MEDI COLUMN

    Before stop taking or reducing antihypertensive drugs, doctor’s consultation is needed.
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    Before stop taking or reducing antihypertensive drugs,
    doctor’s consultation is needed.

    Dr. Yeongwon Yoon Cadiology, Gangnam Severance Hospital

    Random modulation leading to rapid complications / avoid salty diet

    Patients diagnosed as hypertension need not just the drug treatment but an improvement in eating habits. Intakes of alcohol, smoking, salty meals, or high fat diets while taking antihypertensive drugs does not get you anywhere. It is understandable that no one likes drug treatments. However some patients who need the drug treatments, when they neglect the doctor’s medical advises and stop or reduce the dose in their own way, may face rapid complications. Therefore, it is highly recommended to discuss with your family doctor when it comes to drug use.

    The hypertension stage where the high pressure in blood vessel continues, the endothelial cells at the inner walls of blood vessels that remains the health functions will easily get damaged and that is when the complications occur. If a person with a genetic propensity has bad daily habits, hypertension is more likely to occur and even makes the progress worse.

    Dr. Yeongwon Yoon from Cadiology, Gangnam Severance Hospital (Severance Cardiovascular Hospital) claims that the 90% of hypertension cases is the Essential hypertension where a long term drug treatment is necessary and unless there is a very special reason, an improvement in life habits and drug treatment at the same time are the key to maintain the blood pressure at a optimal level and to prevent the complications. He added that to prevent the hypertension, most importantly, salty meals and diet habits are to be avoided and maintaining the weight at a optimum level is required.

    Blood vessels with a endothelial cells damaged or dysfunctions cannot manage to remain the extended state and when the contraction result in oil stains and such in the inner walls of the blood vessels. Consequently, such complications as the oil blocking the blood flow or the blood vessels getting swollen or bursted. The complications from the hypertension are likely to occur at the kidney or retina where vascularity is active but the blood vessels in the relatively more important organs as the heart or the brain are no exceptions. Hypertension, hyperlipidemia, or diabetes may have differences in timing but there are many cases where patients have them all occurring at the same time and they share the risk factors such as lack in exercises, obesity, and hyperlipidemia. This is the very reason patients with hyperlipidemia are to be extra careful about diabetes or hyperlipidemia.

    In most cases, hyperlipidemia does not show symptoms. In some cases, headaches or pressure on chests can be involved but they mostly likely to learn about hyperlipidemia not by such symptoms but more like accidentally by a blood pressure check. Thus, if you have any risk factors or family history, it is important that you take care of your blood pressure and check frequently so that the diseases can be found early.

    The treatment for the Essential hypertension has only been no more than just constant drug treatment so far. There are good medicines developed recently and only if the patients take them well, the blood pressure can be regulated. In case of hypertension where many different medicines do not work, an operation to block the nerve in the renovascular has been performed and found to have some effectiveness but this is not an universal treatment yet.

    Dr. Yoon has been serving as the director of Global Healthcare Center at the hospital. Angina, myocardial infarction, artery hardening, hypertenstion, hyperlipidemia, coronary angiography, coronary balloon angioplasty, and peripheral vascular diseases are the specialism. He has been trying to always think in the patients’ shoes in his consultation hours. His motto in the cosultation is: ‘You may not be a help but you will never be a harm to them.’

    Hypertensives’ musts

    1. Maintain the optimum blood pressure level with drug treatment

    2. Check frequently if you have family history, and discover early.

    3. Refrain from drinking, smoking, eating salty, or high-fat diet.

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