Managing High Blood Pressure and Dizziness: Essential Tips and Tests

Q: Managing High Blood Pressure and Dizziness: Essential Tips and Tests

Hello： Your age has presented issues with hypertension. <br>In addition to external factors or physical discomfort, it may be necessary to consider the possibility of secondary hypertension. <br>Primary hypertension, which accounts for about 90% of cases, is of unknown origin and

High blood pressure... dizziness... how to manage it?

1.
After experiencing bloating, I discovered that I have a blood pressure issue.
Currently, after medication, my morning readings are mostly around 135/95, and in the evening, about 145/100.
The doctor mentioned that my heart rate is quite fast, and I am taking half a 5 mg dose of Concor (Bisoprolol).
I have undergone MRI and ultrasound examinations, which showed no issues, but I have not yet had my carotid arteries checked.
2.
I have experienced near-fainting episodes where I lay on the ground but did not actually lose consciousness.
What could this situation indicate, and what tests should I undergo?
3.
Last year, my blood pressure was 107/70.
I am unsure if stress is a contributing factor.
I have taken mild sedatives in the past, and during those days, my blood pressure was very normal.
Thank you.

Ann, 30~39 year old female. Ask Date: 2017/11/01

Dr. Jiang Junyi reply Neurology

Hello: Your age has presented issues with hypertension.
In addition to external factors or physical discomfort, it may be necessary to consider the possibility of secondary hypertension.
Primary hypertension, which accounts for about 90% of cases, is of unknown origin and is believed to be caused by multiple factors such as genetics, obesity, excessive salt intake, stress, alcohol consumption, and lack of exercise.
Most cases of primary hypertension require treatment evaluation targeting the various contributing factors.

Secondary hypertension, on the other hand, has identifiable causes for elevated blood pressure, such as endocrine disorders, kidney diseases, congenital vascular abnormalities, medications that raise blood pressure, and pregnancy.
Early identification and treatment of these causes or conditions may lead to a resolution of hypertension.
If you frequently experience dizziness, it is advisable to undergo a cervical ultrasound examination.
Wishing you good health, peace, and joy.
Dr.
Tao, Neurology, cares about you.

Reply Date: 2017/11/01

More Info

Managing high blood pressure (hypertension) is crucial for maintaining overall health, especially given its potential to lead to serious complications such as heart disease, stroke, and kidney damage. Your situation, characterized by elevated blood pressure readings and episodes of dizziness, warrants careful attention and a comprehensive approach to management.

Understanding Your Blood Pressure Readings
Your current blood pressure readings of 135/95 mmHg in the morning and 145/100 mmHg in the evening indicate that you are experiencing stage 1 hypertension. The systolic (the first number) measures the pressure in your arteries when your heart beats, while the diastolic (the second number) measures the pressure when your heart is at rest between beats. A diastolic reading above 90 mmHg is concerning, as it suggests increased resistance in the arteries, which can lead to cardiovascular complications.

Heart Rate and Medication
You mentioned that your doctor noted a fast heart rate while you are on medication (specifically, half a 5 mg dose of a medication called "康肯," which I assume refers to a type of antihypertensive). A rapid heart rate (tachycardia) can be a side effect of certain medications or may indicate that your body is under stress. It's essential to discuss this with your healthcare provider, as they may need to adjust your medication or explore other underlying causes.

Dizziness and Near-Fainting Episodes
Experiencing dizziness and near-fainting can be alarming. These symptoms could be related to your blood pressure fluctuations, especially if your blood pressure drops suddenly (orthostatic hypotension) when you stand up or change positions. It can also be a sign of inadequate blood flow to the brain. Given that you have had episodes where you felt like you might faint but did not, it is crucial to undergo further evaluation.

Recommended Tests
1. Neck Artery Ultrasound: Since you have not yet had your carotid arteries checked, this non-invasive test can help assess blood flow and detect any blockages or abnormalities that could contribute to your symptoms.

2. Holter Monitor: This portable device records your heart's rhythm for 24-48 hours. It can help identify any irregular heartbeats or episodes of tachycardia that may correlate with your symptoms.

3. Blood Tests: Comprehensive blood tests can help rule out other conditions that might contribute to your symptoms, such as anemia or thyroid dysfunction.

4. Electrocardiogram (ECG): An ECG can provide insight into your heart's electrical activity and help identify any arrhythmias or other cardiac issues.

Lifestyle Modifications
In addition to medication, lifestyle changes are vital in managing high blood pressure:
- Diet: Adopt a heart-healthy diet, such as the DASH (Dietary Approaches to Stop Hypertension) diet, which emphasizes fruits, vegetables, whole grains, and lean proteins while reducing sodium intake.

- Exercise: Regular physical activity can help lower blood pressure and improve heart health. Aim for at least 150 minutes of moderate aerobic exercise each week.

- Stress Management: Since you mentioned experiencing stress, consider incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises into your routine.

- Regular Monitoring: Keep track of your blood pressure at home to identify patterns and share this information with your healthcare provider.

Conclusion
Managing high blood pressure and associated symptoms like dizziness requires a multifaceted approach that includes medication, lifestyle changes, and regular monitoring. It is essential to maintain open communication with your healthcare provider, especially regarding any new symptoms or concerns. By taking proactive steps, you can effectively manage your blood pressure and reduce the risk of complications. If you have further questions or need clarification on any points, don't hesitate to reach out to your healthcare team.

Similar Q&A

Understanding Dizziness: Connection to Diabetes and Hypertension

I have been experiencing dizziness for over a month and visited a neurologist at the hospital. I underwent brainstem auditory evoked potential testing, carotid ultrasound, and blood tests, all of which were normal. The doctor prescribed Diphenidol 25 mg, to be taken one tablet tw...

Dr. Gao Chunde reply Neurology
Dizziness upon standing is quite common among the elderly. In addition to vestibular dysfunction, it is important to pay attention to orthostatic hypotension, especially in patients with diabetes or Parkinson's disease, as their autonomic nervous system responses are slower....

Understanding the Connection Between High Blood Pressure and Dizziness

Doctor, my blood pressure is around 140/90, and my ear temperature is about 37.2. Recently, I've been feeling slightly dizzy and heavy-headed. Could these symptoms be related to high blood pressure?

Dr. Li Zhiyao reply Internal Medicine
Hello: Given your age, a blood pressure reading of 140/90 does require attention. It is recommended that you measure your blood pressure at least twice a day (once in the morning and once in the evening) and keep a record of it. Please consult a cardiologist and provide them with...

Managing Weight Loss and Dizziness After Blood Pressure Medication

Hello Dr. Liu, about two years ago, my blood pressure suddenly spiked to nearly 200. Since then, I have started taking antihypertensive medications to control my blood pressure. Currently, I take one pill of Amlodipine and half a pill of Candesartan daily, and my blood pressure i...

Dr. Liu Hongxiang reply Family Medicine
Hello A-Rong, According to your letter, avoiding high-calorie foods and not overeating during meals will help you approach your ideal weight after a period of persistence. Considering the average height of Taiwanese men is 173.5 cm, a weight of 78 kg results in a BMI of 25.9, wh...

Understanding Dizziness and High Blood Pressure in Seniors

Hello Doctor: My father is 70 years old. Recently, he caught a cold and had difficulty breathing, leading to a diagnosis of "bronchiectasis." His blood pressure has consistently been around 150-170 (he has never taken antihypertensive medication). The doctor mentioned t...

Dr. Lan Shengxing reply Neurology
Dear Sindy, 1. If the medication is unable to lower your blood pressure, you may ask your original cardiologist to change the medication or adjust the dosage. Some bronchodilators can affect cardiac rhythm, so be sure to bring this up during your appointment for the physician&#x...