75% of my friends with high blood pressure in our country are H-type hypertension!
The risk of stroke with H-type hypertension is 30 times higher than in healthy people!
1. What is H-type hypertension?
Hypertension is a good judgment, that is, when our blood pressure is measured on different days, more than 140/90mmHg, we must consider the diagnosis of hypertension.
So what does H mean for H-type hypertension? H is the meaning of homocysteine, homocysteine in English, the initial letter is H, so H is homocysteine.
Our healthy homocysteine is 0-10umol/L; when we draw blood tests, homocysteine is 10-15umol/L, it is a critical increase.
When homocysteine is higher than 15umol/L, it is called hyperhomocysteinemia.
Hypertension + hyperhomocysteinemia = H hypertension.
Second, what are the risks of elevated homocysteine?
1. Increase the risk of high blood pressure
People with elevated homocysteine have a 3-fold risk of high blood pressure compared to healthy people.
2. Increase the risk of cardiovascular disease
For every 1 μmol/L increase in homocysteine levels, the risk of cardiovascular death increases by 7%.
Homocysteine levels > 20 μmol/L, which increases the risk of death by 2 times and the risk of death from cardiovascular disease by 1.4 times compared with people below 15 μmol/L.
3. The risk of H-type hypertension is higher
People with H-type hypertension have a 30-fold increased risk of developing stroke than healthy people!
The Chinese Hypertension Guidelines state that hyperhomocysteinemia increases the risk of stroke.
How to reduce the risk of H-type hypertension?
One of the main reasons for the increase in homocysteine is the lack of folic acid in the human body, which can be lowered by supplementing folic acid foods, or supplementing with folic acid, which ultimately plays a lower risk of stroke.
Let's see what the guidelines say, the original words of the "Multidisciplinary Expert Consensus on Rational Clinical Supplementation of Folic Acid in China":
A balanced diet is the first measure to improve the nutritional status of folic acid; high-risk and special populations with folate deficiency can be supplemented with folic acid or fortified foods to improve their status.
That is to say, it is recommended that you supplement a certain amount of folic acid through food.
So which foods are high in folic acid? How should we choose?
In our three meals a day, many foods contain more folic acid, and usually everyone can increase a little appropriately, such as: whole grains, beans, nuts, vegetables, fruits, meat and liver.
Here we want to talk about pork, beef, mutton meat and animal liver, although it contains more folic acid. But these foods also contain more cholesterol fat, so these foods do not necessarily eat more, meat including offal foods, or to control the total amount.
So we still have to add more coarse grains, beans, soy products, nuts, various vegetables, various fruits, etc. to supplement our folic acid.
Vegetables such as: spinach, rape, cabbage, lettuce, tomatoes, carrots, mushrooms, etc.; fruits such as grapes, kiwifruit, pears, strawberries, cherries, lemons, peaches, pomegranates, oranges, etc.
Whole grains, legumes, nuts, vegetables, fruits and other foods can not only supplement folic acid, but also supplement dietary fiber, potassium, vitamins, etc. are conducive to the prevention of cardiovascular disease.
Fifth, do you want to supplement folic acid tablets, who needs to supplement, how to supplement?
"Multidisciplinary Expert Consensus on Rational Clinical Supplementation of Folic Acid in China":
1. For patients with hyperhomocysteinemia with hypertension, in order to reduce the risk of first stroke, folic acid monotherapy or fixed compound preparations containing folic acid can be used.
That is to say, people with H-type hypertension, it is recommended to supplement folic acid tablets to reduce the risk of stroke. So if you have high blood pressure, then there is a chance to go to the blood test to check for homocysteine to see if it is elevated. If homocysteine is elevated, that is H-type hypertension, then it is necessary to take antihypertensive drugs under the guidance of a doctor, along with folic acid tablets.
2, so healthy people, do you want to supplement folic acid tablets?
In reality, many people do not have high blood pressure, homocysteine is not high, will also ask themselves whether to eat folic acid tablets, we look at the "Chinese clinical reasonable supplement folic acid multidisciplinary expert consensus" original words: At present, it is not recommended to use folic acid to prevent cardiovascular disease.
That is, people who do not have high risk factors are not recommended to eat folic acid tablets, and it is recommended to eat a healthy diet.
3. In addition to H-type hypertension, who else is recommended to supplement folic acid tablets?
The first is to check the homocysteine high, while there has been a recent ischemic cerebrovascular disease, or there is some family history of cardiovascular disease, this part of the population, you can also consider folic acid supplementation to reduce the risk of cardiovascular disease.
Friends who need to supplement folic acid tablets, it is currently recommended to take 0.8mg of folic acid tablets every day to reduce the level of homocysteine, which in turn plays a role in reducing the risk of cardiovascular and cerebrovascular diseases.