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Managing Palpitations and Blood Pressure: Medication Concerns Explained

Medication issues related to palpitations? Hello Doctor, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for the past three months. Sometimes I feel a bit fatigued. When I measure my blood pressure at...


Dr. He Dongjin Reply:
Hello, most people do not experience a decrease in blood pressure when taking heart rhythm medications, but individual responses can vary. It's difficult to say if your fatigue is due to low blood pressure; it's important to first understand what your blood pressure is ...

[Read More] Managing Palpitations and Blood Pressure: Medication Concerns Explained


Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms

Post-exercise bodily issues? I usually have a habit of running, hiking, and cycling. I have experienced palpitations and underwent an electrocardiogram and a 24-hour Holter monitor at a cardiology clinic, both of which were normal. My usual blood pressure is around 100-110/50-60 ...


Dr. He Dongjin Reply:
Hello, if all cardiac examinations are normal, there should be no issues; just monitor the situation. Is your blood pressure too low? Not everyone has the same blood pressure standards. If you usually feel fine, your blood pressure is likely acceptable. Just keep an eye on it. A ...

[Read More] Understanding Post-Exercise Heart Issues: Low Blood Pressure and Symptoms


Consultation on Low Blood Pressure Medication Before Cardiac Catheterization

Consultation on Hypotensive Medication Before Cardiac Catheterization Hello: My father has been on dialysis for about three months and has had two drug-eluting stents placed. Recently, he has been experiencing symptoms of low blood pressure. Since he is scheduled for a cardiac ca...


Dr. Wu Xueming Reply:
If blood pressure is low (systolic pressure below 100), antihypertensive medication should be temporarily discontinued.

[Read More] Consultation on Low Blood Pressure Medication Before Cardiac Catheterization


Understanding Blood Pressure Fluctuations: When to Adjust Medication

Blood pressure fluctuations and related concerns? Hello Doctor, I recently measured my blood pressure and found that I have hypertension. After confirming this at the clinic, I started taking medication, initially one pill a day. However, since my daytime diastolic pressure often...


Dr. He Dongjin Reply:
Hello, I’m not sure if you have hypertension and what medication you are currently taking. It seems that half a tablet is still quite effective. Perhaps you should stop the medication for a while and observe before deciding whether you need to continue with it. Take care, and the...

[Read More] Understanding Blood Pressure Fluctuations: When to Adjust Medication


Understanding Arrhythmias: Questions on Diagnosis and Medication Choices

Arrhythmia report and medication inquiries? Hello Doctor, here are the contents of my report: 24-Hour Holter Monitor Report *Basic Rhythm: The basic rhythm is sinus rhythm (SR), with a ventricular rate of 46 to 111 bpm, including 29 atrial premature contractions (APCs) and 12,...


Dr. He Dongjin Reply:
Hello, you have ventricular premature contractions (VPCs) and are currently taking Diltiazem 6.25 mg and a rhythm stabilizer. Essentially, Diltiazem 6.25 mg is a similar medication that may lower blood pressure by about 13%. Ventricular premature contractions are generally benign...

[Read More] Understanding Arrhythmias: Questions on Diagnosis and Medication Choices


Can I Take Isosorbide and Heart Rate Medication Together Safely?

Could you please advise if two types of heart medications can be taken together? Hello, I was recently diagnosed with congenital myocardial bridge. The doctor prescribed "Isosorbide Mononitrate 40 mg" to be taken twice daily, in the morning and evening. However, I notic...


Dr. Wu Xueming Reply:
Both medications have the effect of lowering heart rate. If taken together, there may be a risk of bradycardia. Please discuss with your outpatient physician whether to adjust the medication dosage.

[Read More] Can I Take Isosorbide and Heart Rate Medication Together Safely?


Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?

Elevated myocardial enzymes could indicate myocarditis, myocardial infarction, or cardiomyopathy. The patient is 27 years old, 178 cm tall, weighs 63 kg, and is considered lean. Additionally, the patient has a history of hyperthyroidism? Dear Dr. He, I apologize for the lengthy ...


Dr. He Dongjin Reply:
Hello, it seems that what you're experiencing is more related to autonomic nervous system dysfunction rather than myocarditis, myocardial infarction, or cardiomyopathy. Please don't scare yourself; these conditions can be detected through ultrasound, and you have had se...

[Read More] Understanding Elevated Cardiac Enzymes: Myocarditis, Heart Attack, or Cardiomyopathy?


Long-Term Effects of Heart Medications: Dos and Don'ts for Patients

Medication consultation Hello, doctor. Six months ago, I visited a cardiology clinic due to chest tightness, and the examination results showed no issues. However, a check-up at a psychosomatic clinic indicated autonomic nervous system dysfunction. Due to the chest tightness and ...


Dr. Wu Xueming Reply:
1. Will long-term use of these three medications affect the body? Besides low blood pressure and slow heart rate, are there any other effects? 2. Can I stop taking the medication abruptly and resume if I experience symptoms? It is not advisable to stop prescribed medications wi...

[Read More] Long-Term Effects of Heart Medications: Dos and Don'ts for Patients


Understanding Low Blood Pressure and Chest Pain: What You Need to Know

Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, just before sleeping, my heartbeat sounds very loud. I...


Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to muscular or neurological issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...

[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know


Understanding Low Blood Pressure and Chest Pain: What You Need to Know

Hypotension and chest pain? In recent days, I have been experiencing headaches and sharp chest pain. On February 24th, a blood pressure monitor at a small clinic recorded a reading of 52/77, with a heart rate of 86. At night, before going to sleep, I notice my heartbeat is very l...


Dr. He Dongjin Reply:
Hello, don't be nervous. The sensations of headache, chest pain, and sharp pain are mostly related to musculoskeletal or nerve issues. A blood pressure reading of 52/77 is unlikely; there may be an issue with the machine. If you still feel unwell, please visit the cardiology...

[Read More] Understanding Low Blood Pressure and Chest Pain: What You Need to Know


Understanding Blood Pressure Medication Changes: Risks and Concerns

Issues with Hypertension Medications Hello, my mother has been taking half a tablet of Amlodipine at 6 PM for hypertension for over three years. Her usual morning blood pressure is around 120/59 with a heart rate of about 108. Recently, after breakfast, her blood pressure has dro...


Dr. Chen Jili Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you!

[Read More] Understanding Blood Pressure Medication Changes: Risks and Concerns


Understanding Heart Issues: Is Concor Right for You?

How to assess and manage discomfort related to the heart in outpatient settings? Hello, Doctor. My usual blood pressure readings are 89-97 systolic and 53-65 diastolic, with a heart rate around 83. In the past, while working, I noticed significant hand tremors and experienced pal...


Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting a cardiologist at a major hospital. Wishing you good health. Thank you!

[Read More] Understanding Heart Issues: Is Concor Right for You?


Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide

When blood pressure drops during dialysis, resulting in a decrease in heart rate, how should it be managed? Hello, doctor. I have been a dialysis patient for over a year and have hypertension, diabetes, and coronary artery disease, along with mild arrhythmia. Last year, I underwe...


Dr. Cai Guiqin Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at a medical center. Wishing you good health. Thank you!

[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Guide


Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options

Sinoatrial block Hello, doctor. My mother recently experienced chest tightness, palpitations, headaches, hand tremors, and facial flushing, prompting her to seek medical attention. She underwent an electrocardiogram (ECG), a stress test, and an echocardiogram, all of which showed...


Dr. Wu Xueming Reply:
There are many causes of high blood pressure; what you mentioned is just one of the reasons, and other factors should also be considered.

[Read More] Understanding Sinoatrial Block: Symptoms, Diagnosis, and Treatment Options


Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern

During dialysis, when blood pressure drops, the heart rate also decreases? Hello, Doctor. I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and coronary artery disease, along with mild arrhythmia. Last year, I underwent a cardiac catheterizatio...


Dr. Wu Xueming Reply:
A left ventricular systolic power of over 60% in a cardiac ultrasound is considered normal and should not be a cause for concern. Regarding the heart rate issue, the 24-hour Holter monitor in October did not show any signs of bradycardia.

[Read More] Managing Blood Pressure and Heart Rate Drops During Dialysis: A Patient's Concern


Understanding Electrophysiological Tests and Catheterization in Cardiology

Electrophysiological study and cardiac catheterization? Dear Dr. He, I apologize for bothering you again. My attending physician has many patients and doesn't allow me to ask questions; they just keep checking and prescribing medication. To find peace of mind, I keep asking...


Dr. He Dongjin Reply:
Hello, ventricular ectopic beats refer to premature ventricular contractions. Taking Isoptin (Verapamil) will not lead to irreversible hypotension. The use of Isoptin is not only for arrhythmias but also to prevent vascular spasms. There may be autonomic nervous system dysregulat...

[Read More] Understanding Electrophysiological Tests and Catheterization in Cardiology


Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights

Reply to Director #201140 Thank you, doctor, for your professionalism, which reassures me a bit. How do you determine that it is simply tachycardia? Additionally, I would like to ask, sometimes when measuring blood pressure, I experience palpitations or missed beats. For instance...


Dr. He Dongjin Reply:
Hello, a blood pressure reading of 67/49 is likely an issue with the machine and may not be accurate, especially since the readings before and after are similar. In most cases, sudden abnormal blood pressure readings are not serious and are often due to equipment malfunction rath...

[Read More] Understanding Heart Palpitations and Blood Pressure Concerns: Expert Insights


Understanding Diarrhea Side Effects of Ezetimibe: Duration and Recovery

1. How long does it take for the diarrhea side effect of Ibutamoren (Ibutamoren) to appear after taking it? 2. If I stop taking Ibutamoren, how long will it take for the diarrhea to resolve? Hello Dr. Wu, my father is 81 years old and is a heart failure patient. He has a stent ...


Dr. Wu Xueming Reply:
1. Not necessarily. 2. If diarrhea persists, it is recommended to discontinue. 3. It is not related to the medication.

[Read More] Understanding Diarrhea Side Effects of Ezetimibe: Duration and Recovery


Managing Low Blood Pressure After Heart Valve Surgery: Key Insights

Low blood pressure due to heart problems? Hello Dr. Lee, I am 66 years old and it has been three years since my heart valve repair surgery. My blood pressure has consistently been low, with recent systolic readings between 92-98 mmHg and diastolic readings between 57-62 mmHg. Gen...


Dr. Li Shengkai Reply:
After heart surgery, there should not be any significant impact on blood pressure, so your low blood pressure may have other causes. It is recommended to discuss this with your surgeon during your follow-up appointment. If you often experience dizziness due to changes in posture,...

[Read More] Managing Low Blood Pressure After Heart Valve Surgery: Key Insights


Understanding Arrhythmias and Valve Insufficiency: When to Seek Help

Arrhythmia & Valvular Insufficiency Hello, Doctor. I had a cardiac examination last year and took Cardil for six months. After that, I felt fine and did not seek further medical attention. This summer has been extremely hot, and I've experienced chest tightness, palpitat...


Dr. Wu Xueming Reply:
The severity of valve insufficiency and whether it leads to heart failure need to be diagnosed through echocardiography. If symptoms do not improve, it is recommended to go to the hospital for an echocardiogram.

[Read More] Understanding Arrhythmias and Valve Insufficiency: When to Seek Help


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