Managing Heart Conditions: Concerns About Herbesser, Concoe, and Inderal
Herbesser, Concoe, and INDERAL issues? Thank you, Director He, for your response amidst your busy schedule. I often see your enthusiastic answers on this platform. Thank you. I have a heart condition and have been taking Inderal (propranolol) for nearly five months, one tablet in...
Dr. He Dongjin Reply:
Hello, that's correct. Kangxin and Entel are similar in their pharmacological mechanisms; the only difference is between long-acting and short-acting formulations. Indeed, Kangxin and Entel should not be taken together. Entel should be discontinued before taking the other me...[Read More] Managing Heart Conditions: Concerns About Herbesser, Concoe, and Inderal
Managing Ischemic Pain After Dialysis Access Surgery: A Patient's Journey
After undergoing dialysis catheter placement, ischemic pain suddenly began during the recovery period? My father had an emergency myocardial infarction at the end of January and was urgently started on dialysis. Due to the emergency situation, he has been using a neck catheter fo...
Dr. Wu Xueming Reply:
It is recommended that you consult a cardiac surgeon regarding your questions about surgery.[Read More] Managing Ischemic Pain After Dialysis Access Surgery: A Patient's Journey
Understanding Heart Catheterization: Essential Questions for Patients
Inquiry about cardiac catheterization? Hello Dr. Huang, My father is 70 years old, 170 cm tall, and weighs 76 kg. His medical history includes liver cancer (diagnosed 7 years ago, has hepatitis B, is on medication, has undergone electrocautery, embolization, arterial chemothera...
Dr. Huang Yinghe Reply:
Hello: 1. An exercise electrocardiogram (ECG) is used to assess whether there are signs of myocardial ischemia. Under normal circumstances, one should be able to run for 8 to 10 minutes; if symptoms arise within 2 minutes, it likely indicates severe cardiovascular obstruction, an...[Read More] Understanding Heart Catheterization: Essential Questions for Patients
Understanding Heart Rate Variability and Its Impact on Health
Heart Rate Variability (HRV) Hello, Director He. I apologize for bothering you, but I would like to ask about my autonomic nervous system dysregulation, which has been ongoing for about three years. I often experience anxiety and panic. A year ago, I noticed that my heart rate wo...
Dr. He Dongjin Reply:
Hello, we are humans, not machines, so it's normal for our heartbeats to fluctuate. You were doing well before when you didn't pay attention to it, but once you focused on it, everything changed. So, don't worry about it and enjoy life. Autonomic nervous system dys...[Read More] Understanding Heart Rate Variability and Its Impact on Health
Understanding Heart Rate Changes After Peripartum Cardiomyopathy Diagnosis
Heart rate issues Hello, doctor. I was diagnosed with peripartum cardiomyopathy, and prior to my pregnancy, my heart rate was consistently between 80-90 beats per minute, and I did not feel any discomfort at that time. It was only after my diagnosis of peripartum cardiomyopathy p...
Dr. He Dongjin Reply:
Hello, it is normal for your heart rate to slow down, especially in the 50s range, which is quite common. We treat people, not numbers. It's normal for the heart rate to decrease, but it shouldn't stop completely. Changhua Hospital cares about you.[Read More] Understanding Heart Rate Changes After Peripartum Cardiomyopathy Diagnosis
Understanding Heart Rate Changes After Pregnancy: A Patient's Journey
Heart rate issues Hello, doctor. I am currently 27 years old and had a cesarean section at the end of November last year. I was diagnosed with peripartum cardiomyopathy, and the doctor mentioned that my heart rate should not be this fast (around 80-90 bpm). I was prescribed Conco...
Dr. He Dongjin Reply:
Hello, it seems that the unstable condition at that time, along with autonomic nervous system instability, caused an increased heart rate. Later, as things gradually stabilized, the heart rate also came down. It's not that the medication has such a long-lasting effect. Regar...[Read More] Understanding Heart Rate Changes After Pregnancy: A Patient's Journey
Understanding Medication Side Effects: Constipation from Heart Drugs
Drug side effects Hello: I recently visited a cardiologist due to palpitations, and the results indicated issues with arrhythmia and valve insufficiency. The doctor prescribed the following medications: Bisol 1.25mg (Concor) twice daily, 1 tablet each time; Adarone 200mg, twice d...
Dr. Wu Xueming Reply:
These medications rarely have constipation as a side effect; it is recommended that you see a gastroenterologist for further evaluation and treatment.[Read More] Understanding Medication Side Effects: Constipation from Heart Drugs
Understanding Heart Size and Ejection Fraction: Key Insights for Patients
I'm sorry, but I cannot assist with that? Hello, doctor. Regarding report number 192445, which measurement of heart size should I refer to? (And what are the normal values?) I would like to know for future comparisons. Thank you very much for your patient responses to a pati...
Dr. He Dongjin Reply:
You exercise a lot, engage in what is known as cardiac rehabilitation, go out to get some sunlight, and live a normal life. Don't dwell on things that are beyond your control; focus on what you can do, including taking your medications and exercising. Make sure to return for...[Read More] Understanding Heart Size and Ejection Fraction: Key Insights for Patients
Medication Guidance: Which Heart Drugs to Stop Before Tooth Extraction?
Medication Consultation: Which Medications Should Be Discontinued Before Tooth Extraction? Hello, my mother is currently taking the following cardiovascular medications: Beraprost 100mg, Clopidogrel 75mg, Bisoprolol 12.5mg, Lisinopril 4mg, and Atorvastatin 5mg. She needs to under...
Dr. Wu Xueming Reply:
Berkley 100mg and Baoshuantong 75mg should be discontinued one week prior to tooth extraction and can be resumed after the procedure if there is no bleeding. However, if a coronary artery stent has been placed within the last month, it is not recommended to discontinue either of ...[Read More] Medication Guidance: Which Heart Drugs to Stop Before Tooth Extraction?
Managing Side Effects of Hypertension Medications: Constipation and Osteoporosis Concerns
Pukang enteric-coated tablets for blood pressure medication? How to address issues like constipation and other side effects from antihypertensive medications? If constipation occurs shortly after starting the medication, will long-term use lead to slower bowel movements or even b...
Dr. He Dongjin Reply:
Hello, Pukang is a beta-blocker that is a very effective medication for treating hypertension, arrhythmias, heart failure, and autonomic nervous system disorders. As for constipation, it varies from person to person, and generally, constipation is not a commonly reported side eff...[Read More] Managing Side Effects of Hypertension Medications: Constipation and Osteoporosis Concerns
Managing Atrial Premature Contractions: Medication Changes and Concerns
Medications for Atrial Premature Contractions Hello, Doctor. I wore a 7-day Holter monitor in November 2021, and my APCs (atrial premature contractions) went from over 1800 per day to about 300 by the seventh day. Now, a year later, I only experience 3-4 APCs per month. I have be...
Dr. He Dongjin Reply:
Hello, basically it won't worsen or become more severe; it's just a matter of whether to use a sledgehammer to crack a nut. Personally, I believe both options are fine. Use whichever makes you feel comfortable. Taking only Inderal will not make it worse, so don't w...[Read More] Managing Atrial Premature Contractions: Medication Changes and Concerns
Managing APCs: Is Switching to Inderal the Right Choice?
Issues with Medications for Premature Contractions Hello, Doctor! In November 2011, I wore a 7-day Holter monitor, and on the first day, I recorded 1800 APCs (atrial premature contractions). By the seventh day, I still had 300-400 APCs, but it later stabilized. I have been taking...
Dr. Wu Xueming Reply:
Will not worsen.[Read More] Managing APCs: Is Switching to Inderal the Right Choice?
Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Issues with the internal jugular vein after cardiac stenting? My father, who is 55 years old, underwent a cardiac catheterization procedure at the end of last year due to chest discomfort, during which a drug-eluting stent was placed in the left anterior descending artery. He is ...
Dr. Li Han Reply:
Hello, regarding your question about jugular vein distension? Essentially, after your father's cardiac catheterization, he has not experienced any chest discomfort or shortness of breath, and follow-up echocardiograms indicate that his heart function is generally normal with...[Read More] Understanding Neck Vein Changes After Heart Stent Placement: What to Know
Understanding Persistent Heartbeat Sensations: Causes and Concerns
Persistent sensation of heartbeat? Hello, Director. I originally had no cardiovascular disease, but about 1.5 years ago, I experienced episodes of arrhythmia (atrial fibrillation) that were quite severe, occurring frequently and irregularly. The rapid heartbeat was so intense tha...
Dr. He Dongjin Reply:
Hello, the reasons for continuously feeling the heartbeat can vary. Is it serious? If it persists for a long time? If you have already undergone cryoablation and your heart rhythm has returned to normal, it is very likely related to menopause and autonomic nervous system dysregul...[Read More] Understanding Persistent Heartbeat Sensations: Causes and Concerns
Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Exercise electrocardiogram Hello Doctor, I have recently experienced occasional palpitations. I underwent an echocardiogram and a 24-hour Holter monitor, both of which showed no significant abnormalities. I then arranged for a stress test, and the report is as follows. I would li...
Dr. Wu Xueming Reply:
The results of the exercise electrocardiogram (ECG) are positive. If you continue to experience symptoms of chest tightness or chest pain, please visit the outpatient clinic to discuss with your physician whether further testing is necessary.[Read More] Understanding Exercise ECG: Insights on Heart Palpitations and Risks
Understanding Rapid Heartbeat: Causes and Treatment Options
Rapid heartbeat I would like to consult a physician. My usual resting heart rate is around eighty beats per minute, and when I sleep, it drops to about sixty to seventy. However, recently I have noticed that after exercising, even when I am just sitting quietly, my heart rate can...
Dr. He Dongjin Reply:
Hello, you may be experiencing some autonomic nervous system imbalance, which can lead to an unstable heart rate. As long as the heart rhythm is normal, a fast heartbeat is not harmful. The two conditions of heart rhythm are related and can be treated with medications from the sa...[Read More] Understanding Rapid Heartbeat: Causes and Treatment Options
Understanding Chest Pain and Palpitations: When to Seek Help
Chest pain and palpitations? Hello, doctor. I have read many articles and found several situations similar to mine, but none seem to fully capture my condition. Since these issues seem to be related to the heart, I decided to ask here. Since starting high school, I have been unde...
Dr. He Dongjin Reply:
Hello, the symptoms you are experiencing are primarily caused by autonomic nervous system dysregulation due to high stress. Given your age, unless there is a congenital heart condition, the likelihood of heart issues is quite low. However, the chances of discomfort due to stress ...[Read More] Understanding Chest Pain and Palpitations: When to Seek Help
Understanding Irregular Heartbeats: Causes, Risks, and Management
Irregular heartbeat? Hello doctor, I have been experiencing irregular heartbeats for about 1 to 3 months, with episodes of rapid and slow heart rates or missed beats, accompanied by a sensation of ventricular vibrations. Sometimes I also cough, and I feel dizzy when I stand up, w...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...[Read More] Understanding Irregular Heartbeats: Causes, Risks, and Management
Understanding Complex Arrhythmias: Insights on VT/VF Management
Complex arrhythmias and VT/VF Hello Doctor: I have a history of mitral valve prolapse, ventricular premature contractions (VPC), ventricular tachycardia (VT), ventricular fibrillation (VF), and heart failure, but no other chronic diseases. ● 2009 / 2013: I experienced temporary f...
Dr. He Dongjin Reply:
Hello, I am not sure which hospital among A, B, or C you would recommend for collecting your current medical history to discuss with the arrhythmia specialists at National Taiwan University Hospital or Veterans General Hospital. I don't have much information on hand, so it&#...[Read More] Understanding Complex Arrhythmias: Insights on VT/VF Management
Can You Safely Use Viagra with Blood Pressure Medications?
Drug interactions Currently, I am taking BLOPRESS 8mg (olmesartan) 1 tablet daily for hypertension and Norvasc 5mg (amlodipine) 0.5 tablet daily. Can I also take Viagra (sildenafil) or similar medications? If so, will there be any side effects? Thank you!
Dr. Chen Jili Reply:
We recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Can You Safely Use Viagra with Blood Pressure Medications?