Patient's question:
Hello doctor! About half a month ago, I noticed that I felt chest tightness and fatigue from noon to 6-7 PM every day, lasting for about 10 days. During that time, I visited several hospitals for diagnosis and had various tests, including biochemistry, chest X-ray, complete blood count, and electrocardiogram. All the results were normal except for an irregular heartbeat. At that time, my heart rate was still within the normal range, and the doctor said it was nothing to worry about—just the irregular heartbeat, which could be detected during the electrocardiogram if my breathing was uneven. It might have been due to excessive stress (I was constantly worried about having various illnesses during that period, thinking about it for about 10 days straight, and couldn’t sleep well at night. There might have been some stress). But now I feel normal again, without any chest tightness or fatigue. AndDoctor's answer:
Okay, here is the English translation, following your instructions:(1) General treatment includes: ① Balance work and rest, maintain sufficient and good sleep, avoid and eliminate (anxiety/stress), use tranquillisers appropriately (e.g., diazepam 2.5mg, oral). Avoid excessive mental and physical strain. For patients with mild hypertension, engaging regularly in certain forms of exercise (such as Qigong and Tai Chi) helps restore normal blood pressure. However, for patients with moderate-to-severe hypertension or those with stage II or III hypertension showing target organ damage, competitive sports should be avoided, especially isometric exercise. ② Reduce sodium intake (<6g sodium chloride/day) and maintain adequate intake of potassium, calcium, and magnesium in the diet. ③ Control body weight. For mild hypertensive patients who are overweight, weight loss often lowers blood pressure to normal levels. For moderate-to-severe hypertensive patients who are overweight, weight loss and antihypertensive drug therapy can be performed concurrently. ④ Control other risk factors for atherosclerosis, such as smoking and hyperlipidemia. (2) Antihypertensive drug therapy In recent years, research and development in antihypertensive drugs have advanced rapidly. The introduction of new antihypertensive agents, particularly beta-blockers, calcium channel blockers, and angiotensin-converting enzyme (ACE) inhibitors, has fundamentally changed the landscape of hypertension drug therapy. Selecting and using various antihypertensive drugs individually or in combination based on the characteristics of different patients has enabled blood pressure control in most patients with hypertension.