Core tip: high blood pressure has always been a cliche topic, because our country's population base is big, and in recent years, people's living conditions better, check-up numbers increase, high blood pressure has been on the increase in the number of confirmed. And once the diagnosis of hypertension, it is basically long-term medication to control.
Hypertension has always been a perennial topic. Due to the large population base in China and the better living conditions of people in recent years, the number of people diagnosed with hypertension has also been increasing. And once the diagnosis of hypertension, it is basically long-term medication to control.
In medicine, some patients with high blood pressure may have doubt, because we all know that the blood pressure can be divided into systolic blood pressure (high pressure) and diastolic blood pressure (low pressure), in general, patients with high blood pressure, high pressure, and low pressure is increased at the same time, but some people might be one of them is more, the increased while another rise is relatively small, that if the latter case, using medications, can make originally not too much of that drop too low? For example, if I have a high pressure of 155 and a low pressure of 87, how should I use my blood pressure medication?
First of all, all antihypertensive drugs are high pressure and low-pressure rise and fall, as to how much can be reduced is different from person to person, generally speaking, is related to the patient's original blood pressure level, the higher the patient's original blood pressure, the more the use of antihypertensive drugs to reduce the range may be smaller. For example, patient A's blood pressure is 150/95mmHg, which may be reduced by 10/5mmHg, and patient B's blood pressure is 160/100mmHg, which may be reduced by 20/10mmHg.
Secondly, blood pressure is the pressure produced by blood on the wall during the blood vessel flow. As long as the blood is flowing, there will be pressure, so the effect of antihypertensive drugs is not enough to reduce the blood pressure to 0, that is to say, antihypertensive drugs can only reduce the blood pressure to a certain extent. Therefore, if a patient has high pressure and low pressure is only slightly higher, hypertension may be reduced by 20mmHg and the low pressure by only 5mmHg after taking medication.
Is also, for this reason, many doctors use the antihypertensive drug for patients when they first long-acting antihypertensives, because long-term blood pressure drugs work time is long, slow decompression, most need a week or two to work completely, more conducive to smooth step-down, also ensures that the blood pressure fluctuation is small, can well adapt to the change of blood pressure in patients with no discomfort.
In the same way, high blood pressure is not a day or two to rise, many people as the blood pressure slowly rise, the body will slowly adapt to the high blood pressure, so may not have any feeling, for example, some people's blood pressure may have reached 160/100mmHg, also do not have any feeling, which is very dangerous. Therefore, high-risk groups must regularly do a good job of blood pressure monitoring.
Finally, we take a look at the medication of hypertension patients need to pay attention to several contents.
1.Beware of high blood pressure in the morning
Most people's blood pressure drops during the night and rises sharply in the morning before they wake up. Most patients with high blood pressure may reach the highest blood pressure of the day at about 6 to 10 o 'clock in the morning, and sometimes it may be 40 to 50 mmHg higher than that at night.
Therefore, early morning hypertension is the "culprits" of sudden death, myocardial infarction, stroke, and other diseases. Patients with hypertension should immediately take antihypertensive drugs in the morning, and pay attention to the symptoms, and do not go out immediately or do strenuous exercise.
2. Be alert to a withdrawal syndrome
Some hypertension patients find that the symptoms are improved, they will stop medication without authorization, causing increased blood pressure, may be accompanied by palpitations, sweating, headache, insomnia, irritability, and other symptoms, which is generally known as drug withdrawal syndrome in clinical practice.
In addition, different kinds of antihypertensive drugs have different adverse reactions after discontinuation, but they will affect the therapeutic effect, and even bring life-threatening risks. Therefore, hypertension patients must not stop medication without authorization, if the symptoms feel relieved, can consult a doctor to adjust the medication plan.
3. Prevent hypotension
When taking antihypertensive drugs, do not arbitrarily increase the dose or shorten the medication interval, and do not suddenly change posture, so as not to occur postural hypotension, causing accidents. If the symptoms such as a sudden drop in blood pressure, rapid pulse, pale complexion, dizziness, or even temporary loss of consciousness occur after taking the medicine, you should see a doctor in time to avoid accidents.