The latest changes in medications for hypertension in 2020: can Betaloc be used for hypertension? Doctor interpretation

In May 2020, the International Hypertension Society’s “Hypertension Guidelines” was published, and we found a change in antihypertensive drugs. 1. The guide says how to recommend specific best standards. For single-agent treatment, you can use Pugli, Satan, Dipine, and diuretics. There are five categories of antihypertensive drugs that we commonly use at present, dipine, prepril, satan, luol, and diuretics; these five categories of antihypertensive drugs were the first choice of antihypertensive drugs. However, when the latest guideline recommends the use of a single antihypertensive drug, the recommended drugs are: dipine, prepril, satan, diuretic, and loller antihypertensive drugs are excluded. Not only that, in the combined antihypertensive combination, there is no recommendation for rol drugs. Recommendations for combined antihypertensive drugs: the first step, low-dose pril/sartan+dipine; the second step, full-dose pril/sartan+dipine; the third step, on the basis of pril/sartan+dipine+ Diuretic; the fourth step, Puli/Satan + Dipine + Diuretic + Spironolactone. Second, what kind of medicine is Rolle? Rolle is definitely a regular antihypertensive drug, our common metoprolol tartrate, metoprolol succinate, bisoprolol fumarate and so on. The imported metoprolol is our common Betaloc. Roll-type antihypertensive drugs are β-blockers, which mainly exert antihypertensive effects by inhibiting excessively activated sympathetic nerve activity, inhibiting myocardial contractility and slowing heart rate. Highly selective β1 receptor blockers have a high selectivity for β1 receptors. There are fewer adverse reactions caused by blocking β2 receptors, which can lower blood pressure, protect target organs and reduce the risk of cardiovascular events. Beta blockers are especially suitable for patients with hypertension with tachyarrhythmia, coronary heart disease, chronic heart failure, increased sympathetic nerve activity, and high dynamic state. That is to say, the antihypertensive drugs of the Roll type must be antihypertensive drugs. 3. Why the latest guideline does not recommend antihypertensive drugs for the treatment of high blood pressure, although the antihypertensive drugs are actually antihypertensive drugs. In general, the pressure-reducing amount of the Roll-type antihypertensive drugs is obviously milder. And the Roll-type drugs have a more important role in the cardiovascular field. 4. What kind of high blood pressure is also suitable for lollis? 1. High blood pressure + fast heart rate. If high blood pressure and fast heart rate, at this time, lowering the heart rate can not only lower blood pressure better, but also reduce the risk of cardiovascular disease, so if Heart rate at rest>80; 24-hour dynamic heart rate>75, we need to intervene; combined use of Lol antihypertensive drugs, because Lol not only lowers blood pressure, but also reduces heart rate. 2. High blood pressure + heart failure, heart failure caused by any reason, or heart failure caused by high blood pressure, as long as the blood pressure is not low, it is recommended to use Lol drugs, because Lol is the cornerstone of heart failure treatment, can reduce heart failure death rate. 3. Hypertension + angina pectoris. If hypertension is associated with angina pectoris and the heart rate is relatively fast, then you need to use loller to lower the heart rate and reduce myocardial oxygen consumption to control angina. Generally, the ideal heart rate of patients with angina is about 55 times at rest. 4. Hypertension + myocardial infarction Rolle drugs can prevent heart failure caused by myocardial infarction and prevent arrhythmia caused by myocardial infarction, thereby reducing the mortality of myocardial infarction. 5. Hypertension + rapid arrhythmia Rolle drugs can also treat various rapid arrhythmias, such as sinus tachycardia, atrial tachycardia, atrial fibrillation, ventricular tachycardia, and various premature beats. Even if there is no hypertension, as long as the blood pressure is not low, as well as heart failure or myocardial infarction or rapid arrhythmia or angina or hyperthyroidism and other diseases, will be the first choice of Lol drugs. Therefore, although the latest Hypertension Guidelines do not recommend Rolles as the first choice for single-hypertension or combined blood pressure reduction, for the above-mentioned types of hypertension or several diseases, Rolls are essential, even There is no substitute for medicine!

12-year-old sinus rhythm, online check is a normal heart? Doctors rumors: does not mean there is no heart disease

A 12-year-old Xiao Zhi, a child from our fellow village, has been flustered and has done ECG several times, all of which suggest sinus rhythm. The doctor also said it was normal, and it was normal for family members to check online. But Xiao Zhi was in a state of panic. Later, I was introduced by my hometown to find me. I saw many electrocardiograms. It was indeed sinus rhythm, but the heart rate was fast, all of them were more than 130 times. Then I asked my child to bring a 24-hour ambulatory electrocardiogram, and the next day it returned: sinus rhythm, with an average heart rate of 101 beats. I said that the reason for the panic is that the heart rate is too fast. Even if it is a sinus rhythm, it does not mean that there is no heart disease. Later, we ruled out the common causes of sinus tachycardia such as hyperthyroidism, anemia, fever, and structural heart disease. The final conclusion was idiopathic sinus tachycardia. I have to find a way to lower my heart rate to normal. Let’s try the medicine first. If it doesn’t work, we can only treat it by radiofrequency ablation. The overwhelming majority of people have completed an electrocardiogram, with four words written on the top: sinus rhythm! So what does this sinus rhythm mean? Will it cause any harm to the body? 1. Sinus rhythm “Sinus” refers to the sinoatrial node, which is the heart’s headquarters, and the heart only beats after hearing the command. The headquarters of a normal heart is called the sinus node, and after the command of the sinus node is issued, the heart beat is called sinus rhythm. Simply put, sinus rhythm is normal rhythm. Second, why not write normal directly, you must write a sinus rhythm if it is not sinus rhythm, it must be abnormal, but even sinus rhythm may not be 100% normal. In addition to the real headquarters of the sinus node, other sites may also issue commands. For example, when a heart disease occurs, the headquarters of the sinus node is captured, and other sites begin to give commands to the heart and direct the heart to beat. . At this time, the order issued by which department is called the heart rhythm, such as atrial rhythm, ventricular rhythm, supraventricular rhythm, handover zone rhythm, etc. These heart rhythms are abnormal heart rhythms. Sinus rhythm cannot be said to be normal! 3. The heart rhythm and heart rate are different. The heart rate and heart rhythm have the same pronunciation, but the meaning is not the same. It is not easy for the medical staff to understand. Simply speaking, the heart rhythm refers to the rhythm, the rhythm of the heart beat, or whether it is neat, etc., commonly used expressions: Sinus rhythm, atrial rhythm, ventricular rhythm, supraventricular rhythm, junctional heart rhythm. The heart rate refers to the speed frequency. This is simple, that is, the number of heart beats in one minute is called the heart rate, such as 60 beats/min, 80 beats/min, 100 beats/min. 4. Sinus rhythm is also abnormal. For example, I am sinus rhythm, but the heart rate is too fast or too slow, such as heart rate more than 100 times, such as heart rate less than 50 times, then it is called sinus tachycardia, or sinus heartbeat Too slow. Sinus rhythm at this time may also be caused by disease. Sinus rhythm only means that the heart’s electrical system is working properly, but it does not mean that there is no heart disease. The heart has several departments such as electrical circuits, waterways, doors and windows, walls, functions, and so on. Sinus rhythm only means that the circuit department is still under the command of the sinus node, but it does not mean that there is no heart disease. For example, when coronary heart disease ischemic and myocardial infarction, the blood vessels of the heart are narrowed or blocked, and they are all in danger of life, but this time can also be sinus rhythm, so sinus rhythm does not mean nothing, only represents the heart beat The department belongs to the normal department. For example, heart valve disease, cardiomyopathy, heart failure and other heart diseases may be sinus rhythm, but this time all have heart disease. So sinus rhythm cannot be said to be a normal heart. Fifth, how to judge whether the heart is normal must first be sinus rhythm, and the heart rate at rest is about 60-80, the sleep center rate can be less than 40-60 times, the heart rate after activity can be about 100 times, and the heart rate after vigorous exercise can reach 170 times Left and right and so on. At the same time, heart color Doppler ultrasound showed that the heart valve was normal, the heart muscle was normal, and the heart function was normal; Only such a heart can be said to be the heart pointed out at the time, and it cannot be said that the sinus rhythm is a normal heart. In short, the simple understanding of sinus rhythm is normal rhythm, but it does not mean that there is no heart disease!

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

Palpitations are easily confused with the four symptoms

  Palpitations, a symptom that the heart always feels a sudden shock, and the person who is not able to do so is independent. When it happened, the patient felt that the heartbeat was suddenly rapid and strong, accompanied by discomfort in the precardiac area. This symptom can be seen in the course of many diseases, and it coexists with insomnia, forgetfulness, dizziness, tinnitus, etc., and abnormalities in the frequency and rhythm of the heart due to various reasons can cause palpitations. Some organic or functional diseases in Western medicine such as coronary heart disease, rheumatic heart disease, hypertension heart disease, pulmonary heart disease, various arrhythmias, as well as anemia, hypokalemia, cardiac neurosis When palpitations appear.   Palpitation is easily confused with which symptoms:   1. Young women with heart palpitations and chest tightness. Many people think that palpitations and chest tightness are prone to frequent diseases of the elderly, but now it is found that many young women are prone to palpitations and chest tightness, and many young women are still unable to find the cause of palpitations and chest tightness. 2. Palpitations with fatigue and paleness. Cardiac neurosis is a type of systemic neurosis (that is, the manifestation of autonomic dysfunction in the heart and blood system), and its symptoms are varied. The most common symptoms are palpitations, poor breathing, and precardiac areas. Pain, paleness, and general fatigue, as well as signs of agitation, insomnia, sweating, trembling, dizziness, and dreaminess.  3. Palpitations with abnormal heart rate. Palpitations are a sense of discomfort or panic consciousness of the heart beating. When the heart rate is faster, the heart beats uncomfortably, and when the heart rate is slow, the pulse is strong. When palpitations, the heart rate can be fast, slow, or have arrhythmia, people with normal heart rate and heart rhythm can also have palpitations.  4. Heart palpitations after a meal. Palpitations after a meal is one of the symptoms of both qi and blood deficiency. Qi-blood deficiency syndrome refers to the symptoms of both qi deficiency and blood deficiency caused by long-lasting illness and consumption of qi and blood or pre-existing blood and no qi. 5. Heart palpitations after fatigue, palpitations after fatigue refers to a type of symptom that the patient performs physical labor and consciously throbs after physical exertion. When it happened, the patient consciously had a fast and strong heartbeat, accompanied by discomfort in the precardiac area.

Five misunderstandings of heartbeat

 The heart beats along with the human life.  A healthy heart beats more than 100,000 times a day, 37 million times a year, and an average of 3 billion times in a lifetime. If you don’t understand the fact of heartbeat, you can easily be deceived. The United States’ “Medical Network of Medical Doctors” recently published an article that unveiled the truth of the “five misunderstandings of heartbeat”.   Misunderstanding 1: Fast heartbeat = high pressure.  Pressure increases the resting heart rate (heart rate at rest, normally 70-80 beats/minute), sometimes causing the heart rate to increase to more than 100 times per minute, causing tachycardia. But stress is only one reason for the rapid heartbeat. Smoking, excessive consumption of coffee, dehydration, fever, and anemia can also cause rapid heartbeat.   Misunderstanding 2: arrhythmia = heart disease.  As long as it is not accompanied by chest tightness, chest pain, or shortness of breath, it is normal to occasionally feel fast or rapid heartbeat. Gordon F. Tomaselli, professor of medicine at Johns Hopkins University in the United States, said that although the vast majority of arrhythmias do not pose a risk, if arrhythmia is newly discovered and occurs frequently, then you should seek medical attention.   Misunderstanding 3: Slow heartbeat = weak heart.   People often think that if the heartbeat is too slow, it will increase the risk of stopping the heartbeat. The facts are just the opposite. Like other muscles in the body, the heart muscle is also strengthened through exercise. The stronger the myocardium, the higher the efficiency of the heart and the fewer the beats, the more blood can be injected into the whole body. People with a resting heart rate of 60 or less (bradycardia) have a particularly strong heart. But some elderly people’s bradycardia may be a symptom of heart disease.   Misunderstanding 4: Healthy heart rate = 60-100 times/min.   60-100 times per minute is the normal heart rate range of adults. But Tomaselli said that a large number of studies have shown that even within the normal range, a higher heart rate is also greatly associated with ischemic heart disease, stroke and sudden cardiac death. A recent Norwegian study found that for every 10 heart rate increases, the risk of heart disease increases by 10% and 18%, respectively.   Misunderstanding 5: Normal heart rate = normal blood pressure.  Heart rate and blood pressure are two different things, you can’t simply draw an equal sign between the two. People with normal resting heart rate may also develop high blood pressure. Some people have abnormal heart rates, but their blood pressure is normal. The strenuous physical activity causes the heart rate to increase rapidly, but the blood pressure does not change much.

Electronic blood pressure monitor measures blood pressure 5 times in a row, 5 values! The doctor said: it’s not that the sphygmomanometer is not allowed

In the morning, a 60-year-old aunt came to see a doctor with a record form. She had just been diagnosed with high blood pressure recently. The doctor told her to take more blood pressure. The aunt measured the blood pressure at home with a digital blood pressure monitor and made detailed records. She measured her blood pressure twice in a row yesterday, and then measured it three times, measuring blood pressure a total of 5 times. The results are different each time, and the records are as follows: the first time 152/104, the heart rate 72; the second time 147 /109, heart rate 68; third time 160/106, heart rate 71; fourth time 137/109, heart rate 66 fifth 152/90, heart rate 65. She was very worried, not knowing whether it was her blood pressure problem or her blood pressure meter, so she specifically came to the outpatient consultation. I told her: there should be no problem with the sphygmomanometer, and the blood pressure itself is not ideally controlled, but the five blood pressure results are not the same. It is not that your blood pressure has a problem, but each of us may have different blood pressure results every time. Because our blood pressure is a fluctuating curve, not a straight line, especially during the daytime activities of people in daily life, blood pressure fluctuates more. 1. Blood fluctuation is a normal physiological phenomenon within a certain range. First of all, our blood pressure fluctuates 24 hours a day. Most people’s circadian blood pressure fluctuations are regular, with peaks and troughs. Many people have the first peak between 6 and 10 o’clock, the second peak between 16:00 and 20 o’clock, and a clear trough between 0 o’clock and 4 o’clock at night. The curve drawn by the blood pressure value measured throughout the day is like a spoon with a long handle, which is medically called “spoon type blood pressure”. In other words, there will be certain fluctuations in our blood pressure, and such fluctuations are normal. But this fluctuation is gradual, slowly changing in a few hours, and this aunt is continuously measuring blood pressure, why is it different. Because our blood pressure is regulated by nerves, even within a few minutes, we ourselves feel that our emotions are stable. But this kind of stability is relatively stable, and our nervous system is also regulated within a certain adjustment range, not constant. We can make a preliminary judgment based on the change of heart rate. The five measurements not only have different blood pressure, but also different heart rate. The fastest heart rate is 72 times and the slowest heart rate is 65 times. Our blood pressure and heart rate are both neuromodulated, so as long as the heart rate and blood pressure fluctuate within a relatively safe range, it is normal. Later, I used an electronic sphygmomanometer and a mercury sphygmomanometer to measure the blood pressure of my aunt several times, and the results were different each time. So which measurement do we take? Second, how to choose? In fact, in most cases, it is not recommended to continuously measure blood pressure 5 times in a short period of time. On the one hand, it is not necessary. The more times you do not measure, the more inaccurate you may feel. Like this aunt, it’s different every time. So which measurement should we take? For those who have not been diagnosed with high blood pressure before, but now to determine whether they are friends of high blood pressure, they should: without using antihypertensive drugs, measure the blood pressure in the clinic three times on the same day, high pressure ≥140mmHg and/or low pressure ≥90mmHg. That is, whether the high pressure is higher than the normal value or the low pressure is higher than the normal value, any one of the high is high blood pressure, or both are high. How to choose each measurement: When measuring blood pressure, it is generally recommended to measure 2 times, with an interval of 1 to 2 minutes. If the difference is less than or equal to 5mmHg, take the average of 2 measurements; that is to say, most people only need to measure two consecutive times at a time Times. Because the blood pressure results are different between the two times, it is recommended to take the average blood pressure twice. Of course, this refers to when the difference between the two blood pressure results is ≤5mmHg. The aunt was 152/104 with a heart rate of 72 for the first time; 147/109 with a heart rate of 68 for the second time. There is no difference between the two results less than 5mmHg, so naturally no need to continue to measure. The average value is 150/106, which is the final blood pressure measurement of this aunt. If the difference between the two times is> 5 mmHg, it should be measured again, and the average of the three measurements should be taken; there is no need to measure the blood pressure more times. Third, the electronic blood pressure monitor is not allowed. This aunt, like many people, believes that the blood pressure caused by the electronic blood pressure monitor is not correct every time. In fact, whether it is an electronic sphygmomanometer or a mercury sphygmomanometer, it may not be accurate. Each sphygmomanometer has its own characteristics, but generally it is recommended that you choose an electronic sphygmomanometer. Because the electronic sphygmomanometer has the following advantages: 1, water

In elderly patients with coronary heart disease, what is the most appropriate to keep the heart rate? Cardiovascular experts to tell you the answer

In recent years, with the improvement of living standards and changes in diet structure, the incidence of coronary heart disease has also increased year by year. Especially in elderly patients with coronary heart disease, the risk of complications such as angina, myocardial infarction and heart failure is higher. Coronary heart disease is caused by coronary atherosclerosis caused by stenosis or occlusion of the lumen, resulting in myocardial ischemia, hypoxia or necrosis, and changes in heart rate can also affect the severity of myocardial ischemia. In daily life, patients with coronary heart disease often have angina pectoris attacks or acute myocardial infarction after exercise and work, that is, heart rate increases after exercise and work, cardiac output and cardiac oxygen consumption increase but coronary blood supply is insufficient, thus Caused by severe myocardial ischemia, this situation is more likely to occur in elderly patients with coronary heart disease, so controlling heart rate can reduce acute attacks of angina or myocardial infarction. What is the most appropriate to keep the heart rate of elderly patients with coronary heart disease? Increased heart rate will cause increased blood sugar, increased triglycerides and cholesterol, increase the incidence of hypertension and diabetes, and these diseases are risk factors that affect the prognosis and mortality of coronary heart disease, so increased heart rate can lead to patients with coronary heart disease Has a poor prognosis. An epidemiological study on the relationship between heart rate and coronary heart disease showed that those with a resting heart rate> 84 beats / min had significantly higher morbidity and overall mortality. To reduce the number of episodes of angina and myocardial infarction, the guidelines recommend that it is best to control the resting heart rate at 55-60 beats / min. , Shortness of breath, etc., the heart rate can be further reduced to 50 beats / min, but lower than this value may cause peripheral blood pressure to drop due to insufficient cardiac output, which is prone to ischemic events for the elderly, so the heart rate is not suitable Less than 50 times / min. In addition, many friends do not know what is the resting heart rate. The so-called resting heart rate is the heart rate measured in a sitting position after a patient rests for at least 5 minutes. It is best to take the average of two measurements. It is usually more accurate after getting up in the morning . What medicine can I use to lower my heart rate? In clinical practice, β-blockers are generally used to reduce heart rate. The most commonly used are metoprolol, esmolol, bisoprolol, etc. These drugs can slow down the heart rate and cardiac output Decreased, the heart’s oxygen demand and oxygen consumption are reduced, and at the same time, the vascular smooth muscle is relaxed, and the blood pressure is reduced, so if there are no contraindications, patients with coronary heart disease can take it for life. In conclusion, in addition to controlling the three highs, it is also important for patients with coronary heart disease to maintain an appropriate heart rate. If the heart rate is too fast or even interacts with blood pressure, blood pressure control is not good, and blood pressure fluctuations will also affect heart rate. Patients with middle coronary heart disease need to pay attention to quit smoking and limit alcohol, avoid staying up late and excessive mood swings, balanced diet, moderate exercise, weight control, and maintain good nutrition are all important guarantees for maintaining cardiovascular health. References: [1] Huang Yuanzhu. Research progress of the relationship between heart rate and coronary heart disease [J]. Chinese Journal of Cardiovascular Diseases, 2006, 34 (6): 574-576 [2] “Guidelines for the rational use of coronary heart disease” (Second Edition) ) (Part of the picture source network in the article, the copyright belongs to the original author, thank you for the picture author, if you find any violation of your copyright, please contact me, I will delete it.)

Why are you always imaginary at critical moments? !

Has anyone been in this situation recently? Climbing for two or three floors or running for a while, I was breathless, and I was a lot empty. What is virtual? 01 Why am I “virtual”? This deficiency is actually due to the lack of recent exercise resulting in a decline in cardiopulmonary function. Cardiopulmonary function is the ability of the human heart to pump blood and the lungs to inhale oxygen. Oxygen is transported through the blood before it can be supplied to the whole body. Cardiopulmonary function declines, and the oxygen supply in the body can’t keep up, so it’s easy to get out of breath. And a new study by the European Association for Diabetes Research (EASD) found that for non-obese young people, even short periods of inactivity and sedentary affect physical health. After 14 days of reduced exercise, their cardiovascular function decreased 1.8%. After 14 days of normal activity, the function returned to the baseline level. Although the cardiopulmonary function can be recovered quickly, it can still be recovered, but cardiopulmonary recovery ≠ sloppy running, overloading also damages the cardiopulmonary; the way of walking today and running tomorrow, the exercise intensity is not enough. Now let’s take a look at how to recover scientifically. 02 The improvement of target heart rate and cardiopulmonary ability requires regular aerobic exercise accumulation. The choice of sports is actually secondary, and you can choose your favorite items at will. Relatively speaking, swimming stimulates the heart and lungs more, because the water pressure increases the pressure of the lungs under water, and breathing and ventilation can make the heart and lungs better trained. The important thing is to control the intensity of the exercise. This can record your heart rate through the sports watch during exercise to see if it reaches the target heart rate. Target heart rate: refers to an effective and safe exercise heart rate when aerobic exercise improves heart and lung function. Calculation method: (220-age) x (50% -85%) If you are 30 years old, then the target heart rate range is: 95-162 means: This person ’s heart rate is below 95 during continuous exercise, indicating that the exercise intensity is too low. Cardiopulmonary training is not very interesting. If the heart rate is above 162, the exercise is not the aerobic capacity of the cardiopulmonary function, but the anaerobic capacity. It should be kept within the target heart rate during exercise. If the heart rate does not reach the target heart rate range, the heart and lung function cannot be improved; if the heart rate is higher than this range, danger may occur. The average data of target heart rate for different ages is shown in the following figure: & nbsp.03 Cardiopulmonary function training after aerobic exercise After selecting a good exercise program and amount of exercise, to avoid gastrointestinal discomfort, it is best to exercise at least one and a half hours after a meal. Exercise consists of three parts: (1) Warm-up: Dynamic traction Dynamic traction can improve the ability of nerves to recruit muscles, thereby activating the target muscles, especially the small muscle groups around the joints have a good activation effect and improve muscle extensibility , Enhance proprioception to improve exercise efficiency. Simply put, it is to wake up your muscles. (2) The aerobic exercise lasting 20-30 minutes needs to be kept within the target heart rate range, and the intensity should be gradually increased according to the training situation. It is mainly adjusted according to the specific situation during exercise. If the discomfort is obvious during exercise, you can reduce the intensity or interrupt the rest. (3) The cold-warming process requires about 5-10 minutes of cold-warming process at the end of the exercise, which is to gradually reduce the intensity of the exercise and allow the body to recover, such as from jogging to walking and then stretching. Alright, today’s small class is here. Whether it is improving physical fitness or aerobic fat loss, cardiopulmonary ability is very important. Betting on a pack of spicy strips, 90% of the friends in front of the screen need this dry goods ~

Improper exercise can lead to sudden death. Keep these points away from sudden death

Exercise is a double-edged sword! Scientific exercise can enhance physical fitness, improve physical function, and have a healthier body, but in recent years, there have been more and more sudden deaths in sports, which sounded the alarm. Sudden exercise death mainly refers to the death of persons involved in exercise who have symptoms or are asymptomatic during exercise (or within 24 hours after exercise). The incidence of sudden exercise death is relatively high in middle-aged and elderly people, but professional athletes and college students also need to be vigilant. In China, sudden exercise death is mainly cardiogenic sudden death and brain-derived sudden death. Coronary atherosclerosis is the main cause of sudden death in the elderly during exercise. Among young people, it is mainly caused by its hypertrophic heart disease, plus exercise overload. Cardiogenic factors exceed 70%. Other factors such as heat stroke or high temperature, taking stimulants, bronchopneumonia, acute hemorrhagic diseases, liver and kidney function decline and other diseases can also cause sudden death to prevent sudden sports death. The following should be done: 1. Pay attention to physical examination and cardiovascular disease Check and strengthen the health assessment 2. The amount of exercise must be determined according to the individual’s exercise tolerance, and exercise tolerance should be evaluated through individual performance and objective examination. 3. Pay attention to the supplement of water and sugar during exercise to avoid trace element deficiency and electrolyte disturbance. 4. Be good at self-observing abnormal body reactions during exercise. If you feel unwell, do not persevere and rest in time. 5. Pay attention to preparation activities before exercise and relaxation activities after exercise. 6. Improve life style, reduce junk food intake, do not smoke and drink alcohol everyday, and develop good living habits. 7. Pay attention to heart rate control, moderate to low-intensity heart rate, low-intensity exercise heart rate & lt.120 beats / min, medium intensity is 130 ~ 150 times / min, high intensity is> 150 times / min. Learn the first aid measures for sudden cardiac arrest for yourself and others: When encountering a patient who has an accident due to exercise, you should first keep it in a horizontal position, with your head tilted to one side, so that the patient’s body is in a relaxed state. Secondly, pay attention to observe whether the patient’s respiratory tract ventilation is smooth, and in the case of ensuring the patient’s breathing should be strictly in accordance with the correct heart compression to rescue. At the same time as the rescue of CPR, dial 120 emergency number, and quickly send the patient to the nearby hospital for more professional rescue treatment. The author of this article, Dr. Sun, has been working in orthopedics and sports medicine for more than 15 years. He has been an Olympic champion doctor for a long time. Member of the Sports Medicine Branch of the Shaanxi Provincial Bone and Joint Society and member of the Chinese Medical Rescue Association. Member of the Sports Medicine Branch of the Shaanxi Sports Science Society.

How appropriate is the heart rate control of coronary heart disease in the elderly? Do a good job in 3 aspects, stabilize heart rate and reduce risk

Coronary heart disease refers to a group of cardiovascular diseases caused by atherosclerosis of coronary arteries. From the age point of view, the elderly, especially those with basic chronic diseases of three seniors, have a greater chance of coronary heart disease. With coronary heart disease, doctors often emphasize the control of heart rate first. How much should the heart rate of patients with coronary heart disease be controlled? Suitable? How to control heart rate reasonably? What is coronary heart disease? Our body is a very precise organism. The blood vessels all over the body deliver oxygen and nutrients such as oxygen and nutrients to all parts of the body through the blood circulation, and the heart as a blood circulation engine also needs blood supply for the heart. The main vascular network of the blood supply is shaped like a crown, so we call it a coronary artery. With the increase of age, coupled with the three highs and the long-term impact of bad lifestyle habits, our coronary arteries will gradually appear to have reduced elasticity, and at the same time, problems such as sclerosis and stenosis. If the coronary artery stenosis does not exceed 50%, usually It is believed that it does not affect the blood supply of the heart, and there are generally no obvious symptoms of discomfort, but if the coronary artery stenosis exceeds 50%, it will be called coronary atherosclerotic heart disease in medicine It is what we usually call “coronary heart disease”. Coronary heart disease is a general term for a class of diseases, such as exertional angina caused by coronary artery stenosis, regular angina caused by coronary artery stenosis, acute myocardial infarction caused by coronary plaque rupture, and other acute and chronic cardiovascular diseases are all coronary heart disease problems. . How much heart rate control is appropriate for elderly patients with coronary heart disease? Generally speaking, patients with coronary heart disease usually need to undergo various heart examinations, such as electrocardiogram preliminary investigation of myocardial ischemia, such as cardiac color Doppler ultrasound observation of cardiac physiological changes, such as coronary Pulse angiography confirms the actual degree of coronary artery stenosis, etc. At the same time as these tests, a simple indicator of heart rate is also very important. Patients with coronary heart disease have the problem of insufficient blood supply to the heart. If the heart rate is faster, the heart needs more oxygen and energy. In such cases, due to the narrowing of the coronary arteries, the heart does not receive sufficient oxygen supply , The heart will experience uncomfortable symptoms such as angina pectoris, and if it is not controlled for a long time, the heart will also have myocardial hypertrophy and decreased cardiac function. Therefore, if we can control the heart rate reasonably and reduce myocardial oxygen consumption, not only can relieve angina pectoris Occurrence of the disease also contributes to the development of coronary heart disease, and the risk of cardiac function damage due to myocardial ischemia is greatly reduced. Whether it is chronic coronary artery stenosis, coronary heart disease patients with symptoms of angina pectoris, or coronary heart disease patients with acute coronary syndrome (myocardial infarction) undergoing revascularization treatment (such as stent placement, bypass, etc.), they should be actively controlled Heart rate level, how appropriate is this heart rate control? According to the relevant guidelines, it is generally recommended that if patients with coronary heart disease are chronic coronary heart disease, the resting heart rate is generally controlled at 55 to 60 beats / minute, and the resting heart rate in the secondary prevention of acute myocardial infarction patients should be It should be controlled at 50 ~ 60 times / minute, generally not lower than 50, in order to avoid the risk of bradycardia. Such a heart rate can maintain the normal function of the heart, reduce myocardial oxygen consumption, reduce the risk of cardiovascular disease, and help reduce the incidence and mortality of angina pectoris in patients with coronary heart disease. How to control heart rate in elderly patients with coronary heart disease? How to control heart rate effectively to effectively reduce the risk of cardiovascular disease? For this problem, do n’t simply understand what kind of medicine is as simple as that to control your heart rate. It is also a comprehensive intervention process that combines life conditioning, drug control, and heart rate monitoring. Only when these aspects are actively done can you be better. To strengthen the stable control of heart rate. For example, when the physical conditions allow, reasonable adherence to physical exercise, through long-term aerobic exercise, can help enhance cardiopulmonary function and reduce heart rate; for example, pay attention to maintaining a calm mood in daily life, do not be irritable, angry, there is Helps to stabilize the heart rate and reduce the risk of heart rate risk due to emotion; pay attention to quitting smoking and limiting alcohol consumption, reducing the impact of tobacco and alcohol intake on heart rate. These aspects of life conditioning are important aspects of heart rate control in patients with coronary heart disease. keep. In terms of medication, heart rate control medications for patients with coronary heart disease are generally preferred for highly selective β1 blocker drugs

How long can 35-year-old hypertension live? Doctor: Don’t worry, this regulation can also live longer

At the age of 35, the problem of hypertension was detected, how many years can I live? This question is really pessimistic, but in any case, I still want to give you an optimistic answer: if you detect high blood pressure at the age of 35, as long as you face it seriously and actively regulate it, you can also live a long and healthy life. At the age of 35, if you find high blood pressure, you should feel lucky that high blood pressure is a chronic disease. Everyone often sees that high blood pressure can cause coronary heart disease, myocardial infarction, cerebral infarction, cerebral hemorrhage, and decreased kidney function, causing various complications. The problem seems to be terrifying, and even some friends pessimistically think that if they have high blood pressure, they may not live long. However, it should be understood that the reason why hypertension has such complications is mainly because of the problem of hypertension, there is no early and timely control, and there is no active long-term control of blood pressure in a stable manner Within the scope of this, only in this way, chronic and acute complications of this kind will gradually appear when the body’s arteries and vessels are exposed to excessive pressure for a long time. If the blood pressure can be controlled well, the risk of these complications will be greatly reduced, completely Don’t worry too much. Is it “lucky” or “unfortunate” to detect hypertension at the age of 35? It depends on which aspect you consider. It is really unfortunate if you get high blood pressure at a young age; but if we think about it from another angle, if we have high blood pressure at the age of 35, we do not find out, wait until 50 Myocardial infarction was discovered at the age of years, and the occurrence of myocardial infarction is closely related to the failure to control hypertension for many years. In such cases, if the problem of hypertension is found in a timely manner, and the high is actively controlled Blood pressure, by the age of 50, did not develop myocardial infarction, which is more lucky? Therefore, at the age of 35, high blood pressure was discovered. Perhaps we should be fortunate. We are happy that we discovered our high blood pressure problem early. The best thing we should do is to actively and smoothly control blood pressure as early as possible, and try to control blood pressure as well as possible. Instead of worrying about how many years you can live. It is important to say that the regulation of hypertension in young people has its own characteristics. The regulation of blood pressure must be adjusted according to these characteristics. Newly-occurring, young people’s hypertension problems are often more obvious. Generally speaking, the main causes of increased blood pressure are problems with fast heart rate and increased cardiac output. After stabilization, the cardiac output will gradually recover or no longer increase, and the increase in blood pressure caused by the sclerosing resistance of the blood vessel becomes the main cause of hypertension. For young people with new-onset hypertension, it is often not particularly stable and high. Sometimes the blood pressure may be relatively normal, and it has fallen below 140/90. In most cases, the blood pressure will exceed the standard, especially the low pressure level. It is easier to raise. This initial high blood pressure problem seems to fluctuate a little, and the low pressure is too high to control, but in fact, compared with many years of high blood pressure patients, it is important to be able to carry out targeted conditioning. In many cases, such high blood pressure problems, In fact, it is easier to control, and the sooner you control high blood pressure, the difficulty of subsequent blood pressure control and the risk of complications will be greatly reduced. Young people want to regulate the problem of controlling high blood pressure, we have three points from a physiological point of view-first, control the excessive intake of Na, if you have a strong taste, eat salty food, love snacks, etc. Habits, such lifestyle habits, will lead to a high intake of Na in the body, Na element is an indispensable element of our body, but excessively increased levels of Na in the body will affect the kidney’s renin-vascular tension The element activity will lead to the retention of water and sodium in these cells. These aspects will cause the increase of blood pressure. Therefore, if you want to control high blood pressure, you should start with a salt-control diet. Second, to control your heart rate, if your blood pressure is high, especially when the low pressure is high, you may wish to see if your heart rate is very fast when measuring your blood pressure. In fact, this is exactly the initial stage of hypertension Important features. An increase in heart rate leads to an increase in cardiac output, an increase in blood volume, an increase in blood vessel pressure, high blood pressure, and an increase in heart rate. It also leads to inadequate blood flow back to the heart, resulting in high blood pressure during diastole. How to control heart rate? It is still recommended to carry out lifestyle adjustment first. There are many main lifestyles that can be adjusted to control heart rate

How to improve cardiopulmonary function?

How to improve cardiopulmonary function editing? Enhancing cardiopulmonary function can effectively prevent the occurrence of heart disease, and regular, continuous, rhythmic exercise is the most effective; as for large exercises, such as weight lifting, it does not promote cardiopulmonary function. Exercises that can promote cardiopulmonary function can be roughly divided into three categories: the first type is a certain amount of exercise that is most effective in promoting cardiopulmonary function, such as cycling, swimming, climbing stairs, jogging, fast walking, mountain climbing, etc. Engage in this kind of exercise 3 to 4 times a week, 30 minutes each time, you can get good results. Although the second type of exercise is not intense, it is still an optional exercise. It is 3 to 4 times a week for more than 30 minutes each time. It still has a function of promoting cardiopulmonary function. For example, brisk walking, tennis, basketball, etc. The third type of exercise is less intense or unsustainable exercise. Although the promotion of cardiopulmonary function is limited, it can still improve muscle tone, reduce mental tension, and consume excess calories. Among them, low-exercise gardening work, housework, dancing, etc., as long as you can continue to work every day, you can still reduce the incidence of heart disease. Although there are so many exercises to choose from, some heart patients still have some concerns about exercise. It is often reported that someone died of a heart attack during sports. This is due to excessive exercise. People who do not exercise for a long time need to follow the way of gradually increasing the amount of exercise. Only in this way can the risk of exercise be reduced and the maximum benefits of exercise can be obtained. Most of the onset during exercise is due to exercise too intense or too long, especially for people who do not exercise for a long time. In fact, these are preventable. There may be some warning signs in the heart before the attack, such as chest tightness, dizziness, difficulty breathing, dizziness, etc. When such signs appear, stop exercising immediately and seek a doctor’s diagnosis. For heart patients, the best amount of exercise can be judged by measuring the heart rate. After subtracting 170 from the age, multiply it by 90%, which is the best heart rate after exercise. The method of measuring the heart rate is to measure the heart rate for 15 seconds immediately after the exercise is stopped, and multiply this value by 4. After comparison, you can know whether the amount of exercise is appropriate.

Don’t predict life by counting heartbeats anymore, lifespan has nothing to do with heartbeats, heartbeats are too fast or too slow

The normal heart rate of the human body is 60-100 beats / min. As long as it is within this range, the number of heartbeats is normal. There is a rumor in the folks that people with slow heartbeats live longer and people with fast heartbeats live shorter. This argument cannot be said without any reason, but it is too absolute. The relationship between heart rate and longevity has been reflected in mammals. For example, rats with a heart rate close to 200 beats per minute have an average life span of only about 1 year, while turtles with only 10 heartbeats have a life span of at least several decades to hundreds of years. However, species are different between humans and animals, and there is no comparability. There is indeed such a study between human heart rate and longevity. In a report in the Journal of the American Medical Association in 2018, the study investigated 15,680 patients and found that the rate of heart rate is closely related to the mortality of myocardial infarction and stroke. The article believes that the faster the heart beats, the damage to the vascular endothelium And the higher the risk of cardiovascular disease. Within certain limits, it can be said that people with slow heartbeats will live longer than people with fast heartbeats. Because people with fast heartbeats have increased myocardial oxygen consumption, which can easily cause myocardial fatigue. Like a machine, the wear and tear will be faster than people with slow heartbeats. The “life” is naturally relatively short. People who exercise for a long time tend to have a lower heart rate at rest, and many people have 50 to 60 beats / min or even lower. This is because people who exercise for a long period of time will have stronger cardiopulmonary function, increased myocardial contractility, increased myocardial capillary density, and enlarged ventricular cavity, which will allow the heart to eject more blood each time the heart beats, and the heart does not need to jump so fast It can meet the needs of whole body blood supply, resulting in a decrease in heart rate. It can be seen that in fact, the better the heart and lung function, the lower the quiet heart rate. Conversely, the worse the heart and lung function, the higher the quiet heart rate. In other words, heart rate is only an apparent indicator. To be precise, it is not the longer the life span of slow heartbeat, but the better the heart and lung function and the longer the life span. This is the essence of the problem. How to improve cardiopulmonary function, the first way is reasonable exercise. But it is too absolute to evaluate the life span from the heart rate alone. There are too many influencing factors of human lifespan. Living standards, environment, medical resources, etc. affect everyone’s lifespan. Personal living habits, eating habits, personality, mood, and family life also affect people’s lifespan. And heart rate is just one aspect of health. Everyone knows the “barrel theory”. How much water a barrel can hold depends on the shortest piece. The same is true for human health, even if the heart and lung function is good, but the liver is not good, or the kidneys are not good, the brain has problems, or there is a malignant tumor, the life expectancy will be greatly reduced. Therefore, no one should be complacent because of their slow heart rate, thinking that it must be longevity. The human body is a complex machine that requires good maintenance at ordinary times, and more regular inspections are required. If there are minor problems, they should be resolved in time and cannot be dragged into a big problem. In addition, slow heart rate is sometimes a morbid performance, it may be sinus syndrome or atrioventricular block, there is a risk of syncope or sudden death, need timely treatment or even install a pacemaker.

Which sports can help us prevent vascular diseases?

The general principle is to focus more on aerobic exercise, that is, moderate-intensity exercise, such as brisk walking, jogging, cycling, swimming, mountaineering, etc. The main reason is that the heart rate should not be too fast. It should be controlled at the level of 170-your age. For example, the 40-year-old person, 170-40 = 130, then the 40-year-old person ’s heart rate is best controlled at 130 beats / min during exercise, which is more conducive Control three heights and improve cardiopulmonary function. In addition to heart rate, you also need to persevere for 30-45 minutes each time, 3-5 times a week. You should persevere and persevere. A study of 80,000 people in China has been conducted for 10 years, mainly to explore the relationship between different types of physical exercise and all-cause mortality. The research results show that: ① swing sports, including team sports such as tennis and badminton, reduce all-cause mortality The level is the strongest, can reduce 47% ② swimming, can reduce the mortality rate by 41%. ③ Aerobic gymnastics can reduce mortality by 36%. The above research is to reduce all-cause deaths, that is, deaths caused by various reasons, through the above exercises can reduce mortality; the top three for reducing the risk of cardiovascular disease death are these three exercises. In short, whether our old saying is that life is exercise, or to keep your mouth open and move your legs, or various studies have confirmed that exercise is good! reward

Expert reminds: Such a scientific exercise can make the heart stronger! The standard is heart rate!

I am a cardiovascular doctor. The most encountered patients in the hospital are heart patients. For patients who already have a heart disease, it is difficult to simply exercise the heart, because many heart diseases are not suitable for exercise. Therefore, the best maintenance of the heart is to exercise without disease. So is exercise good for the heart? Let’s look at a study first: On January 8, 2018, a study published in the journal “Circulation” showed that exercise can reverse the harm caused by sedentary heart aging and can also prevent heart disease. Not exercising will cause the heart muscle to become stiff. When the heart muscle becomes stiff, your blood pressure will rise, and the ventricle will not be able to pump blood effectively. The worst case is heart failure. These studies tell us that exercise can exercise our heart and make our heart stronger. At the same time, it can prevent heart failure and prevent heart disease. What’s wrong with not exercising? Will it increase the risk of heart disease? “A Journal of the American College of Cardiology” published a study report, 149,000 people in the past 10 years of follow-up conclusion: sedentary people than sports people increased the risk of all-cause death by 80%! Sedentary people have a 107% increased risk of cardiovascular disease death than sports people! This study confirms that not exercising will significantly increase the risk of cardiovascular disease. So what kind of sports should be done? In the UK, a study of 80,000 people was conducted for 10 years. The research shows that swing sports, including tennis, badminton and other team sports, have the strongest reduction in all-cause mortality, which can be reduced by 47%. %. Aerobic exercise, more referring to aerobic gymnastics, can reduce the mortality rate by 36%. These sports have a common feature, that is, they all belong to aerobic exercise. Therefore, it is not to encourage everyone to do the above three exercises, as long as they can maintain aerobic exercise, they can exercise our heart disease and prevent cardiovascular disease. Because adhere to long-term aerobic exercise, increase fat consumption, prevent arteriosclerosis, conducive to three high control, can improve cardiopulmonary function, can prevent cardiovascular disease. Common aerobic exercise, in addition to the above-mentioned badminton, swimming, aerobics, but also include brisk walking, running, climbing, cycling and other sports. A simple method for judging aerobic exercise is heart rate, maximum heart rate: exercise maximum heart rate = maximum heart rate ✕0.6 to 0.8 (in order to obtain cardiovascular benefits, exercise heart rate should be set in the 60% ~ 80% maximum heart rate range, this area is called Target area). For example, if you are 40 years old, your maximum heart rate is 220−40 = 180, and your target heart rate is 180✕0.6 to 0.8 = 108−144 beats / min, that is to say, your heart rate should be maintained during exercise At 102−136 times / minute. Or it should not exceed this heart rate, but it should not be too low. Another simple method of judgment is that you can maintain a normal conversation speed during exercise, but you cannot sing. This is a moderate-intensity aerobic exercise. It varies from person to person: Because each person’s basic physical strength is different, exercise varies from person to person, performing 3-5 exercises per week, each exercise for 30-40 minutes, be sure to choose the exercise that you can tolerate, and Exercises you like and are willing to stick to, only in this way can you exercise. In short, exercise should be done as early as possible, and you can’t wait until you already have heart disease. Exercise is dominated by aerobic exercise, but you should insist on it!

Cerebral infarction is the sequelae that makes a family worry most! Do these 4 things in life to prevent cerebral infarction!

The most terrible thing about cerebral infarction is the sequelae. Whether in the community or in the park, you can always see people in wheelchairs and on crutches. These people are not old enough to walk. Most of these people are hemiplegia caused by sequelae of cerebral infarction, hemiplegia. Those who can come out to bask in the sun and relax, are still recovering patients, or patients who are recovering well; most patients are bedridden for a long time, can’t speak, can’t talk, drink and cough, even the most basic life You can’t take care of yourself. Cerebral infarction brings a heavy burden to the patient and the regular family, even disaster! Of course, there are people with worse luck. After the cerebral infarction, people have no money. After a few weeks in the hospital, they are gone. There are two main reasons for cerebral infarction: one is atherosclerosis, which means that there is too much vascular waste to block the blood vessels; the other is arrhythmia and atrial fibrillation, which directly forms a thrombus and causes the thrombus to fall off, blocking the cerebral blood vessels; the final result In the same way, cerebral blood vessels are blocked, causing necrosis of brain cells, damaging brain tissue, and causing death or various sequelae. What exercise is most afraid of cerebral infarction? First of all, there is no such formula, no kind of exercise can be used to treat cerebral infarction. Just sticking to scientific exercise can prevent cerebral infarction. Our popular science has always encouraged everyone to adhere to aerobic exercise, because aerobic exercise can reduce vascular waste, control the three heights, prevent cardiovascular and cerebrovascular diseases, and naturally prevent cerebral infarction. 1. Aerobic exercise The so-called aerobic exercise is simply a low-intensity, rhythmic and long-lasting exercise. Such as running, brisk walking, aerobics, swimming, cycling, climbing, etc. It is required that the time of each exercise is not less than 30 minutes, and insist on 3 to 5 times a week. Such exercises can effectively train the heart, lungs and other organs, and can improve cardiovascular and lung functions. Long-term adherence to aerobic exercise energy, increase the amount of hemoglobin in the body, improve body resistance, anti-aging, enhance the efficiency of the cerebral cortex and cardiopulmonary function, increase fat consumption, control the three high, prevent arteriosclerosis, reduce the incidence of cardiovascular and cerebrovascular diseases rate. In order to prevent cerebral infarction, it is necessary to say what exercise the cerebral infarction is most afraid of, that is, adhere to aerobic exercise. Second, exercise intensity In addition to the form of exercise, the easiest way to measure aerobic exercise is heart rate. It is generally recommended that when we exercise, we reach 60-80% of the maximum heart rate. A simple calculation is, 170➖ own age, such as 50 years old , The heart rate is 170➖50 = 120, which means that the heart rate during exercise is controlled at 120 times. You can achieve slight sweating and slight shortness of breath during exercise. The appropriate amount of exercise should be that after the exercise is stopped, the shortness of breath is significantly reduced within 4 minutes, and the heart rate also recovers within 10 minutes or close to the level of one’s usual rest. 3. Healthy eating exercise is only one aspect of prevention of cerebral infarction. In addition to exercise, you must also pay attention to healthy eating. Some people must be wondering, what exactly should they eat to prevent cerebral infarction? Onion fungus, or apple kiwi? In fact, it is not, there is no specific food that can prevent cerebral infarction; the food that really prevents cerebral infarction is a diet structure, and a comprehensive scientific diet can prevent cerebral infarction. Low-salt, low-oil, low-sugar, less fat, animal offal, red meat, less fine grains; more coarse grains, fruits and vegetables, fish, appropriate supplements of nuts, dairy products. Such a diet is healthy. Anyone who says that specific foods can prevent cerebral infarction is nonsense. The reason is simple. If a specific food can prevent cerebral infarction, then the news will be broadcast and everyone will eat it. Why is it so complicated? 4. Overall health In addition to a healthy diet and exercise, you must also control your weight, because obese people are more prone to high blood pressure, more likely to produce vascular waste, and more likely to have cerebral infarction; they must also stay away from tobacco and alcohol, because smoking and drinking will definitely increase Vascular debris aggravates atherosclerosis and causes a high incidence of cerebral infarction. At the same time, you must also monitor blood pressure, blood sugar, and blood lipids. Once you find the three highs, you should actively and formally control them, because the three highs are the culprit of cerebral infarction. Therefore, only a comprehensive healthy diet, adhere to aerobic exercise, weight control, stay away from tobacco and alcohol, reduce staying up late, be happy, monitor the three highs, control the three highs, etc. these methods are the most afraid of cerebral infarction! Someone asked what exercise is most afraid of cerebral infarction? If you think about it, it has already been accompanied by failure, hemiplegia, how to exercise at that time? For people without obvious sequelae, it is also recommended to adhere to aerobic exercise and a comprehensive and healthy life to prevent the recurrence of cerebral infarction!

Why is hypertension more difficult to lower? Reminder: Doing these 4 things well can help reduce diastolic blood pressure

High blood pressure is high, but low pressure is more difficult to drop? This is a problem that many high blood pressure friends often encounter in the process of lowering blood pressure. Why does such a problem occur, and how to strengthen the adjustment of the problem of low pressure and high pressure. Today I will briefly discuss with you. First of all, which friends are more likely to encounter such problems? I believe that the elderly patients over 65 years old with high blood pressure, the chance of encountering this problem should be very low. In the old age, as the aging elasticity of blood vessels decreases, the diastolic blood pressure (low pressure) usually does not rise as high as possible. To control the blood pressure at this stage, it is necessary to balance it well. When lowering the high pressure, pay attention to not lowering the low pressure too much, so as not to affect the blood perfusion of various organs of the body when the blood returns to the heart, thereby affecting the health of the body. Most of the friends who encounter the problem of low pressure are difficult to reach. They are middle-aged and young people. At the time when high blood pressure occurs, the arterial vascular sclerosis is not serious and the blood vessel elasticity is still good. Therefore, they often show higher pressure. For many middle-aged and young people with high blood pressure, if you compare the ratio of low pressure to high pressure, you will find that blood pressure values ​​like 1400/100 and 135/105 often appear. Although the pressure difference seems to be normal, in fact, from As far as the measurement and diagnostic criteria for hypertension are concerned, such blood pressure values ​​belong to a situation where the low pressure is too high and more serious. Therefore, in such a situation, it is not surprising that it is more difficult to lower the low pressure. Let ’s take an example. Let ’s say a friend ’s blood pressure is 135/105. What is our goal to control blood pressure? Generally speaking, high blood pressure patients are generally required to control their blood pressure below 130/80, that is to say, for this friend, his high pressure will be 5mmhg, but low pressure needs to be reduced by more than 20mmhg to achieve the standard. In such a blood pressure situation, low pressure is of course more difficult to lower. Another important reason why the low pressure of young and middle-aged friends is difficult to drop is that young and middle-aged people are often not severely high in blood pressure, and there is no problem with cardiovascular health. In this case, under insufficient attention, It is often more difficult for patients with hypertension to strengthen strict life conditioning and improve some of their original bad habits. It is difficult to control blood pressure by eating one or two antihypertensive drugs without adjusting to life. Good control, and especially for low pressure control, is often more difficult. The reason why the low pressure is too high in the young and middle-aged people is still difficult to drop. It is also related to the young and middle-aged people’s own physiological characteristics. Many friends who cannot fall down in the low pressure have autonomic dysfunction, sympathetic nerve excitability, and renin blood vessels. Problems such as excessive activation of the angiotensin system, fast heart rate, obesity, high blood lipids, high blood viscosity, etc. These problems cannot be solved, and high pressure is difficult to control thoroughly. For the problem of high pressure in young and middle-aged people, how to strengthen the control of high pressure and low pressure, give you the following suggestions-1. Life conditioning intervention is the top priority, healthy eating habits, change the habit of sitting sedentary, Adhere to reasonable exercise and actively control weight, control weight and waist circumference; do not stay up late, do not smoke, do not drink alcohol, these aspects help to strengthen the control of high pressure. 2. Maintain a good attitude, learn to maintain a peaceful attitude, and avoid long-term anxiety and tension affecting our sympathetic nerve activity. The reason for this is because of the influence of personality and emotion on blood pressure, especially low pressure The impact is often great, and it is often the most difficult to control and improve. If you can really relax your mood, the problem of high pressure may be greatly improved, and it will no longer be difficult to control. 3. While controlling blood pressure, pay attention to monitoring your blood lipid levels, especially triglyceride levels. If the blood lipids are too high, the blood is thick, the blood flow rate becomes slow, and the blood flow back to the heart is insufficient, which also causes low pressure. An important factor for the increase, if there are problems with high triglycerides, blood viscosity, etc., actively doing good conditioning is also an important aspect to improve the high pressure. 4. In terms of drug selection, young and middle-aged people have high pressure and low pressure. Satan or puli class antihypertensive drugs can be preferred. These drugs can inhibit the activity of the renin-angiotensin-aldosterone system, for hypertension with high renin activity The control effect is better, and if you have a friend with a high heart rate, such as when the heart rate exceeds 80 per minute

Nausea, vomiting, go to the clinic to prescribe medicine! The clinic doctor’s move saved his life!

Mr. You is 68 years old. One stent was implanted when myocardial infarction occurred 4 years ago. Taking medicine for many years is also regular. But he couldn’t stop smoking, the wine could not be broken, and the food and drink did not fall. Today, Death came again. At first, Mr. You was just nausea, vomiting, cold sweat all over, and the children thought that they had stomach troubles again, did not care, but had been sickening, and then went downstairs to the community hospital to buy some medicine to eat; after arriving at the clinic, the doctor said He had a heart disease and first made an electrocardiogram, but Mr. You and his family were unwilling to say that he must have eaten something bad, and just prescribed some antiemetic medicine. However, the doctors in the clinic insisted on giving them an electrocardiogram. After completing the electrocardiogram, they showed a high degree of atrioventricular block and the ST segment of the lower wall lead was elevated. It broke down again, so let Mr. You lie down and dial 120 immediately. Open the emergency green channel. The angiography showed that the right coronary artery was completely occluded. It only took 30 minutes from entering the hospital to opening the blood vessel, which was greatly improved several times compared with the average rescue time of myocardial infarction. We opened the blood vessel in the shortest time and saved the patient’s life. Of course, Mr. You should be most grateful to this doctor in the clinic, because if it is not the doctor who insists on giving him an electrocardiogram, it will be very difficult to find myocardial infarction so quickly, even delay the condition, and even die. Later, my family always thanked me. I said that I would have a chance to thank the doctor in the clinic. In fact, this case sounded the alarm for us again. Nausea, vomiting, and sweating are most easily considered as gastrointestinal diseases. This is also normal, because the most common manifestations of gastrointestinal diseases are nausea, vomiting, and stomach pain. stomachache. But nausea and vomiting are not only seen in gastrointestinal diseases, but also in acute myocardial infarction, a fatal disease. Many times, inferior myocardial infarction often has some gastrointestinal symptoms, due to changes in heart rate and blood pressure caused by increased vagal tone, or due to acute stress gastrointestinal reactions. However, there must be a sense of electrocardiogram examination, otherwise, the delay in the treatment of digestive tract may be a delay in life. A inferior myocardial infarction, especially the occlusion of blood vessels on the right side of the heart, that is, the right coronary artery occlusion, often has symptoms of slowing heart rate and blood pressure. The cause of the slowing heart rate may be affecting the blood supply of the atrioventricular node or increased vagal tone After the occurrence, low blood pressure may be insufficient cardiac output, or atrioventricular block may occur. The possibility of returning to normal heart rate after reperfusion therapy is greater. The longer the treatment delay, the less likely it is to recover, then Life is threatened, organs and organs lack perfusion for a long time, and damage occurs. It is very likely that a permanent pacing device needs to be implanted. If the stent can solve it, another pacemaker is built. The low blood pressure of anterior wall myocardial infarction indicates that the condition is very serious. It is a disease of the root of the blood vessel and the heart pump fails. There is a possibility of sudden death at any time, and the prognosis is extremely poor. The symptoms of myocardial infarction are diverse. It is not necessary to have chest tightness and chest pain, it may be nausea, vomiting, it may be toothache, it may be shoulder and arm soreness … There must be a sense of timely medical treatment, and the doctor must have a clinical ECG to rule out myocardial infarction thinking.