Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Berkley and Baidu? Hello, Doctor: I have been taking Berkey and Baibing for a month. Recently, I noticed bleeding gums while brushing my teeth and unexplained bruising on my knees. Should I change my medication or just monitor the situation? Additionally, I read that taking Kanka...
Dr. Wu Xueming Reply:
Questions regarding changing medications should be directed to the original prescribing physician to assess whether it is appropriate to switch medications.[Read More] Managing Side Effects of Berkey and Bawuging: When to Change Medication?
Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Heart rhythm & tremors Hello, Doctor. I usually experience tachycardia, and I seek medical attention when my heart rate reaches 150 beats per minute. I have been using antiarrhythmic medications for long-term control and have made lifestyle changes, but my heart rate has not ...
Dr. He Dongjin Reply:
Hello, it should not be a side effect of medication. Please get a neurological examination, and also have your thyroid checked. Changhua Hospital cares about you.[Read More] Understanding Heart Palpitations and Hand Tremors: Causes and Solutions
Managing Low Blood Pressure After Heart Valve Surgery: Key Insights
Low blood pressure due to heart problems? Hello Dr. Lee, I am 66 years old and it has been three years since my heart valve repair surgery. My blood pressure has consistently been low, with recent systolic readings between 92-98 mmHg and diastolic readings between 57-62 mmHg. Gen...
Dr. Li Shengkai Reply:
After heart surgery, there should not be any significant impact on blood pressure, so your low blood pressure may have other causes. It is recommended to discuss this with your surgeon during your follow-up appointment. If you often experience dizziness due to changes in posture,...[Read More] Managing Low Blood Pressure After Heart Valve Surgery: Key Insights
Can Dietary Supplements Interact with Heart Stent Medications?
Cardiac stents and dietary supplements? I have some questions. Three years ago, I had two stents placed, and my blood tests and blood pressure have been stable during my follow-up visits. Recently, I am considering taking some dietary supplements such as B vitamins, zinc, arginin...
Dr. Li Han Reply:
Hello, regarding your inquiry about the recent use of certain dietary supplements such as B vitamins + zinc, L-arginine, and maca, and whether they may interact with your coronary heart disease medications like aspirin 100 mg, Concor 5 mg, and Clopidogrel 10 mg, I would like to s...[Read More] Can Dietary Supplements Interact with Heart Stent Medications?
Understanding the Effectiveness of Antiarrhythmic Medications for Heart Rhythm Disorders
Questions regarding the use of Xinli Zhen medication? I would like to ask about my condition. I have arrhythmia and early ventricular depolarization, and my doctor prescribed me a medication called Sotalol for one month. However, I forgot to ask how to determine if this medicatio...
Dr. Wu Xueming Reply:
The treatment for premature ventricular depolarization, in addition to medication, should also consider various lifestyle factors that may contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recomme...[Read More] Understanding the Effectiveness of Antiarrhythmic Medications for Heart Rhythm Disorders
Understanding Your Heart: Interpreting Holter and Exercise ECG Results
I would like to consult with the director regarding the report? Hello, Director. I apologize for bothering you. The new test results for the 24-hour Holter monitor and exercise stress test have come out, and I can't understand the report I translated myself. Could you please...
Dr. He Dongjin Reply:
Hello, both reports are normal; it's just that each physician has a different reporting style, which makes them appear different. Overall, the heart is in good condition. A heart rate increase from 70-80 to 130-140 is not considered arrhythmia. The two 24-hour Holter ECGs sh...[Read More] Understanding Your Heart: Interpreting Holter and Exercise ECG Results
Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Atrial fibrillation In May of this year, during a follow-up visit, I was diagnosed with arrhythmia, specifically paroxysmal atrial fibrillation and flutter. The doctor recommended proceeding with catheter ablation. After the follow-up in June, the treatment was adjusted to medica...
Dr. He Dongjin Reply:
Hello, you have nearly 40% atrial fibrillation. The treatment options include medication management and catheter ablation. If you are still feeling very uncomfortable with medication alone, it is important to seriously consider undergoing catheter ablation. Regardless of the appr...[Read More] Understanding Paroxysmal Atrial Fibrillation: Symptoms and Treatment Options
Assessing the Urgency of Ablation for Atrial Fibrillation Management
Atrial fibrillation In May of this year, I was diagnosed with atrial fibrillation and atrial flutter (with a heart rate reaching 150-160 bpm), and I have a history of mitral valve prolapse. I have been on medication, including Dronedarone, Amiodarone, Rivaroxaban, and Bisoprolol,...
Dr. Huang Yinghe Reply:
Hello: To conclude, atrial fibrillation or atrial flutter is a type of arrhythmia that can mostly be treated with medication. If the medication is ineffective and there are frequent uncomfortable symptoms, catheter ablation may be considered. Given your relatively young age, it i...[Read More] Assessing the Urgency of Ablation for Atrial Fibrillation Management
Understanding Heart Contractility Issues: A Patient's Journey
Issues with cardiac contractility? Fifteen years ago, I was diagnosed with mitral valve prolapse, but since I didn't experience any discomfort, I didn't have any special follow-up. I tend to have a faster heart rate and get easily anxious; my average heart rate at work,...
Dr. Huang Yinghe Reply:
Hello: The report indicates that your left ventricular ejection fraction (LVEF) is 46.30%, which is considered low (normal > 50%). This suggests that the myocardial contractility is somewhat impaired, indicating heart failure, and further investigation into the underlying caus...[Read More] Understanding Heart Contractility Issues: A Patient's Journey
Understanding Drug Interactions: Heart Medications and Stomach Remedies
Medication issues I apologize for forgetting to ask a question, Director. I previously bought a gastric medication from the pharmacy that contains SCOPOLIA EXTRACT POWDER. It has an interaction where this medication can enhance the tachycardic effects of β-adrenergic drugs. Shoul...
Dr. He Dongjin Reply:
Hello, if you have no issues, you don't need to take stomach medication. Taking half a tablet in the morning can be sufficient for health maintenance. You can stop taking it directly without tapering off. Changhua Hospital cares about you.[Read More] Understanding Drug Interactions: Heart Medications and Stomach Remedies
Addressing Cardiovascular Medication Concerns for Elderly Patients
Questions regarding cardiovascular medications for my father? Hello, Director He. I would like to ask you about my father's cardiovascular medication issues. My father is 78 years old. In mid-August last year, he experienced two episodes of syncope. The first time, he fainte...
Dr. He Dongjin Reply:
1. Taking the medication again will not have any adverse effects on the body. 2. Sometimes systolic blood pressure can reach 140, which is unrelated to the medication; fluctuations in blood pressure are normal for humans. 3. It is possible that post-COVID symptoms include fre...[Read More] Addressing Cardiovascular Medication Concerns for Elderly Patients
Understanding Drug Interactions in Cardiovascular Health Management
Drug interactions Hello Doctor: Over two years ago, I underwent a self-paid cardiac CT scan, and the physician indicated some mild calcification in the aorta, advising that regular exercise and dietary moderation would suffice. This July, thinking it had been two to three years s...
Dr. Wu Xueming Reply:
Lipid-lowering medications do not affect heart rate. As for the incidence of side effects, it is very low, and it is recommended to monitor through outpatient follow-up.[Read More] Understanding Drug Interactions in Cardiovascular Health Management
Managing Heart Medication: Dosage Questions for Catapres in Arrhythmia
What is the recommended dosage for the heart medication Kadycyn? Hello, doctor. I am currently 51 years old, 174 cm tall, and weigh 89 kg. I experienced paroxysmal supraventricular tachycardia at the age of 29 and underwent successful catheter ablation at 33, but later discovered...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Heart Medication: Dosage Questions for Catapres in Arrhythmia
Managing Hypertension: Medication Interactions and Fish Oil Safety
Issues with Hypertension Medications Hello Doctor: I am 173 cm tall and weigh 95 kg. I currently have high blood pressure and am taking the following medications: 1. Lercanidipine 10 mg 2. Amlodipine 40 mg 3. Nebivolol 5 mg. Are there any contraindications with these antihyperten...
Dr. Chen Jili Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Hypertension: Medication Interactions and Fish Oil Safety
Understanding Myocardial Bridge: Are My Medications Effective?
Myocardial bridge medication issues? Hello, doctor. I underwent a cardiac catheterization yesterday and was diagnosed with myocardial bridge. Today, I was discharged, and the doctor prescribed me the same medications I was taking before my diagnosis. The first medication is Coron...
Dr. Cai Guiqin Reply:
Suggestion: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Understanding Myocardial Bridge: Are My Medications Effective?
Managing Hypertension Medications: A Case Study and Concerns
Issues with Hypertension Medications Hello Doctor, a 42-year-old female patient was originally taking Amlodipine 40 mg, with a blood pressure of 120/90. She switched to Shumai Kang 5/20 mg, but experienced dizziness and discomfort after taking one tablet, with blood pressure read...
Dr. He Dongjin Reply:
Hello, can I switch to only taking Maiyou 5 and my blood pressure medication? It should not be related to my missed period; I will consult a gynecologist. Best wishes from Changhua Hospital.[Read More] Managing Hypertension Medications: A Case Study and Concerns
Understanding Heartbeat Issues: Autonomic Nervous System or Heart Problems?
Heart rate issues? I have autonomic nervous system dysfunction. During the day, I take related medications and don’t feel my heartbeat. However, in the past few months, upon waking up or waking up from heat, I have been experiencing severe heartbeats that can be painful. I am uns...
Dr. Wu Xueming Reply:
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Heartbeat Issues: Autonomic Nervous System or Heart Problems?
Can You Continue Taking Medications for Chronic Pain with Normal Heart Rate?
Because the medication cannot be discontinued? Due to the long-term use of psychiatric pain medications such as Cymbalta or tricyclic antidepressants for chronic pain, my heart rate is approximately 130. If my heart rate is normal, can I continue taking these medications? I'...
Dr. Wu Xueming Reply:
Sure.[Read More] Can You Continue Taking Medications for Chronic Pain with Normal Heart Rate?
Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Myocardial perfusion imaging Hello, Doctor. I have been experiencing chest tightness. Both static and exercise electrocardiograms showed no arrhythmias, but the blood pressure during the exercise test was only 140. Subsequently, a myocardial perfusion scan was arranged. The atten...
Dr. He Dongjin Reply:
Hello, I don't have your other medical history, so it's hard to say if the myocardial perfusion scan shows any abnormalities. An electrocardiogram (ECG) during exercise is okay, but we also need to consider your symptoms to determine the next steps. It would be best to ...[Read More] Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Managing Muscle Pain and Low Blood Pressure on Medications
Muscle pain relief? I have been taking Anxin for 805 months, and now my blood pressure is consistently 100/60 every day, and my muscles are sore. I'm not sure what to do.
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Muscle Pain and Low Blood Pressure on Medications