The elderly measured blood pressure yesterday 215/110mmHg, blood pressure 150/90mmHg after taking medicine, and today it rose to 200/105mmHg, often like this, a high and a low, what is going on.
Many family members of patients with high blood pressure will ask this question, saying that the blood pressure of the elderly is different every time it is measured, sometimes very high, sometimes normal.
Blood pressure is high and low, what is the cause
1. The problem of measuring time
People's blood pressure is fluctuating, especially the difference between day and night blood pressure is very large, in general, when exercising during the day, blood pressure will be high, and blood pressure will be low when resting at night. Especially from 6 to 10 in the morning and from 2 to 4 o'clock in the afternoon, the blood pressure is relatively high, if it is the blood pressure measured at this time and the blood pressure at night to compare, there will definitely be a relatively large difference in height.
So if you want to know the situation of blood pressure control, you must measure it at the same time period every day, not this morning, tomorrow afternoon or evening, that is no reference value.
2. The influence of emotions
People's blood pressure is also affected by emotions, if the emotion is very emotional when measuring, then the blood pressure must rise.
In this case, generally as long as you calm your emotions, do not have too many mood swings, blood pressure can be stable.
However, it should be noted that if there are frequent mood swings, resulting in high and low blood pressure, it will lead to poor vascular elasticity and increase the occurrence of complications such as coronary heart disease and cerebrovascular disease.
3. Problems with the drug
Some people have very high blood pressure, a medicine after the blood pressure dropped very low, the next day blood pressure soared, so much is the drug selection of the wrong caused, in general this situation should choose a long-acting antihypertensive drug to control the steady decline in blood pressure, otherwise such blood pressure when high and low has a great impact on physical health, must tell the doctor in time, choose the right drug for their own treatment.
In addition, some people add or subtract drugs without authorization, and even some people take medicine when they find that blood pressure is high, and stop the drug as soon as they are normal, these behaviors will lead to large fluctuations in blood pressure, and even lead to a sudden surge in blood pressure, thereby increasing the risk of cardiovascular and cerebrovascular diseases.
4. Problems with sphygmomanometers
Although people's blood pressure changes all the time, it is difficult to measure the same blood pressure value, but in general, the blood pressure measured in the same time period will not be too different.
If you see a very large difference in blood pressure measured at the same time period, and it is the same every time, then see if the blood pressure monitor is wrong. Try another sphygmomanometer.
5. Problems with measurement methods
Measuring blood pressure immediately after exercise and measuring blood pressure after a few minutes of rest is obviously different, and the correct blood pressure is to be measured in a resting state, so measure blood pressure immediately after exercise or walk back, that value will definitely rise, that is no reference value.
In addition, when measuring blood pressure, the posture is not correct or chaotic movement will also lead to incorrect blood pressure values, so if you want to measure blood pressure correctly, you must sit down, let the heart and hands be at the same level, and measure when you maintain balanced breathing.
Blood pressure is very dangerous for patients with high blood pressure, is an important cause of complications, so when this problem occurs, we must find out the cause, if it is caused by drugs, we must adjust it in time, otherwise it will seriously affect the health of the body for a long time.
bibliography:
1. Blood pressure is high and low, is the measurement method wrong? Let's see if they belong to this category of people. Family Doctor Famous Doctor Online . 2018-10-17
2. Chen Liyan, Shi Chujun, Zeng Qin, Zhang Jia, Li Yuanlin, Huang Rongnuan . Study of common influencing factors in blood pressure measurement . Modern Medicine and Health . Issue 23, 2015
3. Zheng Zhongyu, Cui Jiwen . Analysis of influencing factors of blood pressure control in hypertensive patients . Medical Review . Issue 11, 2016