What should I do if my physical examination is stressful, my heart rate is fast, and my blood pressure is high

During the physical examination, if there is tension, rapid heartbeat, and high blood pressure, it can be relieved through deep breathing regulation, psychological suggestion relaxation, moderate physical activity, familiarization with the process in advance, and medication assistance if necessary. This phenomenon is usually caused by factors such as anxiety, sympathetic nervous system stimulation, environmental stimuli, changes in posture, underlying diseases, etc.

1. Deep breath regulation

Slow abdominal breathing can activate the parasympathetic nervous system, which can be achieved through a rhythm of inhalation for 4 seconds, breath holding for 2 seconds, and exhalation for 6 seconds, repeated for 5-8 cycles. This method can directly reduce heart rate and systolic blood pressure, especially suitable for implementation 2 minutes before blood draw or blood pressure measurement. During the process, counting the number of breaths silently can help focus attention and avoid worsening cardiovascular reactions caused by shortness of breath due to nervousness.

2. Psychological suggestion relaxation

Relieves expected anxiety through positive psychological construction, and can start daily 5-minute scenario imagination training three days before the physical examination to simulate quiet and peaceful scenes instead of fearful associations with medical examinations. Carrying soothing music headphones or silently reciting positive encouragement sentences during actual examination can significantly improve the symptoms of white coat hypertension. Special reminder is needed for young people who are participating in their first job medical examination.

3. Moderate physical activity

During the waiting period for the examination, avoid prolonged sitting that can cause blood circulation stagnation. It is recommended to get up and walk for 2-3 minutes every hour, and do simple stretching exercises such as ankle pump exercises or shoulder wraps. However, it is necessary to avoid intense activity that may trigger a rebound in blood pressure. Before measurement, one should sit quietly and rest for at least 5 minutes. Moderate activity can also prevent compensatory heart rate increase caused by hypoglycemia for projects that require prolonged fasting.

4. Familiarize yourself with the process in advance

One week before the physical examination, understand the specific examination items and precautions, and eliminate information blind spots through the hospital's official website or telephone consultation. The printed inspection sequence list can be carried during actual inspection, and a clear understanding of the next steps can greatly reduce the stress response caused by uncertainty. Some institutions provide virtual guidance services, and early visual adaptation can reduce the tension caused by unfamiliar environments.

5. Medication assisted

For patients with previously diagnosed anxiety disorders or persistent hypertension, they can follow the doctor's advice to take metoprolol tartrate tablets in advance to control heart rate, or use short acting beta blockers such as arolol hydrochloride tablets. Traditional Chinese patent medicines and simple preparations, such as Songling Xuemaikang capsule, also helps to stabilize mood. But it must be used under professional guidance and actively informed of the current medication situation to avoid interfering with the judgment of the examination results.

It is recommended to maintain a regular sleep routine for 3 days before the physical examination and ensure 7 hours of sleep per day to avoid fatigue affecting autonomic nervous system regulation. On the day of the examination, wearing loose clothing can reduce the feeling of restraint, and sugar free yogurt containing a small amount of nuts can be prepared as a post examination energy supplement. Individuals who have been under physical examination stress for a long time should undergo 24-hour dynamic blood pressure monitoring to eliminate potential lesions, and enhance psychological adaptability through yoga or meditation training. When measuring blood pressure, pay attention to keeping your legs naturally flat without crossing, and keeping the cuff position at the same level as the heart.