Abnormal Blood Flow Velocity: Causes and Solutions - Family Medicine

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Questions regarding abnormal blood flow velocity?


Hello Doctor: My blood pressure is usually within normal levels, but recently, due to anxiety, my heart rate sometimes spikes suddenly, causing my blood pressure to rise rapidly.
At one point, my blood pressure soared to around 185/105 in a very short time.
Later, I noticed some unusual symptoms in my eyes and went to a major hospital for an examination.
The tests revealed that there were issues with one important artery in each of my eyes.
The flow rate of the left central artery is slower than normal, while the flow rate of a right artery is approximately three and a half times the normal value, indicating that one side has a fast flow rate while the other side is slow.
I would like to ask the doctor, since the blood flow rates in other arteries are generally normal, does this suggest a higher likelihood of deformation, narrowing, or hardening in these vessels, especially the one on the right? Additionally, if this deformation is indeed the case, considering that the arteries in the eyes are very small blood vessels, is there a chance that through exercise and blood pressure control (which is now normal), I could gradually improve or even restore them to normal?

Du Jing, 20~29 year old female. Ask Date: 2008/03/21

Dr. Chen Yuchao reply Family Medicine


If there is an issue with any of the important arterial blood vessels inside the eye, please consult an ophthalmologist or a cardiovascular specialist for further examination and management.

Reply Date: 2008/03/21

More Info


Understanding abnormal blood flow velocity, particularly in the context of your situation, involves a multifaceted approach that considers various factors, including blood pressure, anxiety, and the health of your blood vessels.
Firstly, it’s important to understand that blood flow velocity can be influenced by several physiological and pathological conditions. In your case, the sudden spikes in blood pressure and heart rate due to anxiety may have contributed to the abnormal blood flow velocities observed in your eye arteries. The left central artery showing slower flow could indicate potential issues such as narrowing (stenosis) or other forms of vascular resistance, while the right artery exhibiting significantly increased flow could suggest compensatory mechanisms or even potential turbulence due to structural changes in the vessel.

The fact that you have experienced elevated blood pressure readings, such as 185/105 mmHg, is concerning. Chronic hypertension can lead to vascular changes, including stiffness and remodeling of the arteries, which could explain the discrepancies in flow velocities. The small size of the ocular arteries makes them particularly susceptible to changes in blood flow dynamics, and any abnormalities can have significant implications for ocular health.

Regarding your concerns about the likelihood of these arteries becoming deformed, narrowed, or hardened, it is indeed a possibility. Conditions such as atherosclerosis, which involves the buildup of plaque in the arteries, can lead to such changes. However, the presence of normal flow in other arteries suggests that your overall vascular health may still be relatively intact, but localized issues could exist.

As for your question about whether lifestyle changes, such as exercise and blood pressure management, can help improve or restore normal blood flow, the answer is generally positive. Regular physical activity is known to enhance cardiovascular health, improve endothelial function, and can help in managing blood pressure. Engaging in aerobic exercises, such as walking, cycling, or swimming, can promote better circulation and potentially improve blood flow dynamics over time.

Additionally, maintaining a healthy diet, rich in fruits, vegetables, whole grains, and lean proteins, while low in saturated fats and sugars, can also contribute to better vascular health. Managing stress through mindfulness, meditation, or other relaxation techniques can help mitigate anxiety, which in turn may stabilize your heart rate and blood pressure.

It’s crucial to continue monitoring your blood pressure and to follow up with your healthcare provider regarding the findings in your eye arteries. Regular check-ups can help track any changes and allow for timely interventions if necessary. If you experience any new symptoms, such as vision changes or persistent headaches, seek medical attention promptly.

In summary, while there may be concerns regarding the abnormal blood flow velocities in your eye arteries, adopting a proactive approach through lifestyle modifications and regular medical follow-ups can significantly contribute to improving your vascular health and overall well-being. Always consult with your healthcare provider before making any significant changes to your exercise or dietary regimen, especially given your recent health concerns.

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