Ask the PICJ experts


Our experienced team of cardiologists and cardiac diagnostic technicians will answer your questions as best as possible.


What is the best way to control my pressure?

High blood pressure can be managed by following these steps: maintain a healthy weight, stay physically active, follow a healthy food plan with foods lower in salt, drink in moderation and take high blood pressure medication if it has been prescribed to you.  Controlling hypertension can cause a 30-45% reduction in stroke, a 20-25% reduction in heart attack and a more than 50% reduction in heart failure.

Answered by Dr. Andrene Chung: Consultant Cardiologist/Medical Director

What are the risks associated with having high blood pressure?

People with high blood pressure who also have high blood sugar levels or elevated blood cholesterol, face even higher risk of heart attacks and stroke. Therefore it is important that regular checks for blood sugar, blood cholesterol. High blood pressure (hypertension) can quietly damage your body for years before symptoms develop, causing damage to your arteries, heart, brain, kidneys, eyes, even sexual function.    Suffering from high blood pressure is not an automatic death sentence.

Answered by Dr. Andrene Chung: Consultant Cardiologist/Medical Director

Why is high blood pressure called the “Silent Killer”?

High blood pressure or hypertension, is sometimes called the “silent killer” because most persons with high blood pressure don’t have any symptoms. Many people feel fine and as a result, don’t think they need to get their blood pressure checked. However, even if you feel normal, your health may be at risk.. All adults should have blood pressure checks at least once a year, especially if they have stressful occupations or a family history of hypertension.Talk to your doctor about your risk for high blood pressure.

Answered by Dr. Andrene Chung: Consultant Cardiologist/Medical Director

How can you tell if someone is having a heart attack?

A person who is having a heart attack may exhibit these symptoms: pain (in chest, arms, shoulder, elbows, jaw, or back), shortness of breath, and nausea or vomiting.  Heart attacks and strokes CAN be avoided. 80% of them are preventable by: avoiding tobacco use, regular physical activity, maintaining a healthy diet, and regularly checking and managing blood pressure, blood sugar, and blood lipids. If you are having chest pains or think you are having a heart attack, go to the closest Hospital or Clinic. The accident and emergency unit at Medical Associates Hospital is open 24 hours, 7 days per week and on Holidays. A PICJ expert will be able to ensure a proper diagnosis and speedy treatment of your symptoms.

Answered by Dr. Andrene Chung: Consultant Cardiologist/Medical Director

Please explain Cardiovascular disease?

Cardiovascular disease (CVD) is a general term meaning diseases of the heart and blood vessels. It includes heart attacks, heart failure and stroke as well as other types of heart disease.  Heart attacks occur when blood vessels supplying the heart muscle are suddenly blocked. The section of the heart muscle devoid of oxygen-rich blood becomes damaged if the flow isn’t restored  within a few hours.

Answered by Dr. Andrene Chung: Consultant Cardiologist/Medical Director

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