Answer:

Trekking, a form of long-distance walking through hilly and mountainous terrain, combines tourism with physical training. When performed at the correct intensity, this activity can improve blood circulation, increase blood vessel elasticity, and help lower blood pressure. Furthermore, physical activity in a natural environment helps reduce mental stress. Individuals with stable, controlled high blood pressure can certainly participate in trekking.

Your indication of high blood pressure does not automatically equate to a confirmed diagnosis. Blood pressure can temporarily increase due to stress, insufficient sleep, coffee consumption, smoking, or recent physical activity. Therefore, for a comprehensive and accurate assessment, it is advisable to undergo a cardiovascular examination before engaging in activities like trekking.

Several tests may be prescribed, including: multiple blood pressure measurements, an electrocardiogram, an echocardiogram, a holter blood pressure monitor, and blood tests to evaluate accompanying cardiovascular risk factors such as dyslipidemia or diabetes. If a patient has hypertension or other metabolic disorders, the doctor will provide treatment and counsel on appropriate exercise intensity.

In cases where immediate medication is not required, patients should adjust their lifestyle before trekking. This includes reducing stress, quitting smoking and alcohol, decreasing salt intake, losing weight, and engaging in daily exercise.

Individuals showing signs of high blood pressure should begin with short walks on flat terrain before progressing to trekking. In conditions of steep terrain, relative oxygen deficiency, hot weather, or dehydration, blood pressure can rise suddenly. This poses a risk of dizziness, severe headache, chest pain, or even acute cardiovascular events. The pace of movement should be slow, with ample time for breaks, and continuous monitoring of bodily sensations throughout the journey.

During physical activity, if you experience a severe headache, blurred vision, dizziness, nausea, chest tightness, or shortness of breath, stop the activity immediately and rest. These could be signs of excessively high blood pressure or an overloaded heart. If symptoms do not improve after resting, the individual should seek immediate medical attention at the nearest healthcare facility instead of continuing the journey.

Master, Doctor Nguyen Thi Xuan Yen

Cardiology Specialist

Tam Anh Cau Giay General Clinic