瘋政論節目 婦人血壓飆 – 中時電子報
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瘋政論節目 婦人血壓飆
2015年09月20日 04:10
中國時報 林宜慧/台北報導
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一名50多歲的婦女因為高血壓固定就醫,明明每天規律吃1顆治療高血壓的長效型藥,卻總是在晚上血壓飆高,回診時表明困擾,醫師問診才發現,婦女每天晚上收看30分鐘政論節目,恐是血壓控制不了的元凶。收治這名患者的心臟學會祕書長暨心臟基金會副執行長葉宏一表示,個案就診時血壓達140-150毫米汞柱,於是開長效型用藥請她早上吃一粒,通常藥效可以維持一整天,雖然白天控制得不錯,但晚上總是飆血壓,經過問診發現,她喜歡看政論節目,而且越看越緊張,於是請先生幫忙監督她停止收看,3個月後回診,個案無論早晚血壓都控制穩定,保持1天1顆藥即可。
瘋政論節目 婦人血壓飆 - 中時電子報
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瘋政論節目 婦人血壓飆
2015年09月20日 04:10
中國時報 林宜慧/台北報導
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一名50多歲的婦女因為高血壓固定就醫,明明每天規律吃1顆治療高血壓的長效型藥,卻總是在晚上血壓飆高,回診時表明困擾,醫師問診才發現,婦女每天晚上收看30分鐘政論節目,恐是血壓控制不了的元凶。收治這名患者的心臟學會祕書長暨心臟基金會副執行長葉宏一表示,個案就診時血壓達140-150毫米汞柱,於是開長效型用藥請她早上吃一粒,通常藥效可以維持一整天,雖然白天控制得不錯,但晚上總是飆血壓,經過問診發現,她喜歡看政論節目,而且越看越緊張,於是請先生幫忙監督她停止收看,3個月後回診,個案無論早晚血壓都控制穩定,保持1天1顆藥即可。
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馬偕醫院心臟內科主治醫師李應湘說明,情緒緊張、壓力大時交感神經興奮,會使心跳加快、血管收縮,因此造成血壓高;同樣的,身體壓力如熬夜、疲勞、身體有其他疾病等壓力,也會出現類似反應使血壓高。他提醒,暫時性血壓飆到180毫米汞柱以上,恐使血管破裂造成腦出血,必須在短時間內將血壓降到一定程度;若因情緒造成暫時性的血壓升高,建議先避免相關情境,若每天固定發生,可透過調整用藥時間,另加上抗焦慮藥物舒緩情緒,或是運動轉移情緒焦點。至於慢性高血壓則會增加血管栓塞、中風、心肌梗塞、腎衰竭風險,嚴重者腳部壞死、走路疼痛。葉宏一表示,以長期預防來看,飲食最重要是少油、少鹽、少糖,多吃新鮮蔬果、少肉類,40歲以上中年人無論有無病史,建議天天量血壓,保持在標準數值,另可每年定期檢查,以了解心血管疾病或是否有中風徵兆。(中國時報),