If you have high blood pressure and don't want to take medicine, what do you need to pay attention to? Can I still drink?

Daily Q&A

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Someone asked: I was recently found to have high blood pressure, and the doctor prescribed medicine, but I didn't want to take it. If you don't take medicine, you need to pay attention to those things, can you drink alcohol?

Speaking of high blood pressure, there have been two stories in the rescue room recently.

These two stories are just stories for us, but they are irreversible sadness for patients.

Recently, perhaps due to temperature changes, cardiovascular and cerebrovascular diseases have increased significantly compared with usual.

Although most patients only have headaches, dizziness and other discomforts due to sudden increase in blood pressure, some patients will have hypertensive encephalopathy, acute cerebral hemorrhage, acute myocardial infarction and other critical diseases.

The first "story":

The patient is a 68-year-old elderly female patient who left left his left limb with hemiplegia due to cerebral infarction five years ago.

Five days ago, the patient fell at home and fell into a prolonged coma after falling.

We don't know what the specific experience was in the middle, but the family's answer to why the patient was sent to the hospital after five days was: "She was confused in her daily life, and we didn't expect it to be so serious."

It is clear that for this sleepy elderly female patient, there has been an abnormal delirium, and even one foot has stepped into the ghost door.

CT confirmed cerebral hemorrhage in the temporal lobe, fortunately the amount of bleeding was not large.

When communicating with my family members about my illness, there was one point that made it difficult for me to let go, and even some of them had the urge to mourn their misfortune and anger them.

Because patients have been definitively diagnosed with hypertension for more than 13 years, they have never been regularly medicated. Even though hemiplegia was left with limb hemiplegia five years ago due to acute cerebral infarction, hypertension was still not actively controlled.

"Why not use antihypertensive drugs?"

"She won't eat, what can we do?" What else can you do but scold? ”。

The second "story":

A 39-year-old middle-aged male patient came to the emergency room at ten o'clock in the middle of the night because of chest tightness after drinking.

Middle-aged men, drinking and smoking, high blood pressure, chest tightness, electrocardiogram is a test that must be completed in the first time.

Although the patient insisted that he was just a little drunk and that the infusion was enough, I still persuaded him to complete the ECG first.

The ECG does have obvious problems, and the bedside rapid myocardial enzymes have been significantly elevated.

In other words: for this patient with chest tightness as the main symptom, the diagnosis of acute myocardial infarction is clear.

Acute myocardial infarction at the age of 39 is not uncommon, and there are even more patients younger than this patient.

What makes doctors feel most powerless is not that young patients are critically ill, but that patients and their families do not understand their condition, and even do not trust doctors.

For example, this patient, he did not want to believe that he just had some chest tightness and had an acute myocardial infarction.

Even, patients and family members who later rushed to the hospital had the idea of voluntarily leaving the hospital to give up treatment.

In fact, such stories are very common and happen almost every day.

The reason why I share with you these two cases that I only encountered a few days ago is to tell you:

1. If hypertension is not effectively controlled, cardiovascular and cerebrovascular accidents will occur sooner or later, just sooner or later. After all, any disease has a process of quantitative change leading to qualitative change. If you are unfortunate enough to be born with cerebrovascular malformations, this serious accident may occur earlier.

2. For the treatment of hypertension, in addition to formal drug treatment, it is also necessary to establish good living habits and abandon avoidable lifestyles such as smoking and alcohol. (Even a drop of wine shouldn't be drunk!) Don't believe the so-called hoax that drinking alcohol softens blood vessels.

3. For patients with hypertension, regular monitoring of blood pressure is also crucial compared with regular medication. Any medication that doesn't monitor blood pressure is hooliganism! While monitoring blood pressure, follow the doctor's instructions.

4, the recent temperature changes rapidly, many hypertensive patients have blood pressure fluctuations, please monitor in time, regular medical treatment!

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END

I was the last dopamine, recording real sounds.