Head Pressure, Heart Palpitations, and Cholesterol Issues - Cardiology

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Headache, palpitations, high cholesterol, elevated blood pressure, low white blood cell count?


Hello Doctor, I would like to ask you a few questions:
1.
I feel a constant pressure in my head throughout the day, and I can feel my heartbeat, which causes pain that seems to pulse with my heartbeat.
Could this be related to high blood pressure? What impact does this have on my body?
2.
I also feel my heart beating throughout the day, which is known as palpitations.
Does this indicate a problem with my heart? What effects could this have on my body?
3.
I am quite thin (175 cm tall and weighing 50 kg), yet my health check indicated that I have high cholesterol.
I usually do not eat fried foods and mostly eat at home.
I am the only one in my family with elevated cholesterol levels.
Can you explain why my cholesterol might be high? I really can't find a reason.
I am currently eating Quaker oats, onions, apples, and drinking concentrated oat beverages to try to lower my cholesterol.
On weekends, I run 3000 meters for exercise.
4.
Can high cholesterol lead to high blood pressure? My blood pressure often exceeds 120, sometimes going over 150.
Is high blood pressure indicative of heart problems? What symptoms are associated with high blood pressure? Headaches? Palpitations?
5.
My health report indicates that my white blood cell count is low.
What could cause low white blood cell counts, and how can I increase my white blood cell count? Additionally, should I see a doctor about these issues? If I need to go to a hospital, which department should I visit? Thank you, Doctor!

Chen Jiawen, 20~29 year old female. Ask Date: 2013/10/16

Dr. He Dongjin reply Cardiology


Hello, high cholesterol is not necessarily a bad thing.
It can be categorized into so-called "good" cholesterol and "bad" cholesterol, as well as low-density lipoprotein (LDL).
It is advisable to go to the hospital for further analysis; you can consult with a family medicine specialist.
Your symptoms are more indicative of autonomic nervous system dysfunction causing unstable blood pressure, rather than true hypertension, so there is no need to worry excessively.
As for low white blood cell count, how low is it? If it is close to the standard value, just monitor it.
However, if it drops below 2000, it is recommended to see a hematologist.
Changhua Hospital is concerned about your health.

Reply Date: 2013/10/16

More Info


Understanding the interplay between head pressure, heart palpitations, and cholesterol issues is crucial for maintaining overall health. Let's address your concerns systematically.

1. Head Pressure and Blood Pressure: The sensation of head pressure, especially when accompanied by a feeling of pulsation that aligns with your heartbeat, can indeed be related to blood pressure. Elevated blood pressure can lead to increased intracranial pressure, which may manifest as a feeling of fullness or pressure in the head. This can also be exacerbated by anxiety or stress, which can cause muscle tension and further contribute to the sensation of head pressure. If your blood pressure readings are consistently above normal (typically defined as 120/80 mmHg), it is advisable to consult a healthcare provider. Chronic high blood pressure can lead to serious health issues, including heart disease and stroke.

2. Heart Palpitations: Feeling your heart beating strongly or irregularly, known as palpitations, can be concerning. While palpitations can be benign and related to anxiety, caffeine intake, or stress, they can also indicate underlying heart conditions, especially if they are frequent or accompanied by other symptoms such as dizziness or chest pain. It's essential to monitor these symptoms closely. If you experience persistent palpitations, it would be wise to consult a cardiologist for a thorough evaluation, including an electrocardiogram (ECG) or a Holter monitor to assess your heart's rhythm over time.

3. Cholesterol Levels: High cholesterol levels can occur even in individuals who maintain a healthy diet and weight. Factors such as genetics, metabolic conditions, and even certain medications can influence cholesterol levels. It's important to understand that cholesterol is not solely derived from dietary intake; the liver produces cholesterol, and some individuals may have a genetic predisposition to higher levels. Regular exercise, as you are doing, and a diet rich in soluble fiber (like oats, fruits, and vegetables) can help manage cholesterol levels. However, if lifestyle changes do not yield improvements, a healthcare provider may recommend medication such as statins.

4. Cholesterol and Blood Pressure Relationship: High cholesterol can contribute to the development of atherosclerosis, which is the buildup of plaques in the arteries. This condition can lead to increased blood pressure as the heart works harder to pump blood through narrowed arteries. While high cholesterol itself does not directly cause high blood pressure, the two conditions often coexist and can exacerbate each other. Symptoms of high blood pressure can include headaches, dizziness, and palpitations, as you mentioned. It's crucial to manage both conditions to reduce the risk of cardiovascular diseases.

5. Low White Blood Cell Count: A low white blood cell count (leukopenia) can result from various factors, including infections, bone marrow disorders, autoimmune diseases, or the effects of certain medications. To increase white blood cell counts, it is essential to identify the underlying cause. A balanced diet rich in vitamins and minerals, particularly those that support immune function (like vitamin C, vitamin B12, and zinc), can be beneficial. If your white blood cell count remains low, it is advisable to consult a hematologist for further evaluation.

Given your symptoms and concerns, it would be prudent to seek medical attention. You may want to start with a primary care physician who can assess your overall health and refer you to specialists such as a cardiologist for heart-related issues or a hematologist for blood-related concerns. Regular check-ups and open communication with your healthcare providers are key to managing your health effectively.

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