Managing Ventricular Tachycardia: Concerns and Treatment Options
Ventricular Tachycardia (VT) Treatment Questions II Dear Dr. He, Thank you for your kind response to my previous question. I was diagnosed with influenza A and observed to have ventricular tachycardia (VT), which led to my transfer to the emergency department for hospitalization...
Dr. He Dongjin Reply:
Hello, please organize the medical records from Changhua and seek a second opinion from Director Hsieh Yu-Cheng at Taichung Veterans General Hospital. Changhua Hospital cares about you.[Read More] Managing Ventricular Tachycardia: Concerns and Treatment Options
Managing Hypertension in Patients with Valvular Heart Disease: Key Considerations
Issues with Hypertension Medications for Cardiovascular Disease Hello Doctor: I have valvular heart disease and need to take antihypertensive medication long-term to control my blood pressure. However, I have recently been measuring higher blood pressure (systolic 160-170 / diast...
Dr. He Dongjin Reply:
Hello, you can try to divide the medications as follows: take Nifedipine with breakfast and dinner, INDAP S.R. at lunch, and Diovan before bedtime. Monitor your blood pressure changes, and if it remains elevated, discuss with your physician about adjusting the medication. Changhu...[Read More] Managing Hypertension in Patients with Valvular Heart Disease: Key Considerations
Managing Irregular Heartbeat in Elderly Patients: A Guide for Caregivers
Arrhythmia Hello Doctor, My mother has been experiencing a high frequency of pulse wave instability when measuring her blood pressure at home over the past three months (she measures her blood pressure twice daily). After auscultation, the doctor noted slight arrhythmia, but th...
Dr. He Dongjin Reply:
Hello, the elderly person does not have any particular discomfort. After using the treatment, the frequency of arrhythmia has decreased. It is advisable to observe the situation for now. Changhua Hospital cares about you.[Read More] Managing Irregular Heartbeat in Elderly Patients: A Guide for Caregivers
Managing Hypertension Medications and Erectile Dysfunction: Key Insights
Blood pressure medications and erectile dysfunction? Hello Doctor, I have been taking medication for primary hypertension for the past six years. For the first two years, I was on Epaned 5/80mg, which caused erectile dysfunction, and even with the use of Viagra or Cialis, the eff...
Dr. He Dongjin Reply:
Hello, Koyue. You and De'an should belong to the same family of medications (ARBs), and their side effects are expected to be similar. Whether or not side effects occur can vary from person to person. In theory, antihypertensive medications and Viagra should not conflict wit...[Read More] Managing Hypertension Medications and Erectile Dysfunction: Key Insights
Chronic Left Chest and Back Pain: Heart Issues or Acid Reflux?
Chronic pain in the left chest, left back, and left armpit? Hello doctor, I am 34 years old and weigh 135 kilograms. For the past five years, I have been experiencing pain in my left chest, left back, and left armpit. The pain is persistent, and sometimes it is accompanied by sho...
Dr. Bai Xiyan Reply:
The response to the chest pain inquiry from an online user is as follows: 1. Chest pain can arise from various locations and may include conditions such as angina pectoris, aortic dissection, pericarditis, pulmonary embolism, mitral valve prolapse, pleuritis, myositis, neuralgi...[Read More] Chronic Left Chest and Back Pain: Heart Issues or Acid Reflux?
Understanding Heart Pain: Is It a Serious Condition?
Chest pain? Last week, after finishing a meal, I brushed my teeth and suddenly felt a sharp pain on the left side of my chest, as if I had been stabbed with a needle. It felt strange. A week later, I experienced a similar sharp pain on the right side, so I decided to massage my c...
Dr. Bai Xiyan Reply:
Responses to the chest pain question posed by a netizen are as follows: 1. Chest pain can arise from various locations and may include conditions such as angina, aortic dissection, pericarditis, pulmonary embolism, mitral valve prolapse, pleuritis, myositis, neuralgia, gastroesop...[Read More] Understanding Heart Pain: Is It a Serious Condition?
Understanding Hypertrophic Cardiomyopathy: Symptoms, Risks, and When to Seek Help
Hypertrophic cardiomyopathy I have been diagnosed with hypertrophic cardiomyopathy, which runs in my family; six members from two generations have passed away due to this condition. The doctor mentioned that generally, women should not have a wall thickness greater than 91 mm, bu...
Dr. He Dongjin Reply:
Hello, it is possible that you are experiencing autonomic nervous system dysfunction. However, it is difficult to determine without further evaluation. If you continue to feel unwell, it is advisable to return to the outpatient clinic for further examination. Changhua Hospital ca...[Read More] Understanding Hypertrophic Cardiomyopathy: Symptoms, Risks, and When to Seek Help
Managing Heart Health: Concerns About Medication and Symptoms
Medication issues I previously visited a doctor due to insomnia caused by palpitations. An electrocardiogram and blood tests were performed. I have mild fatty liver, and my thyroid-stimulating hormone levels are normal. The doctor mentioned that I have slightly elevated blood pre...
Dr. Huang Yinghe Reply:
Hello Ms. Chen: The sensation of vibration in your body is most likely related to your heartbeat. For example, after consuming coffee or exercising, you may experience palpitations or a twitching sensation in your scalp due to increased sympathetic nervous system activity and acc...[Read More] Managing Heart Health: Concerns About Medication and Symptoms
Can Hormone Replacement Therapy Affect Blood Pressure Levels?
Blood pressure issues? Hello Doctor, Two years ago, I went to the emergency room due to acute hypertension (my systolic blood pressure spiked to 208) and was subsequently diagnosed with hypertension. I have been taking antihypertensive medication for two years, and recently my ...
Dr. He Dongjin Reply:
Hello, hormones can raise blood pressure? It should not be the case that hormonal instability affects blood pressure stability. Currently, it is recommended to just monitor the situation without the need for medication. Changhua Hospital cares about you.[Read More] Can Hormone Replacement Therapy Affect Blood Pressure Levels?
Post-Stent Dietary Guidelines for Seniors with Heart Conditions
Diet after the placement of a drug-eluting stent? My grandmother just had a drug-eluting stent placed last week. I would like to ask a few questions. She has a history of hypertension, dyslipidemia, and diabetes, but her diabetes is currently well-controlled. She takes her medica...
Dr. He Dongjin Reply:
Hello, blood pressure should be measured on the left arm or the right arm; it is sufficient to consistently measure one arm. I understand that your grandmother sometimes sneaks some bread and chocolate to satisfy her cravings. If it can make her happy and you mentioned that her d...[Read More] Post-Stent Dietary Guidelines for Seniors with Heart Conditions
Is My Irregular Heartbeat Due to Increased Blood Pressure Medication?
Recently, my heart rate has been fluctuating rapidly, feeling like severe palpitations, similar to an earthquake. Could this be related to an increase in my blood pressure medication dosage? Hello Doctor: I was originally taking 80mg of Dexamethasone once every night, but my bloo...
Dr. He Dongjin Reply:
Hello, it seems that the palpitations and unstable blood pressure you are experiencing may be related to autonomic nervous system dysregulation caused by perimenopause. Increasing the dosage of blood pressure medication may not necessarily be related; perhaps adding some medicati...[Read More] Is My Irregular Heartbeat Due to Increased Blood Pressure Medication?
Strong Heartbeat and Shortness of Breath: Understanding Your Symptoms
Experiencing a strong heartbeat and shortness of breath while speaking? Hello Doctor, I have stage 1 hypertension and have been taking antihypertensive medication for about a month. A few days ago, I suddenly felt my heart beating very strongly. When sitting still or lying down t...
Dr. He Dongjin Reply:
Hello, some people may experience reactions when taking antihypertensive medications. It may be worth considering reducing the dosage by half or even stopping the medication temporarily to see if there are any changes in symptoms. Please discuss this with your physician. Changhua...[Read More] Strong Heartbeat and Shortness of Breath: Understanding Your Symptoms
Understanding Rapid Heartbeat and High Blood Pressure in Young Adults
Rapid heartbeat Hello Doctor: I am currently 18 years old and weigh 50 kg. I am not overweight, but every time I visit the doctor, my blood pressure is around 140-160/80-90, and my heart rate is between 90-125. Even when I measure it at home, the lowest is 134/82, and my heart ra...
Dr. He Dongjin Reply:
Hello, heart rate itself is not an issue; it's important to check for any arrhythmias. If there are no irregularities, observation is sufficient. It seems that anxiety may be causing autonomic nervous system dysregulation. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat and High Blood Pressure in Young Adults
Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Three blocked coronary arteries? Hello everyone, my father is 60 years old (I created this account for him to facilitate the review of his basic information by various doctors). Recently, he underwent a cardiac examination at the hospital, starting with an MRI, which revealed som...
Dr. Huang Yinghe Reply:
Hello: In the case of narrowing or blockage in all three coronary arteries, lifestyle modifications and medication therapy are fundamental and necessary. This includes controlling hypertension, blood cholesterol, and blood sugar levels, as well as using antiplatelet medications. ...[Read More] Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Understanding LDL Cholesterol Levels: What You Need to Know
Low-density lipoprotein cholesterol issues? Hello, what is important is that your low-density lipoprotein (LDL) cholesterol level is between 178 and 150, which indicates a decrease according to the standards. You have no risk factors, and an LDL cholesterol level below 190 is acc...
Dr. He Dongjin Reply:
Hello, consuming foods high in cholesterol the day before can significantly affect the blood test results, regardless of whether the values are 178 or 150. Currently, the treatment guideline suggests keeping levels below 190, and dietary management can be a safe approach. Changhu...[Read More] Understanding LDL Cholesterol Levels: What You Need to Know
Understanding LDL Cholesterol: Concerns and Treatment Options for Young Adults
Low-Density Lipoprotein Cholesterol Issues Hello, doctor. I recently had a blood test and found that my low-density lipoprotein (LDL) cholesterol is 178, high-density lipoprotein (HDL) cholesterol is 55, and total cholesterol is 237. In my previous blood test, my LDL cholesterol ...
Dr. He Dongjin Reply:
Hello, what is important is that your low-density lipoprotein (LDL) cholesterol level is between 178 and 150, which indicates a decrease. According to the standards, you do not have any risk factors. An LDL cholesterol level below 190 is acceptable, and you are not exceeding this...[Read More] Understanding LDL Cholesterol: Concerns and Treatment Options for Young Adults
Managing Hypertension Medications for Foreign Workers in Taiwan
Blood Pressure Medication Inquiry for Foreigners I would like to ask: Due to work-related matters, I have been assisting Japanese individuals who are coming to Taiwan for long-term work with their daily living affairs. During this period, I helped a 50-year-old man who has been t...
Dr. He Dongjin Reply:
Hello, 1. Let's change the doctor. 2. It doesn't matter whether it's a black cat or a white cat, as long as it catches mice, it's a good cat. What you eat is not important; the key is whether your blood pressure is under control. Regardless of whether it'...[Read More] Managing Hypertension Medications for Foreign Workers in Taiwan
Understanding Myocardial Ischemia: Risks, Treatments, and Supplements
Myocardial hypoxia Dear Dr. He, I would like to ask you some questions. I have undergone a stress electrocardiogram and a myocardial perfusion scan. The doctor mentioned that the stress ECG report indicates a moderate risk, while the myocardial perfusion scan shows a mild to mod...
Dr. He Dongjin Reply:
Hello, two types of medications have a preventive effect on angina but do not improve treatment outcomes, which is concerning. It would be advisable to undergo a CT scan for further evaluation. Omega-3 fish oil capsules can be taken without conflicting with the medications and do...[Read More] Understanding Myocardial Ischemia: Risks, Treatments, and Supplements
Can You Safely Combine Blood Pressure Medications with Viagra?
Can medications be taken together? I take blood pressure medication (Cozaar 50mg) once daily. Is this medication classified as a nitrate? Can I also take Viagra? Will there be any interactions or side effects between the two medications? Thank you!
Dr. He Dongjin Reply:
Hello, he is not taking nitrate medications, so it is safe to take Viagra without affecting him or causing side effects. Changhua Hospital cares about you.[Read More] Can You Safely Combine Blood Pressure Medications with Viagra?
Managing Ventricular Premature Contractions: Medication vs. Ablation
Ventricular Premature Contractions (VPCs) Hello, a year ago, a physician at a local hospital diagnosed me with premature ventricular depolarization, and I was not prescribed medication. Three months ago, I went to a medical center for an echocardiogram (which was normal) and a 24...
Dr. He Dongjin Reply:
Hello, are you currently experiencing any discomfort? What are your main concerns? Are you worried about the risks associated with catheter ablation, or are you concerned about the potential risks of arrhythmias? The latest understanding is that if ventricular early depolarizatio...[Read More] Managing Ventricular Premature Contractions: Medication vs. Ablation