Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
The medication Kankin 1.25 mg and "Wuzhou" Lisinopril tablets have specific usage considerations? Hello Doctor: My grandmother is in her nineties and has been prescribed heart failure medications by two different specialists at different times. I would like to know if i...
Dr. He Dongjin Reply:
Hello, Lisinopril and Carvedilol are both first-line medications for the treatment of heart failure. If there are no issues with blood pressure reduction, it is safe to use both medications together. Changhua Hospital cares about your well-being.[Read More] Managing Heart Failure Medications: Concerns with KanKen and Lisinopril
Understanding Your Heart Health: Interpreting Cardiac Test Results
Cardiac Examination Report Recent chest tightness and shortness of breath led to a cardiology examination. Please help me review the report, thank you. Echocardiogram report: M-mode and Doppler Cardiac chamber size/Wall thickness Aortic root (20-37): 26 mm LAD (19-40): 30 mm LVI...
Dr. Wu Xueming Reply:
The echocardiogram report indicates only mild mitral regurgitation and mild tricuspid regurgitation, with other cardiac functions and structures being normal. The exercise electrocardiogram report is normal.[Read More] Understanding Your Heart Health: Interpreting Cardiac Test Results
Understanding Postural Hypotension: Symptoms and Concerns Explained
Orthostatic hypotension It is suspected that the individual may be experiencing orthostatic hypotension. While bending down to pick something up, they noticed sensations resembling retrograde blood flow to the nasal cavity. Currently, there is no obstruction in breathing, but the...
Dr. Li Shengkai Reply:
The use of antihypertensive medications, aging leading to impaired vascular regulation, or dehydration can all contribute to "orthostatic hypotension." This condition can be improved by adjusting medications or by slowing down the rate of position changes. Orthostatic h...[Read More] Understanding Postural Hypotension: Symptoms and Concerns Explained
Managing Medication Side Effects: Tremors and Heart Rate Concerns
The side effects of psychotropic medications include body tremors (shaking hands) and discomfort from anti-side effect medications such as heart rhythm pills or Kankun? Hello, Doctor: I am currently taking psychiatric medications (lithium, SSRIs, and other mood stabilizers). The ...
Dr. Wu Xueming Reply:
A heart rate maintained between 60 to 100 beats per minute is considered acceptable. For other concerns, it is advisable to consult a psychiatrist.[Read More] Managing Medication Side Effects: Tremors and Heart Rate Concerns
Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
24-Hour Holter Monitor Report In May, pneumonia developed due to a cold, and since then, there have been episodes of chest pain after walking quickly or running across the street, attributed to bradycardia and low blood pressure. The patient takes pressor medications three times ...
Dr. Wu Xueming Reply:
The 24-hour electrocardiogram report shows only a few atrial premature contractions, with no other arrhythmias present.[Read More] Understanding Your 24-Hour ECG Report: Key Insights for Heart Health
Managing Palpitations After a Car Accident: What You Need to Know
Palpitations after a car accident? Doctor, I would like to ask you about an incident that occurred last Monday. I was in a car accident, and I did not lose consciousness at the time. The most severe injury was to my right knee. I went to the emergency room, where the doctor perfo...
Dr. He Dongjin Reply:
Hello, after a car accident, it is possible to experience chest discomfort. During this unstable period, it is advisable to monitor the situation. If you feel very uncomfortable, you may take some medications for palpitations. Let's reassess in two weeks. Ping An Changhua Ho...[Read More] Managing Palpitations After a Car Accident: What You Need to Know
Understanding Heart Rate Variations: When to Worry and Medication Effects
Medication consultation Thank you, Doctor, for providing me with so much medical knowledge. I would like to ask you again: is a simple increase in heart rate not a disease and poses no life-threatening risk? I might have been really scared during my emergency visit when my heart ...
Dr. He Dongjin Reply:
Hello, that's correct. A simple fast heartbeat is not a disease and does not pose a life-threatening risk. There's no need to be afraid or rush to the emergency room. Rest and take it easy; it's normal for your heart rate to increase to 120-130 beats per minute whe...[Read More] Understanding Heart Rate Variations: When to Worry and Medication Effects
Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Cardiac issues I'm sorry to bother you again, Doctor. Recently, I've been feeling anxious and uncomfortable in the mornings. When I wake up and brush my teeth, my heart rate can spike to 130, but it goes back down to 70-80 when I sit down. Could this be related to takin...
Dr. He Dongjin Reply:
Hello, taking a heart rhythm medication every morning consistently will not cause rebound tachycardia or angina if you miss a dose. It is also fine to take it at night. You can address anxiety and panic issues first. Indeed, the echocardiogram, blood tests, X-rays, and 24-hour EC...[Read More] Understanding Heart Palpitations: Anxiety, Medications, and Health Concerns
Managing Side Effects of Heart Medications: What You Need to Know
Medical consultation Hello, doctor: I previously had high blood pressure and visited a cardiologist who prescribed [Mavik] and [Nebivolol]. Recently, I went to a clinic due to headaches, and the doctor mentioned that it might be a side effect of [Mavik]. The clinic advised me to ...
Dr. Cai Guiqin Reply:
Recommendation: Please discuss the above situation further with your attending physician. Thank you. Wishing you good health![Read More] Managing Side Effects of Heart Medications: What You Need to Know
Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Do I need to take medication for arrhythmia and premature contractions? Dear Director Wu, Regarding the 24-hour Holter monitor from May 2023, which recorded 12,426 premature contractions, I initially took antiarrhythmic medication but found it more uncomfortable than the irregul...
Dr. Wu Xueming Reply:
1. Not related to these two medications. 2. Taking medication can reduce the frequency of arrhythmias and control symptoms; please discuss any adjustments to medication and whether to continue use with your prescribing physician. 3-5. Many factors in daily life can contribute...[Read More] Do You Really Need Medication for Early Heartbeats and Arrhythmia?
Understanding Low Heart Rate: When to Seek Medical Advice
Heart rate below 60 beats per minute? Hello Doctor: My average heart rate is around 55 beats per minute, and sometimes it drops below 50 beats per minute (as measured by my fitness tracker). Besides feeling extremely fatigued every day, I don't have any other significant dis...
Dr. Li Shengkai Reply:
A normal heart rate is about 60 to 100 beats per minute. A heart rate that is too slow can cause symptoms such as weakness, fatigue, and dizziness. Your discomfort may be due to bradycardia. If the condition persists, it is advisable to visit a hospital for an evaluation. Common ...[Read More] Understanding Low Heart Rate: When to Seek Medical Advice
Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Hello, doctor. Does frequent premature contractions harm the heart or the body? Do they increase the risk of stroke? I would like to inquire about the heart report? Hello Doctor, 1. Could you please tell me the severity of myocardial ischemia indicated in my heart report? Is it...
Dr. Wu Xueming Reply:
1. The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. For a more accurate assessment of myocardial ischemia, a myocardial perfusion scan using isotopes can be performed. 2. Many factors in daily life can contribute to this condition,...[Read More] Understanding Frequent Early Contractions: Heart Health Risks and Concerns
Understanding Your Echocardiogram: When to See a Cardiologist
Echocardiogram Hello Dr. He, I have been troubled by chest pain for over four years and have been taking my medications regularly (for hypertension, diabetes, and vasodilators) and following up with my family physician. Recently, I had an echocardiogram, and I would like to know ...
Dr. He Dongjin Reply:
Hello, it is recommended to follow up with the cardiology department for further monitoring. Donating blood is fine. Changhua Hospital cares about you.[Read More] Understanding Your Echocardiogram: When to See a Cardiologist
Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Increased heart rate? Hello, Doctor. I apologize for bothering you again. I had a normal echocardiogram three months ago, and my 24-hour Holter monitor showed 76 ventricular premature contractions (VPCs) and 33 atrial premature contractions (APCs). The doctor said the report was ...
Dr. He Dongjin Reply:
Hello, please focus on controlling your heart rate and adjust the medications for your autonomic nervous system and anxiety first. A simple increase in heart rate is not a problem, so don't worry. Changhua Hospital cares about you.[Read More] Understanding Rapid Heartbeat: Causes, Risks, and When to Seek Help
Understanding Coronary Artery Stenosis and Its Psychological Impact
Coronary artery stenosis / psychoneurosis / trapezius muscle syndrome? Hello Dr. Wu, I apologize for the complexity and length of my questions and symptoms; it requires some time to digest. About three years ago, after a car accident, I began experiencing symptoms such as panic-l...
Dr. Wu Xueming Reply:
1. Based on your examination report, medication can be used for management unless there is no improvement in symptoms; therefore, a cardiac catheterization is not necessary. Additionally, according to health insurance regulations, stenting is only required for coronary artery ste...[Read More] Understanding Coronary Artery Stenosis and Its Psychological Impact
Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Chest tightness and difficulty breathing? Hello, Doctor. I would like to inquire about an incident that occurred in March this year. While exercising, I suddenly felt unable to breathe, as if my airways were blocked. After resting for a while, my condition improved. I went to a h...
Dr. Huang Yinghe Reply:
Hello: Based on the symptoms you described, multiple hospital examinations have shown no cardiovascular or pulmonary issues. The purpose of these tests was to rule out any life-threatening conditions or significant organ abnormalities. Other less dangerous conditions that may cau...[Read More] Understanding Chest Tightness and Breathing Issues: A Cardiovascular Perspective
Understanding Cardiovascular Reports: Key Insights from Doppler and Stress Tests
Examination Report Hello Director: Please help me review these two reports for any abnormalities. Thank you! (Doppler Color Flow Imaging of the Heart) MEASUREMENTS: 1. IVS: 11 mm (normal range: 6-11) 2. LVPW: 10 mm (normal range: 6-11) 3. LVEDD: 49 mm (normal range: 36-52) ...
Dr. He Dongjin Reply:
Hello, regarding the report format issue, I cannot clearly see the report and am unable to provide feedback. It is advisable to discuss this directly with the attending physician. Changhua Hospital cares about you.[Read More] Understanding Cardiovascular Reports: Key Insights from Doppler and Stress Tests
Managing Depression and Heart Medications in Elderly Patients: Risks and Considerations
Medication Issues Regarding Prasugrel and Heart Failure Management Hello, doctor. I would like to consult you regarding my 70-year-old family member who has a history of depression. In August 2022, he underwent the implantation of a pacemaker due to arrhythmia, with a heart rate ...
Dr. He Dongjin Reply:
Hello, the mechanism of action of different anticoagulants varies. Pradaxa primarily aims to prevent stroke and has a low risk of bleeding, with dosage adjustments possible. Current reports indicate that the bleeding risk is very low. You may discuss with your attending physician...[Read More] Managing Depression and Heart Medications in Elderly Patients: Risks and Considerations
Managing Heart Rate: Expert Advice on Medication and Symptoms
Medication consultation Hello, Doctor. I would like to ask about my symptoms. In the morning, when I get up and walk around, my heart rate increases to about 100-120 beats per minute, but when I lie down, it drops to around 90. I previously experienced some ventricular premature ...
Dr. He Dongjin Reply:
Hello, a heart rate of 100 beats per minute will not put a strain on the heart. Whether you take medication or not, it won't cause a rebound effect that is harmful to the heart. Antiarrhythmic medications do not have withdrawal issues, and long-term use will not pose problem...[Read More] Managing Heart Rate: Expert Advice on Medication and Symptoms
Understanding Blood Pressure Medications: Labtal vs. Diovan for Seniors
Medication inquiries Dear Dr. Wu, My mother is nearly 70 years old. Over the past two months, she has experienced several episodes of sudden high blood pressure, reaching 200/100 mmHg. We have two types of antihypertensive medications at home: "Labetalol 200 mg" and &q...
Dr. Wu Xueming Reply:
1. "Labtal (Labetalol) 200mg" has a rapid onset of action but a shorter duration of effect; "Diovan (Valsartan) 160mg" is a long-acting medication. 2. Long-acting antihypertensive medications are still the first choice for blood pressure control, and it is rec...[Read More] Understanding Blood Pressure Medications: Labtal vs. Diovan for Seniors