Hypertension has become the most common chronic disease, and relevant data show that the number of adults with hypertension in mainland China is about 245 million, and the trend of younger age is obvious. Most of the high blood pressure in young people is due to high work pressure, staying up late to socialize, smoking and drinking, eating intemperately, and lack of exercise.
Recently, Hou Hongwei, deputy director of the cardiovascular department of Zhongshan Hospital of Zhejiang Province, successively received a number of male patients with hypertension in their thirties and forties, who eventually progressed to serious life-threatening diseases such as kidney failure, coronary heart disease, and stroke due to insufficient understanding of the disease and irregular medication.
"The main purpose of treating hypertension is to prevent complications, and the general blood pressure of such patients at the initial diagnosis is very high, some even exceed 180/120mmHg (normal value range is 90~130/60~80mmHg), but because there are no obvious discomfort symptoms, coupled with busy work, they refuse further diagnosis and treatment, resulting in a greatly increased risk of heart, kidney, cerebrovascular diseases in the later stage." As a doctor, Hou Hongwei felt helpless and heartache about this.
Blood pressure increases for 5 years do not care
The 33-year-old boy faces lifelong hemodialysis
"Post-90s" Yang Tao (pseudonym) engaged in alcohol sales business, working hard in Hangzhou for nearly ten years, his weight has risen to 200 pounds with his income, and his health has also been unknowingly consumed.
Source: Visual China
Five years ago, Yang Tao found an increase in blood pressure in the physical examination, he was only 172 cm tall, BMI was already in the obesity range, diagnosed by the doctor as obesity hypertension, recommended to take antihypertensive drugs, but he prides himself on being young, does not take the doctor's advice seriously at all, usually goes to work and socializes with a blood pressure of 160 and 170mmHg, and there is no discomfort in the body, he is more self-indulgent...
The turning point occurred after a meal, and when he woke up the next day, Yang Tao felt that he was panting and short of breath after walking two steps, because he was too busy and dragged on for another half a month, until he had a headache and dizziness, and then went to Zhejiang Zhongshan Hospital to see a doctor.
When Dr. Hou Hongwei received the consultation, he judged that this may be chest tightness and shortness of breath caused by increased blood pressure, and when he checked it, his blood pressure exploded, reaching 200/130mmHg! He advised Yang Tao to be hospitalized immediately.
"I've always had high blood pressure, but I don't have symptoms, I'm so young, I can get better after the examination and take some medicine, right?" Yang Tao is still fantasizing that he can be discharged from the hospital immediately, but the test results are like a thunderbolt on a sunny day - the serum creatinine value has reached 800μmol/L, seven or eight times higher than the normal value!
Source: Visual China
"This shows that he was complicated by hypertensive nephropathy because of high blood pressure very early, and kidney failure caused uremia, and he will spend the rest of his life on dialysis..." Hou Hongwei sighed deeply and said: "It's a pity to be so young!" The development of the disease is silent, he did not take drugs during the period of hypertension, let alone follow-up examination, hidden kidney lesions are even more difficult to detect, if the hypertension was treated in time, he would not have come to this step. ”
Irregular medication
In just two years, high blood pressure develops into coronary heart disease
"Take six or seven kinds of medicine a day, lowering blood pressure, anti-platelet aggregation, lowering blood lipids, and protecting the heart, Director Hou said to take it for life." Zheng Kang (pseudonym), a young man in Hangzhou who is also in his early 30s, was diagnosed with essential hypertension two years ago, and was recently diagnosed with coronary heart disease, falling into the "curse" of taking medicine, and now his intestines are repentant.
Zheng Kang is not obese, and the family has no history of high blood pressure, but he was recruited, which Hou Hongwei said was related to his habits of smoking, eating unrestrained, and staying up late. In the past two years, he has been busy with work and occasionally forgot to take medicine, resulting in Zheng Kang's blood pressure control not being ideal, and can only be maintained at 150/100mmHg.
A while ago, Zheng Kang suddenly felt chest tightness and immediately rushed to Zhongshan Hospital Hou Hongwei's outpatient clinic for re-examination. Electrocardiogram showed myocardial ischemia, and the day after hospitalization, Hou Hongwei performed a coronary angiography examination for him and found that there was vascular lesions.
In order to further clarify the extent of the lesion, Hou Hongwei performed an intravascular ultrasound examination of the coronary arteries for Zheng Kang. As soon as the ultrasound probe reached into the blood vessel, Hou Hongwei saw that the opening of the anterior descending branch, which is mainly responsible for blood supply to the heart, has been blocked by 70%, which is a manifestation of coronary atherosclerosis, which means that Zheng Kang has suffered from coronary heart disease.
Source: Visual China
"This condition is severe stricture, it is very dangerous, if the lesion continues to progress, it is easy to induce severe myocardial ischemia and acute myocardial infarction." Hou Hongwei said.
"Director Hou, do I have surgery or a stent then?" Zheng Kang asked nervously. After comprehensively considering Zheng Kang's condition, Hou Hongwei told him, "You are still relatively young, the arterial plaque is relatively stable, the symptoms are relatively infrequent ”
Hou Hongwei advised Zheng Kang that to treat hypertension, can not have the slightest fluke mentality, daily regular medication is the most basic, the next 1~2 years to carry out coronary angiography review, if the narrowing of blood vessels is further aggravated, may have to put a stent.
May 17 is World Hypertension Day, Dr. Hou Hongwei called through the Qianjiang Evening News that after the diagnosis of hypertension, the cause should be systematically investigated according to the condition, symptomatic treatment, even if there are no uncomfortable symptoms, regular follow-up should be made. Patients with long-term hypertension need regular follow-up examination, follow the doctor's advice, and standardize long-term medication to stabilize blood pressure, which helps to control the development of the disease and prevent and delay the occurrence of complications.
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