"Blood pressure is high, when will you start taking antihypertensive drugs?" Many hypertensive patients whose blood pressure has just risen will face such questions. So, blood pressure rises, when is it best to start taking medicine to lower blood pressure? Dr. Zhang will introduce this problem to friends in detail.
First, what the China Guide says
Let's first look at what the Chinese Hypertension Guidelines say:
The 2018 edition of the "Guidelines for the Prevention and Treatment of Hypertension in China" is introduced: In addition to patients with high or extremely high risk of disease, for patients with general hypertension, it is recommended to first improve the lifestyle of 1-3 months, and then decide whether to take antihypertensive drugs according to the effect of improving lifestyle. If the effect of lifestyle improvement is obvious, and the blood pressure gradually decreases to normal, usually the patient only needs to insist on improving the lifestyle at this time. For patients whose lifestyle improvement effect is not satisfactory, we will consider letting patients start taking antihypertensive drugs to lower blood pressure. In the choice of drugs, according to the actual condition of the patient, it is decided whether to use a blood pressure drug or a combination of blood pressure drugs.
Here Dr. Zhang also emphasizes that for patients with significantly increased blood pressure (grade 2 hypertension and above), rapidly progressive hypertension, hypertensive emergency and sub-emergency, they can immediately start active antihypertensive drug treatment, which is also a common practice.
Second, what foreign guides say
So next, Dr. Zhang will introduce you to how foreign guides view this problem:
Whether it is the new hypertension guidelines issued by the World Health Organization this year, or the hypertension guidelines in Europe and the United States, it is basically recommended to actively start antihypertensive therapy as soon as possible. Even in the U.S. hypertension guidelines, which directly recommend that blood pressure ≥ 130/80mmHg can start blood pressure lowering therapy, such a recommendation also shows a more positive blood pressure lowering attitude.
Now from different perspectives, the medical community has shown a more positive attitude towards blood pressure reduction, and I hope that friends who are reading this article can pay attention and attention to the early stage of blood pressure rise, and do not cause huge target organ damage such as cerebral infarction because of contempt. So let us pay attention to the control of hypertension from now on and reduce the harm caused by hypertension.
Well, let's talk about it today, I hope this article can help people whose blood pressure has just risen. If you think this article is not bad, you can also forward it to friends and relatives who have similar problems around you.