High Blood Pressure: What Does It Mean for Your Health? - Cardiology

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At a loss?


Recently, the weather has been fluctuating, and my husband's blood pressure has been unstable.
When measuring his blood pressure, it was 173 systolic and 127 diastolic, with a pulse of 86.
Sometimes he feels dizzy, and his diastolic pressure has consistently been high.
What does this mean?

Michelle, 30~39 year old female. Ask Date: 2010/03/03

Dr. Bu Shiyun reply Cardiology


Although dizziness is not necessarily related to blood pressure, it is essential for individuals with hypertension to adhere to their prescribed medication regimen as directed by their physician.
During the treatment process, blood pressure may fluctuate, and side effects from the medication may occur, which should be discussed with the physician.
Uncontrolled blood pressure can lead to an increased risk of stroke, heart disease, kidney disease, vascular diseases, and more.
Therefore, managing blood pressure is crucial, and personal motivation for treatment and the hope for better health are the most important factors for successfully controlling blood pressure.

Reply Date: 2010/03/03

More Info


High blood pressure, or hypertension, is a significant health concern that can lead to various complications if not managed properly. Your husband’s blood pressure readings of 173/127 mmHg indicate that he is experiencing stage 2 hypertension, which is characterized by a systolic (the top number) reading of 140 mmHg or higher and a diastolic (the bottom number) reading of 90 mmHg or higher. This level of hypertension poses a serious risk for cardiovascular diseases, including heart attack and stroke, as well as kidney damage and other organ complications.

The elevated diastolic pressure (127 mmHg) is particularly concerning. High diastolic pressure can lead to increased workload on the heart and arteries, contributing to the risk of atherosclerosis (hardening of the arteries) and other cardiovascular issues. It can also indicate potential problems with the heart's ability to relax and fill properly, which can lead to heart failure over time. The fact that your husband is experiencing symptoms like dizziness further emphasizes the need for immediate medical attention. Dizziness can be a sign that the brain is not receiving enough blood flow, which can occur with severely elevated blood pressure.

In terms of the underlying causes of high blood pressure, it is essential to consider both lifestyle factors and potential medical conditions. Common contributors to hypertension include obesity, a sedentary lifestyle, high salt intake, excessive alcohol consumption, smoking, and chronic stress. Additionally, certain medical conditions such as kidney disease, hormonal disorders (like hyperthyroidism or adrenal gland tumors), and sleep apnea can also lead to secondary hypertension.

Given the severity of your husband’s blood pressure readings, it is crucial to consult with a healthcare provider as soon as possible. They may recommend a comprehensive evaluation, including blood tests, urine tests, and possibly imaging studies, to assess for any underlying conditions that may be contributing to his hypertension. Treatment options may include lifestyle modifications, such as dietary changes (reducing salt intake, increasing fruits and vegetables), regular physical activity, weight management, and possibly medication to help lower blood pressure.

In the meantime, here are some immediate steps that can be taken to help manage high blood pressure:
1. Monitor Blood Pressure Regularly: Keeping a log of blood pressure readings can help track changes and identify patterns. This information is valuable for healthcare providers.

2. Dietary Changes: Encourage 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.

3. Physical Activity: Aim for at least 150 minutes of moderate aerobic exercise each week, such as brisk walking, swimming, or cycling. However, consult with a healthcare provider before starting any new exercise regimen, especially given the current high blood pressure.

4. Limit Alcohol and Quit Smoking: Reducing alcohol intake and quitting smoking can significantly improve blood pressure levels and overall heart health.

5. Stress Management: Techniques such as mindfulness, meditation, yoga, or deep-breathing exercises can help manage stress, which is a known contributor to high blood pressure.

6. Medication Adherence: If prescribed medication, it is essential to take it as directed and discuss any side effects or concerns with a healthcare provider.

In conclusion, your husband’s high blood pressure and associated symptoms warrant prompt medical evaluation and intervention. By addressing both lifestyle factors and potential medical conditions, it is possible to manage hypertension effectively and reduce the risk of serious health complications.

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