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Hypertension
Hypertension
About Hypertension
Diagnosis of Hypertension
Main Complications Caused by Hypertension
Can Hypertension Be Managed Online?
Frequently Asked Questions
About Hypertension
Hypertension, often called the “silent killer,” is a condition that usually causes no noticeable symptoms. Many people first learn they have high blood pressure during a health checkup or a routine visit to the doctor. When the condition becomes severe, symptoms such as headaches, stiff shoulders, palpitations, dizziness, ringing in the ears, or fatigue may appear, but these can also be caused by other factors and are not unique to hypertension.
Even without symptoms, continuously high blood pressure silently strains the blood vessels and organs, potentially leading to serious diseases.
Diagnosis of Hypertension
Hypertension is diagnosed when blood pressure measured in a clinical setting remains at or above140/90 mmHg (either value being high is sufficient).
When measured at home, hypertension is diagnosed if the systolic (upper) pressure is 135 mmHg orhigher, or the diastolic (lower) pressure is 85 mmHg or higher, for more than two consecutive weeks.
Because blood pressure fluctuates with physical condition, time of day, and stress, it is importantto measure it at nearly the same time each day (morning and evening) and evaluate it based on theaverage values.
Main Complications Caused by Hypertension
When high blood pressure persists, constant strong pressure damages and hardens the blood vessel walls, a process called arteriosclerosis. This affects organs throughout the body and leads to complications involving the brain, heart, kidneys, and eyes.
In the brain, typical complications include “cerebral infarction” (stroke due to blocked vessels) and “cerebral hemorrhage” (bleeding from ruptured vessels), which can cause sudden paralysis, speech difficulty, and even be life-threatening.
In the heart, high blood pressure can lead to “left ventricular hypertrophy” (thickening of the heart muscle), “angina” or “myocardial infarction” (heart attack) due to reduced blood flow, and in advanced stages, “heart failure.”
Hypertension also damages the kidneys, causing “chronic kidney disease (CKD),” which may progress to the point of requiring dialysis if left untreated.
In the eyes, damage to blood vessels may result in “hypertensive retinopathy,” leading to vision loss.
Thus, hypertension silently damages vital organs even without symptoms.
Early treatment and lifestyle modification are essential to prevent these complications.
Can Hypertension Be Managed Online?
Cases Requiring In-Person Consultation
・A sudden severe headache, or a headache clearly different from usual
・Chest pressure, tightness, or shortness of breath
・Clouded consciousness, dizziness, or confusion
・Markedly high blood pressure (around 180/110 mmHg or higher)
These symptoms may indicate a hypertensive emergency or serious complications such as stroke or heart
attack.
For safety, please visit the nearest medical facility instead of using online consultation.
Cases Suitable for Online Consultation
・Already diagnosed with hypertension and treatment is stable
・Home blood pressure readings are generally stable (around 140/90 mmHg or lower)
・No side effects or new symptoms from medication
・The doctor has determined that continuing online follow-up is safe
*Depending on the doctor’s judgment, you may be advised to visit in person.
Your safety is our highest priority, and we appreciate your understanding and cooperation.
Frequently Asked Questions
Q.Once I start taking blood pressure medication, do I have to
continue for life?
continue for life?
Q.Why doesn’t my blood pressure go down even though I’m taking
medicine?
medicine?
Don’t rely on medication alone—reduce salt, exercise regularly, and manage your weight. If there is no improvement, consult your doctor for reevaluation.
Q.Is it okay to ignore high blood pressure if I have no symptoms?
Q.Blood pressure fluctuates throughout the day—when should I measure
it?
it?
Q.Are there ways to lower blood pressure without medication?
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