Medications, Cardiology FAQ - Page 14

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Understanding Ventricular Premature Contractions: Treatment Options and Next Steps

Ventricular premature contraction (VPC) I received the BNT vaccine on October 14, and on October 18, I was hospitalized due to arrhythmia. After being discharged, I still experience chest pain, tightness, and dizziness. During my hospitalization, I underwent a 24-hour Holter moni...


Dr. He Dongjin Reply:
Hello, having over 1,000 to 2,000 beats per day should be within an observable range. It's advisable to start medication and monitor the situation. Personally, I believe that using a sledgehammer to crack a nut is unnecessary; it shouldn't come to needing ablation. If t...

[Read More] Understanding Ventricular Premature Contractions: Treatment Options and Next Steps


Can You Take Medications to Lower Heart Rate Before Vaccination?

Before vaccination I have palpitations, and during my last vaccination, my heart rate was very fast, which I believe was due to anxiety. I would like to ask the doctor if I can take Klonopin and Xanax before getting vaccinated to lower my heart rate and reduce anxiety?


Dr. He Dongjin Reply:
Hello, it is okay to take Klonopin and Xanax to reduce anxiety and heart rate. Changhua Hospital cares about you.

[Read More] Can You Take Medications to Lower Heart Rate Before Vaccination?


Managing Tricuspid Regurgitation After Pacemaker Implantation

Pacemaker-induced tricuspid regurgitation? Hello Dr. Wu, my mother had a mechanical mitral valve replacement a few years ago and has recently had a pacemaker implanted. She has been taking diuretics, but since the pacemaker was placed, her lower extremity edema has been harder to...


Dr. Wu Xueming Reply:
Diuretics can address the issue of excess fluid, but if there is significant deterioration in cardiac function, additional heart failure medications are still necessary.

[Read More] Managing Tricuspid Regurgitation After Pacemaker Implantation


Can Hypertension Patients Switch Medications Before Vaccination?

Can I change my hypertension medication before getting vaccinated? Hello Dr. Lee, I am a patient with hypertension and have been taking antihypertensive medication since I was about 20 years old, for approximately 5.6 years. Initially, I was diagnosed with hypertension at a gener...


Dr. Li Han Reply:
Hello, regarding your inquiry about concerns related to antihypertensive medications and the COVID-19 vaccine, you can rest assured that there is no impact. As for blood pressure management, it is still important to emphasize non-pharmacological approaches and not neglect them. I...

[Read More] Can Hypertension Patients Switch Medications Before Vaccination?


Which COVID Vaccine is Best for 65-Year-Olds with Heart Disease and Hypertension?

Which type of COVID-19 vaccine is suitable for a 65-year-old elderly person with hypertension and heart disease? Hello Dr. Wu, my father is 65 years old and has chronic conditions (heart disease, hypertension, and slight arrhythmia). If he is to receive the COVID-19 vaccine, whic...


Dr. Wu Xueming Reply:
As long as blood pressure is stable and there are no discomforting conditions with the heart, any vaccine can be administered.

[Read More] Which COVID Vaccine is Best for 65-Year-Olds with Heart Disease and Hypertension?


Understanding Gastrointestinal and Cardiac Symptoms After Quitting Smoking

Gastroenterology and Hepatology I quit smoking on August 30 after 45 years of smoking more than a pack a day, but I have been experiencing uncomfortable bloating in my stomach, which has persisted for over a month. I have several questions as listed below: 1. Is it normal to ex...


Dr. He Dongjin Reply:
Hello, it is normal to experience bloating after quitting smoking. Bloating may accompany gastroesophageal reflux, which is also normal. Any discomfort may be associated with palpitations, which can occur due to gastroesophageal reflux, any discomfort, or autonomic nervous system...

[Read More] Understanding Gastrointestinal and Cardiac Symptoms After Quitting Smoking


Managing Favism in Patients with Heart Stents: Medication Concerns

Favism and Berkey enteric-coated capsules? The patient has favism and underwent coronary stenting due to a myocardial infarction. After the procedure, a prescription for Beraprost sodium enteric-coated microparticles was issued; however, some hospitals have contraindications for ...


Dr. Huang Yinghe Reply:
Hello: Patients with G6PD deficiency typically do not exhibit symptoms. However, due to the abnormality of the G6PD enzyme in red blood cells, exposure to or consumption of certain substances (such as fava beans, camphor, gentian violet, sulfonamides, etc.) can lead to hemolysis,...

[Read More] Managing Favism in Patients with Heart Stents: Medication Concerns


Understanding Unexplained Heart Palpitations and Chest Discomfort

Cardiac and heartbeat-related issues? Hello, Doctor. I have undergone a cardiac ultrasound at a major hospital, and my blood tests every three months have been normal. However, I occasionally experience sudden palpitations with a heart rate of at least 120 beats per minute, accom...


Dr. He Dongjin Reply:
Hello, it sounds more like symptoms of autonomic nervous system dysfunction. If you still feel unwell, please visit the clinic for some simple medications. Don't worry, Changhua Hospital cares about you.

[Read More] Understanding Unexplained Heart Palpitations and Chest Discomfort


Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?

Cardiac discomfort. Autonomic nervous system dysfunction? Hello, doctor. I was diagnosed with mitral valve prolapse since childhood, but it hasn't been serious, and I haven't needed medication. I've experienced palpitations and shortness of breath since I was young...


Dr. He Dongjin Reply:
Hello, you indeed have autonomic nervous system dysfunction, rather than an organic heart problem. There is no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry, Changhua...

[Read More] Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?


Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?

Cardiac discomfort. Autonomic nervous system dysfunction? Hello, Doctor. I was diagnosed with mitral valve prolapse since childhood, but it hasn't been serious, and I haven't needed medication. I've had symptoms like palpitations and shortness of breath since I was...


Dr. He Dongjin Reply:
Hello, that's correct. You have autonomic nervous system dysfunction, not an organic heart problem. There's no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry...

[Read More] Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?


Heart Palpitations: Is It Anxiety or Autonomic Nervous System Disorder?

Cardiac discomfort. Autonomic nervous system dysfunction? Hello, Doctor. I was diagnosed with mitral valve prolapse since childhood, but it hasn't been serious, and I don't need to take medication. I've had symptoms like palpitations and shortness of breath since I...


Dr. He Dongjin Reply:
Hello, that's correct. You have autonomic nervous system dysfunction, not an organic heart problem. There's no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry...

[Read More] Heart Palpitations: Is It Anxiety or Autonomic Nervous System Disorder?


Understanding Heart Palpitations: Is It Anxiety or Autonomic Dysfunction?

Cardiac discomfort. Autonomic nervous system dysfunction? Hello, doctor. I was diagnosed with mitral valve prolapse since childhood, but it hasn't been serious, and I don't need to take medication. I've had symptoms like palpitations and shortness of breath since I...


Dr. He Dongjin Reply:
Hello, that's correct. You have autonomic nervous system dysfunction, not an organic heart problem. There is no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry, Ch...

[Read More] Understanding Heart Palpitations: Is It Anxiety or Autonomic Dysfunction?


Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?

Cardiac discomfort. Autonomic nervous system dysfunction? Hello, doctor. I was diagnosed with mitral valve prolapse since childhood, but it hasn't been serious, and I don't need to take medication. I've had symptoms like palpitations and shortness of breath since I...


Dr. He Dongjin Reply:
Hello, that's correct. You have autonomic nervous system dysfunction, not an organic heart problem. There's no need for further cardiac examinations or to see a cardiologist or psychosomatic specialist. Simple medications can help improve your symptoms. Don't worry...

[Read More] Understanding Heart Discomfort: Is It Autonomic Nervous System Dysfunction?


Understanding Nighttime Palpitations: When to Seek Medical Advice

Waking up in the middle of the night with palpitations? I am currently 40 years old and have experienced palpitations, which led me to undergo tests, including an exercise electrocardiogram. One doctor said the results were normal, while another doctor indicated mild hypoxia and ...


Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable to adju...

[Read More] Understanding Nighttime Palpitations: When to Seek Medical Advice


Understanding Heart Palpitations: When to Seek Cardiovascular Care

I have searched through many articles but couldn't find symptoms that closely match. I apologize if I missed any similar symptoms? Doctor, I apologize for the interruption. I have been troubled by this issue for almost six months. I want my parents to take me to see a doctor...


Dr. He Dongjin Reply:
Hello, feeling your heart beating strongly while lying down is known as palpitations. It doesn't necessarily come with dizziness. At this age, during puberty, experiencing chest tightness and palpitations is normal and doesn't always indicate a problem; it's not re...

[Read More] Understanding Heart Palpitations: When to Seek Cardiovascular Care


Managing Heart Rhythm Issues: Concerns with KanKen and Persistent Cough

Currently taking half a tablet of Kankin 5mg and half a tablet of Xinsuping once a day? I recently sought medical attention for arrhythmia and am currently taking 5 mg of Concor (bisoprolol) half a tablet and half a tablet of Xinsheping (a medication for anxiety) every morning. I...


Dr. Wu Xueming Reply:
Your cough symptoms should not be directly related to the medications you are currently taking. It is recommended that you visit a hospital for further evaluation.

[Read More] Managing Heart Rhythm Issues: Concerns with KanKen and Persistent Cough


Understanding Heart Rhythm Medications: Concerns and Safety Tips

Medication Consultation Hello Director He: 1. At the beginning of the year, during a cardiology outpatient visit at the medical center, a 24-hour Holter monitor showed: (1) Rare ventricular premature contractions (VPCs), less than 1 beat per hour; (2) Frequent atrial premature c...


Dr. He Dongjin Reply:
Hello, I suggest returning to the medical center to discuss with your original attending physician. Based on the information you provided, I cannot determine whether the heart rhythm issue has worsened and why medication adjustments are necessary. It's unclear to me if you n...

[Read More] Understanding Heart Rhythm Medications: Concerns and Safety Tips


Understanding Borderline Abnormalities in Exercise ECG Tests

Exercise Electrocardiogram Critical Abnormalities Patient Name: LIU Y.N DOB: 1981/09/18 Patient ID: 22188275-81361 Age: 39 yrs Height: 157 cm Gender: FEMALE Weight: 63 kg Race: Study Date: 2021/09/14 Referring Physician: D48997 Test Type: -- Attending Physic...


Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health!

[Read More] Understanding Borderline Abnormalities in Exercise ECG Tests


Can I Get the BNT Vaccine with Arrhythmia and Mitral Valve Prolapse?

Arrhythmia BNT Hello doctor, I am 43 years old and I have arrhythmia, which occurs two to three times a day, lasting for 2 to 3 hours each time. I have seen a doctor who diagnosed me with premature ventricular contractions and mitral valve prolapse. Therefore, I am currently taki...


Dr. Huang Yinghe Reply:
Hello: There are no contraindications for your condition and medication regarding the COVID vaccine. It is recommended that you continue taking your medication if you decide to get vaccinated. In principle, if you do not have any acute discomfort, you can proceed with the vaccina...

[Read More] Can I Get the BNT Vaccine with Arrhythmia and Mitral Valve Prolapse?


Dietary Restrictions for Heart Patients on Valsartan and Amlodipine

What dietary precautions should my father take while on medication? Hello, I would like to inquire about my father's current medication regimen. He is taking two types of antihypertensive medications: 1. Valsartan 160 mg (film-coated tablet) and 2. Amlodipine 5 mg (tablet). ...


Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your father's attending physician. Thank you, and wishing you good health!

[Read More] Dietary Restrictions for Heart Patients on Valsartan and Amlodipine


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