Medications, Cardiology FAQ

Do Statins Harm the Liver? New Insights on Cholesterol Management

Do statin medications harm the liver? Hello, I have hyperlipidemia, with elevated cholesterol, triglycerides, and LDL levels. I was initially taking statins to lower my lipid levels, but later switched to red yeast rice capsules due to elevated liver enzymes (GOT and GPT). Recent...

Dr. Wu Xueming Reply:
If liver function tests show only a slight increase, the medication can be continued, and liver function should be monitored regularly.

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.

Managing Atrial Fibrillation and Heart Failure Medications Safely

Medications for Atrial Fibrillation and Heart Failure Hello Doctor, over a year ago I fainted and was diagnosed with atrial fibrillation. Three months later, I developed heart failure (Ejection Fraction ≤ 35%). Currently, my heart rate often exceeds 100 bpm. The doctor has prescr...

Dr. He Dongjin Reply:
Hello, you can discuss with your physician to hear his opinion; it's not necessarily contraindicated to use them together. Ping An Changhua Hospital cares about you.

Preventing Stroke: Managing Heart Disease and Vascular Health Risks

What are the issues related to myocardial infarction and atherosclerosis? How can strokes be prevented? A 61-year-old male family member of mine has been smoking for over 30 years. Six months ago, he was admitted to the emergency department due to a myocardial infarction. After b...

Dr. Wu Xueming Reply:
1. Patients with cardiovascular disease have a higher risk of stroke. 2. It is essential to strictly follow the physician's prescribed medication regimen to ensure the effectiveness of the treatment. 3. Patients with cardiovascular disease must adhere to dietary restrict...

How to Advocate for a Heart Catheterization After Years of Symptoms?

Cardiac catheterization? I have seen countless doctors, and they only prescribe medications for my heart rhythm without offering any further treatment. How can I guide my doctor to perform a cardiac catheterization? Whenever I am in a slightly warm environment and walk for more t...

Dr. Wu Xueming Reply:
According to health insurance regulations, the indications for cardiac catheterization must include typical angina symptoms along with objective evidence of myocardial ischemia, such as a stress electrocardiogram or nuclear medicine myocardial perfusion imaging. Please discuss wi...

Can I Take Punortor with Clopidogrel? Heart Disease Guidance Needed

Hello, I would like to inquire about medication usage issues? Hello, doctor. My family member recently completed heart examinations, including an electrocardiogram, a stress test, and a myocardial perfusion scan, which confirmed the presence of coronary artery disease. They will ...

Dr. Wu Xueming Reply:
The two medications have no interactions and can be taken together. Please engage in regular exercise, maintain a light diet, adhere to your medication schedule, and attend follow-up appointments regularly.

Is a Resting Heart Rate Below 45 BPM a Cause for Concern?

Is there a problem if the resting heart rate drops below 45? Thank you! Due to hypertension issues, I have been taking Sevikar 40/5/12.5 mg for the past few years, and my blood pressure has been well controlled. During my last follow-up appointment last month, my fasting blood su...

Dr. Li Han Reply:
Hello, based on your description, after changing the medication, Nebilet has reduced your resting heart rate to 50 beats per minute. If you are not experiencing any discomfort and your heart rate can appropriately increase during activity, it may indicate that your heart function...

Understanding Low Sleep Heart Rate: Is It a Sign of Heart Issues?

The heart rate during sleep can sometimes be very slow? Hello Doctor, since I started wearing an Apple Watch in 2020, I have recorded my heart rate dropping to the 40s during sleep. Recently, in the past two months, I have experienced several instances where my sleep heart rate h...

Dr. He Dongjin Reply:
Hello, during sleep, the body is resting, and the heart is also resting. A heart rate of 40 beats per minute is normal, so there is no need to worry. Changhua Hospital cares about you.

Understanding Nighttime Heart Palpitations and Insomnia: Causes and Solutions

Palpitations and insomnia? Hello Doctor, recently there have been some changes at home that have caused me significant stress. I would like to ask about a situation where I feel my heart racing during sleep, similar to a vibration, which often wakes me up and makes it hard to fal...

Dr. He Dongjin Reply:
Hello, if you are experiencing significant stress and autonomic nervous system dysregulation, it is advisable to monitor the situation. You may also consider using some medications to help adjust the condition, which should not pose any issues. Changhua Hospital cares about your ...

Managing VPC and Medication Adjustments for Heart Rhythm Disorders

Antiarrhythmic medications I have ventricular premature contractions (VPC) and have undergone stent placement, and I am currently receiving ongoing treatment. My doctor has prescribed medications including Clopidogrel, Aspirin, Dronedarone, Atorvastatin, Bisoprolol, Diltiazem, So...

Dr. He Dongjin Reply:
Hello, you should first clarify whether your discomfort, such as chest tightness, dizziness, and shortness of breath, occurs when there are frequent ventricular premature contractions (VPCs). If not, there is no need to take Metoprolol; just monitor your symptoms for any worsenin...

Post-CABG Heart Issues: Clarifying Concerns and Treatment Options

I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting) related to the questions following number #206723? Hello Dr. Huang, I am the person with ID <a href="https://adoctor.tw/article/206723">#206723</a> who inquired abo...

Dr. Huang Yinghe Reply:
Hello: 1. Both situations exist. Patients who typically require bypass surgery often have multiple areas of stenosis in their coronary arteries. The surgery can only bypass the narrowed sections of the main coronary artery to improve perfusion, and some smaller branches may not...

Understanding Medication Side Effects: Impact on Kidney and Uric Acid Levels

Drug side effects A 51-year-old female, I started taking antihypertensive medication in July of last year. Initially, my blood tests showed normal kidney function and uric acid levels. Recently, I had blood tests and found that my kidney function and glucose levels have turned ab...

Dr. Wu Xueming Reply:
It is indeed possible that diuretics can cause elevated blood sugar and uric acid levels. It is recommended to consult with a physician in the outpatient clinic to discuss whether a change in medication is necessary.

Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms

I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Dr. Huang, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly after the surg...

Dr. Huang Yinghe Reply:
Hello: 1. There were no significant changes in the electrocardiogram (ECG) before and after coronary artery bypass grafting (CABG), indicating the possibility of myocardial ischemia. 2. The ECG from March 1 of this year compared to the postoperative ECG shows a new (complete) lef...

Should You Continue Taking Heart Rhythm Medication with Low Heart Rate?

Medication Consultation: Antiarrhythmic Drugs Due to recent physical discomfort and occasional episodes of rapid heartbeat, the doctor prescribed a heart rhythm medication to be taken three times a day. However, there are times when my heart rate is not fast (around 70-60), and a...

Dr. Huang Yinghe Reply:
Hello: Generally, antiarrhythmic medications are primarily used to control symptoms and may slightly reduce heart rate. A heart rate of 50-60 beats per minute is still within an acceptable range. If you feel more comfortable after taking the medication, you may continue to use it...

Managing Atrial Fibrillation Recurrence After Catheter Ablation

Recurrence of atrial fibrillation after catheter ablation? Hello, I apologize for the confusion and appreciate this opportunity to ask my questions. I am 30 years old and was diagnosed with atrial fibrillation at Taipei Medical University. I take one tablet of Dronedarone and hal...

Dr. He Dongjin Reply:
Hello, it is difficult to say if the cryoablation surgery was unsuccessful; a decrease in overall volume could still be considered a success. 2. Side effects vary from person to person, making it hard to determine. Your physician should monitor your medication, as increasing dosa...

Important Medication Considerations for Patients Taking Kankun

Other precautions for using Kangken medication? Hello, doctor! I would like to ask about taking 5 mg of Kankun. If I have cold symptoms, what ingredients in over-the-counter medications should I be cautious about? Can I take Tylenol directly for headaches? If I have motion sickne...

Dr. Wu Xueming Reply:
There are no significant interactions between Kankun, Panadol, and common cold medications.

Heart Palpitations and Myocardial Infarction After Antihistamine Injection

The injection of "Diphenhydramine Hydrochloride" from Chang Gung has led to palpitations and myocardial infarction, and the pain has persisted for three years. I feel like I want to die? Antihistamine Diphenhydramine Hydrochloride has caused palpitations. Since I receiv...

Dr. Wu Xueming Reply:
Regarding your symptoms, it is recommended to visit a cardiology clinic for further evaluation.

Understanding Dizziness and Neck Tightness: Heart Health Insights

Dizziness and neck tightness? Hello Doctor: My mother, 70 years old, experienced dizziness and tightness in her neck and back, which raised concerns about a stroke, prompting an emergency examination. Abnormal findings included total cholesterol at 231, low-density lipoprotein ch...

Dr. Li Han Reply:
Hello, your daughter sought medical attention due to dizziness and neck tightness. However, these two symptoms are non-specific. Based on the echocardiogram and 24-hour Holter monitor results, as previously mentioned by the physician, cardiac mechanical factors should be excluded...

Understanding Extracranial Ultrasound Reports: A Guide for Patients

Supplement #206367 Extracranial Ultrasound Examination Report Hello Doctor: Below is the report from my mother's consultation with a neurologist. Since she has not yet returned for a follow-up, please assist with the interpretation. Thank you! Additionally, I would like to m...

Dr. Li Han Reply:
Hello, based on the neck ultrasound report, there are currently no significant signs of obstruction. At this time, there is no evidence to support the use of antithrombotic medications for primary prevention (unless there is diabetes or known atherosclerotic cardiovascular diseas...

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...

Previous｜Page ｜Next