Understanding Frequent Heart Palpitations: Causes, Management, and Treatment Options
Frequency of premature heart contractions? Hello, Doctor. I would like to ask, for example, if there are about 4-5 premature beats this month and sometimes about 7-10 premature beats in a month, does this count as worsening or becoming more frequent? What is the definition of fre...
Dr. He Dongjin Reply:
Hello, this amount is really not much for a month. It is related to changes in both internal and external environments, including the recent seasonal transitions, stress, and the stability of the autonomic nervous system. Based on my 30 years of experience with 24-hour Holter mon...[Read More] Understanding Frequent Heart Palpitations: Causes, Management, and Treatment Options
Concerns About Heart Health: Symptoms After Aortic Dissection Surgery
Cardiac issues Hello doctor, my father has a history of aortic dissection and has undergone heart valve replacement surgery. It has been about three years since then. Recently, I noticed that he is easily short of breath and has a loud breathing sound (he may not be aware of it h...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your father's attending physician, focusing on symptom management, or to see if any additional tests are necessary. Thank you, and wishing you good health![Read More] Concerns About Heart Health: Symptoms After Aortic Dissection Surgery
Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Does Fylin Retard interact with Nebilet and Exforge? My father has hypertension and usually takes Nebilet and Exforge for control. However, recently he has had issues with proteinuria, and the nephrologist prescribed Fylin Retard, one tablet daily. After less than half a month, h...
Dr. Li Han Reply:
Hello, Fylin Retard (Pentoxifylline) is mentioned in the package insert, indicating that while it is not common, it may enhance the antihypertensive effects of antihypertensive medications and other drugs that lower blood pressure. If your father's blood pressure has shown s...[Read More] Does Fylin Retard Interact with Nebilet and Exforge in Hypertension Treatment?
Managing Blood Pressure and Arrhythmia in Elderly Patients
Blood Pressure Control and Arrhythmia Hello Doctor: A few days ago, my mother (76 years old) was diagnosed with arrhythmia through a 24-hour Holter monitor. The attending physician mentioned that it is not severe enough to require a pacemaker at this time. My mother's blood ...
Dr. He Dongjin Reply:
Hello, these two medications should not cause a decrease in heart rate due to lowered blood pressure. If you are experiencing discomfort, it may be related to the drop in blood pressure, but it's hard to say for sure. Perhaps you could try temporarily stopping NORVASC to see...[Read More] Managing Blood Pressure and Arrhythmia in Elderly Patients
Understanding Your Echocardiogram Results: IAS Aneurysm and Key Findings
Consultation regarding the results of the echocardiogram, particularly concerning the conclusion of IAS aneurysm? Hello Director Wu, The following is the echocardiogram report from the past two weeks, and I would like to inquire if there are any points of concern. Thank you. (P...
Dr. Wu Xueming Reply:
Please manage your blood pressure well, engage in regular exercise, and take your current medications on time.[Read More] Understanding Your Echocardiogram Results: IAS Aneurysm and Key Findings
Understanding Shortness of Breath After Taking Heart Medications
Hello, I feel very short of breath after taking the medication? Hello, I have been experiencing shortness of breath recently. Yesterday, I took half a dose of Soredit (PerSantin) and half a dose of Norvasc (Amlodipine), and now I feel weak and constantly sleepy. I also experience...
Dr. He Dongjin Reply:
Hello, each person's constitution is different, so it's hard to say. Theoretically, such a low dose taken only once is unlikely to cause significant side effects. If you feel uncomfortable, it's best to stop taking it. Changhua Hospital cares about you.[Read More] Understanding Shortness of Breath After Taking Heart Medications
Can Nebilet and Propranolol Be Taken Together Safely?
Can Nebilet (5 mg) and Propranolol be taken together? Hello, Director Wu. I have a history of hypertension due to organ transplantation. Recently, I have been experiencing discomfort with a fast heart rate of 100 beats per minute after exercise. The organ transplant hospital orig...
Dr. Wu Xueming Reply:
If the heart rate is too slow (below 50 beats per minute), choose to take one of the following medications.[Read More] Can Nebilet and Propranolol Be Taken Together Safely?
Food Concerns for Patients with Heart Stents: What to Eat?
Dietary Issues for Stent Patients Hello Dr. Wu, I am a patient who has undergone two stent placements and had a myocardial infarction two years ago. I am currently taking antiplatelet medication (Clopidogrel) and lipid-lowering medication (Rosuvastatin 10mg + Ezetimibe 10mg), and...
Dr. Wu Xueming Reply:
1. I don't understand avocados; please consult a nutritionist. 2. Skim milk powder has already reduced its fat content, so there is no issue.[Read More] Food Concerns for Patients with Heart Stents: What to Eat?
Could You Be Experiencing Early Heart Failure Symptoms?
Worried that I might be in the early stages of heart failure? Hello, doctor. I have undergone ultrasound, exercise tests, and 24-hour ECG at the hospital, all of which were normal. However, over the past two months, I have been experiencing a feeling of hypoxia after exercising (...
Dr. Wu Xueming Reply:
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. However, if symptoms persist, it is still advisable to visit a hospital for a thorough examination.[Read More] Could You Be Experiencing Early Heart Failure Symptoms?
Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Mild myocardial ischemia Hello, Doctor He. I have had high blood pressure since I was 18 years old, and after turning 30, I started taking antihypertensive medication. I am currently 40 years old and take Amlodipine 5/80 daily. In November 2010, during a health check-up, the repo...
Dr. He Dongjin Reply:
Hello, mild myocardial ischemia. It is advisable to follow your attending physician's recommendations to maintain the current status. Blood pressure, dietary control, and exercise are sufficient. Changhua Hospital cares about you.[Read More] Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Understanding Myocardial Perfusion Test Results: A Guide for Patients
Myocardial perfusion scan results? Hello Doctor, I have had high blood pressure since childhood, and after turning 30, I have been taking antihypertensive medication. Currently, I take Amlodipine 5/80 daily without interruption. In November 2010, during a health check-up, the rep...
Dr. Wu Xueming Reply:
Please engage in regular exercise and maintain a light diet, attend follow-up appointments regularly, and take your medication. If there are no symptoms, continue with routine monitoring.[Read More] Understanding Myocardial Perfusion Test Results: A Guide for Patients
Understanding Heart Palpitations and Anxiety Medication Withdrawal
Hello, I would like to inquire about antiarrhythmic medications? Hello, I previously took medication for anxiety, but I had to stop because I have asthma and cannot take those medications. I'm not sure if I stopped too quickly, as I only took them for two days before discont...
Dr. Huang Yinghe Reply:
Hello: Rhythm control medications belong to the class of beta-adrenergic blockers, commonly used to alleviate symptoms of chest tightness and palpitations. Not taking the medication may lead to more frequent symptoms, but it is unlikely to cause severe complications. This medicat...[Read More] Understanding Heart Palpitations and Anxiety Medication Withdrawal
Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Suspected myocardial ischemia? Hello, I am the patient who just asked about angina. It seems that patients with frequent angina attacks cannot undergo nuclear medicine myocardial perfusion imaging. I get short of breath when I exercise and I'm a bit afraid of the exercise st...
Dr. Wu Xueming Reply:
A 24-hour electrocardiogram is not very helpful in assessing myocardial ischemia. Current medications, if they can control symptoms, are recommended to be continued.[Read More] Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Understanding Heart Issues Triggered by Hot Weather: Symptoms and Solutions
Hello, I would like to ask about heart disease caused by hot weather? Hello, I have been experiencing something unusual lately. My heart beats very strongly every day, and I feel short of breath (this is not occasional anxiety). It is completely different from how I used to feel....
Dr. He Dongjin Reply:
Hello, the heart disease caused by hot weather seems more like symptoms related to menopause, which can lead to autonomic nervous system dysregulation and discomfort due to heat intolerance. Please discuss with your physician about trying some medications for autonomic nervous sy...[Read More] Understanding Heart Issues Triggered by Hot Weather: Symptoms and Solutions
Understanding Blood Pressure Fluctuations: Causes, Medications, and Measurement Tips
Causes of Elevated Blood Pressure / Use of Antiarrhythmic Medications / Factors Affecting Systolic and Diastolic Blood Pressure / Methods for Measuring Blood Pressure Hello, Dr. He. I would like to ask you some questions related to blood pressure. I am currently 33 years old, 146...
Dr. He Dongjin Reply:
Hello, both your attending physician and I do not believe that you have hypertension; it sounds more like autonomic nervous system dysregulation or fluctuations in blood pressure caused by changes in both external and internal environments. External factors include weather and se...[Read More] Understanding Blood Pressure Fluctuations: Causes, Medications, and Measurement Tips
Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Hello, I would like to inquire about pulmonary hypertension caused by the sedative Amberning? Hello, I would like to ask about my situation. I accidentally took a sedative called Ambien along with an antihistamine, and since then, I have been experiencing increasing shortness of ...
Dr. Wu Xueming Reply:
Medications do not cause pulmonary hypertension; it is recommended that you go to the hospital for further evaluation.[Read More] Understanding Pulmonary Hypertension from Amberning and Antihistamine Interactions
Managing Hypertension: Safety and Dosage of Blood Pressure Medications
Antihypertensive medications Hello Director: I previously had high blood pressure, and the clinic prescribed "Amlodipine" as an antihypertensive medication, one tablet daily. My blood pressure is now around 140-130/90. I would like to ask: 1. Is it possible to reduce th...
Dr. He Dongjin Reply:
Hello, the blood pressure is approximately 140-130/90, which is still not low. It is not advisable to reduce the medication. Is the component of this medication safe? No problem, it will also take care of the heart and reduce the mortality rate from heart failure. There is no ant...[Read More] Managing Hypertension: Safety and Dosage of Blood Pressure Medications
Understanding Complications After Stent Placement: Risks and Recovery
Emergency Management During Stent Placement and Re-occlusion Dear Dr. Huang, On the morning of August 20, I thought I was experiencing gastroesophageal reflux and went to the emergency department of a municipal hospital. However, the electrocardiogram and blood test results indi...
Dr. Huang Yinghe Reply:
Hello Mr. Chen: Recent studies indicate that at least one-third of patients with acute myocardial infarction die before reaching the hospital. Among those who survive to receive treatment, the mortality rate within a year due to various complications of the disease remains at 5-1...[Read More] Understanding Complications After Stent Placement: Risks and Recovery
Understanding Rapid Heart Rate: Causes, Symptoms, and When to Seek Help
Rapid heartbeat Hello Dr. He, Since I have been monitoring my heart rate, it has typically ranged between 55-70 bpm. However, in the past week, I have noticed an increase in my heart rate, which is now between 90-110 bpm. Other symptoms include: 1. I feel very agitated mentally...
Dr. He Dongjin Reply:
Hello, a slightly elevated heart rate does not necessarily indicate an abnormality. It is advisable to monitor the situation first, and if it does not improve, you should consult a cardiologist for further evaluation. It is likely just a temporary autonomic nervous system imbalan...[Read More] Understanding Rapid Heart Rate: Causes, Symptoms, and When to Seek Help
Understanding Atrial Premature Contractions: Treatment Options and Medication Concerns
Atrial premature contractions and medication issues? Hello, Doctor! I would like to ask about my condition. Six months ago, I experienced about 1000-500 APCs (Atrial Premature Contractions) in a day, but now I only have about 3-4 APCs per month. Is it possible for me to undergo c...
Dr. He Dongjin Reply:
Hello, there's no need to use a sledgehammer to crack a nut. When considering any procedure, it's important to weigh the potential benefits against the possible risks. Your condition is mild and may recur, with benefits that are not clearly defined. However, you should ...[Read More] Understanding Atrial Premature Contractions: Treatment Options and Medication Concerns