Core tip: hypertension, the faster the blood pressure, the better? Doctor: in this time, the longest life is when the blood pressure reaches the standard
Hypertension is characterized by abnormally elevated blood pressure, which can lead to severe cardiovascular and cerebrovascular diseases such as stroke and myocardial infarction, with high mortality and disability rate. Therefore, blood pressure reduction is the key task of patients with hypertension, but some people will control their blood pressure within one month, while others will take three months. Why? Got hypertension, how long does blood pressure reach the standard best after all?
The doctor answered us with two cases.
1. Blood pressure reaches the standard in one month
Xiao Li, 36 years old, was diagnosed with hypertension at 162 / 120mmhg. After examination, he was found to be simple hypertension. After comprehensive evaluation of Xiao Li's physical condition, doctors recommend him to use antihypertensive drugs on the basis of life intervention, and it's better to control blood pressure within one week.
Xiao Li actively studied lifestyle intervention, controlled the amount of sodium salt in diet, insisted on physical exercise, and used antihypertensive drugs on time under the guidance of doctors, and successfully controlled blood pressure within the target range within one month.
Doctor: the patient is young and has a short course of disease, good physical fitness and good tolerance. Therefore, the blood pressure can be reduced a little faster. In addition, some studies have found that the blood pressure of these patients reaches the standard one month after medication, which may further reduce the risk of cardiovascular events.
2. Blood pressure reached the standard in 3 months
Mr. Zhang, 67, has a blood pressure of 173 / 101mmhg. He has suffered from high blood pressure for many years. He has also developed coronary heart disease and other complications. After the initial diagnosis and treatment, the doctor ordered him to control blood pressure within 3 months. However, Uncle Zhang was more anxious. He went home without authorization. His blood pressure reached the standard in less than 4 weeks. However, he felt dizzy and tired. Finally, he was admitted to the hospital because of fainting.
Doctor: Uncle Zhang is older and belongs to the typical elderly patients with hypertension. The course of the disease is long and the target organ damage has occurred. The patient's tolerance is not good. It is generally recommended to reduce blood pressure within 1-3 months.
From the above two cases, we found that for all patients with hypertension, it is not necessary to control blood pressure within one month, and some patients may take about three months.
Of course, some patients need to reduce blood pressure quickly. For example, patients with hypertension emergency need intravenous infusion of antihypertensive drugs to control blood pressure quickly; if there is secondary hypertension, patients need oral antihypertensive drugs to reduce blood pressure by 1 / 5 or 1 / 4 within 2 days.
The correct approach should be based on the specific situation of patients, determine the speed of blood pressure reduction.
So, what happens if you blindly and quickly reduce blood pressure?
3. What will happen to blind rapid hypotension?
In conclusion, there are two hazards of rapid depressurization
First, speed up the patient's heart rate
This rapid decrease in heart rate, as well as a rapid decrease in blood pressure by sympathetic receptors, can be rapid in response to this situation. The increase of heart rate will increase the risk of cardiovascular disease and increase the mortality rate.
Second, lead to patients with coronary artery and cerebral vascular insufficiency.
Our cerebral blood vessels and coronary artery blood rely on coronary artery pressure or cerebral perfusion pressure to contract and relax, maintaining constant temperature and blood supply. If the blood pressure is too low, the blood vessels will be excessively dilated. If the pressure is not enough, the blood supply to the heart and brain will be insufficient, leading to angina pectoris, myocardial infarction and cerebral infarction.
Thus, hypertension patients can not blindly and quickly reduce blood pressure, for the vast majority of patients with hypertension, should be under the guidance of doctors, mainly to steady blood pressure.