What is the normal blood pressure value of the Chinese? The doctor summarizes 4 misunderstandings of hypertension control for you

Regarding high blood pressure, many friends like to talk about racial differences. In fact, as high blood pressure, there is no obvious difference between domestic and foreign. The judgment of normal blood pressure level is basically the same in China and abroad. Is the standard of high blood pressure judgment 130/80 or 140/90? The normal blood pressure of the human body is generally around 120/80, some friends may be slightly higher, and some friends may be naturally lower, generally as long as not less than 100 /60, the body does not have obvious symptoms of discomfort, they all belong to the normal blood pressure range, and in the determination of hypertension, the guidelines of different countries have seen some differences in the past two years. In the American Hypertension Guidelines published in 2017, the internationally recognized high blood pressure judgment value was lowered. The guidelines pointed out that if the blood pressure exceeds the level of 130/80, it is a problem of high blood pressure. And in the new European version of the guide, the previous blood pressure value exceeds 140/90 to diagnose the problem of hypertension. These different regulations are different experts, combined with relevant data research, make different judgments, whether it is 130/80, or 140/90 high blood pressure judgment standards, usually speaking, if our blood pressure value has exceeded 120, the low pressure exceeds 80, even if there is no problem of high blood pressure, it is already a trend of rising blood pressure. In this case, we should arouse our active attention. If you want to control the blood pressure, you don’t have to wait until the diagnosis of high blood pressure to strengthen the regulation or treatment of blood pressure. If you can do the early life conditioning intervention as early as possible, the increase in blood pressure can often be improved. The adjustment of the drug greatly reduces the chance of developing a diagnosis of hypertension. Therefore, whether it is a Chinese or a foreigner, if the normal blood pressure value is generally below 120/80, it is a normal value. If it exceeds these two values ​​or one of them, it should be actively valued. Combine with your own situation, do a good job of regulating and controlling blood pressure. 4 Myths about Hypertension Treatment There are many misunderstandings about the treatment of hypertension Strengthen conditioning interventions at the stage of increased blood pressure, this is a misunderstanding of hypertension control treatment, and in addition to such misunderstandings, there are many other misunderstandings in the treatment of hypertension, simply to say a few for everyone- — First, it is enough to just take medicine, not to do life conditioning. Hypertension life conditioning interventions include diet, exercise, mental adjustment, sleep, weight loss and many other aspects. Whether it is a primary hypertension problem, a life intervention without medication control to lower blood pressure, or a friend who needs medication to strengthen blood pressure control, life conditioning It is an indispensable and important means of blood pressure regulation. If you take medicine to control your blood pressure, it is like walking on one leg. It is impossible to keep your blood pressure stable. Second, worry about the side effects of long-term medication, antihypertensive drugs to stop eating. Some friends’ high blood pressure situation requires long-term adherence to medication control on the basis of life conditioning, but they are always worried about long-term damage to the liver and kidney, so they can not eat without eating, or do not eat without feeling, so do not insist on medication The result is that the blood pressure is high and low, and often fluctuates, which is more harmful to cardiovascular health than gains. Third, regardless of the safety risks, adhere to a long-term medication plan. There is no need to use rigid medicines. Sometimes, a blood pressure antihypertensive regimen can be used if the pressure control is good, but if the blood pressure cannot be controlled during the medication, it should be increased or combined; if In the process of taking medicine, if there is excessive blood pressure lowering, it is necessary to reduce the amount of medicine in time. If there is an intolerable adverse reaction, the medicine should be stopped in time and replaced with other blood pressure medicines. And the safety risk of medication, rigid medication, it is difficult to smoothly control the problem of high blood pressure. Fourth, blood pressure monitoring and measurement are never done during the hypertension control process. The ultimate goal of high blood pressure control is to control blood pressure smoothly to meet the standard, thereby reducing the physical health hazards caused by high blood pressure. And how to understand the control of blood pressure, basic regular blood pressure measurement is essential. Only regular blood pressure measurement and understanding of your own blood pressure control can timely adjust the blood pressure control program to maintain

Is blood pressure 90/60 low? Is it dangerous? How should it be? The doctor gives an accurate answer

Almost every day, someone asks me: “What should I do if my blood pressure is 90/60? What should I eat? Is it dangerous?” There is no way to answer such a question directly, because we judge whether a person’s blood pressure is normal or not. -140/60-90mmHg blood pressure standards, but also have to know a person’s usual blood pressure, and can not casually judge whether a person’s blood pressure is normal based on blood pressure like 90/60. 1. Is blood pressure like 90/60 normal? The theory is that the blood pressure is in the range of 90-140/60-90mmHg, that is, the high pressure does not exceed 140, not less than 90; the low pressure does not exceed 90, not less than 60; all are normal. However, if you have always been at this level, such as when you were a child, adolescents, middle-aged, or even old age, your blood pressure is at this level for a long time, then there is no problem. This means that your basic blood pressure, your own blood pressure is at In the normal range, it is slightly lower. Especially some thin women are more prone to such blood pressure, which is normal. However, if your blood pressure is usually above 120/80, even if it is a high blood pressure, just like this friend he said: High blood pressure is usually 130/90, and it has suddenly dropped to 96/64 in the past two days. Then this is definitely not normal! Second, the blood pressure is usually high, what happened to the sudden blood pressure of 90/60? 1. Measurement problem First of all, we have to measure the blood pressure again, because we can’t judge our blood pressure based on one blood pressure; our blood pressure is affected by many measurement factors, such as sphygmomanometer error, such as measurement method error and so on. Therefore, when the blood pressure fluctuates greatly, first rest for 5 minutes and measure again. If it is still very close to the last measurement, then you can judge that your blood pressure is at this level. There is also a possibility that it was high blood pressure before, and then started taking medicine, but usually rarely measured blood pressure, suddenly one day measured blood pressure and found: Ah! Why is it so low. This may be due to the fact that the blood pressure has gradually decreased. However, you haven’t monitored it and did not find that your blood pressure has been lowered in time. 2. Drug problems Most people with high blood pressure need to take antihypertensive drugs. Many people are anxious to see high blood pressure. They want to quickly lower their blood pressure to normal, but blood pressure can not be anxious, unless it is a hypertensive emergency, or high Blood pressure combined with acute myocardial infarction or heart failure requires rapid hypotension. Otherwise, for most people with high blood pressure, the blood pressure is reduced slowly and smoothly, rather than anxious. If you see high blood pressure and take antihypertensive drugs, especially long-acting antihypertensive drugs, the effect is slower; after taking the drug, the blood pressure does not immediately decrease, and you are anxious to continue to add drugs, then the result may be that When the medicine is effective, the blood concentration is large, and the blood pressure drops too low. There are many friends with high blood pressure who have been taking antihypertensive drugs for a long time. 3. The most dangerous problem is the low blood pressure caused by the disease. Normal blood pressure is normal, or high blood pressure. The sudden blood pressure has dropped from 130/90 to 90/60. Is it caused by disease? To be precise, this is already called shock; many people think that shock is just a matter of unconsciousness. Simply put, medical shock is hypotension, for example, blood pressure lower than 90/60 can be vaguely called shock; but if a person’s blood pressure is normal, or high blood pressure, sudden blood pressure drops, the original high blood pressure, the systolic blood pressure is higher than the original level A drop of more than 30% is also called shock. If the hypotension is caused by shock, it is very dangerous, and you need to seek emergency treatment immediately, because if shock is not rescued in time, the next step is life threatening. There are many reasons for shock, such as major bleeding, allergies, poisoning, acute pulmonary embolism, heat stroke, lack of water in the body, heart disease, etc. may all manifest as hypotension shock. At this time, you must see a doctor immediately, rescue the shock, and find the cause of the shock as soon as possible. In short, the original blood pressure 130/90, suddenly dropped to 90/60, must be paid attention to, only to find the reason to know whether it is dangerous, and then know how to be good!

Why is it difficult to control blood pressure in patients with kidney disease? Nephrologist tells the reason and gives a solution

Hello everyone, I am a nephrologist. When it comes to high blood pressure, I think many people should understand that it is the most common and frequent chronic disease in my country. The factors that cause high blood pressure are different. Today I focus on introducing “renal hypertension”. Let’s be straightforward, that is to say, the increase in patients’ blood pressure is inseparable from “kidney problems”. Such patients often have very difficult blood pressure control, and may need to combine three or even four or more antihypertensive drugs to Regulate blood pressure. Why is blood pressure in patients with kidney disease so difficult to control? How to effectively solve this problem? Today I am going to do a popular science explanation for everyone on “renal hypertension”. Foreword ● Hypertension is a common complication of chronic kidney disease. There are epidemiological data showing that 80%-85% of patients will develop hypertension during the progression of chronic kidney disease. And as the glomerular filtration rate decreases linearly increases (that is, the worse the renal function, the greater the proportion of people with hypertension). There was a special scientific research team to investigate and follow up on this. One report from the MDPD showed that when the glomerular filtration rate dropped from 85ml/(min.1.73㎡) to 15ml/(min.1.73㎡) The prevalence of hypertension increased from 65% to 95%. ● I found a phenomenon, some people have this idea, thinking that my blood pressure is high, but I do not have headaches and dizziness, eating the smell of sleeping, the high point will be high, and it will not hinder me. Too much hurt the body. Note that hypertension is not only one of the important risk factors that cause the progression of chronic kidney disease, but also the risk factors for cardiovascular and cerebrovascular complications in patients with chronic kidney disease (such as myocardial infarction, coronary heart disease, cerebral infarction, cerebral hemorrhage, etc.). According to incomplete statistics, the current control rate of renal parenchymal hypertension in my country is 46% (140/90mmhg) and 20% (130/80mmhg). It can be seen that effective blood pressure prevention and control is still a long way to go. Causal analysis of hypertension and kidney damage ● Here I tell you that under normal circumstances, our kidneys have their own regulatory mechanisms. That is, the glomerular internal pressure and the average arterial pressure are in an “S” shape, that is, in the range of average blood pressure of 80-160mmhg, it regulates the contraction and relaxation of the small arterioles by the intrinsic muscle (this small artery constitutes the kidney Important blood vessels), so that the glomerular blood flow and glomerular filtration rate can be maintained stable. ●But when you suffer from chronic kidney disease, this self-regulating mechanism will be damaged, and this “S”-type regulating mechanism will slowly turn into a nearly “linear” type. Therefore, in patients with chronic kidney disease, even if the system blood pressure is slightly moderately increased, it can cause the internal pressure of the glomeruli to increase, resulting in the three high states of high pressure, high perfusion and high filtration in the glomeruli. And this “three highs” will cause progressive kidney damage. The common understanding is that “hypertension” and “kidney damage” will always hurt each other, causing the disease to progress in a bad direction. ●Compared with essential hypertension (more than 90% are clinically essential hypertension), this kind of renal hypertension will show such characteristics: ① blood pressure is difficult to control, and it is easy to develop into malignant hypertension, It is often necessary to combine several antihypertensive drugs, and the blood pressure compliance rate is still low. ②The incidence of cardiovascular complications is high, and its impact on cardiovascular disease has its own characteristics. A scientific research team has conducted a follow-up study of more than 20,000 community population. The results show that the relationship between hypertension and stroke in patients with chronic kidney disease is ” “J-shaped”, the systolic blood pressure is the lowest at 120-129mmhg, while the incidence of stroke below 120mmhg and above 130mmhg is significantly increased. How to effectively regulate renal hypertension? ●Pharmacological treatment ① For patients with chronic kidney disease, if proteinuria <1g/d, then blood pressure is recommended to be controlled at 130/80mmhg; if proteinuria>1g/d, then blood pressure is recommended to be controlled below 125/75mmhg. However, I personally think that blood pressure is not lower, the more beneficial it is, and everything is about one degree, because too low blood pressure will affect the blood perfusion of the kidney. Hypoperfusion is not a good thing for the kidney, so it is recommended to avoid low systolic blood pressure. At 110 mmhg, the diastolic blood pressure is below 60 mmhg. ②It is found in the clinic that in fact, many elderly people not only suffer from hypertension, but some people also have diabetes and other chronic diseases.

33-year-old man with a blood pressure of 150/90, worried about his life and longevity! The doctor gives an objective explanation

There was a 33-year-old hypertensive patient in the outpatient clinic 3 months ago. He found that hypertension was not long, but he has been reluctant to take medicine. Today, he cannot be pulled by his wife to see a doctor. Because his wife read my science about hypertension yesterday, saying that if hypertension is not controlled, it will cause many diseases, and high blood pressure will have a big impact on men, and it will also cause male dysfunction and affect the lives of couples. Then he had to listen to his wife and see a doctor. He recently measured his blood pressure at the level of 150/90. I heard no heart murmurs and no big heart percussions; that is, I have been staying up late recently and usually have less activity. I told him not to take medicine for the time being, first to improve life habits, observe for a few months to see, if done well, blood pressure can return to normal after a while. But if you still don’t care, you may need to take antihypertensive drugs in the future, and even affect every bit of life. So whether a man’s blood pressure is 150/90 will have an impact on life, the key depends on his attitude. 1. Early detection and early control will generally have no effect. If you can find your blood pressure 150/90 in time, and immediately pay attention to it, start active control. Of course, controlling blood pressure does not mean that you must take medicine. First of all, you must live a healthy life. Quitting smoking and drinking, insisting on exercise, weight control, low-salt diet, reducing staying up, etc. Healthy lifestyles are conducive to blood pressure control. Even for newly discovered grade 1 hypertension, as long as there is no comorbidity, then you can temporarily not take medicine. Through a healthy lifestyle, blood pressure may return to normal in the future. Then there will not be much impact. A healthy lifestyle can not only lower blood pressure, but also prevent hyperlipidemia, diabetes, and cardiovascular and cerebrovascular diseases. Second, even if the blood pressure is well controlled, the theory is that some men with high blood pressure may be affected. Long-term high blood pressure will cause arteriosclerosis to increase, then it will also cause the blood supply to be restricted, resulting in reduced blood flow to the testicles. Vascular diseases and low testosterone levels can affect erectile function. Thereby affecting the male function of some male patients with hypertension. There are also some antihypertensive drugs such as Lol, hydrochlorothiazide, spironolactone, and nifedipine that may also cause ED; even some people who have one or two dysfunctions will be psychologically burdened and have long-term ED. Therefore, we must adhere to a healthy life, reduce the risk of high blood pressure, reduce the risk of taking medicine, if you choose drugs, try to choose antihypertensive drugs that have little effect on men. So as to avoid these things happening. 3. Undetected or uncontrolled after the discovery will definitely affect If a person does not discover high blood pressure in time, then it will definitely affect life. Because most high blood pressure has no symptoms, if you do not actively measure blood pressure, you will not find out whether you have high blood pressure. The result is that long-term high blood pressure is not found, long-term high blood pressure is not found or unwilling to actively control after high blood pressure is found, let high blood pressure run for a long time. Over time, it will lead to, for example, enlarged heart, heart failure, dyspnea after eating and drinking, and sleep will not be able to lie down at night; for example, it will lead to stroke, if you have sequelae, you will have aphasia, hemiplegia, and hemiplegia; for example, it may cause kidney failure. Go to the hospital for dialysis twice a week; for example, if it leads to myocardial infarction, you may face death directly. These are the results of not paying attention to hypertension. You said that once this step is reached, this is not an impact on life, but an impact on life. A few months later, the patient came back to review and said that the blood pressure has been 130-140/85-90 recently. I feel that I am more energetic and not uncomfortable. I asked if I should take medicine. Blood pressure has also dropped to a relatively safe level, but it is not ideal. It is more ideal to continue to maintain a healthy life and lower the blood pressure below 130/80 as much as possible.

38-year-old emergency doctor Wei, hypertension 160/100! I haven’t taken medicine for a year and now my blood pressure is normal

At the beginning of 2019, Dr. Wei from the emergency department accidentally measured his blood pressure 160/100 and was surprised! Later, it was 160/100 for several consecutive days, and the diagnosis of hypertension was confirmed. But doctors, like everyone, are reluctant to take medicine, but doctors know more about the dangers of high blood pressure. Later, Wei Zi from the emergency department found me and asked me what to do? I said, it must be reduced blood pressure, but for the time being can not take medicine, depending on whether you want to suffer a little bit. He said he would do anything to avoid taking medicine. I asked Wei Zi how much, he said 180. I said to 140, blood pressure will be normal. One year later, Wei Zi in the emergency department now weighs 148 and has not taken antihypertensive drugs. His blood pressure has dropped to about 138/88. I said that if I continue to lose weight, my blood pressure will be better. 1. The relationship between obesity and hypertension When the body mass index BMI ≥ 24, the risk of hypertension is 3-4 times, BMI ≥ 28, 90% have cardiovascular disease or metabolic disease. For every 1.7 increase in male BMI or 4.5cm in waist circumference, for every 1.25 increase in female BMI or 2.5cm in waist circumference, blood pressure increased by 1mmHg. Obesity leads to hypertension related to leptin resistance, sympathetic nervous system activation, insulin resistance, renin angiotensin, endothelial function, and kidney. The effect of weight loss (fat loss) on hypertension For every weight loss of 5.1kg, high pressure drops 5.55, and low pressure drops 3.57, the heavier the weight, the better the effect of reducing blood pressure by weight loss. 10kg weight loss can reduce blood pressure by 5-20mmHg . Second, how to judge the body mass index (BMI, BodyMassIndex) of obesity is an important standard commonly used in the world to measure the degree of human obesity and whether it is healthy, and is mainly used for statistical analysis. Ideal BMI (18.5 ~ 23.9) = weight (unit Kg) ÷ height squared (unit m) According to the standards set by the World Health Organization, Asian BMI (body weight index BodyMassIndex) higher than 22.9 is overweight. The world standard for obesity is: BMI is normal between 18.5 and 24.9, BMI greater than 25 is overweight, and BMI greater than 30 is obese. 3. The harm of obesity is not only high blood pressure According to research, the proportion of obese people suffering from high blood pressure is 20%-50%, much higher than the incidence of high blood pressure among ordinary people. Statistics show that 78% of men and 65% of women have hypertension related to obesity. Therefore, for obese hypertensive people, it is recommended to lose weight! Obesity can also cause abnormal blood lipids, increase heart load, induce diabetes, increase the risk of cardiovascular and cerebrovascular diseases, lead to fatty liver, prone to cancer, cause bone and joint diseases, and affect the reproductive system. Obesity is not just a matter of beauty. Obesity has become the fifth leading cause of human death. According to statistics, 44% of diabetes, 23% of ischemic heart disease, and 7%-41% of specific cancers are caused by obesity. At the same time, obese people will also experience severe snoring, difficulty breathing, impaired mobility, increased risk of fractures, high blood pressure, hyperlipidemia, diabetes, cardiovascular and cerebrovascular diseases, fatty liver, atherosclerosis and degenerative diseases, as well as dementia, respiratory tract Diseases, various cancers, and psychological diseases are closely related. Weight control, starting from me, weight control is not only for slimming, but also for lowering blood pressure, but also for overall health!

33-year-old barbeque restaurant owner, tired and short of energy, cannot be stable at night! Doctor says hypertension and heart disease

Boss Lu, 33, the owner of the barbecue shop, has dark skin and a tall body; I also had a barbecue at his barbecue stall before. When he recognized me, he left a phone number in case of emergency. On Monday, boss Lu called me and said that I have always been boring and lack of energy. I was short of breath when I walked down the aisle. I said do you usually have any diseases? He said it’s okay. He is usually like a cow. He can eat, drink and stay up late. I still don’t worry, let him come to the hospital to see, when I go to the hospital, my blood pressure is 200/110, I asked him how high blood pressure? Boss Lu said that for several years, he didn’t feel like it, he didn’t care. Then I quickly asked him to do a heart color Doppler ultrasound. The heart color Doppler ultrasound showed that the heart was enlarged and the hypertensive heart disease changed. The ejection fraction was 35% (the normal value was higher than 55%). I told him that he had to be hospitalized first, and the heart disease caused by long-term hypertension was not good. I did not dare to tell him too much truth, and then secretly told his wife that boss Lu’s long-term high blood pressure led to an enlarged heart, which is now heart failure and his condition is more serious. 1. Why hypertension can cause long-term pressure increase in heart disease and cause excessive increase in afterload, causing damage to the thickness of the blood vessel wall and the heart’s centripetal hypertrophy and relaxation during diastole. Eventually, myocardial contractility decreases, the heart cavity expands, and ventricular end diastole occurs. Increased volume, increased ventricular filling pressure and atrial pressure, obstructed pulmonary vein reflux, and acute hypertension or chronic left heart failure. Long-term poor control of hypertension can cause changes in the structure and function of the heart called hypertensive heart disease. Studies have shown that 70% of heart failure is caused by high blood pressure; at the same time, coronary heart disease, atrial fibrillation and other heart mergers may occur disease. To understand it simply, under normal circumstances, our heart is facing a blood pressure below 140/90mmHg, but when the blood pressure is higher than this value, especially like this 200/110mmHg. Our heart bears much more pressure than normal every minute and every second. Under high pressure for a long time, the heart will gradually deform, left ventricular hypertrophy, systolic and diastolic function decline, the heart expands, and the heart dysfunction, Hypertensive heart disease leads to heart failure. 2. Various data on hypertension and heart epidemiological survey The rate of heart failure patients with hypertension in my country is 54.6%. The incidence of heart failure in patients with hypertension is 28.9%, which is equivalent to stroke (30.0%). Studies have shown that for every 10mmHg of high pressure, the risk of heart failure is significantly reduced by 28%. Recent studies have confirmed that compared with standard antihypertensive therapy with high pressure <140mmHg, high pressure <120mmHg can significantly reduce the incidence of heart failure in patients with hypertension by 38% and cardiovascular death by 43%. These studies show the danger of hypertension to the heart. Controlling blood pressure can significantly reduce the risk of heart failure, and actively control blood pressure, with better results. 3. What are the manifestations of hypertensive heart disease: Early patients may have no obvious conscious symptoms, or there are general symptoms of high blood pressure such as dizziness and headache, and there is no specificity. If you do not control blood pressure for a long time, or if the blood pressure is not controlled well, the heart gradually expands, you may have fatigue, weakness, lack of energy, shortness of breath, chest tightness after exercise, breathlessness, difficulty in breathing; shortness of breath when lying down, improves after sitting up; the amount of activity is not Large, but with difficulty in breathing. In severe cases, patients may wake up in their sleep; in severe cases, they may sit and breathe, cough, and cough pink foamy sputum. Edema of both lower extremities, systemic edema, abdominal distension, and loss of appetite may occur in severe cases. Fourth, once the harm of hypertensive heart disease develops into hypertensive heart disease, it will not only cause chest tightness, suffocation, difficulty breathing and so on. Moreover, with the progress of the disease, daily meals, drinking water, brushing your teeth, washing your face, toilets, etc. will cause chest tightness in your daily life. The most serious thing will be that you can't lie down and sleep. The 5-year mortality rate of chronic heart failure is 50%, and the 1-year mortality rate of severe heart failure is 50%. 5. What should boss Lu do? Blood pressure must be actively controlled. First, the blood pressure should be reduced to a normal value, and the blood pressure should be monitored. Regular treatment of heart failure to prevent further enlargement of the heart, mainly based on Puli and Betaloc, can reduce blood pressure on the one hand, and can treat heart failure on the one hand. If you are uncomfortable, you can change to satan. Of course, the latest medicine for heart failure, Nuoxintuo can also be taken. Review the color Doppler ultrasound once every six months to see the changes in the heart structure. Abstain

Why should patients with hypotension eat less hawthorn, tomato, lotus seeds? Nutritionist analyzes for you

Hypotension generally refers to a state where the systemic arterial pressure is lower than normal. It is generally believed that the blood pressure of the upper limb arteries of adults is lower than 11.97/7.98kPa (90/60mmHg) is hypotension. Hypotension is generally divided into physiological and pathological hypotension, according to the form of onset can be divided into acute and chronic hypotension. Acute hypotension is generally caused by a sudden and significant decrease in normal or higher levels. It often causes dizziness, dark eyes, soft limbs, cold sweats, palpitations, oliguria and other symptoms due to ischemia of important organs such as the brain, heart, and kidneys. For shock. Chronic hypotension is generally a state where blood pressure continues to fall below the normal range. Physical hypotension is generally considered to be related to heredity and physical weakness. Those who are mild may have no symptoms, and those who are severe may suffer from mental fatigue, dizziness, headache, and even fainting. Orthostatic hypotension is related to changes in posture, and secondary hypotension is related to certain diseases or drugs, such as syringomyelia, high aortic valve stenosis, mitral valve stenosis, chronic constrictive pericarditis, idiopathic Or hypertrophic cardiomyopathy, hemodialysis patients and chronic malnutrition. The diet of patients with hypotension should be eaten with meat and meat, and be reasonably matched with the diet to ensure the intake of comprehensive and sufficient nutrients. For anemia accompanied by low red blood cell count and insufficient hemoglobin, it is advisable to eat more protein, iron, copper, Folic acid, vitamin B12, vitamin C and other foods, such as pork liver, egg yolk, lean meat, milk, fish, shrimp, shellfish, soybeans, tofu, brown sugar and fresh vegetables, fruits. Longan, jujube, mulberry and other fruits have the power to nourish the heart and blood, strengthen the spleen and nourish the brain, and can be eaten appropriately. Patients with low blood pressure accompanied by poor appetite should eat foods and condiments that stimulate appetite, such as ginger, spring onion, vinegar, sauce, sugar, pepper, chili, beer, wine, etc. Patients with low blood pressure should choose an appropriate high sodium and high cholesterol diet. Foods containing brain, liver, eggs, cream, fish eggs, pig bones and other foods with a lot of cholesterol are often eaten in moderation, which is helpful to increase blood cholesterol concentration, increase arterial tone and increase blood pressure. Which foods should be eaten in patients with hypotension? Patients with low blood pressure should appropriately reduce hawthorn, tomatoes, carrots, water chestnuts, celery, etc. The ingredients of these foods contain chemicals to lower blood pressure. After eating, patients with low blood pressure can make blood pressure lower and increase dizziness and other symptoms. Therefore, it should be taboo.

Why should patients with hypotension eat less hawthorn, tomato, lotus seeds? Nutritionist analyzes for you

Hypotension generally refers to a state where the systemic arterial pressure is lower than normal. It is generally believed that the blood pressure of the upper limb arteries of adults is lower than 11.97/7.98kPa (90/60mmHg) is hypotension. Hypotension is generally divided into physiological and pathological hypotension, according to the form of onset can be divided into acute and chronic hypotension. Acute hypotension is generally caused by a sudden and significant decrease in normal or higher levels. It often causes dizziness, dark eyes, soft limbs, cold sweats, palpitations, oliguria and other symptoms due to ischemia of important organs such as the brain, heart, and kidneys. For shock. Chronic hypotension is generally a state where blood pressure continues to fall below the normal range. Physical hypotension is generally considered to be related to heredity and physical weakness. Those who are mild may have no symptoms, and those who are severe may suffer from mental fatigue, dizziness, headache, and even fainting. Orthostatic hypotension is related to changes in posture, and secondary hypotension is related to certain diseases or drugs, such as syringomyelia, high aortic valve stenosis, mitral valve stenosis, chronic constrictive pericarditis, idiopathic Or hypertrophic cardiomyopathy, hemodialysis patients and chronic malnutrition. The diet of patients with hypotension should be eaten with meat and meat, and be reasonably matched with the diet to ensure the intake of comprehensive and sufficient nutrients. For anemia accompanied by low red blood cell count and insufficient hemoglobin, it is advisable to eat more protein, iron, copper, Folic acid, vitamin B12, vitamin C and other foods, such as pork liver, egg yolk, lean meat, milk, fish, shrimp, shellfish, soybeans, tofu, brown sugar and fresh vegetables, fruits. Longan, jujube, mulberry and other fruits have the power to nourish the heart and blood, strengthen the spleen and nourish the brain, and can be eaten appropriately. Patients with low blood pressure accompanied by poor appetite should eat foods and condiments that stimulate appetite, such as ginger, spring onion, vinegar, sauce, sugar, pepper, chili, beer, wine, etc. Patients with low blood pressure should choose an appropriate high sodium and high cholesterol diet. Foods containing brain, liver, eggs, cream, fish eggs, pig bones and other foods with a lot of cholesterol are often eaten in moderation, which is helpful to increase blood cholesterol concentration, increase arterial tone and increase blood pressure. Which foods should be eaten in patients with hypotension? Patients with low blood pressure should appropriately reduce hawthorn, tomatoes, carrots, water chestnuts, celery, etc. The ingredients of these foods contain chemicals to lower blood pressure. After eating, patients with low blood pressure can make blood pressure lower and increase dizziness and other symptoms. Therefore, it should be taboo.

Why should patients with hypotension eat less hawthorn, tomato, lotus seeds? Nutritionist analyzes for you

Hypotension generally refers to a state where the systemic arterial pressure is lower than normal. It is generally believed that the blood pressure of the upper limb arteries of adults is lower than 11.97/7.98kPa (90/60mmHg) is hypotension. Hypotension is generally divided into physiological and pathological hypotension, according to the form of onset can be divided into acute and chronic hypotension. Acute hypotension is generally caused by a sudden and significant decrease in normal or higher levels. It often causes dizziness, dark eyes, soft limbs, cold sweats, palpitations, oliguria and other symptoms due to ischemia of important organs such as the brain, heart, and kidneys. For shock. Chronic hypotension is generally a state where blood pressure continues to fall below the normal range. Physical hypotension is generally considered to be related to heredity and physical weakness. Those who are mild may have no symptoms, and those who are severe may suffer from mental fatigue, dizziness, headache, and even fainting. Orthostatic hypotension is related to changes in posture, and secondary hypotension is related to certain diseases or drugs, such as syringomyelia, high aortic valve stenosis, mitral valve stenosis, chronic constrictive pericarditis, idiopathic Or hypertrophic cardiomyopathy, hemodialysis patients and chronic malnutrition. The diet of patients with hypotension should be eaten with meat and meat, and be reasonably matched with the diet to ensure the intake of comprehensive and sufficient nutrients. For anemia accompanied by low red blood cell count and insufficient hemoglobin, it is advisable to eat more protein, iron, copper, Folic acid, vitamin B12, vitamin C and other foods, such as pork liver, egg yolk, lean meat, milk, fish, shrimp, shellfish, soybeans, tofu, brown sugar and fresh vegetables, fruits. Longan, jujube, mulberry and other fruits have the power to nourish the heart and blood, strengthen the spleen and nourish the brain, and can be eaten appropriately. Patients with low blood pressure accompanied by poor appetite should eat foods and condiments that stimulate appetite, such as ginger, spring onion, vinegar, sauce, sugar, pepper, chili, beer, wine, etc. Patients with low blood pressure should choose an appropriate high sodium and high cholesterol diet. Foods containing brain, liver, eggs, cream, fish eggs, pig bones and other foods with a lot of cholesterol are often eaten in moderation, which is helpful to increase blood cholesterol concentration, increase arterial tone and increase blood pressure. Which foods should be eaten in patients with hypotension? Patients with low blood pressure should appropriately reduce hawthorn, tomatoes, carrots, water chestnuts, celery, etc. The ingredients of these foods contain chemicals to lower blood pressure. After eating, patients with low blood pressure can make blood pressure lower and increase dizziness and other symptoms. Therefore, it should be taboo.

Is blood pressure below 140/90 all right? Rumor: 20-40 years old blood pressure more than 130/80 doubled cardiovascular and cerebrovascular

As everyone knows, blood pressure higher than 140/90 is called hypertension, and long-term hypertension will cause many cardiovascular and cerebrovascular diseases, so we pay attention to high blood pressure. Once the blood pressure is found to increase, we must actively control blood pressure. To control blood pressure, we must first know how much blood pressure falls to be normal, how much falls to be ideal, and how much falls to best prevent cardiovascular and cerebrovascular diseases. 1. What is hypertension: blood pressure higher than 140/90 belongs to hypertension 120-139/80-89 belongs to the high value of normal blood pressure; the previous hypertension guidelines classified hypertension as three levels: 140-159/90-99, which belongs to grade 1 hypertension; 160-179/100-109 belongs to grade 2 Hypertension; greater than 180/110, which belongs to Grade 3 hypertension. The latest hypertension guidelines classify hypertension into 2 levels: 140-159/90-99 is grade 1 hypertension ≥160/100 is grade 2 hypertension. According to this standard, we all know that blood pressure drops below 140/90, It is not high blood pressure, so is it safe for everyone to lower their blood pressure to 140/90? If you think so, you are wrong. Below 140/90, you can only say that it is not high blood pressure, but not normal blood pressure, nor ideal blood pressure. Especially for young people, blood pressure should be strictly controlled and blood pressure should be lowered as much as possible. To below 130/80. 2. How safer is the blood pressure of young people? A recent study of more than 6.4 million people on Circulation showed that 64.2 million people aged 20 to 39 were selected. After 13 years of follow-up, 44,000 new cardiovascular events, including myocardial infarction, occurred , Stroke, heart failure or cardiovascular-related death. Studies have shown that compared with people with blood pressure <120/80mmHg, high pressure>120~129mmHg, low pressure <80mmHg, cardiovascular risk increased by 14%; high pressure 130~139mmHg, cardiovascular risk increased by 36%; low pressure 80~89mmHg The cardiovascular risk is increased by 32%; if both high and low pressure are increased, the risk is further increased. For 130–139/80-89mmHg, the cardiovascular risk is increased by 67%; for ≥140/90mmHg, the cardiovascular risk Increased by 140%. In view of this, even if people with hypertension lower their blood pressure below 140/90, if they do not lower it to a more ideal level, the risk of cardiovascular disease is still very high. Therefore, for 20-40 young patients with hypertension, blood pressure should fall below 130/80 in order to effectively prevent cardiovascular disease. 3. The blood pressure of special populations should be better controlled. In addition to young hypertensive patients, blood pressure should be more stringent, and obese hypertensive patients should also be stricter about their blood pressure levels. A newly published study shows that different weights have different criteria for lowering hypertension. Especially for people who are overweight, blood pressure should be lowered to be safe. For those with a body mass index <24, the ideal blood pressure is 130/80 mmHg, while for those ≥ 24, the blood pressure is less than 120/80 mmHg. The study included 45,925 participants. During a follow-up period of 12.5 years, 2548 people had strokes, including 1776 ischemic strokes and 719 hemorrhagic strokes. The stroke risk increased by 27.7% for every 20mmHg increase in high pressure; the stroke risk increased by 13.8% for every 10mmHg increase in low pressure. The final conclusion is: for those with a body mass index <24, the ideal blood pressure is 130/80mmHg, and for those ≥ 24, the blood pressure is less than 120/80mmHg. In addition to the blood pressure of young people and obese people should be more ideal, for patients with clear diabetes, angina pectoris, myocardial infarction, heart failure, etc., blood pressure should also be reduced to 130/80mmHg as much as possible. Of course, what we are talking about today is mainly young people, obese people and hypertensive patients with special diseases, and they do not involve age. Because with the increase of age, especially the elderly over 65 years old, blood pressure control is not so strict, but varies from person to person, as long as the elderly can tolerate, as much as possible to drop below 140/90. (Originally from science to rumors) In short, for young people, especially young people 20-40 years old, or obese people, we can not only meet the blood pressure below 140/90, but to lower the blood pressure to 1 as much as possible

How to do dizziness, fatigue and low blood pressure after taking antihypertensive drugs? 3 different situations, one by one for you

Some friends took the medicine as soon as they discovered that there was an increase in blood pressure, but in the process of taking medicine, due to various reasons, there was a problem of excessive blood pressure reduction, high blood pressure harmed health, and low blood pressure Symptoms are often more pronounced. If the blood pressure drops too low, discomfort symptoms such as fatigue, dizziness, and palpitations will appear, and the risk of acute cardiovascular and cerebrovascular events will also increase. Want to know what to do if taking antihypertensive drugs causes hypotension? We should first understand the specific causes of hypotension caused by taking medicine, and we can find the corresponding solutions based on the specific reasons. There are many reasons why blood pressure drops are too low by taking antihypertensive drugs. There is no high blood pressure problem itself. Why there is no high blood pressure? In the process of diagnosing hypertension, some friends will have a high blood pressure measurement value in the clinic, or even diagnosed hypertension, but it is actually a “false hypertension”. For this situation, we will also call it It is called “white coat hypertension”, most of which occurs in the state of measurement in the clinic, usually through 24-hour blood pressure monitoring, or a lot of family self-measured blood pressure, can clearly confirm whether it is a false white coat hypertension problem. If you don’t have high blood pressure problems, just friends who have transient blood pressure rises in the clinic. If you find that the blood pressure rises, and you don’t judge whether it is true high blood pressure or false high blood pressure, you rush to take blood pressure Medicine controls blood pressure, of course, there will be a decrease in blood pressure, and even obvious symptoms of hypotension. In view of this situation, if it can be confirmed that it is a pseudo-hypertension problem that is not a hypertensive patient, the best solution is of course to stop the drug. After the drug is stopped, the blood pressure will naturally return to the normal state. For patients with mild hypertension, there are some friends who overdose the drug. The condition of hypertension is not serious, but the problem of hypotension occurs due to the overdose. For this kind of situation, we also divided into two types-the first case, which is a problem of mild hypertension, has not taken life conditioning intervention, began to take antihypertensive drugs, in the process of blood pressure control At the same time, I realized the importance of life conditioning intervention, and further actively strengthened the life conditioning control. Originally, the blood pressure was slightly elevated. Through life intervention, the blood pressure can be lowered, so that in the case of life intervention + medication, it will be This leads to the further effectiveness of antihypertensive drugs and the possibility of hypotension. In this case, if it can be confirmed that life conditioning intervention alone can effectively control the blood pressure level, the antihypertensive drugs can also be stopped. The second situation is overdose caused by unauthorized choice of medication without following the doctor’s advice. The choice and application of antihypertensive drugs is not as simple as going to a pharmacy to buy an antihypertensive drug. The first principle is the low-dose starting medication. If the single-agent administration is not well controlled, you can consider combined medication. If you notice high blood pressure, you should buy antihypertensive drugs. You don’t understand the situation. Although you take one tablet a day, it is a compound antihypertensive drug (equivalent to a combined medication). At the same time, the dosage of the drug is relatively large. The first principle is that under such circumstances, it is entirely possible that the overdose will cause the blood pressure to drop too low. For this situation, you should consult a doctor in a timely manner and combine your own blood pressure control, please ask the doctor to choose a reasonable antihypertensive medication plan. Either reduce the amount of medicine, or choose to take a single drug, or stop taking antihypertensive drugs, or switch to other types of low-dose antihypertensive drugs. Specific drug adjustments should also be analyzed and determined in conjunction with specific circumstances. Hypertensive patients are affected by seasonal changes. There are also some hypertensive patients, especially hypertensive patients with a long course of disease and severe degree of arteriosclerosis. The blood pressure level will be difficult to control in the cold season, but in the warm season. The reduced situation is not surprising. Our blood vessels also have the characteristics of thermal expansion and contraction, and the blood pressure value will fluctuate with the change of the season. It is completely normal. Some hypertensive patients, whose blood pressure rise is not easy to control in the winter, have adopted a more potent antihypertensive drug regimen, and if they continue to use this medication regimen in the summer, on the premise that the basic blood pressure in the summer has decreased, It is very likely that there will be excessive hypotension and hypotension. For this situation, it is generally not recommended to take medicine in winter, and to stop medicine in summer. Generally, it is generally appropriate to adjust the medication plan and reduce the amount of antihypertensive drugs. For example, eating two

Is blood pressure lower than 140/90 safe? Doctors rumors: young people must be below this value to be safe

Most people know that when the blood pressure is higher than 140/90mmHg, it is called hypertension! So is it okay if the blood pressure is lower than 140/90, and is it safe? 1. The blood pressure standard in the United States is 130/80. The 2017 American Hypertension Guidelines revised the original 140/90 hypertension standard to 130/80. That is, when blood pressure is higher than 130/80, hypertension must be considered. For a time, many people who were not hypertensive were considered to be hypertensive; at the same time, both our country and Europeans were expecting whether their hypertension standards would change. For several years in a row, our high blood pressure standard and the European high blood pressure standard are still 140/90; is it safe if the blood pressure is not higher than 140/90? of course not! Second, the blood pressure of young and middle-aged people is higher than 130/80. There is a cardiovascular risk study. In our young and middle-aged population, as blood pressure levels increase, the risk of cardiovascular disease, stroke and all-cause death increases. If taking antihypertensive drugs, this correlation will no longer be significant. For people aged 18-40, those with a blood pressure of 130-139/80-89 had an increased risk of cardiovascular disease of 82%, a stroke risk of 79%, and a risk of all-cause mortality increased by 72% relative to a blood pressure of <120/80. Previously, Beijing Anzhen Hospital also conducted a study. For people aged 35-59 years, compared with those with blood pressure <120/80, those with blood pressure of 130-139/80-89 had a 78% increase in cardiovascular disease risk. The risk of death increased by 1.5 times. A recent study also found that if the blood pressure ≥140/90, the risk of cardiovascular disease increased by 2.54 times; the risk of stroke increased by 2.21 times; the risk of death increased by 1.36 times. In general, if these hypertensive people can control blood pressure formally, if the blood pressure is controlled at a normal level, that is, below 130/80, then the risk of cardiovascular disease, stroke, and all-cause death does not increase. 3. How to control high blood pressure for young and middle-aged people, how much is the best blood pressure? The American guidelines recommend that people with blood pressure ≥140/90 start using antihypertensive drugs. My country recommends that when the blood pressure is higher than 140/90, but not more than 160/100, and there is no diabetes and heart, brain and kidney disease, you can start a healthy lifestyle first, observe for 3 months, if you can exercise through a low-salt diet, control weight To avoid staying up late, after quitting smoking and drinking, the blood pressure drops below 140/90, then continue to live a healthy life; how to start taking antihypertensive drugs after 3 months after the blood pressure is still higher than 140/90. American guidelines recommend that blood pressure exceeding 130/80, if the risk of atherosclerosis events ≥ 10%, or have diabetes or chronic kidney disease, it is recommended to use antihypertensive drugs. If the risk score is <10%, only lifestyle therapy is recommended. Our country's guidelines suggest that if blood pressure exceeds 140/90, and diabetes and heart, brain, and kidney disease are combined at the same time, then antihypertensive drugs must be started immediately. For young and middle-aged hypertensives, if possible, lower the blood pressure below 130/80 as much as possible, rather than just meet the standard below 140/90. For people whose blood pressure does not exceed 140/90, but has exceeded 130/80, don't secretly rejoice and feel that you are not high blood pressure, you can continue to let yourself go. Although this blood pressure is not high blood pressure, the risk of cardiovascular and cerebrovascular diseases is significantly increased. Even if you do not take antihypertensive drugs, you must strictly control your blood pressure in a healthy life. Recent studies have also shown that the earlier the onset of hypertension, the higher the risk of cardiovascular disease and all-cause death. Among young people diagnosed with hypertension before the age of 45, the risk of cardiovascular disease and all-cause death increased by 1.26 times and 1.59 times, respectively. In short, young and middle-aged people must monitor blood pressure. If they find that the blood pressure is higher than 130/80, they must pay attention to it. They must adhere to a healthy lifestyle and try to lower their blood pressure to below 130/80, so as to effectively prevent cardiovascular and cerebrovascular diseases!

What antihypertensive drugs should young people choose for hypertension? These 2 types of drugs recommended by your doctor

Now there are more and more young people suffering from high blood pressure. Many people are in their 30s or even 20s, and they have already experienced an increase in blood pressure, or even a diagnosis of high blood pressure. How can young people regulate high blood pressure? In terms of medication, what are the more suitable options and precautions? Today I will briefly introduce you to this knowledge. The incidence and characteristics of hypertension in young people Compared with the problem of hypertension in the elderly, young people, especially young people with new hypertension, often have their own characteristics. The occurrence of hypertension in young people is often closely related to the increase in cardiac output and the acceleration of heart rate. The increase in cardiac output leads to an increase in the volume of blood in the arterial blood vessels, and the arterial blood vessel wall is subjected to more pressure. It will gradually increase, and the heart rate is too fast. When the heart is dilated, the blood flow back to the heart is insufficient, which will lead to an increase in diastolic blood pressure. Young people have new hypertension, and the elasticity of the blood vessel wall is still relatively good, and the degree of arteriosclerosis is also Smaller, if it is not actively controlled, hypertension will gradually affect the health of arteries and blood vessels. After the long-term development of hypertension, it will be transformed into hypertension caused by major arteriosclerosis and increased resistance to blood flow in the inner walls of arteries. . For young people with high blood pressure, the characteristics are also very clear, that is, the problem of low pressure rise often occurs first, and even many young people with high blood pressure are purely low pressure and high pressure but not exceeding the standard. The reason why it appears The characteristics of such high low pressure are closely related to the increase in cardiac output, the faster heart rate, the increase in sympathetic excitability, and the increased activity of the renin-angiotensin system. When regulating the problems of high blood pressure and high pressure in young people, we should also conduct targeted conditioning and treatment. Do young people have to take medicine to control hypertension? If it is a young person, and it is a newly discovered mild hypertension problem, of course, it is not necessarily to be controlled by taking medicine immediately. Whether to take medicine or not, we must make a comprehensive assessment to determine the degree of blood pressure increase and other cardiovascular disease risk factors. For example, young friends with simple low pressure and high problems have a diastolic pressure of just over 90, a high pressure of more than 130, and no risk of chronic diseases such as diabetes. In this case, it is not recommended to rush to take medicine. Life conditioning interventions to strengthen blood pressure control. Why there is low pressure and high, may have a certain relationship with the following life factors-obesity has a long-term taste, high salt, high fat, high sugar diet, long-term smoking, long-term heavy drinking, long-term emotional anxiety, tension, and stress often These life factors such as staying up and sitting for long periods of time are all controllable and help to improve the important aspects of blood pressure. For mild young people with high blood pressure or simple high blood pressure in young people, you may wish to start from the above Take a look at the aspects of life improvement and conditioning in a targeted manner. In many cases, if you can actively improve and adjust bad habits, and maintain healthy and good habits for a long time, high pressure problems, mild hypertension The problems can be effectively recovered and improved, and it is entirely possible to fully recover to a healthy level below 120/80. And if it is found to be more serious hypertension problems, such as secondary hypertension with a blood pressure exceeding 160/100, or there are other basic chronic diseases such as those found in diabetic patients, or after 3~ Young people who are still unable to effectively lower their blood pressure after 6 months of strict self-controlled life conditioning intervention should consider taking drugs to control their blood pressure. Drug selection for hypertension in young people For young people with hypertension, if it is evaluated that it is necessary to take drugs to strengthen blood pressure control, it is still necessary to remind everyone that the premise of medication must also be based on adequate life conditioning interventions Carrying out such blood pressure control is more effective. The problem of hypertension in young people is also very important to choose antihypertensive drugs in a targeted manner. From the perspective of the pathogenesis and characteristics of hypertension in young people, the choice of drugs that inhibit the activity of the renin system and the activity of the sympathetic nervous system is often the best choice. Such antihypertensive drugs can mainly consider sartans and common drugs A class of antihypertensive drugs, both of which are inhibitors of the renin-angiotensin system, for targeted conditioning and control of young people

Do you really think that hypertension must take medicine for life? Rumor: 2 kinds of need, 2 kinds of need

Many people have high blood pressure and feel that they have to take medicine for a lifetime, and they will become addicted. Therefore, if they do not take medicine, many complications of high blood pressure will appear within a few years. In fact, high blood pressure is not always necessary to take medicine for life; in addition, taking antihypertensive drugs is not addictive, even if taking antihypertensive drugs for life, it is more beneficial to patients. 1. No need to take antihypertensive drugs for life 1. Newly developed grade 1 hypertension Newly found grade 1 hypertension, blood pressure does not exceed 160/100, without any discomfort, and without diabetes and cardiovascular and cerebrovascular diseases, then This part can temporarily avoid taking antihypertensive drugs. Only through a healthy lifestyle: low-salt high-potassium diet, weight control, exercise, avoid staying up late, quit smoking and alcohol can also reduce blood pressure. If the blood pressure can drop below 140/90 in 3 months, then continue to maintain a healthy lifestyle and monitor blood pressure without taking medicine. If the blood pressure is still higher than 140/90 after 3 months, then antihypertensive drugs and antihypertensive drugs are needed. 2. If you have already started taking antihypertensive drugs while taking antihypertensive drugs, but in the following days, you can strengthen your healthy life, such as losing weight, staying up late, exercising, etc., your blood pressure will further decrease until Blood pressure can be reduced to normal without taking antihypertensive drugs, so you don’t need to take antihypertensive drugs. In the stage of taking antihypertensive drugs, at any time, hypotension occurs for any reason, do not need to continue to take antihypertensive drugs, such as after myocardial infarction, after pulmonary embolism; for example, with increasing age, some people may have lower and lower blood pressure , You can also stop antihypertensive drugs. Second, the situation of having to take antihypertensive drugs for life 1. The blood pressure will rise if you don’t take antihypertensive drugs. In fact, it is good to judge whether to take antihypertensive drugs. That is, if you don’t take antihypertensive drugs, your blood pressure will increase. It will be higher than 140/90, then it means that the drug cannot be stopped. This part of people estimate that they will take antihypertensive drugs for life, because not taking antihypertensive drugs will cause more problems. Some people say that antihypertensive drugs have toxic and side effects, while others say that antihypertensive drugs can be addictive. First of all, any medicine has more or less side effects, but the logical relationship is that we take medicine because we are sick. It is to prevent greater harm. If hypertension is not controlled, heart failure, kidney failure, cerebral infarction, cerebral hemorrhage, myocardial infarction, etc. will occur. You said whether to take medicine or not. In addition, the side effects of drugs can only happen to a very small number of people, and there are many types of antihypertensive drugs. There is always a suitable one for yourself. It is not addicted to antihypertensive drugs, because high blood pressure will increase the blood pressure without taking medicine, so it is necessary to take medicine to control blood pressure. For example, why do we eat three meals a day because we are hungry? Instead of eating addiction, it leads us to three meals a day. 2. Comorbidities such as hypertension have been combined with heart failure, myocardial infarction, diabetes, or heart failure caused by high blood pressure, myocardial infarction. This group of people also have to take antihypertensive drugs for life, because the current antihypertensive drugs are not only antihypertensive drugs, such as Ply / Satan can protect blood vessels and heart, prevent heart failure; For example, Luoer can prevent heart failure, treatment Arrhythmia; for example, puli/sartan can treat proteinuria; for example, diuretics can improve the symptoms of patients with heart failure. Therefore, taking antihypertensive drugs at this time is not only for lowering blood pressure, but also for lowering blood pressure. At the same time, protecting blood vessels, protecting the heart, protecting the kidneys, and eliminating proteinuria. In short, not all hypertension must take antihypertensive drugs for life; but for those who must take antihypertensive drugs for life, long-term use of antihypertensive drugs will definitely bring more benefits.

Tinnitus, dizziness, headache or signs of hypertension

 In the life of high blood pressure, it is always “clear”, which causes great trouble for people to discover the disease in time. When blood pressure rises, it will send some dangerous signals, and we can make timely diagnosis of the patient’s illness through the “warning” issued by these high blood pressure.   1. Tinnitus: This is a typical disease caused by increased blood pressure. We can judge the onset of hypertension by the appearance of this disease, which is very important for the timely diagnosis of hypertension. Many people think that tinnitus is mostly caused by external noise. In fact, high blood pressure can also cause tinnitus, and it is binaural tinnitus, which lasts a long time.   2. Vertigo: This is a significant manifestation of increased blood pressure, but it is often confused by people, because many diseases may cause dizziness symptoms, such as high blood pressure, low blood pressure, anemia, cerebral thrombosis, etc. Among them, hypertension is the most common. The vertigo caused by high blood pressure is mostly caused by fluctuations in blood pressure due to emotional changes, mental stress, or mental stimulation. 3. Headache: Headache symptoms are very common in life, but everyone should not be taken lightly, and must be carefully identified. Headaches caused by high blood pressure have certain onset characteristics, not only the symptoms of headache, but also accompanied by Vomiting and vomiting, and the site of the disease is mostly in the hind brain. If this type of headache is severe and persistent, it may be a sign of conversion to malignant hypertension.  Diagnosing hypertension can be achieved by the symptoms caused by the increase in blood pressure. Through the timely detection of the above-mentioned symptoms, a timely and effective diagnosis can be made for the incidence of hypertension, the extension of the disease can be controlled to the greatest extent, and the occurrence of serious complications can be avoided.

What is my country’s hypertension standard in 2020? 5 rumors of high blood pressure! One by one

In 2020, the latest “Hypertension Guideline” is published. There is no change in the national hypertension judgment standard, but the hypertension classification has been changed. 1. Current blood pressure standards commonly used in China and Europe: “Chinese Hypertension Guide” Normal blood pressure: high pressure 90-120mmHg and low pressure 60-80mmHgmmHg; normal high value: high pressure 120-139mmHg and (or) low pressure 80-89mmHg; hypertension: High pressure ≥140mmHg and/or low pressure ≥90mmHg. That is, in our country and Europe, high pressure ≥140mmHg and/or low pressure ≥90mmHg need to consider the diagnosis of hypertension. But Americans’ blood pressure standards are lower than ours. The high blood pressure standards in the United States are high pressure ≥130mmHg and/or low pressure ≥80mmHg. 2. The classification of hypertension has also changed. The old guidelines stipulate that hypertension is divided into three levels: 120-139/80-89 belongs to high normal blood pressure; 140-159/90-99 belongs to grade 1 hypertension; 160 -179/100-109 belongs to grade 2 hypertension; greater than 180/110, belongs to grade 3 hypertension. The latest hypertension guideline in May 2020 canceled Grade 3 hypertension, and referred to Grade 2 and Grade 3 hypertension as Grade 2 hypertension, which means that later hypertension will be divided into two grades, Grade 1 hypertension and Grade 2 hypertension hypertension. All grade 2 hypertension is relatively serious hypertension. 3. Misunderstanding of high blood pressure 1. Diagnosis of high blood pressure by measuring blood pressure once Diagnosis of high blood pressure, only once the blood pressure in the clinic is high, high blood pressure cannot be diagnosed. It usually takes 1 to 4 weeks (depending on blood pressure level) to take 2 to 3 clinic measurements to confirm the diagnosis of hypertension. The previous requirement was that the blood pressure was higher than 140/90 for three times on different days. Now the different days are changed to 1-4 weeks, which means more time is given to rule out other factors that interfere with the temporary increase in blood pressure. It is more recommended that family blood pressure monitoring or 24-hour ambulatory blood pressure monitoring, which is more accurate than the blood pressure of the consulting room, that is, the hospital monitoring station. The diagnostic criteria for hypertension in households to measure blood pressure is ≥135/85mmHg, which corresponds to 140/90mmHg for blood pressure in the clinic. That is to measure blood pressure at home, ≥135/85mmHg is high blood pressure! The diagnostic criteria for hypertension after ambulatory blood pressure monitoring are: average high/low pressure 24h ≥130/80mmHg. daytime ≥135/85mmHg. nighttime ≥120/70mmHg. 2. High blood pressure is not uncomfortable and there is no need to treat it. Many people think that high blood pressure will cause dizziness, headache, and head swelling. In fact, most high blood pressure does not have these symptoms. Most people do not feel any symptoms when they have high blood pressure, but only actively measure blood pressure Found at the time. It has only been discovered when other diseases have been merged, or when complications of hypertension have occurred. High blood pressure without symptoms does not mean no harm. We can always see patients with cerebral infarction, cerebral hemorrhage, myocardial infarction, heart failure, and renal failure. In fact, most of them are caused by long-term hypertension without control. Therefore, to find that hypertension must be measured frequently, not by feeling. Secondly, if you notice high blood pressure, whether you feel it or not, you must find a way to lower your blood pressure to a normal level. 3. Antihypertensive drugs are the only way to lower blood pressure. When it comes to antihypertension, most people think that only antihypertensive drugs can lower blood pressure. In fact, this is not the case. There are two ways to lower blood pressure. One is to live a healthy life. The basis of blood pressure is suitable for all people with high blood pressure; one is antihypertensive drugs. Whether you eat or not take antihypertensive drugs, you have to live a healthy life. Low-salt diet, adhere to exercise, control weight, avoid staying up late, reduce stress, stay away from tobacco and alcohol, etc. These can lower blood pressure. For newly discovered grade 1 hypertension, if there are no complications, then you can not take medicine and reduce blood pressure through the above methods, many people can eventually achieve normal blood pressure. 4. Once you start taking antihypertensive drugs, you have to eat them all your life. Some people say that high blood pressure is addictive. In fact, it is not that antihypertensive drugs will cause addiction, but that if our blood pressure cannot be controlled by a healthy life, we can only take medicine. Because if you do not take medicine, the result is long-term high blood pressure, resulting in heart, brain, kidney and other diseases. If we can lower our blood pressure to normal through a healthy lifestyle, then we can not take antihypertensive drugs, and even some people who are taking antihypertensive drugs, through weight loss, low salt

Ask if high blood pressure can eat trotters? The doctor said he could eat, and joked: it can also help the college entrance examination

Pig’s trotters are homophonic with Zhu title, which means Zhu Bi’s nomination; pig’s trotters are also called hoof bladders in the south, and are homophonic with the title list, so in ancient times, students who passed the exam will be given pig trotters. Yuan Mei’s “Suiyuan Food List” also contains records of the four methods of pig’s trotters, which are called “fairy meat”. The taste of pig’s trotters is not as greasy as fatty meat, and not as firewood as lean meat. It tastes very gluten and is loved by many people. Pig trotters have different practices in different places. The smoked pig trotters in our hometown were once famous. At that time, they were known as the largest smoked pig trotter county in Asia, but now they have disappeared. But this does not prevent us from continuing to eat trotters. Whether it is braised, stewed soup, braised pork trotters, roasted pork trotters, etc. are very flavorful. Can friends with high blood pressure eat trotters? Will it increase blood pressure after eating? of course not! 1. Pig Trotter Pig Trotter is rich in collagen protein, and its fat content is also lower than that of fat. Pig’s trotters contain calcium, phosphorus, magnesium, iron, as well as vitamin A, vitamin D, vitamin E, vitamin K and other beneficial ingredients. It is rich in collagen protein and cholesterol. If you like this bite, it can be said that trotters are delicious and nutritious. 2. Does eating trotters cause blood pressure to rise? No research has confirmed that eating pig’s trotters can cause increased blood pressure. The current relationship between diet and high blood pressure is that high-salt diets can cause high blood pressure; long-term drinking can cause high blood pressure. The rest of the diet does not directly affect blood pressure. Studies have shown that for every 3g of sodium salt, blood pressure may increase by 4-5mmHg, and most of us eat more than 10g of salt, so the diet of high blood pressure is mainly low salt; at the same time drinking alcohol and excessive alcohol will lead to increased blood pressure, so High blood pressure should stop drinking. Pig’s trotter itself does not raise blood pressure, but if you put a lot of salt in the process of making trotters, then after we eat, it may have an impact on blood pressure, but this is not the trotter’s own blood pressure , But excessive salt causes blood pressure to rise. 3. Can people with hypertension always eat trotters? First of all, pig’s trotters are not our common meat. I believe most people will not always eat this thing. They are occasionally greedy. But if it is high blood pressure and you like to eat pig’s trotters very much, will it have any effect? Strictly speaking, the cholesterol content of pig’s trotters is relatively high, and it is not always a good thing to eat often, especially excessive eating will cause blood lipids to rise. Hypertension itself, combined with high blood fat, will increase the risk of cardiovascular disease and increase atherosclerosis, which may lead to cardiovascular and cerebrovascular diseases. So even if you love pig trotters, you can’t always eat them. Fourth, hypertension does not have food that must not be eaten. Friends of hypertension need not ask if this can be eaten, and dare to eat it. As long as it is food, as long as you eat without allergies, you can eat it. Even if it’s salt, we didn’t say not to eat salt, but just recommend eating less and eating salt healthily. Whether it is fatty meat, offal, hot pot, barbecue, fried food, dessert, etc., people with high blood pressure can eat it. But we must grasp the amount, even if there is no high blood pressure, these foods can not be eaten always, can not eat too much. Because eating too much of these foods will definitely increase the three high risks and increase the risk of cardiovascular disease, so it is no problem to eat and eat occasionally, it is no big deal, and it will not cause disease because of occasional eating. But long-term eating will not work, and long-term eating will definitely cause disease. People with high blood pressure should grasp the principle of low sodium salt and high potassium salt. We started talking about low sodium salt, which is to reduce the salt, not only the white salty salt of cooking sodium chloride, but also soy sauce, pickles, mustard, kimchi, tofu, bacon, bacon and other foods are considered sodium salt . High-potassium salt simply means eating more vegetables and fruits, whole grains, and fish, dairy products, nuts and other foods. In short, people with high blood pressure can not only eat pig’s trotters, but also pig brain, belly, heart, and lungs, but not overdose! The college entrance examination is still a few days away. If mothers see this article, they might as well make a pig’s trotter and make a good fortune: I wish the title of the gold list (the name of the ribs and hooves)! To make a joke, the key is to study hard at ordinary times, and the normal play of the exam!

Elderly sleepiness should be alert to cardiovascular disease

 The time for the elderly to sleep will be shortened, but some elderly people are more sleepy and doze frequently. This part of the elderly must be careful, probably because of cardiovascular diseases. Especially in patients with ischemic cerebrovascular disease, yawns and drowsiness will appear before the onset.  Sleep of the elderly should be alert to cardiovascular diseases. First, people with hypertension and cerebral arteriosclerosis have reduced blood flow to the brain due to atherosclerosis, narrowing of the lumen, and reduced elasticity of the blood vessel wall. The brain is very sensitive to oxygen. When the brain ischemia and hypoxia, it causes frequent yawns and drowsiness.  Yawning can reduce the pressure in the chest cavity, increase the blood flow to the heart from the upper and lower vena cava, increase the blood output of the heart, and improve the blood supply capacity of brain cells. But this improvement is temporary, so frequent yawning often indicates that ischemic cerebrovascular disease may occur in the near future. In addition to drowsiness and yawning, there are other harbingers of cardiovascular disease:    1. Hypertensive patients with nose bleeding, several large nose bleeding, plus fundus bleeding, hematuria, this person may develop brain within half a year Bleeding.   2. Sudden vertigo, vertigo is a very common symptom in cerebrovascular disease aura, can occur at any time before the onset, especially when getting up early in the morning. In addition, sudden headache should also be given enough attention.   3. Abnormal blood pressure, when blood pressure suddenly continues to rise above 200/120mmHg, is a harbinger of cerebral hemorrhage. When blood pressure suddenly drops below 80/50mmHg, it is a harbinger of cerebral thrombosis.   4. Abnormal gait, staggering, weakness in walking legs is one of the precursor symptoms of hemiplegia. If the gait of the elderly suddenly changes and is accompanied by limb numbness and weakness, it is a sign of cerebrovascular disease.

Measuring blood pressure at home? Or is it a hospital? Latest research results: home measurement is more accurate

I often encounter such patients in the outpatient clinic. When I enter the door, I say: Come to the doctor and give me a blood pressure measurement! Of course, this is a very legitimate requirement, but most people report that my sphygmomanometer is inaccurate, and the measurement at home is relatively normal. It is high blood pressure when I arrive at the hospital. It seems that my sphygmomanometer needs to be replaced, or the mercury sphygmomanometer is accurate. I have to repeatedly say to many patients: Generally, it is not the problem of the sphygmomanometer, but it is more accurate to measure the blood pressure at home, and the blood pressure in the hospital is relatively high. 1. The blood pressure measured in the hospital is mostly high. One of the most common is white coat hypertension, that is, because the subject is nervous, he will be nervous as soon as he arrives at the hospital, and he will be nervous when he meets the doctor. High, then the measured blood pressure may be higher than 140/90mmHg. However, when you go home to measure, the environment is familiar, the comfort is high, and you are not nervous. After measuring the blood pressure, it will be lower than 140/90mmHg. This will make many people do not know which one should prevail. On the other hand, when we go to the hospital, it is inevitable that activities such as driving, queuing, waiting, climbing stairs and other emotions will affect blood pressure results. So cardiovascular doctors are more recommending that everyone go home to monitor blood pressure; another advantage of going home to monitor blood pressure is that our blood pressure is the blood pressure at all times, not going to the hospital every two weeks to a month to measure the blood pressure once it is done. Too. We need to develop the habit of monitoring blood pressure at home. 2. Recommendations for hypertension guidelines On June 22, 2020, the American Heart Association (AHA) and the American Medical Association (AMA) issued a joint policy statement on home self-blood pressure monitoring. The statement pointed out that home self-blood pressure monitoring helps improve the diagnosis and management of hypertension. That is, this guide recommends that you measure blood pressure at home rather than go to a hospital or clinic to measure blood pressure. Our country’s high blood pressure guidelines also state that everyone should conduct home self blood pressure monitoring. In fact, many international hypertension guidelines recommend measuring blood pressure at home. 3. The benefits of measuring blood pressure at home. Measuring blood pressure at home can exclude white coat hypertension, and the detection of hidden hypertension. It can also help to diagnose stubborn hypertension, find early morning hypertension, observe the effect of long-term blood pressure control, and improve the patient’s blood pressure. Pressure medication compliance. Studies have shown that measuring blood pressure at home can help lower blood pressure by 2.5~3.8/1.5~1.8mmHg. The 2019 Chinese family blood pressure monitoring guidelines stipulate that when measuring blood pressure at home, if the average blood pressure exceeds 135/85mmHg, you may consider diagnosing hypertension, and the blood pressure in the clinic is 140/90mmHg. That is to say, the blood pressure standard at home is lower and cannot be delineated according to 140/90, but 135/85. 4. It is most suitable to measure blood pressure several times. The frequency of blood pressure measurement is different for different people. For newly discovered hypertension or hypertension patients with unstable blood pressure, it is recommended: 2019 China’s family blood pressure monitoring guidelines recommend that it should be 1 hour after waking up in the morning. Take blood pressure before taking antihypertensive drugs, before breakfast, before vigorous activities, and after dinner and before going to bed in the evening. During the adjustment of antihypertensive drugs, continuous self-monitoring blood pressure for 5 to 7 days. Once the blood pressure reaches the standard, and the blood pressure continues to stabilize within a few months, measuring 1 to 3 days per week may be sufficient. The 2019 China Guide recommends that those with good blood pressure control should take their blood pressure at least 1 day a week. Friends of high blood pressure, blood pressure is their own, health is their own, we can not give the doctor the measurement of blood pressure! Each of us is the first person in charge of our own health. Hypertensive people manage their own blood pressure. We must start by monitoring our blood pressure at home!

How to treat high blood pressure during pregnancy

  Pregnant hypertension is a relatively common pregnancy disease, which has a series of effects on pregnant women and fetuses, and needs early treatment. So the incidence of hypertension in pregnancy is special, how should treatment and care be taken? First of all, for those pregnant women with mild illness, you can take care of yourself and rest at home. During the rest, the family must pay close attention to the physical condition of the pregnant woman. Once there are symptoms such as blurred vision, upper abdominal pain and headache, Seek medical attention and take antihypertensive measures in time. If there are no obvious symptoms, you can rest and wait for delivery, and at the same time, daily blood pressure measurement and recording. In order to ensure that both pregnant women and children have enough oxygen, some oxygen inhalation can be performed appropriately to avoid the situation of hypoxia due to high blood pressure, which will cause harm to the baby. If the condition is more serious, headache, dizziness and blurred vision, you should take antihypertensive measures for treatment. You can adjust it by taking oral antihypertensive drugs and bed rest. Antihypertensive is mainly to prevent serious maternal and fetal complications such as eclampsia, cardiovascular and cerebrovascular accidents and placental abruption. The blood pressure lowering process must be stable without excessive fluctuations, and medication must be adhered to so that effective treatment can be obtained. If the condition is really serious and the symptoms cannot be improved, you can also consider using surgical methods to premature the fetus and terminate the pregnancy. Of course, this is only used in the case of individual serious cases. General pregnancy hypertension can be controlled by different means. Therefore, in the case of pregnancy-induced hypertension, expectant mothers do not need to worry too much, which is not conducive to health. They should maintain a happy state of mind, actively cooperate with treatment or rest in rest, I believe this must be conducive to pregnancy type The recovery of hypertension is also more conducive to the health of the baby. For pregnant mothers, pregnancy hypertension is not terrible, optimistic and positive attitude is essential, as long as you follow the doctor’s instructions, take adequate rest and take antihypertensive drugs on time, with balanced nutrition and appropriate activities, it will be safe Through this special period.