Managing High Blood Pressure: When to Consult a Doctor and Lifestyle Tips

Hypertension

Hello, my blood pressure is usually normal, but in the past year or two, it has been elevated whenever I talk, use the computer, etc., even reaching 200/120.
I have a slightly enlarged right ventricle and elevated cholesterol levels.
I am 165 cm tall and weigh 75 kg.
I run or swim (1500-2000 meters freestyle) every day.
Should I start by controlling my weight or diet, or should I see a doctor directly? If I need to see a doctor, could you recommend a hospital in Xindian or Jingmei? Thank you very much, Oz.

Ozzy, 40~49 year old female. Ask Date: 2003/05/16

Dr. Chen Guifeng reply Cardiology

Thank you very much for your message.
Regarding your question, please try to consume low-fat and low-sodium foods, and aim to lose weight over the course of a month.
If your condition does not improve or if you have any concerns, please visit a cardiology outpatient clinic.
Thank you!

Reply Date: 2003/05/16

More Info

Managing high blood pressure is crucial for maintaining overall health, especially when readings reach concerning levels like 200/120 mmHg. Given your situation, where you have experienced elevated blood pressure during routine activities such as talking or working on the computer, it is essential to take this seriously. Here’s a comprehensive approach to managing your condition, including when to consult a doctor and lifestyle modifications that can help.

When to Consult a Doctor
1. Consistently High Readings: If your blood pressure readings frequently exceed 140/90 mmHg, it is advisable to consult a healthcare professional. Given that you have recorded values as high as 200/120 mmHg, this warrants immediate medical attention.

2. Symptoms: If you experience symptoms such as severe headaches, shortness of breath, chest pain, or any signs of a stroke (like sudden numbness or weakness), seek emergency medical care.

3. Existing Conditions: Since you mentioned having a larger right ventricle and elevated cholesterol levels, these factors increase your risk for cardiovascular diseases. Regular check-ups with a cardiologist are recommended.

4. Medication Management: If you are already on medication for high blood pressure or other related conditions, and your readings remain high, it’s crucial to discuss this with your doctor. They may need to adjust your treatment plan.

Lifestyle Modifications
1. Weight Management: You mentioned your weight is 75 kg at a height of 165 cm, which gives you a BMI of approximately 27.5, categorizing you as overweight. Losing even a small percentage of your body weight can significantly lower your blood pressure. Aim for a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while reducing saturated fats and sugars.

2. Dietary Changes: Adopt a heart-healthy diet such as the DASH (Dietary Approaches to Stop Hypertension) diet, which emphasizes:
- Reducing sodium intake (aim for less than 2,300 mg per day).

- Increasing potassium-rich foods (bananas, oranges, potatoes).

- Consuming more whole grains, fish, poultry, and nuts.

3. Regular Exercise: You are already engaging in physical activities like running and swimming, which is excellent. Aim for at least 150 minutes of moderate aerobic exercise each week. Consistency is key, so try to maintain this routine even when your blood pressure readings are high.

4. Stress Management: High stress can contribute to elevated blood pressure. Consider incorporating relaxation techniques such as deep breathing exercises, yoga, or meditation into your daily routine.

5. Limit Alcohol and Caffeine: Both substances can raise blood pressure. If you consume alcohol, do so in moderation, and monitor your caffeine intake.

6. Monitor Your Blood Pressure: Keep a log of your blood pressure readings at different times of the day. This will help you and your doctor identify patterns and triggers.

7. Sleep Hygiene: Ensure you are getting adequate sleep, as poor sleep can negatively impact blood pressure. Aim for 7-9 hours of quality sleep per night.

Finding a Healthcare Provider
If you decide to consult a doctor, you can look for a cardiologist or a primary care physician in your area. Hospitals like Shin Kong Wu Ho-Su Memorial Hospital or Taipei Medical University Hospital in the New Taipei City area are reputable options. You can also check for local clinics that specialize in hypertension management.

In summary, while lifestyle changes can significantly impact your blood pressure, given your current readings and health history, it is essential to consult a healthcare professional promptly. They can provide personalized advice and treatment options tailored to your specific needs. Remember, managing high blood pressure is a long-term commitment, and with the right approach, you can achieve better health outcomes.

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