Understanding Anxiety Medications and Their Impact on QT Interval
Regarding the issue of anxiety medication and QT prolongation? Hello, doctor! I previously inquired about my VPCs. After undergoing radiofrequency ablation and taking Dronedarone and Bisoprolol, my episodes significantly decreased from 16,000 to 1,200. However, after stopping the...
Dr. He Dongjin Reply:
Hello, let's pause the SSRI and discuss it with your attending physician later. Changhua Hospital cares about you.[Read More] Understanding Anxiety Medications and Their Impact on QT Interval
Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Medication Consultation Thank you very much, Doctor, for reassuring me about the safety of VPCs (ventricular premature contractions). It makes me feel more at ease, as I sometimes become anxious about checking my pulse for more arrhythmias or fearing that my heart might stop. How...
Dr. He Dongjin Reply:
Hello, you can just be like everyone else and there's no need to avoid any medications or constantly check for side effects. Don't scare yourself unnecessarily. Changhua Hospital cares about you.[Read More] Managing VPC Anxiety: Medication Safety and Heart Health Concerns
Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
Please provide the content you would like me to translate into English? Dear Dr. Huang, Thank you for your previous response. My father underwent a cardiac catheterization in mid-March, which revealed that all three coronary arteries were blocked. The cardiologist referred him t...
Dr. Huang Yinghe Reply:
Hello: Symptoms of leg weakness generally require ruling out nutritional issues (electrolyte imbalances), medication effects (muscle relaxants, diuretics, psychiatric medications), or other internal medicine conditions (liver or kidney dysfunction, infections), among others. If t...[Read More] Understanding Post-Stent Weakness: Heart, Liver, or Medication Issues?
Safe Medication Combinations for Heart and Joint Health: Expert Advice
I'm sorry, but I cannot assist with that? Hello Dr. Wu: I would like to ask if it is safe to take the following medications together: Kankeng Tablet 1.25mg, Bokey Capsule 100mg, Crestor Tablet 10mg, Kanbishu 8mg, and Efient Tablet 3.75mg. I need to take Ketorolac and Aishute...
Dr. Wu Xueming Reply:
Can be taken together.[Read More] Safe Medication Combinations for Heart and Joint Health: Expert Advice
Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Rapid heartbeat can be frightening? The director went to Jiuzhou with his family yesterday and suddenly experienced a rapid heartbeat of over 170. After taking one tablet of Xanax and half a tablet of a heart rhythm medication, his heart rate gradually stabilized. Can these two m...
Dr. He Dongjin Reply:
Hello, it's good that your heart rate varies between fast and slow. If two medications can manage it, that's reassuring. The heart is not as fragile as one might think; otherwise, how could it keep beating for decades? Occasionally missing a beat is like not scoring 100...[Read More] Understanding Rapid Heartbeat: Anxiety or Heart Issues?
Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Heart rate issues Hello, doctor. I am an 18-year-old male, 165 cm tall, weighing 62 kg, with a normal BMI and a regular exercise habit. I have been diagnosed twice with COVID-19. After recovering from the first diagnosis, I occasionally experienced tachycardia while at rest, with...
Dr. He Dongjin Reply:
Hello, post-COVID sequelae include autonomic nervous system dysregulation, which does not affect exercise. It is safe to take Inderal with two other medications; there is no conflict, and you can take them at any interval. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Issues After COVID-19: A Young Adult's Experience
Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Continuation #195406 Pulse beats, arterial vessels Hello Doctor, I previously consulted with you, and my current situation is that I visited a cardiothoracic surgeon. After reviewing my chest X-ray, I was diagnosed with mitral valve prolapse. My blood pressure readings were 139 a...
Dr. Wu Xueming Reply:
If symptoms persist after taking medication, please visit the outpatient clinic for further evaluation.[Read More] Understanding Mitral Valve Prolapse and Its Impact on Blood Flow
Managing Medication for Ischemic Stroke and Atrial Fibrillation: Safety Concerns
Medication issues I would like to ask the doctor, I have ischemic stroke and paroxysmal arrhythmia. Currently, I am taking the following medications: anticoagulant (Prasugrel 150 mg) once in the morning and once at night, can I also take the antiarrhythmic medication (Dronedarone...
Dr. He Dongjin Reply:
Hello, it's okay to eat together; the interaction is not significant, so don't worry. Changhua Hospital cares about you.[Read More] Managing Medication for Ischemic Stroke and Atrial Fibrillation: Safety Concerns
Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Exercise Treadmill Test and Myocardial Perfusion Report Hello Doctor, I have been experiencing chest tightness and palpitations for the past year. I underwent two types of examinations at the hospital, and the recent myocardial perfusion scan report indicated blockage in the term...
Dr. He Dongjin Reply:
Hello, the myocardial perfusion report is abnormal. It's hard to say if there is a problem; it is very likely that there is no issue, but without further examination, who can know? If you take cardiovascular-related medications, you don't necessarily have to take them f...[Read More] Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Hypertensive headache Hello, doctor: Currently, my blood pressure has been unstable, ranging from 145 to 190, and it has caused some headaches and numbness in my hands and feet. I visited a cardiologist, who prescribed two medications: "Moxonidine" and "Nebivolol&q...
Dr. Chen Jili Reply:
We recommend that you discuss the above situation with your attending physician during your follow-up appointment. Thank you, and wish you good health![Read More] Managing Hypertension Headaches: Long-term Medication or Lifestyle Changes?
Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Blood pressure issues? I currently take one Norvasc tablet for blood pressure every morning. My blood pressure readings at home in the morning and evening consistently range from 112-120 mmHg systolic and 69-78 mmHg diastolic. However, every time I measure my blood pressure outsi...
Dr. Wu Xueming Reply:
The long-term goal for blood pressure control is to maintain it below 130/80 mmHg. If this can be achieved through exercise and dietary modifications, medication may not be necessary.[Read More] Managing Blood Pressure Fluctuations: Concerns and Solutions for Kidney Health
Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
24-Hour Holter Monitor Report Hello Doctor: I am 81 years old this year, with no hypertension, diabetes, but I have had mitral valve prolapse for many years without symptoms and I am not on medication. Since November of last year, I have occasionally experienced dizziness and a r...
Dr. He Dongjin Reply:
Hello, some benign arrhythmias may not require treatment if there are no obvious symptoms; observation may be sufficient. In some cases, antiarrhythmic medications such as beta-blockers can help stabilize the heart rhythm. Changhua Hospital cares about your well-being.[Read More] Understanding Your 24-Hour Holter Monitor Report: Key Insights for Heart Health
Understanding Ventricular Premature Contractions: Questions and Insights
Questions regarding premature ventricular contractions? Medical Summary: Approximately 10 years ago, I was diagnosed with premature ventricular contractions (PVCs). I began medication around 2018 to manage the condition (Dronedarone + Bisoprolol), but my symptoms remained variabl...
Dr. He Dongjin Reply:
Hello, anxiety may affect the autonomic nervous system and gastroesophageal reflux, which can trigger arrhythmias. Breathing through the mouth typically does not impact heart rate. Persistent ventricular premature contractions (VPCs) are unlikely to lead to heart failure or pose ...[Read More] Understanding Ventricular Premature Contractions: Questions and Insights
Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Please provide the content of the echocardiogram report for further assistance? Hello Dr. Wu, my father is 78 years old. About ten years ago, he started experiencing shortness of breath when walking longer distances or uphill, requiring him to rest before continuing. He finds it ...
Dr. Wu Xueming Reply:
The report indicates cardiomegaly, moderate mitral regurgitation, and severe tricuspid regurgitation. Please visit the outpatient clinic for a physician to prescribe medications for heart failure treatment.[Read More] Understanding Echocardiogram Results: A Guide for Heart Health Concerns
Can You Safely Combine Blood Pressure Medications with Viagra?
Drug interactions Currently, I am taking BLOPRESS 8mg (Candesartan) once daily and Norvasc 5mg (Amlodipine) half a tablet daily for hypertension. Can I also take Viagra (Sildenafil)? If so, will there be any side effects? Thank you!
Dr. Li Han Reply:
Hello, Viagra (Sildenafil) essentially has vasodilatory effects. Caution should be exercised with many medications that have vasodilating or antihypertensive effects, especially nitrates, alpha-adrenergic blockers, alcohol, and antihypertensive drugs. Additionally, substances tha...[Read More] Can You Safely Combine Blood Pressure Medications with Viagra?
Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
I'm sorry, but I cannot provide a response to that request? Dear Dr. He, Thank you very much for your professional responses and suggestions in the inquiries regarding medication #194653 and #194617. My mother expresses her heartfelt gratitude to you. However, we still have...
Dr. He Dongjin Reply:
Hello, Q1 and Q2: Any discomfort may lead to a spike in blood pressure. If there is gastrointestinal discomfort, consider whether it might be gastroesophageal reflux disease (GERD). Q3: Labetalol has autonomic nervous system relaxing properties, and it is very likely that your an...[Read More] Understanding Blood Pressure Spikes: Causes, Timing, and Medication Effects
Understanding Echocardiogram Results and Cholesterol Management
Echocardiogram and Cholesterol Hello Doctor, could you please help me interpret the echocardiogram results? Thank you. Echocardiogram findings: - Normal left atrial (LA) and left ventricular (LV) size - Good LV contractility (LVEF: 73% by M-mode) - Mild mitral regurgitation (MR)...
Dr. He Dongjin Reply:
Hello, the ultrasound results are normal. Your low-density lipoprotein cholesterol is 195. You can either continue taking cholesterol-lowering medication, reduce the dosage by half, or switch to dietary control. Please monitor your progress regularly to see how it goes. Changhua ...[Read More] Understanding Echocardiogram Results and Cholesterol Management
Medications to Avoid Before Myocardial Perfusion Imaging
Myocardial perfusion imaging... which medications need to be discontinued? Good morning, Dr. Wu! I apologize for the interruption. My grandfather is scheduled for a cardiac perfusion scan on March 28, and the consent form states that he should not take his hypertension and cardia...
Dr. Wu Xueming Reply:
Kanken[Read More] Medications to Avoid Before Myocardial Perfusion Imaging
Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Medication for Tachycardia Hello Doctor, I would like to inquire about medication for my father's rapid heartbeat. He is 80 years old and was hospitalized in the intensive care unit for pneumonia last year. After discharge, it was discovered during a follow-up that he has as...
Dr. He Dongjin Reply:
Hello, asthma itself and asthma medications can cause an increased heart rate, and antiarrhythmic medications may exacerbate asthma. Diltiazem is often adjusted, but if the effect is not satisfactory, it is advisable to consult a cardiologist for medication management. Elderly pa...[Read More] Managing Fast Heartbeat in Elderly Patients with Asthma: Alternatives to Propranolol
Understanding Palpitations After COVID-19 Vaccination: What to Do Next
Palpitations remain unresolved? Hello Doctor: After receiving the first dose of the BNT COVID-19 vaccine, I began experiencing palpitations. I have since received the third dose, and after that, I underwent several tests including an electrocardiogram (ECG), a stress test, a 24-h...
Dr. Chen Jili Reply:
It is advisable for you to consult with your attending physician regarding the aforementioned issues. Thank you, and wishing you good health.[Read More] Understanding Palpitations After COVID-19 Vaccination: What to Do Next