4 hypertensive people, blood pressure is stable, not monitoring these 4 indicators is also cardiovascular and cerebrovascular blockage!
People with high blood pressure, don't feel that blood pressure is up to standard, and it's all right.
Today's 4 cases tell us that in addition to paying attention to blood pressure, monitoring blood pressure, and blood pressure reaching standards, we must also pay attention to four key indicators such as heart rate, homocysteine, blood sugar, and blood lipids.
Otherwise, even if the blood pressure is well controlled, the risk of cardiovascular and cerebrovascular diseases will be high.
1. Blood pressure
Our standard for high blood pressure is indeed ≥140/90mmHg; However, this does not mean that blood pressure < 140/90mmHg is normal blood pressure.
The Chinese Guidelines for the Prevention and Treatment of Hypertension clearly suggest that our ideal blood pressure or normal blood pressure is ≤ 120/80mmHg.
Therefore, people with high blood pressure must first focus on their first indicator, that is, whether their blood pressure meets the standard.
Second, heart rate
Ms. Sheng, high blood pressure for 8 years, usually blood pressure control is okay, can also eat on time.
But recently suddenly cerebral infarction, hemiplegia can not speak. When I went to the hospital to check, it turned out that although the patient's long-term blood pressure reached the standard, but the heart rate was too fast, 2 years ago the heart rate was fast, and it was not taken seriously, and this time the check turned out to be arrhythmic atrial fibrillation. The biggest harm of atrial fibrillation is the formation of thrombus, which falls off and falls into the cerebral blood vessels, and cerebral infarction occurs.
If she can not only monitor blood pressure, but also monitor heart rate, then she can detect arrhythmias in time and treat atrial fibrillation in a regular manner, thereby preventing thrombosis and cerebral infarction.
If the heart rate is too fast, it indicates sympathetic excitement and high blood pressure is not well controlled; At the same time, a large number of studies have confirmed that when our heart rate is too fast, the risk of angina, myocardial infarction, coronary heart disease, heart failure, arrhythmia and so on will be significantly increased.
So we have to see if our heart rate is fast, and the study found that for people with high blood pressure, the ideal heart rate is 70 beats / min at rest. If you have to find a doctor to adjust it too quickly, sometimes it is not even sinus rhythm, but other arrhythmias, just like Ms. Sheng, regret it too late!
Third, blood lipids, blood sugar
Mr. Li and Mr. Zhao, one 66 years old with high blood pressure for 6 years, and one 49 years old with high blood pressure for 3 years.
Usually, according to the doctor's requirements, adhere to taking antihypertensive drugs, usually at home to measure blood pressure, blood pressure control is basically within the normal range.
But last month, Mr. Li's heart was stent and Mr. Zhao's heart was bridged.
Why is it that good blood pressure control ultimately fails to escape the risk of narrowing blood vessels and blockage?
After Mr. Li was hospitalized, he checked 4 items of blood lipids and found that low-density cholesterol was 4.9mmol/L, and long-term low density was too high, which would produce more vascular garbage, which would block blood vessels.
Mr. Zhao was found to have diabetes after being hospitalized, and although he was able to control his blood pressure well in recent years, he never went for a physical examination, and he did not find diabetes at all. Long-term diabetes will cause diffuse damage to blood vessels, and finally after the angiography, it is no longer possible to put a stent, and finally choose a bypass.
Hypertension, diabetes, hyperlipidemia, with high aggregate. That is to say, it is easy to appear in a group, and once one high occurs, the other two highs may also come soon.
Therefore, people with high blood pressure need to check their blood lipids every six months to one year to see if triglycerides and LDL cholesterol are normal, and see whether their blood sugar is normal.
If it is not normal, it is necessary to find a professional for formal control.
4. Homocysteine
Last week, there was a 55-year-old Ms. Luo, who usually controlled her blood pressure well, but still had a cerebral infarction. After hospitalization, homocysteine was found to be 45umol/L, which was much higher than normal.
People with high blood pressure, there is a chance to draw blood to test homocysteine, if more than 15 umol/L means that it is hyperhomocysteinemia, this hypertension, called H hypertension, at this time the risk of stroke will be significantly increased, more than 10 times higher than the risk of stroke in people with homocysteine is not high.
You think about it if we have high blood pressure and only look at the blood pressure level. However, if diabetes, hyperlipidemia, rapid heart rate, and homocysteine are high, the risk of cardiovascular and cerebrovascular diseases is still high.
That is not our blood pressure may be controlled in vain.
So, people with high blood pressure, in addition to staring at blood pressure, remember to look at their heart rate, blood sugar and blood lipids and homocysteine!