Concerns About Concurrent Use of Kankin and Diltiazem for Arrhythmia
Kanken medication issues? Hello, Director: I have an issue with arrhythmia, and my doctor has prescribed Concor 1.25 mg to be taken once in the morning and once in the evening, along with Amlodipine 240 mg in the morning. I have researched online and it seems that using Concor an...
Dr. Huang Yinghe Reply:
Hello: Bisoprolol and Verapamil are commonly used medications for controlling arrhythmias. They work by reducing heart rate and decreasing the occurrence of premature beats, which can help alleviate symptoms such as palpitations and chest discomfort. Depending on individual respo...[Read More] Concerns About Concurrent Use of Kankin and Diltiazem for Arrhythmia
Understanding Heart Health: Insights on Medications and Testing for Chest Pain
I would like to consult with a doctor? I have been experiencing chest and back discomfort, sometimes accompanied by a sensation of my heartbeat. After visiting a cardiologist, the doctor arranged for a 24-hour Holter monitor, a stress test, and an echocardiogram. The doctor menti...
Dr. He Dongjin Reply:
Hello, you may be experiencing issues with your autonomic nervous system. Xin Kang Le and Yu Li Shu Pan are treatments for autonomic nervous system disorders. Personally, I believe that a CT scan is not necessary, but it can provide peace of mind. If you are still feeling uneasy,...[Read More] Understanding Heart Health: Insights on Medications and Testing for Chest Pain
Should Heart Medications Be Taken Together or Separately?
Should we eat separately or together? Hello, Doctor He. My mother had a heart stent placed not long ago (3 days ago), and her cardiologist prescribed Clopidogrel. Additionally, her endocrinologist prescribed Metformin. Since my mother has diabetes, she has been seeing the endocri...
Dr. He Dongjin Reply:
Hello, it is fine to take the medications separately or together. The important thing is to take both medications within the same day, not necessarily in the same dose or meal. Changhua Hospital cares about your well-being.[Read More] Should Heart Medications Be Taken Together or Separately?
Understanding Sudden Blood Pressure Changes in Elderly Patients
Grandma's hypertension has suddenly turned into low blood pressure, and her pulse has become rapid? Hello, Director He. My grandmother is 87 years old and has a history of hypertension. She exercises in the morning and has been on medication for long-term control, with her s...
Dr. He Dongjin Reply:
Hello, your blood pressure is too low, which may be due to a high concentration of Concor and Co-Diovan in your system. It is recommended to stop the medication for one day and resume it once your blood pressure stabilizes. Changhua Hospital cares about you.[Read More] Understanding Sudden Blood Pressure Changes in Elderly Patients
Managing Rapid Heartbeat: Insights on Propranolol and Hypertension
Tachycardia Hello, doctor. I have been experiencing symptoms of rapid heartbeat since the end of March this year. I have a history of hypertension and am currently taking antihypertensive medication. My heart rate is consistently around 80 to 90 beats per minute in the morning, a...
Dr. Bai Xiyan Reply:
Thank you for your inquiry. 1. The causes of tachycardia include hyperthyroidism, anemia, dehydration, fever, anxiety, and other issues. It can also be influenced by autonomic nervous system disorders, certain medications, caffeine, and tea. To manage palpitations, it is essent...[Read More] Managing Rapid Heartbeat: Insights on Propranolol and Hypertension
Understanding Palpitations and Tricuspid Valve Prolapse: Causes and Concerns
Palpitations, tricuspid valve prolapse? Hello, Doctor He: In the past year or two, I have frequently experienced a noticeable increase in my heart rate. Although the values remain within the normal range, I never had this sensation before, and recently I have been feeling my hear...
Dr. He Dongjin Reply:
Hello, the more you pay attention to it, the more noticeable the premature ventricular contractions (PVCs) become. They are generally benign, and it's best to coexist with them peacefully. If the symptoms become bothersome, some medications can help manage them. Don't w...[Read More] Understanding Palpitations and Tricuspid Valve Prolapse: Causes and Concerns
Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Myocardial perfusion tomography and 24-hour electrocardiogram? Dear Director: I would like to request your interpretation of the following two reports: (1) Myocardial Perfusion Tomography: IMP: The study suggests possible myocardial ischemia in the lateral wall of the left ve...
Dr. Huang Yinghe Reply:
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to dilate the coron...[Read More] Understanding Myocardial Perfusion Scans and 24-Hour ECG Results
Understanding 24-Hour Holter Monitoring: Key Insights and Findings
24-hour Holter monitor? Dear Director: I am the patient who asked you about the myocardial perfusion tomography and 24-hour electrocardiogram report two days ago. Since the previous 24-hour electrocardiogram only included the conclusion and omitted the details, I am providing the...
Dr. Huang Yinghe Reply:
Dear Mr. Wang Zhenyu, thank you for your inquiry. Myocardial perfusion imaging is a type of nuclear medicine examination that uses radioactive isotopes injected into the body to assess blood flow to the myocardium. During the test, medications are administered to induce vasodilat...[Read More] Understanding 24-Hour Holter Monitoring: Key Insights and Findings
Understanding Insurance Coverage for Antithrombotic Medications After Stent Placement
Medication Consultation Hello Dr. Lee, I would like to ask about the antithrombotic medication "Baushtong" that is taken after the placement of a vascular stent. Does the National Health Insurance cover the full cost of this medication regardless of how long it is taken...
Dr. Li Han Reply:
Hello, regarding your question, the National Health Insurance Administration has regulations for the use of pharmaceuticals and medical devices, especially for high-cost medications. You can use the Google search engine by entering the keywords "clopidogrel" and "N...[Read More] Understanding Insurance Coverage for Antithrombotic Medications After Stent Placement
Understanding Insurance Coverage for Antiplatelet Medications After Stent Placement
Issues with Baoshuantong medication? Hello Dr. Chen, I would like to ask about the antiplatelet medications prescribed after the placement of a vascular stent. Does the National Health Insurance cover the full cost regardless of how long the medication is taken, or is it only sub...
Dr. Chen Jili Reply:
It is advisable for you to discuss and inquire about the relevant medications with your attending physician. Wishing you good health.[Read More] Understanding Insurance Coverage for Antiplatelet Medications After Stent Placement
Managing Blood Pressure: Can Viagra Affect Your Heart Medications?
Medication consultation Hello, I recently started taking Concor 1.25 mg tablets and Exforge (combination of 5/80 mg) in the morning due to blood pressure issues. Previously, I would take Viagra (sildenafil) once a week for erectile dysfunction. I would like to ask: 1. Could takin...
Dr. Bai Xiyan Reply:
1. Not necessarily related. 2. Concor belongs to the class of beta-blockers, which may affect sexual function. The use of Viagra may not be suitable in combination with certain medications such as nitrates and sorbitrate. It is advisable to consult a urologist for guidance on its...[Read More] Managing Blood Pressure: Can Viagra Affect Your Heart Medications?
Understanding Early Heart Contractions and High Cholesterol Risks
Could you please provide information about premature heart contractions and hyperlipidemia? Hello, Doctor: Two years ago, my heart suddenly had a pause followed by a beat. I went to St. Mary's Hospital, and the doctor said it was premature contractions. I was prescribed Conc...
Dr. Huang Yinghe Reply:
Hello: Regarding premature ventricular contractions (PVCs), they are a common type of arrhythmia that can occur even in healthy individuals, especially during times of physical stress (such as emotional stress, poor sleep, or illness). They may be accompanied by symptoms like che...[Read More] Understanding Early Heart Contractions and High Cholesterol Risks
Is Concan Safe for Arrhythmia Patients with a History of Bronchiectasis?
Could you please provide more context or specify what you mean by "Kangken medication"? Hello, Director: I would like to ask if the medication Kankin is suitable for a patient with a 30-year history of bronchiectasis and arrhythmia. I have been taking this medication fo...
Dr. He Dongjin Reply:
Hello, Kang-Ken. This medication may potentially trigger asthma. Recently, I have been feeling a sensation of tightness in my chest, which could be due to weather factors or the medication. It might be a good idea to consult a physician about switching medications. Ping An Changh...[Read More] Is Concan Safe for Arrhythmia Patients with a History of Bronchiectasis?
Understanding Sinus Arrhythmia: Heart Rate Variability and Treatment Options
Cardiac issues? Hello, Doctor. I have a few questions I would like to ask you. 1. Previously, I wore a 24-hour Holter monitor and recorded over 50 premature contractions in a day. I still occasionally feel them. One doctor mentioned that I have sinus arrhythmia, with fluctuatio...
Dr. He Dongjin Reply:
Hello, your heart contraction fraction is 77, which is very good. The variability in the rate of sinus arrhythmia can be significant, with over 50 premature contractions occurring in a day being quite mild. Don't worry too much. If you have asthma, taking antiarrhythmic medi...[Read More] Understanding Sinus Arrhythmia: Heart Rate Variability and Treatment Options
Understanding Propranolol: Managing Heart Issues and Side Effects
Propranolol is a non-selective beta-adrenergic antagonist commonly used to treat various Hello: Last March, I went to the emergency room due to hyperventilation, and since then, I have undergone a series of tests. During this time, I have experienced shortness of breath, excessiv...
Dr. He Dongjin Reply:
Hello, it is not advisable to abruptly stop medication. This refers to patients who have been taking a large amount of medication for a long time. Symptoms that resemble excessive sensitivity of the autonomic nervous system may not be related to the medication and could be diffic...[Read More] Understanding Propranolol: Managing Heart Issues and Side Effects
Understanding the Side Effects of Diltiazem on Gastroesophageal Reflux
Side effects of sedative medications? Doctor, I have started experiencing gastroesophageal reflux after taking Dexamethasone. I read in the news that certain antihypertensive medications can cause relaxation of the lower esophageal sphincter, leading to gastroesophageal reflux as...
Dr. Bai Xiyan Reply:
The most common side effects of the antihypertensive medication Diovan include: dizziness (3.6%), headache (9.8%), diarrhea (5%), drowsiness (2.1%), cough (1-3%), and fatigue (2%). Other possible side effects include nausea, abdominal pain, back pain, joint pain, and blurred visi...[Read More] Understanding the Side Effects of Diltiazem on Gastroesophageal Reflux
Understanding Chest Tightness and Palpitations: Is It Anxiety or Heart Disease?
Chest tightness autonomic nervous system disorder? Hello, Director. Recently, I have been experiencing persistent chest tightness and palpitations for the past month, especially while sitting at my office desk. At times, it becomes so severe that I struggle to breathe and need to...
Dr. He Dongjin Reply:
Hello, this is a typical symptom of autonomic nervous system disorder. The CTA is normal, so there is no need to perform an exercise ECG. Taking Xanax will help alleviate chest tightness and palpitations. It is advisable to take Xanax and Inderal before work, and you may consider...[Read More] Understanding Chest Tightness and Palpitations: Is It Anxiety or Heart Disease?
Understanding Aortic Valve Insufficiency: Managing Symptoms and Medications
Incomplete membrane closure Hello, Doctor. Since 2016, I have been experiencing discomfort and was diagnosed with aortic regurgitation due to a congenitally bicuspid aortic valve that has degenerated early. I currently have moderate regurgitation and mild mitral valve prolapse wi...
Dr. He Dongjin Reply:
Hello, it is a misconception that taking too many beta-blockers can lead to heart failure. Currently, the first-line medication for heart failure is indeed beta-blockers. My doctor mentioned that my echocardiogram results are quite good, which is great news. Don't worry, and...[Read More] Understanding Aortic Valve Insufficiency: Managing Symptoms and Medications
Understanding Heart Palpitations and Cholesterol Concerns: A Guide
Cardiac issues Hello Doctor, I would like to ask for your advice. Recently, I have been experiencing frequent palpitations and irregular heartbeats. Sometimes, I feel sharp pain in my chest and around my heart area, and I also have pain in my left shoulder and back, although I&#x...
Dr. He Dongjin Reply:
Hello, for women of this age, experiencing palpitations and pain in the heart area is likely due to autonomic nervous system dysfunction, and the probability of a myocardial infarction is low, so there is no need to worry. Pain in the left shoulder and back is more likely to be m...[Read More] Understanding Heart Palpitations and Cholesterol Concerns: A Guide
Understanding Your 24-Hour ECG Report: Key Insights on Heart Health
Electrocardiogram (ECG) report inquiry? Hello, doctor. A few days ago, I had a 24-hour Holter monitor test, but unfortunately, I missed my follow-up appointment. I would like to ask if this report is serious. Diagnosis: Hypertensive heart disease without heart failure Indicat...
Dr. He Dongjin Reply:
Hello, non-sustained ventricular tachycardia (VT) with the longest run of 11 beats seems to be more serious. It is recommended to consult with your cardiologist in the outpatient clinic to discuss treatment options. Changhua Hospital cares about your well-being.[Read More] Understanding Your 24-Hour ECG Report: Key Insights on Heart Health