Can My Father Continue Heart Medications Despite New Symptoms?
If a patient with a history of heart failure and anticoagulant therapy suddenly experiences symptoms such as shortness of breath, palpitations, chest discomfort, hypotension, and dizziness, it is crucial to seek immediate medical attention. Continuing medication without consultin...
Dr. Wu Xueming Reply:
If blood pressure is low due to medication, it may be necessary to consult the prescribing physician to evaluate the situation and adjust the medication dosage. Do not discontinue the medication on your own.[Read More] Can My Father Continue Heart Medications Despite New Symptoms?
Potential Risks and Side Effects of Misusing Nitroglycerin
Misuse of nitroglycerin, a common medication for myocardial infarction, can lead to several adverse effects. These may include severe hypotension, tachycardia, headaches, dizziness, and potential exacerbation of angina symptoms. Inappropriate use can also result in tolerance, red...
Dr. Wu Xueming Reply:
Nitroglycerin can cause hypotension, and excessive amounts may lead to shock. However, due to its rapid metabolism, there are typically no significant side effects after the drug's effects wear off.[Read More] Potential Risks and Side Effects of Misusing Nitroglycerin
Frequent Shortness of Breath and Fatigue: When to Seek Heart Care?
I often experience shortness of breath, and sometimes I feel like my heart is beating very hard? Hello, doctor. I am currently a high school junior. Last May, I experienced two episodes of orthostatic hypotension that caused me to faint. I consulted a neurologist, and at that tim...
Dr. He Dongjin Reply:
If you have insufficient physical activity and excessive stress, and still feel unwell, it is advisable to consult a cardiologist for further examination. Changhua Hospital cares about your well-being.[Read More] Frequent Shortness of Breath and Fatigue: When to Seek Heart Care?
Is Sudden Dizziness After Standing Up a Cause for Concern?
Suddenly standing up after squatting down? I would like to ask the doctor if it is possible for a brief sensation of palpitations to occur, which resolves shortly after standing up. Is this related to postural orthostatic tachycardia syndrome or low blood pressure? Should I not b...
Dr. He Dongjin Reply:
Hello, you are correct that it is related to orthostatic hypotension. There is no need to be overly anxious. Changhua Hospital cares about you.[Read More] Is Sudden Dizziness After Standing Up a Cause for Concern?
Understanding Rapid Blood Vessel Pulsation and Vision Changes During Bathing
Vascular issues Experiencing a rapid heartbeat in the neck and back of the head, along with temporary vision changes such as partial blackness after undressing for a shower, may be related to several factors. This could be due to a sudden change in posture, which can lead to a dr...
Dr. He Dongjin Reply:
Hello, if you are experiencing rapid pulsation in your blood vessels and intermittent partial vision loss, which then returns to normal after a while, it may indicate a circulatory issue. It is advisable to consult a neurologist for further examination. Take care from Changhua Ho...[Read More] Understanding Rapid Blood Vessel Pulsation and Vision Changes During Bathing
Which Specialist to See for Heart and Lung Symptoms?
Which specialty should I consult for my symptoms? Several years ago, my hospital health check revealed homocysteine levels at 12.32 and high-sensitivity C-reactive protein at 3.08. I did not follow up on this, but during my health check this February, my uric acid level was 8.9. ...
Dr. He Dongjin Reply:
Hello, your uric acid level is 8.9. You are on medication and managing your diet. Jogging makes you relatively short of breath, which may be related to your lung capacity and physical fitness. If you squat for a long time and feel dizzy when you stand up, it could be due to ortho...[Read More] Which Specialist to See for Heart and Lung Symptoms?
Understanding Mediterranean Anemia: When to See a Specialist for Headaches and Dizziness
Mediterranean anemia Hello Doctor: I have Mediterranean anemia, and sometimes when I wake up from a nap, I experience severe headaches. When I squat or lie down and suddenly get up, I feel very dizzy. This used to happen occasionally, but now it has become frequent, and I often h...
Dr. He Dongjin Reply:
Hello, if you suddenly stand up from a sitting or lying position and experience dizziness, it may be caused by orthostatic hypotension. Frequent headaches and dizziness are also common symptoms. It is advisable to consult a neurologist. Changhua Hospital cares about your well-bei...[Read More] Understanding Mediterranean Anemia: When to See a Specialist for Headaches and Dizziness
Understanding Blood Pressure Control: Height's Impact on Hypertension
Regarding blood pressure control? Hello Doctor: Recently, I had a severe cold and a serious cough, and during a medical visit, I discovered that my blood pressure was elevated at around 155/107. After a week of observation, the clinic doctor started me on two antihypertensive med...
Dr. He Dongjin Reply:
Hello, tall individual. Blood pressure and height do not influence each other. When experiencing a severe cold and serious cough, elevated blood pressure does not necessarily indicate hypertension. Dizziness may occur when standing up from a sitting or squatting position, which c...[Read More] Understanding Blood Pressure Control: Height's Impact on Hypertension
Endotracheal Intubation in Elderly Patients with Pacemakers: Key Considerations
Endotracheal intubation Good evening, Dr. He. I apologize for any misunderstanding. Your response was very detailed, but my ability to express and understand may not be sufficient, so I still don't quite understand. What I want to ask is, if an elderly patient has a pacemake...
Dr. He Dongjin Reply:
Hello, a pacemaker and endotracheal intubation are two different matters. If you encounter hypotension and respiratory distress, intubation may be necessary. Whether the tube can be successfully removed afterward is another issue that depends on the patient's condition at th...[Read More] Endotracheal Intubation in Elderly Patients with Pacemakers: Key Considerations
Managing Risks During Dialysis Catheter Replacement with Pacemakers
Complications that may occur during pacemaker surgery? Hello, Doctor He. I would like to ask you about my father, who has a pacemaker and is also a dialysis patient. He needs to have his obstructed permanent dialysis catheter replaced every 4 to 6 months at the hospital. In the e...
Dr. He Dongjin Reply:
Hello, the surgeons are very experienced. The surgery is unrelated to the cardiac pacemaker. If low blood pressure or near-shock states occur, emergency treatment should depend on the cause at that moment. If it is just a phlegm blockage, urgent treatment can restore the situatio...[Read More] Managing Risks During Dialysis Catheter Replacement with Pacemakers
Understanding Palpitations: When to Seek Further Heart Evaluations
Palpitations? Hello, doctor. When I was 14 and 15 years old, I suffered from anxiety and depression. Since then, whenever I consume coffee, chocolate, or feel emotionally distressed, I experience rapid heartbeat, a slight pressure in my chest, and headaches. I have previously und...
Dr. Li Han Reply:
Hello, based on your description, you occasionally experience sensations of "rapid heartbeat," "a slight pressure in the chest," and "headaches," but these typically occur "when drinking coffee, consuming chocolate, or during times of emotional ...[Read More] Understanding Palpitations: When to Seek Further Heart Evaluations
Understanding Mitral Valve Prolapse: Causes of Fainting and Heart Pain
Mitral valve prolapse, sudden fainting while sitting? Hello Doctor: First of all, I want to thank you for your hard work! I am a freshman in college. During high school, I often stayed up late studying, and later I began to experience intermittent sharp pains in my heart. After r...
Dr. He Dongjin Reply:
Hello, there is a possibility of epilepsy as well as postural hypotension. It is recommended to visit the neurology department and then follow up with the cardiology department. Changhua Hospital cares about you.[Read More] Understanding Mitral Valve Prolapse: Causes of Fainting and Heart Pain
Understanding Dizziness and Weakness: Tips for Relief from Cardiovascular Issues
Feeling dizzy? Hello doctor, I often feel dizzy after sitting or standing for a long time, followed by a sense of weakness and swelling in my legs. When I lie down and rest for a while, I feel better. I'm not sure what could be causing this. Are there any methods to improve ...
Dr. He Dongjin Reply:
Hello, it seems that you may have orthostatic hypotension. It is recommended to wear compression stockings and avoid staying in one position for too long. Please monitor your condition. Changhua Hospital cares about you.[Read More] Understanding Dizziness and Weakness: Tips for Relief from Cardiovascular Issues
Breathing Difficulties During Exercise: When to See a Cardiologist
During exercise, the heart may feel like it's struggling to catch its breath? Hello, Dr. He: I experience shortness of breath while jogging, and when I squat for a long time, I feel dizzy. When I stand up, I feel completely weak. Which department should I visit at a general ...
Dr. He Dongjin Reply:
Hello, do you usually engage in a lot of physical activity? Experiencing shortness of breath while jogging is often due to insufficient training or low lung capacity. If you feel dizzy after squatting for a long time, it may be worth considering postural hypotension. You can visi...[Read More] Breathing Difficulties During Exercise: When to See a Cardiologist
Understanding Strong Heartbeats: When to Seek Medical Advice
Strong heartbeat? Hello, I have been able to feel my heart beating since I was young, and I can even see my chest moving. However, it seems that normal people don’t experience this. This has been ongoing for about 10 years. I also have postural hypotension, experience tinnitus, a...
Dr. He Dongjin Reply:
Hello, there is no need to worry about a strong heartbeat; it is not a medical condition. Changhua Hospital cares about you.[Read More] Understanding Strong Heartbeats: When to Seek Medical Advice
Is It Normal? Understanding Symptoms of Dizziness and Cold Extremities
Is it normal? Hello doctor, I often feel dizzy, have difficulty breathing, and sometimes experience palpitations. My limbs are cold every day. My parents have a history of hypertension and hypotension. When I measured my blood pressure at the hospital, it was only 106/33. Is this...
Dr. He Dongjin Reply:
Hello, considering your age, this blood pressure is acceptable. However, if you frequently feel dizzy, short of breath, and sometimes experience palpitations, along with cold extremities every day, it may be related to autonomic nervous system dysfunction. It is advisable to visi...[Read More] Is It Normal? Understanding Symptoms of Dizziness and Cold Extremities
Understanding Chest Pain, Dizziness, and Low Blood Pressure: A Cardiac Perspective
Chest pain, fainting, low blood pressure, external impact? Doctor, I occasionally experience sharp pain in my chest, which has been severe enough to require a visit to the emergency room. However, the doctors could not determine the cause. A chest CT scan showed normal results. M...
Dr. He Dongjin Reply:
Hello, based on your description, it seems to be postural hypotension causing your movements to slow down. Please take care, and Changhua Hospital is concerned about you.[Read More] Understanding Chest Pain, Dizziness, and Low Blood Pressure: A Cardiac Perspective
Understanding Orthostatic Hypotension: Causes and Symptoms Explained
Orthostatic hypotension Sometimes when I sit on the sofa and then stand up, I feel dizzy and my vision becomes blurry. It happens occasionally. Could this be orthostatic hypotension?
Dr. He Dongjin Reply:
Hello, based on your description, it seems to be orthostatic hypotension. Please take your movements slowly. Changhua Hospital cares about you.[Read More] Understanding Orthostatic Hypotension: Causes and Symptoms Explained
Understanding Dizziness from Low Blood Pressure: Causes and Solutions
Dizziness due to hypotension? Dear Doctor, my mother is 61 years old and has a hereditary condition of low blood pressure. Her blood pressure readings usually show a systolic pressure that does not exceed 80 and a diastolic pressure that hovers around 50. She has long-term poor s...
Dr. He Dongjin Reply:
Hello, the dizziness symptoms you mentioned could possibly be caused by hypotension. The prevention of orthostatic hypotension involves rising slowly, especially when getting up from a squatting or lying position, as symptoms can be more pronounced. It's important to slow do...[Read More] Understanding Dizziness from Low Blood Pressure: Causes and Solutions
Understanding Sudden Chest Pain: Insights from Cardiovascular Specialists
Supplementary question? Hello, doctor. I just sent an email with a question and would like to add something I forgot to mention: I occasionally experience sudden chest tightness, but it doesn't last long and usually resolves within ten seconds.
Dr. He Dongjin Reply:
Hello, being able to run 6-10 km indicates that your cardiovascular fitness is quite good. Since your blood pressure is already low, exercising can cause blood to be redistributed to the periphery, which may lead to orthostatic hypotension when you stand up after squatting, exace...[Read More] Understanding Sudden Chest Pain: Insights from Cardiovascular Specialists