What to do if you have high blood pressure, accompanied by shortness of breath?

I had high blood pressure of 145 mmHg, I have been treated for 1 month, now my blood pressure has returned to normal. The doctor did tests such as ultrasound, 24-hour electrocardiogram, X-ray, blood test but found nothing in the heart. However, since then, I often have shortness of breath, sometimes have a slight difficulty breathing, and feel a little dizzy when standing up. What should I do to reduce these symptoms?

Báo Đồng Nai•11/04/2025

(Mr. Nguyen Thanh Toan, 32 years old, living in Cam My district)

Doctor replied:

Hello!

In your case, you are 32 years old and have high blood pressure, so you need to find the cause of secondary hypertension such as chronic kidney disease, renal artery stenosis, adrenal gland tumor, hyperthyroidism... In addition, you have symptoms of shortness of breath and difficulty breathing, so you need to screen for coronary artery disease.

In addition, some causes can cause the symptoms you describe, such as: arrhythmia, postural hypotension, anemia, vestibular disorders...

If all of the above conditions have been examined and ruled out by your doctor, it is possible that you have a functional neurological disorder or an anxiety disorder.

You should visit a cardiologist for examination and further tests if necessary to diagnose the disease, and then provide the most appropriate treatment. You can visit a specialist for specific advice!

Specialist Doctor I Ho Van Ngoc,

Head of Internal Medicine Department, Long Khanh Regional General Hospital