National Hypertension Day | what about blood pressure "high above"? Drug treatment and lifestyle improvement are indispensable.
Active lifestyle improvement and drug therapy are indispensable, especially for patients whose blood pressure is still not satisfied after multi-drug treatment, in addition to considering patient compliance, blood pressure measurement, secondary hypertension and other factors. The improvement of life style is of great significance to the decrease of blood pressure, which should still be diagnosed as hypertension, which is mostly occult in young and middle-aged people. It is considered that if there is no symptom, there is no need for treatment, which leads to the low awareness rate and treatment rate of hypertension in young and middle-aged people, which is in the treatment strategy of hypertension. Active lifestyle improvement and drug treatment are indispensable. "patients with hypertension should appropriately increase their activity. Family self-blood pressure measurement can help doctors to further clarify the diagnosis of hypertension or understand the antihypertensive effect, which can not be replaced by clinic blood pressure. it is suggested that patients should measure sitting blood pressure within 1 hour after getting up in the morning and before going to bed at night. Family blood pressure should be measured before taking antihypertensive drugs, before breakfast and after urination.
October 8 is the 25th National Hypertension Day, and this year's theme is "Blood pressure should be known and Blood pressure reduction should be met". If blood pressure is not always "high", experts suggest that positive lifestyle improvement and drug treatment are indispensable. Especially for the patients who are not satisfied with the decrease of blood pressure after multi-drug treatment, in addition to considering the factors such as patient compliance, blood pressure measurement, secondary hypertension and so on, the improvement of life style is of great significance to the decrease of blood pressure.
Experts said that in the case of not using antihypertensive drugs, measuring room blood pressure three times on different days, systolic blood pressure greater than 140mmHg and / or diastolic blood pressure greater than 90mmHg can be considered hypertension; the patient has a history of hypertension and is currently using antihypertensive drugs, even if the blood pressure is lower than 140/90mmHg, it should still be diagnosed as hypertension.
Zhao Shumei, chief physician of the Cardiovascular Center of Beijing Friendship Hospital, said that hypertension is one of the common chronic diseases in clinic. In recent years, with the rapid development of social economy and the change of life style, the number of people with hypertension is increasing and showing a younger trend.
Mr. Zhou, a 42-year-old employee of an advertising agency, suffered from sudden dizziness in recent days when he was "accidentally" found to have high blood pressure during a hospital examination. Then Mr. Zhou began to take antihypertensive drugs, and after a period of time, Mr. Zhou thought his blood pressure had returned to normal, so he stopped the medicine, but it was not long before the symptoms of dizziness returned.
Zhao Shumei said that most young and middle-aged people suffering from hypertension have the characteristics of concealment, and there are often no obvious symptoms in the early stage. During physical examination or accidental measurement, it is found that some patients are busy with work and neglect health management, and do not have enough understanding of the harm of hypertension. You don't need treatment if you think it's asymptomatic. In addition, even patients who receive drug treatment often do not adhere to it for a long time because they are overly worried about adverse drug reactions, resulting in low awareness and treatment rate of hypertension in young and middle-aged people.
Yan Xiaowei, chief physician of the department of cardiology at Peking Union Medical College Hospital, said that for patients with hypertension, stroke and coronary heart disease will be reduced by about 38% and 16% respectively within 3 to 5 years after a 10 to 6 mm drop in systolic blood pressure or 5 to 6 mm 20mmHg in diastolic blood pressure.
The picture shows the medical staff of the Department of Cardiology of Peking Union Medical College Hospital discussing the condition. (pictures provided by Peking Union Medical College Hospital)
"in the treatment strategy of hypertension, active lifestyle improvement and drug treatment are indispensable." Yan Xiaowei said that patients with high blood pressure should appropriately increase their activity, increase calorie consumption and control their body mass index. In addition, we should eat more foods rich in vitamins and cellulose, such as vegetables and fruits, reduce the intake of high-fat and high-salt foods, take in appropriate amounts of carbohydrates and protein, give up smoking and limit alcohol, and pay attention to controlling bad emotions. relieve psychological pressure.
Yan Xiaowei said that family self-blood pressure measurement can help doctors to further clarify the diagnosis of hypertension or understand the antihypertensive effect, assist in adjusting the treatment plan, and has a clinical value that can not be replaced by blood pressure in the clinic. It is suggested that the sitting blood pressure should be measured within 1 hour after getting up in the morning and before going to bed at night, and the family blood pressure should be measured before taking antihypertensive drugs, before breakfast and after urination.
At the same time, it is recommended to use a validated and regularly calibrated upper arm electronic sphygmomanometer to measure family blood pressure, which can be used as an important supplement to clinic blood pressure. "A family blood pressure self-test diary with a detailed record of the date, time, systolic blood pressure, diastolic blood pressure and heart rate of self-measured blood pressure is of great help to the diagnosis, treatment and medication compliance of hypertension," Yan said. "
"the proportion of young and middle-aged patients with hypertension implementing blood pressure monitoring in their families is generally low. After many patients between the ages of 40 and 50 are diagnosed with high blood pressure, they worry about the need to take antihypertensive drugs for a long time or for life, and worry that taking the drugs too early will lead to drug resistance in the future. These are all misconceptions. The earlier the blood pressure is controlled, the more effectively it can prevent damage to the heart, brain, kidney and other organs. " Zhao Shumei said.
Experts say that many patients think that after their blood pressure drops to a normal level, they can stop taking antihypertensive drugs or take antihypertensive drugs every other day, but they do not realize that high and low blood pressure will aggravate target organ damage, which is as harmful as high blood pressure. Therefore, if the blood pressure is stable at the ideal level after taking antihypertensive drugs, the original antihypertensive scheme should be adhered to. If there is any problem, it is recommended to see a doctor in time and adjust the drug under the guidance of the doctor. (reporter chivalrous)