Understanding Changes in Hypertension Medication: Dosage and Combination Therapies
Could you please clarify your question regarding hypertension medication? I previously took Shumaiyou 20/5/12.5 mg, and this time my doctor switched me to Shumaikang 5/40. I would like to know if the dosage has increased. Additionally, could you explain what a combination medicat...
Dr. He Dongjin Reply:
Hello, Shumai You 20/5/12.5 is a three-in-one formulation, meaning it contains three different medications. Shumai Kang 5/40 is a two-in-one formulation, which means it contains two different medications, thus having one less medication. The physician's choice in prescribing...[Read More] Understanding Changes in Hypertension Medication: Dosage and Combination Therapies
Understanding Frequent Palpitations: Causes and Solutions
Frequent palpitations I usually experience frequent palpitations at night, especially when lying in bed. I visited a clinic, and the doctor suggested it might be caused by gastroesophageal reflux and prescribed medication. However, my palpitations have not significantly improved....
Dr. He Dongjin Reply:
Hello, it seems that your palpitations and rapid heartbeat may be caused by excessive anxiety leading to autonomic nervous system dysregulation. It is recommended to use some medications to help regulate your heart rhythm and reduce anxiety. Please take care, and the Changhua Hos...[Read More] Understanding Frequent Palpitations: Causes and Solutions
Managing Low Blood Pressure After Heart Stent Surgery: What You Need to Know
What can be done for low blood pressure? Are there methods to treat and improve it? Grandfather has severe coronary artery blockage (due to untreated blocked vessels, he has developed stable chronic heart failure stage II). He was recently hospitalized for stent placement, but be...
Dr. He Dongjin Reply:
Hello, patients who have undergone stent implantation typically take two antiplatelet medications due to considerations of age and bleeding risk. This can be discussed with your attending physician. Jian An Xin (健安心) is used to treat heart failure but can also lower blood pressur...[Read More] Managing Low Blood Pressure After Heart Stent Surgery: What You Need to Know
Managing Blood Pressure Medications and Their Side Effects
Antihypertensive medications Hello Dr. Lee: I have been diagnosed with oral cancer (but I have never smoked or used betel nut) and have completed treatment. I would like to ask you about my current use of 40 mg of Dexamethasone enteric-coated tablets. Recently, I have been experi...
Dr. Li Han Reply:
Hello, regarding your question about "currently using 40 mg of Dantrolene extended-release tablets to control blood pressure": 1. Is the recent lower back pain related to the medication or possibly cancer? 2. My blood pressure is generally stable, but the pulse press...[Read More] Managing Blood Pressure Medications and Their Side Effects
Comparing Heart Medications: Should You Switch from Dronedarone to Sotalol?
The difference between Xinlizheng and Zangdele? Hello, I previously had a stent placed at your hospital. Since last year, I have been experiencing arrhythmias. The first time my blood pressure was 180 and my heart rate exceeded 100. The second time was similar. After taking Drone...
Dr. He Dongjin Reply:
Hello, the placement of a stent and the occurrence of arrhythmias are generally different issues. It is difficult to say whether Heart Rate Control (such as with medications like Metoprolol) or antiarrhythmic drugs (like Dronedarone) is better; it depends on your specific conditi...[Read More] Comparing Heart Medications: Should You Switch from Dronedarone to Sotalol?
Understanding Sudden Rapid Heartbeat: When to Seek Treatment
Sudden rapid heartbeat? Hello doctor, my usual heart rate is between 90 and 110 beats per minute, but sometimes I feel a sudden constriction in my airway at the moment of inhalation (this can happen even when I'm not exercising, approximately every three months). After that,...
Dr. Huang Yinghe Reply:
Hello, Yijun: The normal heart rate at rest is approximately 60-100 beats per minute. A heart rate exceeding 210 may indicate paroxysmal supraventricular tachycardia. This is often due to an additional electrical pathway present from birth, which can easily trigger episodes under...[Read More] Understanding Sudden Rapid Heartbeat: When to Seek Treatment
Understanding Premature Heartbeats: Symptoms, Risks, and Medications
Cardiac issues Hello, Director. I hope you have a pleasant holiday. Thank you for your concise answers to my previous questions, which have alleviated my concerns significantly. Continuing from the last topic, are the symptoms of premature ventricular contractions (PVCs) and prem...
Dr. He Dongjin Reply:
Hello, premature ventricular contractions (PVCs) and premature atrial contractions (PACs) have similar symptoms, where the heart beats quickly for a moment and then returns to normal. The more you focus on it, the more likely early contractions are to occur. Try to relax and live...[Read More] Understanding Premature Heartbeats: Symptoms, Risks, and Medications
Managing Atrial Fibrillation: Concerns About Stopping Heart Medication
The doctor discontinued the medication despite the arrhythmia? My father is 90 years old and has been dealing with arrhythmia for ten years. He stopped his medication last year, which led to a ventricular tachycardia episode that required an emergency visit. After being discharge...
Dr. He Dongjin Reply:
Hello, the doctor is concerned that the medication overdose may cause a slow heart rate, leading to dizziness and temporary vision loss. If your heart rate remains above 100 beats per minute, please visit the outpatient clinic for medication adjustment. Changhua Hospital cares ab...[Read More] Managing Atrial Fibrillation: Concerns About Stopping Heart Medication
Understanding Heartbeat Sensation During Sleep: Causes and Solutions
Heart rate during sleep affects sleep quality? Hello doctor, when I lie down to sleep, I can clearly feel my heart beating. The rate is normal, but I continuously feel the heartbeat, which affects my breathing rate and ultimately leads to slight anxiety and difficulty falling asl...
Dr. He Dongjin Reply:
Hello, regarding your condition of palpitations, if a 24-hour ECG did not reveal any issues, there is no need to worry. Sedative sleep medications can be effective due to their anxiolytic properties. Changhua Hospital cares about your well-being.[Read More] Understanding Heartbeat Sensation During Sleep: Causes and Solutions
Understanding Atrial Fibrillation: Treatment Options and Concerns
Atrial Fibrillation Treatment During the Lunar New Year, I experienced episodes of my heart suddenly beating very fast and then very slow, irregularly. I later went to the emergency room, where the doctor diagnosed me with atrial fibrillation, with a heart rate of about 150 beats...
Dr. Li Han Reply:
Hello, regarding your inquiry about "the treatment of atrial fibrillation," based on your description, this is your first experience, and you have returned to normal rhythm, which indicates that it is paroxysmal atrial fibrillation. If there are no underlying cardiopulm...[Read More] Understanding Atrial Fibrillation: Treatment Options and Concerns
Understanding Rapid Cholesterol Fluctuations: Key Questions Answered
Significant fluctuations in cholesterol levels? Hello Doctor: On February 18th of this year, my blood test showed a total cholesterol level of 193 mg/dL and low-density lipoprotein (LDL) cholesterol of 128 mg/dL. On March 5th, I had another blood test, and my total cholesterol le...
Dr. Wu Xueming Reply:
1. Excluding laboratory error factors, unless there is a significant intake of cholesterol-rich foods in a short period, the discrepancy should not be that large. It is recommended to have blood drawn again in three months. 2. If your data is accurate, you should consider taking ...[Read More] Understanding Rapid Cholesterol Fluctuations: Key Questions Answered
Can You Safely Use Viagra with Blood Pressure Medications?
Do medications have interactions or produce side effects? Currently, I am taking high blood pressure medications Cozaar (Losartan) and Norvasc (Amlodipine). Can I also take Viagra or similar medications? If so, will there be any side effects? Thank you!
Dr. Wu Xueming Reply:
According to the prescribing information for the medication, in a study involving 16 patients with primary hypertension who took 100 mg of sildenafil, there was no significant effect on the pharmacokinetics of amlodipine. When amlodipine is used in conjunction with sildenafil, bo...[Read More] Can You Safely Use Viagra with Blood Pressure Medications?
Managing Medications Before Cardiac Catheterization: A Guide
Vascular obstruction Hello, Doctor. My grandfather is scheduled to undergo a cardiac catheterization next Monday, and he may be notified to be hospitalized this Saturday. I would like to ask whether he should continue taking the following medications or stop them (the doctor did ...
Dr. He Dongjin Reply:
Hello, you can continue taking your medication. Changhua Hospital cares about you.[Read More] Managing Medications Before Cardiac Catheterization: A Guide
Understanding Atrial Fibrillation Treatment: Managing Irregular Heartbeats
Atrial fibrillation treatment Hello, Doctor: During the New Year period, I experienced episodes of my heart suddenly beating very fast and then very slow, irregularly. I later went to the emergency room, where the doctor diagnosed me with atrial fibrillation, with a heart rate of...
Dr. He Dongjin Reply:
Hello, long-term excessive use of certain medications can affect the thyroid gland. You are currently in the acute phase, and the medication regimen is likely to be adjusted later. The reasons for thyroid dysfunction may not always be detectable through tests. Hyperthyroidism can...[Read More] Understanding Atrial Fibrillation Treatment: Managing Irregular Heartbeats
Managing Atrial Fibrillation: Understanding Irregular Heartbeats After Ablation
After undergoing four catheter ablations, the heart rate still occasionally fluctuates between being fast and irregular? Hello Dr. He, I have been experiencing atrial fibrillation due to arrhythmia and have undergone multiple catheter ablation procedures at the hospital. However...
Dr. He Dongjin Reply:
Hello, I apologize for the limited information I can provide. I recommend returning for a follow-up and discussing thoroughly with your attending physician to seek a mutually acceptable treatment plan. Wishing you peace and good health. Changhua Hospital cares about you.[Read More] Managing Atrial Fibrillation: Understanding Irregular Heartbeats After Ablation
Understanding Chronic Heart Failure: Symptoms, Diagnosis, and Management
Chronic Heart Failure Hello, doctor. Around March 2018, after jogging and taking a shower, I suddenly had difficulty breathing and had to squat down to relieve it. I then noticed that I would easily feel short of breath during exercise or when lifting heavy objects. In April, I w...
Dr. Wu Xueming Reply:
Based on your symptoms and examination report, it is recommended that you increase your physical activity, lose weight, and maintain your blood pressure within the normal range. This can help alleviate your symptoms and prevent future deterioration of heart function.[Read More] Understanding Chronic Heart Failure: Symptoms, Diagnosis, and Management
Should Grandfather Stop Blood Thinners Before Heart Scan?
Coronary artery obstruction Hello, the consent form for the cardiac perfusion scan states that on the day of the procedure, you should not take any antihypertensive or heart medications. Your grandfather usually takes Clopidogrel (prescribed by a neurologist due to a previous str...
Dr. Wu Xueming Reply:
Bococizumab and Beraprost do not need to be discontinued.[Read More] Should Grandfather Stop Blood Thinners Before Heart Scan?
Managing Cough and Chest Pain While on Blood Pressure Medication
Hypertensive cough Hello doctor, I have been taking 5 mg of Candesartan. Recently, due to the colder weather, I have been coughing frequently with clear or white phlegm, and I don't have much nasal discharge. I might have strained myself from coughing too hard, as my ribs ar...
Dr. He Dongjin Reply:
Hello, regarding the examination for asthma, theoretically, this medication should not interact with other medications. The clinic has informed me that if you are taking antihypertensive medications, there is no need to worry. Changhua Hospital cares about your well-being.[Read More] Managing Cough and Chest Pain While on Blood Pressure Medication
Managing Mitral Valve Prolapse and Low Blood Pressure in Cold Work Environments
History of mitral valve insufficiency/prolapse and hypotension? As a child, there was a history of mitral valve regurgitation/prolapse and hypotension. The work environment requires moving between -20°C to 7°C for about 10 hours, with approximately two five-minute breaks througho...
Dr. Wu Xueming Reply:
Your symptoms are not related to mitral valve prolapse. It is recommended to maintain a regular schedule, get plenty of rest, stay hydrated, keep warm, and engage in regular exercise.[Read More] Managing Mitral Valve Prolapse and Low Blood Pressure in Cold Work Environments
Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective
In the past six months, I have occasionally experienced palpitations at night that affect my sleep? Hello Dr. Huang, In the first half of this year, my company's health check revealed a normal chest X-ray. The physical examination indicated "rapid heart rate with hear...
Dr. Huang Yinghe Reply:
Hello Wayne: Generally, if there are no significant abnormalities in the electrocardiogram (ECG), exercise stress test, or echocardiogram, there is no need for regular follow-ups. Given your current age, a follow-up every two to three years should be sufficient unless new symptom...[Read More] Understanding Occasional Palpitations and Sleep Disruption: A Cardiac Perspective