Managing High Blood Pressure: Medication Habits and Heart Health Tips

Q: Managing High Blood Pressure: Medication Habits and Heart Health Tips

Hello： <br>1. <br>The correct way to take blood pressure medication is to take it daily. <br>As for which medication to take and the appropriate dosage, these are professional considerations. <br>It is recommended that you visit a cardiology clinic to have a cardiologist adjust t

Blood Pressure Issues and Medication Adherence

For many years, I was unaware that I belonged to the high blood pressure group.
I have experienced episodes of arrhythmia and chest tightness in my daily life.
Six months ago, I visited a doctor who diagnosed me with slightly elevated blood pressure and mild cardiac hypertrophy.
The doctor prescribed antihypertensive medication, instructing me to take half a pill daily for a month as a trial.
After a few days of taking the medication, I did not notice much change.
Sometimes I would forget to take it for several days.
My blood pressure fluctuated between the 150s and 120s.
Later, due to the doctor traveling abroad, I switched to another doctor who prescribed a different antihypertensive medication called "Mayo." However, after taking one pill daily from the first day, I did not see any reduction in blood pressure.
After three weeks, I informed the doctor that it was ineffective, and they reverted to the original medication but increased the dosage to one pill daily.
I often forget to take it, and my blood pressure ranges between 127 and 136, occasionally spiking to 160, which frightens me, prompting me to take a pill, bringing it back down to 136.
I admit that I dislike taking medication and have poor adherence to my regimen.
However, I do monitor my blood pressure 1 to 3 times daily and keep a record of it.
Here, I would like to ask the doctor: Is it necessary to take antihypertensive medication every day? Is it feasible to only take medication after measuring my blood pressure and finding it too high? Additionally, how can I strengthen my heart function? What can I do to have a stronger heart? Besides exercise, do I need medication to enhance heart function? I often feel as if my heart is lacking oxygen, which makes it difficult for me to exert myself.
I sincerely hope Dr.
Lin can clarify these questions for me.
Thank you very much!

Siming, 60~69 year old female. Ask Date: 2009/08/28

Dr. Lin Jixiong reply Cardiology

Hello:
1.
The correct way to take blood pressure medication is to take it daily.
As for which medication to take and the appropriate dosage, these are professional considerations.
It is recommended that you visit a cardiology clinic to have a cardiologist adjust the best medication combination tailored to your individual needs.
However, this requires patience, as it may not be possible to find the most suitable medication after just one or two visits.
2.
If you want to achieve good heart function, the first thing you should do is to consistently take your antihypertensive medication (if you truly have high blood pressure).
Additionally, you should pay attention to dietary control, avoiding high-sodium diets, and be mindful of your daily routine.
These are the most fundamental actions that should be taken.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan General Hospital

Reply Date: 2009/08/28

More Info

Managing high blood pressure (hypertension) is crucial for maintaining overall cardiovascular health and preventing serious complications such as heart disease, stroke, and kidney failure. Your situation highlights several important aspects of hypertension management, including medication adherence, lifestyle modifications, and understanding the implications of fluctuating blood pressure readings.

Medication Adherence
First and foremost, it is essential to understand that antihypertensive medications are most effective when taken consistently as prescribed. Skipping doses or taking medication only when blood pressure readings are high can lead to significant fluctuations in blood pressure, which may increase the risk of cardiovascular events. Blood pressure medications work best when they maintain a steady level of the drug in your system, allowing for consistent control of blood pressure.
If you find it challenging to remember to take your medication, consider setting reminders on your phone, using a pill organizer, or linking your medication schedule to daily activities (like brushing your teeth). If you experience side effects or feel that the medication is not effective, it is crucial to communicate this with your healthcare provider. They may need to adjust your dosage or switch you to a different medication that better suits your needs.

Understanding Blood Pressure Readings
Your blood pressure readings, which fluctuate between 127-136 mmHg and occasionally spike to 160 mmHg, indicate that you are experiencing variability in your blood pressure control. This variability can be influenced by several factors, including stress, anxiety, physical activity, and even the time of day. It is not uncommon for individuals to experience higher readings in clinical settings due to "white coat syndrome," where anxiety about medical visits can temporarily elevate blood pressure.

To get a more accurate picture of your blood pressure, consider measuring it at home under consistent conditions—same time of day, same position, and after a period of rest. Keeping a log of these readings can help your healthcare provider assess your blood pressure more accurately and make informed decisions regarding your treatment plan.

Lifestyle Modifications
In addition to medication, lifestyle changes play a significant role in managing high blood pressure. Here are some key recommendations:
1. Diet: Adopt a heart-healthy diet, such as the DASH (Dietary Approaches to Stop Hypertension) diet, which emphasizes fruits, vegetables, whole grains, lean proteins, and low-fat dairy while reducing sodium intake. Aim to limit processed foods, which often contain high levels of salt and unhealthy fats.

2. Physical Activity: Regular exercise is vital for heart health. Aim for at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking, cycling, or swimming. Incorporating strength training exercises at least twice a week can also be beneficial.

3. Weight Management: If you are overweight, losing even a small amount of weight can help lower your blood pressure. Focus on gradual, sustainable weight loss through a combination of diet and exercise.

4. Stress Management: Chronic stress can contribute to high blood pressure. Consider incorporating stress-reducing techniques such as mindfulness, meditation, yoga, or deep-breathing exercises into your daily routine.

5. Limit Alcohol and Quit Smoking: If you consume alcohol, do so in moderation. Smoking cessation is also crucial, as tobacco use can elevate blood pressure and harm cardiovascular health.

Strengthening Heart Function
To enhance heart function, regular cardiovascular exercise is key. Activities like walking, jogging, cycling, and swimming can improve heart efficiency and overall cardiovascular health. Additionally, certain medications may be prescribed to improve heart function, especially if there are underlying conditions such as heart failure or coronary artery disease. Always consult your healthcare provider before starting any new exercise regimen or medication.

Conclusion
In summary, managing high blood pressure effectively requires a comprehensive approach that includes consistent medication adherence, regular monitoring of blood pressure, and lifestyle modifications. If you have concerns about your medication or experience symptoms such as chest pain or shortness of breath, it is essential to seek medical attention promptly. Your healthcare provider can help tailor a management plan that suits your individual needs and helps you achieve better control over your blood pressure and overall heart health.

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