Popular Questions to Cardiologist

Question 1

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Whatever happens, we climb pressure: I got sick, darkened in my eyes, just feel lethargy. Is it possible to determine – it shalls pressure or symptoms of another disease? How to learn to feel your comfortable pressure, because the tonometer is not always near?

Surprisingly, but by themselves Enhance arterial pressure, As a rule, there are asymptomatic. Nevertheless, it really is the opinion that there are certain «Alarm calls» Increased pressure – headaches, noise in the ears and so on. In the overwhelming majority of cases, this or parallel states, or having a reverse relationship (for example, headache or increased anxiety can lead to an increase in pressure, but not vice versa).

It should be understood that, like any chronic disease, arterial hypertension Can lead to a whole group of non-specific complaints (weakness, constant fatigue) due to the negative impact on the work of other bodies (heart, eye, kidneys, brain).

Unfortunately, it is impossible to determine the increase in pressure without a tonometer, so if any doubt about your health, it is necessary to measure blood pressure and pulse.

Question 2

How often it is worth measuring pressure if it does not bother you?

As mentioned earlier, the increase in pressure is the process of asymptomatic. Absolutely healthy and young (up to 40 years) people do not need some special screenshots. It is quite enough annual dispensary inspection and pressure measurements that ideally have to be conducted on each admission of a doctor of any specialty.

However, there are a number of concomitant states that increase the risk of developing cardiovascular disasters. These include the male floor, smoking, alcohol abuse, excess body weight (therefore, at least once a month, it is desirable to get up for scales, and once a few years – to measure height), increasing the level of sugar, cholesterol in the blood, as well as the presence of any Cardiovascular problems (including strokes!) in blood relatives under the age of 60. Patients with specified risk factors are recommended at least once a year to undergo a more detailed cardiological examination for early prevention of possible complications.

Question 3

The doctor makes a diagnosis of hypertension. This is a dosage therapy for life? What you need to know about your illness and what can affect its course without crimes?

In most cases, proven hypertonic disease really implies constant medicinal therapy. Sometimes it is possible to delay the start of treatment at the earliest stages due to the amendments to change the lifestyle. First of all, this is a decrease in body weight, an increase in regular physical exertion, nutritional normalization, smoking refusal, compliance with labor regime / rest.

About his illness you need to know first of all what is a disease. Like any other disease, hypertension requires adequate treatment and prevention. Belt attitude to its state of category «all pressure and nothing» or «I have 150/100 and I feel good», Unfortunately, leads to sad consequences.

A small remark: not any increase in pressure is called crisis. Crisis – any increase in pressure accompanied by acute damage to the so-called target organs: sudden deterioration of neurological functions, view, pronounced shortness of breath or heart pain, growing edema, urine delay. The overwhelming majority of pressure increases do not require urgent measures, since the benefit from an episodic pressure decrease has not been proven. In this case, there is a risk of negative consequences from such a decrease.

Question 4

If crisis happened, what emergency measures can be taken before the arrival?

If, in addition to increasing pressure (no matter what level), formidable symptoms arise, this is unambiguously an urgent situation requiring immediate hospitalization! Therefore tactics «Self pass» It is not suitable here. The remaining increase in pressure (most of which most) do not require urgent intervention.

If the tonometer appears horrific pressure numbers, first, first, do not hit panic. This is not a terrible catastrophe. Check out the pressure measurement, whether there was a sufficient vacation after physical exertion, is there any stressful situation, did it be smoked.

Pressure must be measured Tonometer With a humerus of a convenient size for at least 5-7 minutes after the cessation of physical exertion. If you are physically inactive and the body does not train, then the rest period is better extended. Measurements It is advisable to spend in the sitting position, in a convenient position, without a tight belt and legs to keep in parallel to each other with a support for the floor, and not crosswise. The cuff should be imposed directly on the skin and do not talk during measurement. Several successive measurements should be carried out. Ideal are considered 3 measurements made with intervals 1-2 minutes.

Pressure measured correctly? Increase still saves? If you are already taking some drugs in connection with hypertension, then carefully check if they were accepted? Then check again. If the drugs were accepted (or not prescribed), then carry out the room, sit calmly 30-40 minutes and think, for some time you can consult a doctor for a survey.

Remember that causing an ambulance at any asymptomatic increase in pressure, you can unwittingly obstruct another person in critical condition, for a longer expectation of help.

P.S. Special categories of patients, for example, pregnant women require a more strict approach and urgent events even with asymptomatic increase in pressure.

Question 5

Hypotension – hypotoniki always complain about the shortage of forces and energy. How can you compensate?

Hypotoniki do not always complain about the shortage of forces and energy))

With the usual low values ​​of blood pressure, some specific events do not undertake. It is usually quite sufficient to maintain regular physical activity, possibly power correction, which is relevant for fans of toning diets. In the event of dizziness, pre-industrial or fainting states against the background of pressure reduction, it is better to consult a doctor and after basic diagnostics to determine the prevention of these episodes. It should be understood that such nonspecific complaints as the lack of forces and energy may indicate the presence of some diseases, so it is necessary to consult a doctor.

Question 6

The effect of coffee on pressure is really so great? Or it is myth?

About coffee and caffeine exist different points of view. Usually all patients are recommended to refrain from coffee use. On the one hand, many studies do show the reaction of improving blood pressure on the introduction of caffeine or coffee consumption, but these raises were insignificant. On the other hand, with observation studies behind people drinking coffee constantly or episodically, there were no significant changes in pressure and risk of a hypertensive disease. Moreover, a number of work indicate a positive effect of coffee on a cardiovascular system.

To answer the question «Can I drink coffee» You need to make a simple test: drink a cup of coffee (with caffeine) and make pressure and pulse measurements 3 times every 30 minutes (according to the rules specified above). If the pressure has grown to 10 mmHG or more, then you are most likely sensitive to caffeine and should limit the use of coffee or other caffeine-containing products. In other cases, follow the rules of adequate use of any products. For example, the optimal amount of coffee can be considered two coffee cups per day (200 mg of caffeine). It is better to give preference to grain coffee, and not soluble. Should not be abused «Energy» Drinks, in which a very high concentration of caffeine (30 mg per 100 ml).

Question 7

Separate theme – This is a link to the change of weather and our pressure. What is meteo-dependence? Is it possible to somehow foresee the worsening of your condition and stop the attack, do not let him begin?

Meteo-dependence – myth, which from birth instill people around the world. After all, it is better to dump the whole guilt on the weather, and not on your own lifestyle. The fluctuations in atmospheric pressure (within the framework of ordinary life, not extreme loads), outbreaks in the sun, changes in the geomagnetic background of the Earth do not affect well-being. Sharp temperature changes can affect pressure, for example, a yield from a warm room for frost in light clothes, but cooling and warming, which are spoken in the weather forecast by the reasons of pressure oscillations to be. Sometimes an emotional reaction to what is happening outside the window can affect the pressure indicators, but not meteo conditions.

Question 8

Is it possible to change due to the hypotonik to hypertensive or vice versa? Why this happens?

The gradual transition from hypotonik to hypertension is observed with almost all people with hypertensive disease. An unequivocal answer to the question why it happens so now. Here are mixed and genetic factors, the effect of lifestyle, transferred diseases and much more. Therefore, in most cases «Find the cause of hypertension», how often patients are asked, it is impossible.

Transition from hypertension to hypotension possible for several reasons. For example, with so-called secondary hypertension, when the increase in pressure is caused by kidney, endocrinological or other diseases. In this case, the pressure is normalized when healing the underlying disease. The use of drugs in hypertension also leads to a decrease in pressure. Sometimes excess reception of drugs gives too a strong hypotensive effect, which requires correction of therapy under the control of the doctor. It is possible to develop hypotension as a consequence of the progression of a number of diseases, for example, heart failure or neurodegenerative diseases. In any case, it is necessary to contact a specialist and discuss possible causes and measures to diagnose and treatment.

Question 9

People with perfect pressure exist? These are their merit or so nature ordered?))

People with perfect pressure exist, although the higher age – the them are less. Of course, this is a merit of both nature (genetics, environment) and the person itself (lifestyle).