Cardiovascular Issues and Improving Blood Flow Health - Cardiology

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Cardiovascular diseases and issues related to congestion?


Hello Dr.
Lin,
I was diagnosed with hypertension about 5 to 6 years ago.
Over the years, I have been inconsistently taking medication.
My blood pressure mostly ranges between 130 and 140 mmHg (systolic), while my diastolic pressure varies from 62 to 100 mmHg, with most readings between 70 and 80 mmHg.
My pulse is around 60 bpm.
Sometimes, when I lack sleep, I feel a bit hypoxic, and occasionally I experience mild chest tightness.
I thought I was doing okay, which is why I often neglect to take my medication as prescribed.

I prefer eating meat, with fish being less frequent in my diet.
However, I do not smoke or drink and enjoy exercising.
Currently, I engage in table tennis and brisk walking as my fitness activities.
My marital life is also normal and active.
However, I often feel a lack of blood flow, which is quite troubling.
I suspect that my blood vessels may be clogged with fat or cholesterol, causing slower blood flow and insufficient delivery to the lower regions, leading to symptoms of erectile dysfunction and inadequate firmness, which is very distressing.
This is a summary of my personal condition.
I would like to ask the doctor for advice on how to improve the aforementioned issues.
Can seeing a doctor and taking medication effectively treat these conditions? What is the expected efficacy? I sincerely hope to find answers to my concerns!
P.S.
I noticed that general hospitals list "Cardiology" as a department.
Is this different from the field of cardiovascular medicine? Which department should I register for? Are there specific treatment divisions within cardiology? Thank you, doctor, for taking the time to clarify these matters for me! Can I make an appointment at your clinic? Please let me know.

Gong Yu, 60~69 year old female. Ask Date: 2012/07/23

Dr. Lin Jixiong reply Cardiology


Hello: The fields of cardiology and cardiovascular medicine are essentially the same, with only slight differences in terminology.
As for the mentioned erectile issues, it is advisable to seek assistance from a urologist as soon as possible to address the related concerns.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/07/23

More Info


Hello! Thank you for sharing your health concerns and background. It sounds like you have been dealing with several cardiovascular issues, including hypertension and symptoms that may suggest reduced blood flow. Let’s break down your situation and explore ways to improve your cardiovascular health.


Understanding Your Condition
1. Hypertension: You mentioned being diagnosed with high blood pressure (hypertension) 5-6 years ago, with readings typically between 130-140 mmHg systolic and 62-100 mmHg diastolic. While your systolic readings are on the higher side, your diastolic readings show variability. Consistent high blood pressure can lead to serious health issues, including heart disease and stroke. It’s crucial to manage hypertension effectively, as untreated high blood pressure can damage blood vessels and lead to complications.

2. Symptoms of Chest Discomfort and Oxygen Deprivation: Experiencing occasional chest tightness and feelings of oxygen deprivation, especially during periods of sleep deprivation, can be concerning. These symptoms may indicate that your heart is not receiving adequate blood flow, possibly due to narrowed arteries or other cardiovascular issues.

3. Lifestyle Factors: You mentioned a preference for meat over fish, which can contribute to higher cholesterol levels if not balanced with other healthy foods. Regular exercise, such as playing table tennis and walking, is excellent for cardiovascular health, but dietary choices also play a significant role.

4. Erectile Dysfunction (ED): Your concern about erectile dysfunction could be related to cardiovascular health. Reduced blood flow due to vascular issues can affect erectile function, as erections depend on adequate blood flow to the penis.


Recommendations for Improvement
1. Medication Adherence: It’s essential to take your prescribed medications consistently. If you have been inconsistent with your blood pressure medication, it may be time to discuss this with your healthcare provider. Proper management of hypertension can significantly reduce your risk of cardiovascular events.

2. Dietary Changes: Consider adopting a heart-healthy diet. This includes:
- Increasing your intake of fruits, vegetables, whole grains, and lean proteins (such as fish).

- Reducing saturated fats and cholesterol by limiting red meat and full-fat dairy products.

- Incorporating healthy fats, such as those found in nuts, seeds, avocados, and olive oil.

- Monitoring your sodium intake to help control blood pressure.

3. Regular Exercise: Continue with your current exercise routine and consider incorporating aerobic activities that elevate your heart rate, such as brisk walking, cycling, or swimming. Aim for at least 150 minutes of moderate aerobic activity each week.

4. Monitoring and Regular Check-ups: Schedule regular check-ups with your healthcare provider to monitor your blood pressure and overall cardiovascular health. Discuss any new symptoms or concerns, including your erectile dysfunction.

5. Stress Management: Since you mentioned feeling oxygen-deprived and experiencing stress, consider stress-reduction techniques such as mindfulness, yoga, or meditation. These practices can help improve your overall well-being and potentially lower blood pressure.


Seeking Medical Help
Regarding your question about the difference between "cardiology" and "cardiovascular medicine," they are often used interchangeably, but cardiology typically refers to the study and treatment of heart conditions, while cardiovascular medicine encompasses a broader range of vascular issues, including those affecting arteries and veins. When making an appointment, you can generally see a cardiologist for your concerns.


Conclusion
In summary, managing your blood pressure and improving your cardiovascular health involves a combination of medication adherence, dietary changes, regular exercise, and stress management. It’s essential to communicate openly with your healthcare provider about your symptoms and treatment options. They can provide personalized advice and may refer you to a specialist if necessary.
I hope this information helps clarify your concerns and provides a pathway to better health. Please feel free to reach out with any further questions or for clarification on any points discussed.

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