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Showing posts from December, 2020

dangerous moments of high blood pressure

Core clew: patients with high blood pressure because long-term blood pressure is bigger, the blood vessels in the spasticity, so that blood vessel elasticity decreased, and the brittleness increases, if at this time due to some reason contributing to increased blood pressure suddenly, is easy to cerebral hemorrhage, cerebral vascular rupture and causing this for patients with high blood pressure, is undoubtedly the most fatal blow. Therefore, patients with hypertension should try to avoid a sudden rise in blood pressure, especially under the following circumstances, should be more cautious. Due to the long-term pressure on blood vessels, blood vessels are in a spasm state in patients with hypertension, resulting in decreased vascular elasticity and increased brittleness. If blood pressure rises suddenly due to some reason at this time, it is easy to cause cerebral vascular rupture and cerebral hemorrhage, which is undoubtedly the most fatal blow for patients with hypertension. Therefor

The antihypertensive effect of traditional Chinese medicine is remarkable

Core tip: these traditional Chinese medicine preparations have achieved a good curative effect. Do you know them? Hypertension is a common and frequently-occurring disease in the world. It is one of the common cardiovascular diseases in the world. The incidence rate is increasing year by year, and it is younger. With the emergence of many adverse reactions in the clinical application of Western medicine, the treatment of hypertension with traditional Chinese medicine has been paid more and more attention by the majority of patients. The multi efficacy, efficiency, and side effects, multi-target, and stability of traditional Chinese medicine have been well received by patients. Some doctors even use the method of combination of traditional Chinese and Western medicine to achieve the purpose of efficiency and side effects. TCM classification and symptoms of hypertension According to the theory of traditional Chinese medicine, hypertension is caused by the imbalance of yin and Yang cause

Reducing blood pressure by limiting salt

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Core tip: according to a recent report by the Internet doctor of medicine, a study in the United States found that if Americans eat less than half a teaspoon of salt (about 3 grams) every day, 92000 deaths, 99000 heart attacks, and 66000 strokes can be reduced. Dr. Colston Bibbins Domingo, who was involved in the study, said salt restriction had the same heart benefits as smoking cessation and weight loss. A study in the United States has found that if Americans eat less than half a soup of spoon salt (about 3 grams) a day, 92000 deaths , 99000 heart attacks, and 66000 strokes can be reduced, according to the network doctor of medicine. Dr. Colston Bibbins Domingo, who was involved in the study, said salt restriction had the same heart benefits as smoking cessation and weight loss. According to the report, the average daily salt intake of American men is 10.4 grams. 3 G for women. The U.S. Department of Health recommends 3.7g. For people with low cardiovascular and cerebrovascular risk

Can bariatric surgery cure diabetes?

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 Core tips: surgical treatment of diabetes? As we all know, diabetes generally coexists with obesity. Most patients with type 2 diabetes have different degrees of obesity. It is precise because obesity is a high-risk factor for diabetes, so weight control plays an increasingly important role in the treatment of diabetes. It has become a new idea to treat diabetes through bariatric surgery and has received good results. What is bariatric surgery? Weight loss surgery was originally designed for patients with severe obesity, the effect of weight loss is very good. According to different operations, weight loss surgery can be roughly divided into three categories: ① restrictive surgery, represented by adjustable gastric banding (AGB); ② malabsorption surgery, represented by biliopancreatic diversion (BPD); ③ combined surgery, mainly Roux-en-Y gastric bypass (Roux-en-Y gastric bypass) Bypass, RYGB). In the long-term observation of the effect of bariatric surgery, we found that bariatric su

Mild hypertension should not be combined with drugs

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 Core tip: in the treatment of hypertension, combination therapy is currently a more respected medication method, but not all patients with hypertension are applicable. For people with mild hypertension (grade 1 hypertension), the blood pressure value is close to the target value, so only one drug is needed, and a combination of drugs is needed after seeing the doctor. According to the famous hot study on hypertension, the effective rate of monotherapy changed from 63% to 33%, while the effective rate of combination therapy increased to 93%. Indeed, the side effects of drugs are closely related to the dosage used. The larger the dosage, the higher the probability of side effects. Two or more drugs can produce synergistic and antagonistic effects in vivo. Rational use can enhance efficacy, reduce or even offset side effects. Therefore, in the treatment of hypertension, combination therapy is currently a more respected medication method. But not all patients with high blood pressure are

Is it better to take antihypertensive drugs in the morning or at night?

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 Core tip: people who take antihypertensive drugs all year round have a problem with medication time. Generally speaking, clinicians recommend hypertensive patients to take antihypertensive drugs in the morning. Many people think that the medication time suitable for hypertensive patients is fixed. All hypertensive patients can get the best antihypertensive effect by taking antihypertensive drugs in the morning, but this is not the case. People who take antihypertensive drugs all year round have a problem. Generally speaking, clinicians recommend hypertensive patients to take antihypertensive drugs in the morning. Many people think that the medication time suitable for hypertensive patients is fixed. All hypertensive patients can get the best antihypertensive effect by taking antihypertensive drugs in the morning, but this is not the case. The optimal time of taking antihypertensive drugs is affected by the 24-hour change of blood pressure, drug mechanism, and other factors. Different

Scientists study novel coronavirus and hypertension

 With the continuation of novel coronavirus prevalence, researchers are eager to know whether hypertension or its drugs interact with viruses. So far, the new coronavirus, sars-Nov-2, has reached all continents except Antarctica. The disease it causes - the new coronavirus - has killed thousands of people. In recent weeks, medical experts have published hundreds of papers on various aspects of the disease. Recent comments appear in American Journal of hypertension Look at high blood pressure. In general, the authors conclude that, in the current situation, there is no conclusive evidence that high blood pressure or blood pressure drugs increase a person's risk of sars-Nov-2 infection. Similarly, current evidence does not support the theory that people with high blood pressure are more likely to develop more severe symptoms if they are infected with the new coronavirus. Existing conditions and novel coronavirus Studies have shown that some existing conditions are associated with an

Three types of patients should go to the Department of hypertension

 Core tips: in the Department of hypertension, 12% - 15% of patients with hypertension are secondary, and the related diseases include renal parenchymal hypertension, renal vascular hypertension, Takayasu arteritis, primary aldosteronism, Cushing's syndrome, pheochromocytoma, aortic coarctation, hyperthyroidism, hypothyroidism, hypertensive disorder complicating pregnancy, etc. Patients with the following three types of diseases and related symptoms should go to the Department of hypertension 1. Patients with secondary hypertension. In the Department of hypertension, 12% - 15% of the patients with hypertension are secondary. The related diseases include renal parenchymal hypertension, renovascular hypertension, Takayasu arteritis, primary aldosteronism, Cushing's syndrome, pheochromocytoma, coarctation of aorta, hyperthyroidism, hypothyroidism, hypertensive disorder complicating pregnancy, etc. 2. Patients with metabolic syndrome. Including dyslipidemia, diabetes, or impaired g

Applying a hot towel to the head can lower blood pressure

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 Core tips: if you have a stomachache, apply it in a hot water bag for a while; if you have a stiff neck, apply it to your neck It can be said that hot compress has become a commonly used auxiliary treatment in the family. Professor Li Yuehua, director of the Department of geriatric diseases, said that hot compress can promote local blood circulation and accelerate blood circulation. It can also improve the anti-bacterial and anti-inflammatory ability of the tissue and make the inflammation subside. If you have a stomachache, apply it in a hot water bag for a while ; if you have a stiff neck, apply it to your neck It can be said that hot compress has become a commonly used auxiliary treatment in the family. Professor Li Yuehua, director of the geriatric center of the Chinese Academy of traditional Chinese medicine, said that hot compress can increase the temperature of the affected part, expand the subcutaneous blood vessels, promote local blood circulation, and accelerate local tissu

What consequence is hypertension not to take medicine? At the age of 71, Uncle Zhang almost died and took medicine for 18 years

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 Conclusion: calcium channel blockers can relax vascular smooth muscle, reduce myocardial contractility, reduce myocardial oxygen consumption, and improve myocardial blood supply. The harm of hypertension lies in the fact that hypertension is not a serious complication in the elderly . So most patients with hypertension are actively taking medicine to control blood pressure, but there are still some people worried about taking hypertension drugs, after all, drugs have side effects. At the age of 50, 71-year-old Uncle Zhang found high blood pressure, which is not a big age. After all, there are too many people of the same age with high blood pressure. Because Uncle Zhang had a strong personality, he was never afraid of these minor diseases, so when the doctor prescribed the medicine, he resolutely refused, and for this reason, he also had a prejudice against the hospital. He thinks that if he goes to the hospital, he will be prescribed medicine, and so many drugs will be prescribed, and

Diabetes 29 years, blood sugar has been stable, just adhere to these three points

 Core tip: diabetes nearly 30 years, blood sugar has been stable, just adhere to the three points! "Dr. Zhang, I've been diagnosed with diabetes. I'm only 32 years old." In the clinic, a young man asked eagerly with the diagnosis report. "Don't panic, young man. I've had diabetes for nearly 30 years. It's nothing. Don't worry too much." Next to Doctor Wang said to him. "Young man, don't worry too much. Treat strictly according to the doctor's advice. There's no big problem. Go back and consult with Uncle Wang more. Uncle wang hasn't had any problems for 30 years. " Doctor Zhang said to the young man. Diagnosed with diabetes 29 years, blood sugar has always been stable, do these three points, the doctor also praise! 1. Three meals are regular and quantitative, without touching or tasting the red line. Before the diagnosis, Mr. Wang really had no meat, high sugar, and high-fat food. After being diagnosed with diabetes,

Hypertension at any age may accelerate cognitive decline

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  Hypertension is one of the most common chronic diseases . It is a major factor in heart disease, stroke, kidney disease, and death. It is also a highly common risk factor for cognitive decline and dementia. In China, there are more than 270 million patients with hypertension, that is to say, about one in every three adults has hypertension. In recent years, the number of adolescent patients with hypertension has also begun to show a high trend. So, will the impact of the onset age and duration of hypertension on cognitive function be different? Recently, researchers from the Federal University of Minas Gerais in Brazil published a paper entitled "hypertension, hypertension, and hypertension control association with decline in cognitive performance in the ELSA Brasil" in hypertension Cohort's research results show that both low-age hypertension and elderly hypertension can lead to different degrees of cognitive ability and memory decline, but the duration of the disease

Mild hypertension should not be combined with drugs

 Core tip: in the treatment of hypertension, combination therapy is the most popular method, but not all patients with hypertension are suitable. For people with mild hypertension (grade 1 hypertension), the blood pressure value is close to the target value, and only one drug is needed. After seeing the development of the patient's condition, consider whether to use combined drugs. The famous hot study on hypertension points out that the effective rate of single drug is changed from 63% at first to 33% at last, while the effective rate of combined medication is increased to 93%. Indeed, the side effects of drugs are closely related to the dosage used, and the higher the dose, the higher the probability of side effects. Two or more drugs can have synergistic and antagonistic effects in vivo. Rational use can enhance the efficacy and reduce or even offset the side effects. Therefore, in the treatment of hypertension, the combination of drugs is currently more respected drug methods

High blood pressure steals old people's memory?

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 Core tip: does hypertension steal the memory of the elderly? Elderly people suffering from high blood pressure as they get older, their memory declines, and some even make mistakes in buying vegetables. This may be related to high blood pressure! New research shows that high blood pressure steals old people's memory because it can cause brain atrophy and accelerate the loss of memory and other cognitive abilities. High blood pressure steals old people's memory? Elderly people suffering from high blood pressure as they get older, their memory declines, and some even make mistakes in buying vegetables. This may be related to high blood pressure! New research shows that high blood pressure steals old people's memory because it can cause brain atrophy and accelerate the loss of memory and other cognitive abilities . With aging, the degree of brain atrophy in patients with hypertension is becoming more and more serious. The elderly with hypertension have a hard injury in memor

Ginseng is not suitable for hypertension

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 Core tips: can hypertension patients take tonic? The answer is yes, but due to the different conditions, tonic treatment should be based on syndrome differentiation. However, in general, it is not recommended that patients use ginseng or pilose antler alone, and need to mix with other drugs. Can hypertension be supplemented? I believe this is a problem that many patients often mention. Due to the different conditions of patients with hypertension, it is necessary to classify them according to the different conditions of the patients and select appropriate methods for tonic and food tonic. Generally speaking, hypertension patients should not simply use ginseng, pilose antler, and other drugs. Besides, patients with high blood pressure should not eat more food with high cholesterol, salt which is easy to cause arteriosclerosis, or food with high salt should also be eaten as little as possible. According to clinical observation, appropriate potassium supplements can reduce the blood pre

Don't neglect snoring, be careful to lead to blood pressure rise

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 Core tip: sleep-disordered breathing also increases the incidence of hypertension , coronary heart disease, and cerebral thrombosis. When apnea suffocates and awakens, as well as the whole body organization organ repeatedly ischemia, the hypoxia causes the sympathetic nerve to excite, causes the peripheral blood vessel to contract, causes the blood pressure to rise. For a long time, it can increase the weight of the left heart, thicken the ventricular wall, reduce the blood volume of the heart every time, and cause coronary artery disease. Some people snore unconsciously when they are sleeping. They think they have a good sleep when they wake up. In fact, although snoring is a common sleep phenomenon, there are huge hidden dangers behind it. Repeated snoring at night will not only cause obstructive sleep apnea syndrome, but also a series of cardiovascular diseases. What is snoring Snoring is a kind of sound produced by the vibration of pharyngeal soft tissue caused by the impact of ai

New research finds that acupuncture treatment can improve high blood pressure

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 Core tip: Dr. John Longhurst, who carried out this study, pointed out that this clinical study is the crystallization of more than ten years of experimental research in this field. It uses western scientific thinking to verify the ancient oriental treatment methods, and integrates traditional Chinese medicine and Western medicine, providing new guidelines for the treatment of hypertension . Recently, researchers from the University of California, Irvine, found that acupuncture treatment of hypertension can promote blood pressure drop in patients with hypertension, lasting up to one and a half months. This work is the first scientific evidence that this traditional Chinese medicine treatment is beneficial for mild to moderate hypertension, suggesting that regular acupuncture may help people control blood pressure and prevent the risk of stroke and heart disease. Dr. John Longhurst, who carried out the study, pointed out that the clinical study is the crystallization of more than ten y

Lead pollution can lead to the increased blood pressure of pregnant women

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 Core tip: researchers point out that pregnant women, like children, are highly sensitive to lead pollution. If pregnant women with long-term hypertension may cause a series of complications, such as preeclampsia, convulsions, and even heart disease. Therefore, to ensure the physical and mental health of pregnant women, it is necessary to reduce lead pollution in their working and living environment. Researchers from George Washington University in the United States recently released a research report that leads pollution can lead to the increased blood pressure of pregnant women, even if the blood lead content is lower than the specified standard, the blood pressure of pregnant women will rise significantly. To understand the relationship between lead pollution and maternal blood pressure, the researchers studied 285 pregnant women. A quarter of the subjects had blood lead levels of about 1 microgram per deciliter (10 deciliters to 1 liter). Although maternal blood pressure levels of

Drinking strong tea is easy to cause hypertension

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 Core tips: high blood pressure is closely related to people's diet. According to the staff, drinking, smoking, and eating greasy food are the common causes of hypertension, and diet habits should be paid attention to prevent diseases. High blood pressure is closely related to people's diet. According to the staff, drinking, smoking, and eating greasy food are the common causes of hypertension . To prevent diseases, we need to pay attention to eating habits. "I like meat, and it's hard not to eat it." "Excessive intake of nutrients over a long period of time results in a continuous rise in blood pressure." "Residents should eat a moderate amount of food, eat less greasy food, eat more vegetables." Besides, drinking alcohol and strong tea is also the cause of hypertension. Alcohol stimulates the nervous system, resulting in increased heart rate and vasoconstriction. But the strong tea contains theophylline, which can cause the brain excited, r

How to deal with hypertension emergency

 Core tips: in recent years, there are more and more people with hypertension, and hypertension emergency has become one of the important factors threatening the life of patients. It can suddenly increase hypertension and cause multiple organ damage in a short time. In the face of a hypertension emergency, it is necessary to carry out a correct assessment and appropriate treatment measures to pull patients back from the edge of death. In recent years, there are more and more people with hypertension, and hypertension emergency has become one of the important factors threatening the life of patients. It can suddenly increase blood pressure in a short time and cause multiple organ damage. In the face of a hypertension emergency, it is necessary to carry out a correct assessment and appropriate treatment measures to pull patients back from the edge of death. What is a hypertensive emergency? Hypertension emergency refers to the serious clinical manifestations caused by the sudden rise of

Summary of international hypertension guidelines 2020ISH

  Purpose of the guidelines To fulfill the mission of "improving the global burden of elevated blood pressure", the international society of hypertension (ISH) has developed a practical guideline for the management of hypertension for adults aged 18 and above. Referring to the latest guidelines published recently and strictly reviewed, the ISH Guidelines Committee has condensed the specific contents with evidence-based support and has customized two management standards of "basic standard" and "best standard" in practical form, so that clinicians, nursing staff, and community health workers can adopt them in the case of lack of resources or sufficient resources. The best standard refers to the evidence-based management standard stated in recent guidelines and summarized in this paper. The basic standard is set in consideration of the fact that the best standard is not always feasible. Therefore, the basic standard is actually the minimum standard. Since th

Can hypertensive patients get pregnant?

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Core tip: can hypertensive patients get pregnant? The answer is yes, and 85% of women with essential hypertension go through a normal pregnancy and eventually give birth successfully. Women with hypertension need to pay special attention to their blood pressure and monitor their blood pressure regularly from the time they decide to be pregnant . Can hypertensive patients get pregnant ? The answer is yes. Experts pointed out that hypertension patients can be pregnant, but to be very careful and regular monitoring of blood pressure. Because the risk of hypertensive pregnant women is higher than that of normal pregnant women, it is easy to merge with severe pregnancy-induced hypertension syndrome, which makes the fetal mortality increase, and the mother to be is also prone to heart failure and other serious situations. If you already know that you have chronic hypertension before you have a baby, you need to ask a cardiovascular expert for a comprehensive examination to determine wheth

The temperature goes down and the blood pressure goes down

 Core tip : many people know that blood pressure fluctuates day and night, but the seasonal variation of blood pressure is not very clear. In fact, there are seasonal changes in blood pressure.  Summer is generally the season of lower blood pressure, while autumn and winter blood pressure is generally higher. Many people know that blood pressure fluctuates day and night, but the regularity of seasonal changes in blood pressure is not very clear. In fact, there are seasonal changes in blood pressure. Summer is generally the season of lower blood pressure, while autumn and winter blood pressure is generally higher. From the diet, we can eat some "decompression vegetables and fruits" in autumn. Vegetables: you can eat more white gourd, radish, carrot, tomato, eggplant, potato, lotus root, onion, green leafy vegetables, kelp, Lentinus edodes, and Auricularia auricula; fruits: you can eat kiwi fruit, grapefruit, hawthorn, apple, banana, pear, orange, etc. These foods are rich in p

Medication principle of hypertension patients in winter

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 Core tip: Lao Ding is a hypertensive Loading is an "old patient" of hypertension. With the advent of winter, whether the dosage of antihypertensive drugs needs to be adjusted? What are the differences in the medication of hypertensive patients in winter is his most concerned problem Experts pointed out that in winter, the cold weather, peripheral blood vessels constriction, so that the peripheral resistance increased, blood pressure will be relatively high. Contrary to warm spring and summer, when the weather is warm, blood vessels dilate and blood pressure is easy to drop. Therefore, hypertension patients should adjust antihypertensive drugs in time according to blood pressure fluctuation in winter to ensure safe winter. There are four principles for adjusting antihypertensive drugs in winter 1. If the patients with hypertension reduce the dose due to the decrease of blood pressure in summer, the dosage in winter should be restored to the original dose. If the dose is not

Take antihypertensive drugs before going to bed, is it really easy to stroke?

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 Core tip: take antihypertensive drugs before bedtime, is it really easy to stroke? Taking antihypertensive drugs before bedtime is easy to cause a stroke? There is indeed such a saying that it is not good to take antihypertensive drugs before going to bed at night, which will easily lower the blood pressure at night, thus causing stroke and cardiovascular risk events. In fact, there may be such a problem, but it is not completely accurate. Because everyone's high blood characteristics are different, the treatment of hypertension needs an individualized treatment according to the specific comprehensive situation of each person. This statement stems from the characteristics of spoon blood pressure For many people, the blood pressure situation is different in each period of 24 hours of the day, often with two peaks. When awake in the morning, blood pressure began to rise, peaked at 6-10 o'clock, then decreased, and then began to rise at 4-6 p.m., reached the second peak, and the

How much can you lose in a month without eating snacks

 I want to lose weight recently, but I don't like sports. I heard that you can lose weight if you don't eat supper. How much can you lose if you don't eat supper in a month? It is not certain how many carries can be lost without supper for a month. If you don't eat supper for a month, the specific weight loss is related to the individual's weight base and constitution. If you insist on not eating high-calorie snacks or snacks for one month, most people will lose weight if they cooperate with sports. People with tight muscles will lose less slowly, and those with loose muscles will lose a little more, but it is not absolute. In fact, most people may lose weight without eating snacks Increase rather than decrease. Suggestion: should take the scientific method to lose weight, daily can eat less and more meals, appropriate to outdoor sports, never to lose weight, and do not eat dinner.

Blood pressure control in the morning

 Core tip: according to Professor Liu Lisheng, there is a circadian rhythm in blood pressure, which is intrinsically related to the body's biological clock. In the vast majority of hypertensive people with normal blood pressure and no complications, the blood pressure decreased during sleep at night, which was the lowest at about two or three o'clock in the morning. Blood pressure rises rapidly before waking up in the morning and reaches or approaches the peak in the first few hours after waking up (about 6-9 AM). The current blood pressure control rate in China is only 6.1%, which means that nearly 94% of patients with hypertension can not safely spend a day when their blood pressure is continuously and stably controlled, and the compliance rate of 24-hour blood pressure control is directly related to the incidence of cardiovascular and cerebrovascular diseases. In the morning of the day, Professor Liu Lisheng stressed that the "morning blood pressure" should be paid