficult for me to sleep the entire night. The next day, I immediately consulted a cardiologist,...

Dr. He Dongjin Reply:
Hello, actually everyone has some degree of arrhythmia, and you are within the normal range of arrhythmias. That's why your doctor prescribed medication to take as needed rather than requiring you to take it regularly. There is no myocardial infarction, and there is no cardi...

Understanding Vascular Health: Managing Hypertension and Palpitations

Cerebrovascular disease, hypertension Hello Doctor, I am 25 years old. During middle school, I experienced a significant event that caused immense stress, and since then, my palpitations have become very severe. I often feel pulsations throughout my body while at rest, and even s...

Dr. He Dongjin Reply:
Hello, autonomic nervous system dysfunction does not lead to aneurysms, so don't overthink it or scare yourself. High blood pressure and a large pulse pressure, as well as involuntary muscle twitching, are also related to autonomic nervous system dysfunction. Changhua Hospit...

Understanding Hypertension-Related Heart Conditions and Pulmonary Hypertension

Hypertensive heart disease and pulmonary hypertension? Hello: I have hypertension and recently experienced palpitations, fatigue, occasional chest tightness and pain, and difficulty breathing, which leads to easy tiredness. I visited a cardiologist (ultrasound + electrocardiogram...

Dr. Huang Yinghe Reply:
Hello: The symptoms mentioned are likely related to hypertension. If your blood pressure is usually high, your doctor will likely prescribe medication, so please take it as directed. It is recommended to actively control blood pressure to below 130/80 mmHg, as good blood pressure...

Managing Heart Concerns During Pregnancy: Understanding PVCs and Anxiety

Regarding #189086, the issue of premature ventricular contractions during pregnancy? I sincerely apologize for bothering you again, Director... Although you have reassured me and reviewed the echocardiogram report indicating that there are no issues with my heart, I am unsure if ...

Dr. He Dongjin Reply:
Hello, there is no pulmonary hypertension. Don't worry, Changhua Hospital cares about you.

Understanding Cardiovascular Health: Essential Tests and Concerns

Cardiovascular Health Consultation Hello, Doctor. Recently, during daily walking, climbing stairs, and exercising, or when I am emotionally agitated, I occasionally experience nausea, throat tightness, and chest discomfort. I also noticeably feel my heart racing, my body feels co...

Dr. He Dongjin Reply:
Hello, it seems that your grandfather has autonomic nervous system dysfunction and your sister has a different type of heart disease. If you want to understand your own cardiovascular condition, you might consider opting for a self-funded exercise stress test or a 24-hour Holter ...

Understanding Your Echocardiogram Report: Key Questions Answered

Issues with Echocardiogram Report Hello Doctor, here is my report: Examination Item: Echocardiogram (Please perform with Doppler cardiac flow study) MEASUREMENTS AO: 28 (20-38 mm) IVS: 9 (7-11 mm) AV: 18 (16-26 mm) LVPW: 8 (9-11 mm) LA: 37 (19-40 mm) LVIDd: 50 (37...

Dr. Wu Xueming Reply:
29 is still within the normal range, as there can often be some measurement errors during testing. Mild reflux does not require concern.

Can You Safely Use Viagra with Blood Pressure Medications?

Drug interactions Currently, I am taking BLOPRESS 8mg (olmesartan) 1 tablet daily for hypertension and Norvasc 5mg (amlodipine) 0.5 tablet daily. Can I also take Viagra (sildenafil) or similar medications? If so, will there be any side effects? Thank you!

Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wishing you good health!

Can You Safely Use Viagra with Blood Pressure Medications?

Drug interactions Currently, I am taking BLOPRESS 8mg (Olmesartan) 1 tablet daily and Norvasc 5mg (Amlodipine) 0.5 tablet daily for hypertension. Can I also take Viagra or similar medications? If so, will there be any side effects? Thank you!

Dr. Wu Xueming Reply:
Regarding patients with hypertension, research reports indicate that Viagra (sildenafil) can reduce systolic and diastolic blood pressure by an average of 7 to 10 mmHg. Therefore, it is advised that patients taking antihypertensive medications should use it with caution. There ar...

Understanding Your Doppler Echocardiogram Report: Key Insights Explained

I would like to inquire about the reports of Doppler color flow imaging and echocardiography? Echocardiogram Report 1. Chamber and Function - No chamber dilation - Adequate global left ventricular (LV) systolic function, LV ejection fraction (LVEF) = 65% by M-mode - Normal left ...

Dr. Wu Xueming Reply:
The examination results indicate mild mitral and tricuspid valve regurgitation, while other functions and structures are normal.

Understanding PVCs and Echocardiogram Results: What You Need to Know

Arrhythmia and echocardiography? Hello Director He, I have an issue with premature ventricular contractions (PVCs). About two and a half years ago, I underwent catheter ablation, and one month post-surgery, I was still taking 0.5 tablets of Dronedarone and one tablet of Bisoprolo...

Dr. He Dongjin Reply:
Hello, the ultrasound results are normal and are not related to your VPC. Changhua Hospital cares about you.

Should Heart Patients Stop Medications When Taking Pfizer Paxlovid?

Should patients with myocardial infarction discontinue their cardiac medications while taking Pfizer's Paxlovid? Hello, doctor. My father had a myocardial infarction 10 years ago and received one drug-eluting stent, followed by another drug-eluting stent a year and a half ag...

Dr. Wu Xueming Reply:
No need to discontinue.

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