No plaques in bilateral carotid arteries, with dizziness
Under normal circumstances, dizziness without carotid artery plaque on both sides may be related to factors such as autonomic nervous dysfunction, iron-deficiency anemia, or hypertension. Patients can manage the condition through daily adjustments and oral medications. Specific analyses are as follows:
1. Autonomic Nervous Dysfunction
If patients are under prolonged mental stress, excessive psychological pressure, or significant emotional fluctuations, it may lead to autonomic nervous system dysfunction, causing symptoms such as dizziness, blurred vision, palpitations, and chest tightness. Patients should ensure adequate sleep and receive appropriate psychological counseling to help alleviate these discomforts.
2. Iron-Deficiency Anemia
Iron deficiency in the body can impair hemoglobin synthesis, leading to iron-deficiency anemia, which may cause symptoms including dizziness, headache, and limb weakness. Patients may take medications such as iron dextran tablets or compound ferrous sulfate folic acid tablets as directed by a physician.
3. Hypertension
Hypertension refers to abnormally high pressure exerted by blood flow against the vessel walls, which affects circulation and causes local tissue ischemia and hypoxia, resulting in symptoms such as headache, dizziness, vertigo, and arrhythmia. Patients can take antihypertensive medications such as nifedipine tablets or enalapril maleate tablets under medical supervision to improve their condition.
Besides the common causes mentioned above, dizziness may also be associated with conditions such as benign paroxysmal positional vertigo (BPPV), Ménière’s disease, or coronary atherosclerotic heart disease. If patients frequently experience dizziness, they should seek medical evaluation at a hospital for accurate diagnosis and targeted treatment.