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Some patients with high blood pressure, why don't they take medicine and their blood pressure is stable?

author:99 Health Net

As a common chronic disease, hypertension usually requires patients to take antihypertensive drugs for a long time to maintain blood pressure stability.

However, in real life, we occasionally find that some patients with high blood pressure can maintain a relatively stable state of blood pressure even if they do not take medication.

This phenomenon can be related to a variety of factors, but there are five principles that people with high blood pressure need to keep their blood pressure stable without relying on medications.

Some patients with high blood pressure, why don't they take medicine and their blood pressure is stable?

Some people have high blood pressure

Why don't you take medicine, and your blood pressure is also stable

Secondary hypertension

Secondary hypertension is an increase in blood pressure caused by other known diseases, such as kidney disease, endocrine abnormalities, etc. When these primary disorders are treated and controlled, blood pressure may decrease or even return to normal, reducing dependence on antihypertensive medications.

Lifestyle changes

A healthy lifestyle is essential for people with high blood pressure. Eating a balanced diet, exercising, controlling weight, quitting smoking and limiting alcohol, and managing stress effectively can all help lower blood pressure.

Some patients may be able to maintain a relatively stable blood pressure level without the help of medication by following these health habits closely.

White coat high blood pressure

White coat hypertension is a phenomenon that causes a temporary increase in blood pressure due to tension or anxiety in a medical setting.

In these patients, blood pressure may be in the normal range when measured in the home setting. As a result, they may not need to take blood pressure medications.

Some patients with high blood pressure, why don't they take medicine and their blood pressure is stable?

Pseudohypertension

Pseudohypertension refers to a temporary increase in blood pressure due to short-term lifestyle factors such as weight gain, lack of sleep, high-salt diet, etc.

Once these factors improve, blood pressure may drop on its own and return to normal levels.

However, regular use of antihypertensive drugs is necessary for most patients with hypertension, especially if they have a blood pressure level of 2 or higher (ie, blood pressure ≥ 160/100 mmHg) or are at high or very high risk from the risk stratification. In these cases, adherence to medication is essential to control blood pressure and prevent complications.

Some patients with high blood pressure, why don't they take medicine and their blood pressure is stable?

Keeping in mind the 5 principles can help stabilize blood pressure

1、理用药:

Treatment of high blood pressure usually requires long-term or even lifelong use of antihypertensive medications. Patients should strictly follow the doctor's prescription and take the medication regularly and quantitatively. Do not stop or change the dosage of the drug without authorization, as this may cause fluctuations in blood pressure and increase the risk of cardiovascular and cerebrovascular events. At the same time, pay attention to the side effects of the medication and consult a doctor immediately if you are not feeling well.

2. Healthy lifestyle:

Eat a balanced diet, reduce salt intake, increase fruits and vegetables, maintain moderate exercise, and control your weight.

3. Quit smoking and limit alcohol:

Tobacco and alcohol can raise blood pressure, and quitting smoking and limiting alcohol can help control blood pressure.

4. Regular monitoring:

Monitor your blood pressure regularly, understand your blood pressure changes, and adjust your treatment plan in time.

5. Manage stress:

Learn to relax, relieve stress through deep breathing, meditation, yoga, etc., and avoid mood swings that can cause blood pressure to rise.