Some people find that they have high blood pressure, so they are very nervous and quickly take medicine to reduce it, and some people don't take it seriously at all, even if it is very high, they don't take medicine, these practices are not right. Your cardiologist will tell you to decide when to start taking medication based on your patient's specific situation. High and low blood pressure are common in different people, and low blood pressure may have a greater impact on the heart.
There are 4 situations in which you need to start taking medication:
One is diagnosed hypertension. According to the recommendations of the World Health Organization, if you have been diagnosed with hypertension and your results are elevated at least three times at different times, with a high blood pressure of more than 140 and/or a low blood pressure of more than 90 mm Hg, you need to start taking medication. This is different from the previous view, where mild hypertension could be observed for a period of time before taking medicine.
Second, if you already have cardiovascular diseases such as coronary heart disease and peripheral vascular occlusion, even if the high blood pressure is 130-139 mm Hg, you should start taking antihypertensive drugs.
Third, although the blood pressure is between 130-139 mm Hg, but there is already diabetes and chronic kidney disease, such patients should also start taking antihypertensive drugs.
The guidelines require that for the above three groups of people, if they still cannot meet the target after 4 weeks through non-drug intervention, low-salt diet, increased exercise, stress adjustment, etc., then they need to start taking antihypertensive drugs.
In the fourth case, for high blood pressure, there are already serious cardiovascular and cerebrovascular diseases such as coronary heart disease and cerebrovascular disease, indicating that the patient has a high degree of risk and needs to control blood pressure as soon as possible.
Some high blood pressure can be temporarily observed without taking medicine:
If it is a mild increase in blood pressure caused by a recent improper lifestyle, such as staying up too late, nervousness, anxiety, insomnia, or eating too much salt, you can strictly change your lifestyle, strengthen exercise, avoid staying up late, and it is possible to control your blood pressure well through 3-6 months of adjustment.
For high blood pressure caused by moderate to severe obesity and metabolic disorders, if you can lose weight through strict weight management, your blood pressure will also be lowered.
If blood pressure rises due to recent use of drugs such as glucocorticoids, blood pressure will gradually decrease after stopping the drug.
Whether it is an increase in high pressure or a low pressure increase, it will have a greater impact on health. Normal or low high or low high and low hypertension is more common in older patients, atherosclerosis is more severe, and if the hypertension is not well controlled, it will increase the risk of intracerebral hemorrhage. High blood pressure also has a greater impact on the kidneys, which can cause glomerulosclerosis and renal failure.
When it affects the retinal microvessels, it can lead to retinopathy that affects vision. High pressure can easily cause damage to the vascular endothelium, increasing the risk of aneurysm and aortic dissection.
Different from high blood pressure, people with high blood pressure are more common in young people, and are mainly related to nervousness, anxiety, more stress, more socializing, less exercise, and a sit-like lifestyle. Elevated diastolic blood pressure is associated with sympathetic excitation and is prone to rapid heartbeat.
Low pressure and high pressure will also bring cardiovascular and cerebrovascular health problems, and it is easy to cause coronary heart disease and myocardial infarction.
Therefore, we must pay attention to hypertension, a good lifestyle is very good for the control of blood pressure, once hypertension occurs, we should actively assess the cardiovascular risk, and then under the guidance of doctors, choose the right time for treatment, and formulate the ideal target value for blood pressure, whether high or low pressure, it must be controlled in the ideal range to reduce the complications of hypertension. #谈谈高血压#