Medications, Cardiology FAQ

How to Differentiate Between Anxiety and Cardiovascular Issues in Chest Pain?

How can one distinguish whether chest tightness is due to emotional issues or cardiovascular problems? About a month ago, I started noticing a sensation of chest tightness. Here is a record of my medical visits: The next day, I went to a cardiology clinic for an electrocardiogram...

Dr. He Dongjin Reply:
Hello, you might be overthinking it; it should be fine. Given that you've had multiple check-ups over the years with no issues, the likelihood of a heart problem is low. Try to relax and get out to exercise more. Changhua Hospital cares about you.

Understanding the Precautions of Heart Medications: A Patient's Guide

Contraindications of Xinsuping Hello Dr. Tsai, I apologize for taking up your time. I have been taking Catapres and other cardiology medications for about six years, but in the past year, I have experienced occasional missed beats, sometimes mild and sometimes severe. After sever...

Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation with your attending physician to obtain accurate information. Thank you, and wishing you good health!

Understanding Catheter Ablation for Asymptomatic Ventricular Ectopy in Young Athletes

Cardiac ablation The doctor has a young patient in second grade who is an athlete and has ventricular premature contractions (VPCs), but does not experience any discomfort. The patient has been on medication for about two years and undergoes 24-hour Holter monitoring every six mo...

Dr. Huang Yinghe Reply:
Hello: Catheter ablation is a procedure that uses catheters to burn areas of heart muscle that emit or conduct abnormal electrical signals, aiming to treat arrhythmias. Considerations for catheter ablation include cases where arrhythmias are not controlled by medication or when p...

Managing Nighttime Chest Pain: Tips for Better Sleep and Heart Health

Chest pain and difficulty sleeping? Hello Doctor: For the past year and a half, I have been experiencing occasional burning pain in the center of my chest. At first, it happened only once every six months, but in the last two months, I can only hope it doesn't occur. I have ...

Dr. He Dongjin Reply:
Hello, it is recommended that you see a cardiologist for a thorough examination. Once it is confirmed that there are no issues, it may be related to gastroesophageal reflux or cardiovascular spasms. The doctor will prescribe relevant medications for further evaluation. Changhua H...

Chest Pain, Breathing Issues, and Rapid Heartbeat: Flu or Side Effects?

Chest tightness, difficulty breathing, and rapid heartbeat? Yesterday, I went to an ENT specialist due to a fever of 39 degrees Celsius, sore throat, body aches, a little runny nose, and nasal congestion. The doctor said I have a flu-like illness, so I took medication for a day. ...

Dr. He Dongjin Reply:
Hello, it seems that the symptoms are mostly due to the side effects of the medication. For the mitral and tricuspid valve prolapse symptoms, it is advisable to observe them first. Unlike severe influenza, there is no need to panic. Changhua Hospital cares about you.

Managing Heart Rhythm Issues During Dialysis: Key Considerations

Cardiac issues Hello Doctor: I would like to consult with you regarding my father, who is currently undergoing hemodialysis and taking one tablet of Dronedarone in the morning and evening to treat his arrhythmia. Recently, his heart rate has been around 40-50 beats per minute. Th...

Dr. Huang Yinghe Reply:
Hello, Dronedarone is a medication used to treat arrhythmias, primarily effective in slowing down the heart rate. If the heart rate frequently drops below 50 beats per minute, it is necessary to consider reducing the dosage or discontinuing the medication. Generally, a gradual ta...

Can You Safely Use Viagra with Blood Pressure Medications?

Medication consultation I am currently taking antihypertensive medications (Cozaar 50mg and Concor 5mg) daily. Can I also take Viagra? If so, are there any potential side effects? Thank you!

Dr. He Dongjin Reply:
Hello, theoretically, it is possible for medications without interactions to be safe. Changhua Hospital cares about you.

Can You Safely Combine Blood Pressure Medications with Viagra?

Can medications be taken together? I have been taking antihypertensive medications (Cozaar 50mg and Diovan 160mg) daily. Can I also take Viagra or similar medications? If so, are there any side effects? Thank you!

Dr. Lin Jixiong Reply:
Hello: Please do not take this medication with blood pressure medications. Discuss the appropriate timing for medication with your cardiologist. Dr. Lin Chi-Hsiung.

Understanding Left Chest Pain: Heart Issues or Anxiety?

Left chest pain? Hello Doctor, I am 179 cm tall, weigh 86 kg, and am 35 years old. I haven't exercised for a while. In mid-November, I experienced chest tightness and went to see a doctor. After performing an exercise electrocardiogram, the doctor noted abnormalities indicat...

Dr. He Dongjin Reply:
Hello, anxiety has triggered autonomic nervous system dysregulation, leading to poor appetite and sensations of breathlessness and sharp pain, which are generally not related to the heart. It is possible that this is due to neuropathic pain from the autonomic nervous system, as t...

Understanding Medication Side Effects in Cardiovascular Treatment

Drug side effects Director: Hello, I need your assistance again. I was originally taking antihypertensive medication, specifically Olmesartan 20 mg once daily. In early February of this year, due to mitral valve insufficiency, my physician prescribed Bisoprolol 1.25 mg, also once...

Dr. He Dongjin Reply:
Hello, it is indeed rare for this to occur. Whether it is truly a side effect of the medication is uncertain. The simplest approach is to temporarily discontinue the medication and monitor the situation after a week. If there is an improvement, it may be attributed to a side effe...

Understanding Arrhythmias and Blood Pressure Issues: A Patient's Journey

Arrhythmia and blood pressure issues? Hello, Doctor He: First of all, thank you very much for your response. Today, I had an electrocardiogram (ECG), and the results showed nothing abnormal. The doctor prescribed me with Uxin enteric-coated tablets, Paoan tablets, Mianlv tablets,...

Dr. He Dongjin Reply:
Hello, you are too anxious, which has led to excessive autonomic nervous system excitement. Medications like Youxinmoyin, Paoan tablet, and Mianlv tablet can help alleviate this. Just monitor your blood pressure as measured at the hospital; this is not high blood pressure, so the...

Understanding Ventricular Premature Contractions: When to Seek Medical Advice

Ventricular premature contraction (VPC) Hello, doctor. Previously, I felt a missed heartbeat and went to the cardiology department at Shin Kong Hospital for an examination. I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram. The doctor said I ...

Dr. Huang Yinghe Reply:
Hello: Premature ventricular contractions are related to autonomic nervous system activity and physical stress. They may occur more frequently during states of anxiety or fatigue. If there are no significant issues found in cardiac structural and functional examinations, there is...

Understanding Heart Issues: Anxiety, Mitral Valve Prolapse, and Palpitations

Cardiac issues Hello Doctor, I would like to ask about my condition. I have anxiety, panic attacks, mitral valve prolapse, and occasional premature heartbeats that often exceed 100 beats per minute. During panic attacks, my heart rate can reach 120-130. Could this lead to death? ...

Dr. He Dongjin Reply:
Hello, a heart rate often exceeding 100 beats per minute, especially during panic, reaching 120-130, will not lead to death. It's the absence of a heartbeat that can be fatal, not a rapid heartbeat. Don't worry; this is not a serious condition. It's not severe asth...

Managing Atrial Fibrillation: Treatment Options and Lifestyle Tips

Regarding the follow-up treatment for my father's arrhythmia? Dear Dr. He, My father is 58 years old and has had a total of four episodes of arrhythmia since 2012 (in 2012, 2015, 2016, and 2018). My grandfather passed away from heart disease. During the second episode in 20...

Dr. He Dongjin Reply:
Hello, ventricular tachycardia can be managed with two types of medications that can be taken continuously, but catheter ablation should be considered. A more aggressive treatment option is to undergo catheter ablation. Where is your father being monitored? It might be a good ide...

Can Knee Valgus Cause Swelling in the Feet?

Edema issues? Can knee valgus lead to foot edema?

Dr. He Dongjin Reply:
Hello, knee valgus? Acute injuries may lead to swelling, which can be managed with anti-inflammatory medications or the use of knee braces. Changhua Hospital cares about your well-being.

Understanding Palpitations: Links to Autonomic Nervous System Issues

Palpitations discomfort Hello, doctor. This is my first time asking a question here, and I hope to seek some answers. Thank you! I have been experiencing heart discomfort, and after some examinations, no significant issues were found. I later sought treatment in the psychosomatic...

Dr. He Dongjin Reply:
Hello, yes, experiencing palpitations after falling asleep may be related to the autonomic nervous system. It's normal to feel your heartbeat more prominently while lying in bed, so there's no need to worry. However, using some autonomic nervous system medications may h...

Is It Palpitations? Understanding Heart Symptoms and Their Causes

Is it palpitations? Last week, I visited a pulmonologist. When the doctor asked where I felt uncomfortable, I mentioned that sometimes I have difficulty breathing at night and occasionally feel a bit short of breath. The doctor took some X-rays, which showed nothing unusual. Then...

Dr. He Dongjin Reply:
Hello, palpitations are when you can feel your heart beating. Each person's constitution is different, and reactions to various stimuli can vary. It's hard to say whether exposure to aluminum fumes is related to your discomfort. It might be best to start with some medic...

Can Medication Cure My Arrhythmia After Ablation? Expert Insights

After electrocautery, if arrhythmia persists, can medication cure it? I have arrhythmia, and during my first examination last year, my heart rate was 60,000 beats per day (without medication). After starting medication, it decreased to 10,000 beats (with medications including Dro...

Dr. Chen Jili Reply:
It is recommended that you discuss the above issues with your attending physician, as they can provide appropriate treatment based on your specific condition. Wishing you good health.

How Long to Wait for Another Heart Stent After Initial Placement?

How long should one wait before getting another heart stent placed? 1. How often should patients taking (Bergy) and (Yuanxin Sustained Release Tablets) have their hearts checked? 2. If the patient also has diabetes, can the cardiologist prescribe antidiabetic medication directly,...

Dr. He Dongjin Reply:
Hello, in principle, two specialties can be combined into one. A cardiologist can directly prescribe blood sugar-lowering medications, but the regulations may vary by hospital regarding how long to wait before placing another stent. This depends on the severity of the condition. ...

Understanding the Risks of Combining Medications for Heart Rhythm Issues

Please consult the director? Hello, Director: I have a problem with arrhythmia, and my doctor has prescribed Concor 1.25 mg, one tablet in the morning and one in the evening, as well as Amlodipine 240 mg, one tablet in the morning. I checked the medication leaflet online, and it ...

Dr. He Dongjin Reply:
Hello, since I am not clear about the severity of your arrhythmia issue, it is difficult to say. Generally, cardiologists do not commonly use both medications together unless there is a specific consideration. I recommend returning to discuss this with your physician. As for the ...

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