If you have normal blood pressure, you may also need to pay attention to control high blood pressure! Speaking of which, almost everyone probably didn't expect it. Today, Dr. Zhang will talk about why many people have normal blood pressure, and they should also pay attention to controlling blood pressure.
Actively control high blood pressure
In real life, there is such a group of people, their blood pressure is between 130-139/80-89mmHg, this type of person is what we often call the "prehypertensive" state of people. Now more and more medical studies show that the risk of cardiovascular and cerebrovascular diseases in this category is still relatively high, especially with people whose blood pressure is usually 120/80mmHg, the risk of cardiovascular and cerebrovascular diseases is indeed increased. Speaking of this, many friends may still have questions, why is it obviously normal blood pressure, but it is still considered to be a risk?
To answer this question, Dr. Zhang has to start from 1999. In 1999, the World Health Organization's guidelines for hypertension pointed out that blood pressure levels of 130-139/80-89 mmHg were not ideal blood pressure, but prehypertensive states. In fact, this is to remind this part of the people to pay attention to their blood pressure, blood pressure is no longer the ideal state of health. In 2003, the American hypertension guideline JNC7 also defined the blood pressure level of 130-139/80-89mmHg as "prehypertensive", and this guideline clearly pointed out that people with such blood pressure levels must pay attention to improving lifestyle and preventing cardiovascular and cerebrovascular diseases.
At the end of 2017, the American Heart Association (AHA) updated the hypertension guidelines, this time the American Hypertension Guidelines directly defined 130-139/80-89mmHg as grade 1 hypertension, while the previous 140/90mmHg became grade 2 hypertension. This change caused a global sensation at the time, and it also made a lot of reports in our country. In June 2018, the European hypertension guidelines were also updated in the European version, that is, 130-139/80-89mmHg is still defined as "normal high value", which is a prehypertensive state, but the final treatment plan is basically the same as the US guidelines. To put it bluntly, Europe did not change the name of the blood pressure level of 130-139/80-89mmHg, but it was on par with the United States in the treatment plan.
In fact, it has been 4 years since the United States changed the guidelines, and in the past 4 years, many medical studies have been conducted on this issue in depth. For example, in 2021, the large-scale hypertension test done by our national Beijing Fuwai Cardiovascular Disease Hospital - STEP study, we saw that when the blood pressure control of elderly hypertensive patients is better, the probability of cardiovascular and cerebrovascular diseases is also decreasing. In fact, there are many international studies that also illustrate this truth, that is, when your blood pressure is better controlled, there are fewer cardiovascular and cerebrovascular diseases.
Finally, Dr. Zhang still wants to remind everyone, especially young and middle-aged people, if your blood pressure has reached the level of 130-139/80-89mmHg, you must pay attention to it, at least you should strictly improve your lifestyle, of course, if necessary, you can also find a professional doctor to seek professional diagnosis and treatment advice.
I hope that today's article can help more people, everyone feels good, and can also be forwarded to relatives and friends around them.