2023-08-16 06:02:29
She took medicine for 17 years for high blood pressure
CNEWS confluence news network reporter Chen Junkai / report from Taipei
After 17 years of taking medicine for high blood pressure, it was successfully reversed, no need to take medicine anymore! 58-year-old Ms. Liao has been diagnosed with high blood pressure for 17 years. During this period, she took medicines and controlled her blood pressure in the clinic. Recently, she was transferred to the cardiology department of the hospital because of high blood pressure. Hyperaldosterone Syndrome”, after a urologist surgically removed the left adrenal gland, blood pressure returned to normal a week later, no need to take antihypertensive drugs, and has been successfully discontinued for three months.
Another case, 56-year-old Mr. Liu, was diagnosed with high blood pressure 6 years ago. He was found to have hypokalemia 2.7 (normal value 3.5 to 4.9) in a blood test in a hospital a few days ago. At present, the doctor prescribed potassium ion supplementation and antihypertensive drugs Unexpectedly, Mr. Liu had a sudden chest tightness and rushed to the emergency department of the Affiliated Hospital of China Medical University. The emergency doctor originally worried that it might be a pulmonary embolism. Follow-up at the outpatient clinic found a large tumor of 1 cm in the left adrenal gland, which was confirmed to be “primary aldosterone hyperactivity” caused by the left adrenal tumor. After surgical resection, blood pressure dropped quickly, and the drug was also stopped.
Wang Ziyuan, director of the Department of Endocrinology at the University of Traditional Chinese Medicine, pointed out that high blood pressure is a common risk factor for major chronic diseases such as cardiovascular disease, stroke, diabetes, and kidney disease. According to domestic statistics, the prevalence rate of high blood pressure among Chinese people over the age of 18 is 26.8%. There are 5.29 million people suffering from high blood pressure, usually must take medicine for life to control blood pressure, in order to reduce the complications of cardiovascular disease.
Wang Ziyuan said that 90% of high blood pressure in Taiwan belongs to primary hypertension. As long as you take medicine on time, you should have no problem controlling blood pressure. However, it is worth noting that 10% of hypertensive patients have secondary hypertension (about 53 10,000 people), that is, there are other causes that lead to high blood pressure, the most common of which is “primary hyperaldosterone syndrome” caused by excessive secretion of adrenal aldosterone. If the cause is unilateral adrenal tumor or hyperplasia, as long as you can Early surgical resection of the lesion has a chance to cure hypertension.
For patients with secondary hypertension, the onset age is usually before the age of 30 or after the age of 50, and the symptom is that the blood pressure remains “remaining high” after regular medication. Wang Ziyuan reminded that about 20% to 30% of patients with primary aldosterone hyperplasia suffer from hypokalemia. If the patient has high blood pressure and hypokalemia is found during blood draw, it may be primary aldosterone hyperplasia As for most patients without hypokalemia, doctors need to rely on clinical experience to get the correct diagnosis. It is recommended that patients with blood pressure control difficulties can seek assistance from doctors in the Department of Metabolism for diagnosis.
Photo source: Schematic photo/recapped from Pexels
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