I am a physician and a hypertensive patient.

Originally, my blood pressure has always been normal, 3 years ago when the physical examination, accidentally found high blood pressure, at that time did not pay too much attention to, intends to control blood pressure through exercise, quit smoking and drinking, low-salt diet, the effect is poor, and then accept the cardiologist's advice, began to take high blood pressure medication.

The blood pressure lowering medication that was initially taken was Ambevi, which is also known asAngiotensin II(Angiotensin II, Ang II) receptor inhibitor, but after taking it for a week the effect of controlling blood pressure was still poor, and sought advice from my good friends Yang Qing (Professor of the Department of Cardiology, West China Hospital) and Wang Mian (Professor of the Department of Cardiology, West China Hospital), and added amlodipine dispersible tablets, which weredihydropyridineclass of calcium antagonists, and the combination of the two has finally brought blood pressure under control to a normal level.

In November 2017, the American Heart Association and the American College of Cardiology jointly released new guidelines for the prevention and control of high blood pressure this week, a comprehensive update on the diagnosis and treatment of hypertension after 14 years. The most notable aspect of the new guidelines is that the hypertension "threshold" has been lowered from 140/90 mmHg to 130/80 mmHg. What does this mean? Nearly half of Americans may have excessive blood pressure and need to change lifestyle habits or take medication to control it. If China were to revise its guidelines according to this standard, it would add more than 100 million hypertensive patients.

Since there are so many hypertensive patients, the most accessible science is needed for the benefit of the public. Prof. Wang Mian of the Department of Cardiology at West China Hospital has been commissioned to answer this question, so read slowly and you will be enlightened.

I received a private message from a Chengdu sewer teacher asking me to popularize high blood pressure. My first reaction was to refuse. Just kidding, I'm a senior interventionalist, should be killed in the battlefield of infarction and CTO, talk about hypertension after the premature beat, the community doctor's work contracted, the whole into the old lady of the neighborhood committee, into the day to talk about the chicken and garlic, too disgraceful, still want to mix the jianghu la!

However, after hearing several inquiries about hypertension in a row, it was decided that it would be better to lower the stature and answer the call to popularize the disease, starting with the minor illnesses that the people are concerned about. Even for such a common disease as hypertension, there are a lot of concepts that need to be corrected, even for young intellectuals who have played with the Internet.

I'd love to show off the mastery of our coronary unit, but not many of us understand it.

The prevalence of hypertension in Chinese adults over 18 years old is nearly 20%. Around us, the probability of finding a hypertensive person is so much higher than that of finding a handsome man or woman, and there are 2 of them in my house. If you throw a stone, you are more than likely to hit a hypertensive. This huge base if not standardized treatment, next, we have to face a huge heart failure, kidney failure, cerebral infarction, coronary heart disease ...... thousands of miles of dike, collapse in blood pressure.

Not only China, hypertension is the number one risk factor for death worldwide, smoking, drinking, obesity and the like are weak.

There are a couple of most frequently encountered questions about high blood pressure.

How is hypertension diagnosed?

What's the harm?

When do I start taking my medication?

Which medicine is better?

Can I stop the medication?

Why the fluctuations?

Do I need to take any other medication besides my blood pressure medication?

I'd like to give my opinion on these questions, not exactly counting science haha, too tired to bring big hats.

Normal blood pressure for adults is 140/90 mmHg, but of course the ideal is below 120/80 mmHg.

The diagnostic criteria for hypertension in China are clinic blood pressure over 140/90 mmHg, home self-measurement over 135/85 mmHg, and 24-hour ambulatory blood pressure over 130/80 mmHg.

Why are there 3 standards? The fact is that people with hypertension have high blood pressure by all methods of measurement. But who prevails when the three contradict each other? I personally recommend dynamic blood pressure. Some people are nervous as soon as they arrive at the hospital, plus the beautiful nurses are out of the way, the blood pressure measurement is bound to increase. Self-measurement of blood pressure has too many interfering factors. The treatment goal for hypertension is also less than 140/90mmHg.

Do I need to take medication immediately after a diagnosis of high blood pressure? Not necessarily.

Low-risk patients with a blood pressure of 160/100 mmHg or less can start with lifestyle modifications for about 4 weeks to 3 months, while those with a blood pressure of more than 160/100 mmHg or with multiple risk factors can start treatment immediately.

In any case, once high blood pressure is detected, a healthy lifestyle is important. Especially low salt, stop smoking, and exercise.

As for chili peppers and such, I don't think it's much of a problem. As a Sichuanese who has abstained from spicy food for life, I definitely can't do it. So if you can't do it, I understand.

What are the dangers of high blood pressure? A thousand words are streamlined into five words: the harm is great. Long-term elevated blood pressure can cause damage to multiple target organs of the heart, brain and kidneys, especially when blood pressure fluctuates. Hypertension has so many complications that it is the source of many unfortunate lives. Therefore, once diagnosed, hypertension should be treated for life. Unless your blood pressure miraculously drops to normal with no medication at all. Even then, it has to be monitored regularly; what is normal today may be high again in a few years.

Walk into any drugstore and there is a wide variety of antihypertensive drugs.

First of all, I would like to declare that there is no definite efficacy of proprietary Chinese medicines in lowering blood pressure, and I still insist on not prescribing proprietary Chinese medicines for hypertensive patients. Through the trade name to see the chemical composition, simplified, commonly used antihypertensive drugs on the five categories. Calcium antagonists, B-blockers, angiotensin-converting enzyme inhibitors, hydrogen ion receptor antagonists, thiazide diuretics. Most of these drugs initially foreign original research, the Chinese are good at imitation and forgery, each antihypertensive drugs have more than one imitation, the good thing is that these imitations of the antihypertensive effect is not bad.

Which is the best medicine? There is no best, only the most suitable. Each type of medicine has similar side effects and varies in blood pressure lowering strength, so you have to choose accordingly based on your blood pressure value, kidney function, heart rate fast and slow, blood sugar and other reference values.

To choose antihypertensive drugs, pay attention to several principles.

First of all, long acting, preferably 24 hours to take only 1 time. Some people insist that the beginning of the selection of drugs can not be too good, have to use a short-acting, several times a day, which leads to unstable blood pressure, aggravate the damage to the organs, and when finally figured out that you should take a good drug, renal damage has already descended, it is too late to regret.

Secondly effective. What do I mean by effective? Being able to control your blood pressure below your target. Lowering blood pressure is the hard way, and a cat that catches mice is a good cat. The old talk about what it does other than lowering blood pressure is bullshit, fix your blood pressure first.

It is important to combine medications in order to reach your goal. There was once a patient with a blood pressure of 190/100mmHg who protested: everyone else takes only one drug, why do I have to take 2. I gave her a blank look: because you have a bad life.

The third principle in selecting an antihypertensive regimen is long-term tolerance. This includes no adverse effects and economic tolerance. Legs swollen into pig's hooves, heart rate of 120, still have to take nifedipine is self-abuse. Obviously, the patient's monthly income of 1,500 yuan, preferring to spend 1,000 yuan to take medication, but also educate the patient can not afford to eat, but also to take medication, this kind of doctor is head into the water.

Hypertension itself is not fatal; it is the complications that are fatal. Risk assessment is needed for all hypertensive patients.

Combined atherosclerosis, hyperlipidemia, combined with statin.

If you have 3 or more risk factors, use aspirin in combination. Aspirin is not a healthcare product and has a high risk of bleeding, so don't make it so that all high blood pressure is "one pill a day to stay healthy".

A good doctor, like a good chef, does not seek to match the best with the best, but rather combines the available materials to provide each patient with a unique treatment plan that ultimately improves his or her prognosis.

In addition to primary hypertension, secondary hypertension should be ruled out if you have noticed high blood pressure at the age of 20. Suddenly the blood pressure becomes difficult to control during standardized treatment, it is advisable to search for other causes, such as the presence of renal artery stenosis, hyponephrosis, hyperthyroidism, sleep apnea, and so on.

Blood pressure fluctuates with the seasons and is higher in winter, so medication is often added in winter. Blood pressure fluctuates with mood, so if you are irritable at any time, antihypertensive medication will not help you.

Blood pressure is never proportional to symptoms, you may have a blood pressure of 180 and still have no symptoms. It is recommended that all of our hypertensive friends monitor their blood pressure on a regular basis, picking 1 week of the month, 7 consecutive days, twice a day, and taking the numbers to your doctor. And of course, don't stress over it, measure from eyes open to eyes closed, and collect your blood pressure and heart rate into a book each time. That way, you're tired and so am I.

In short, high blood pressure is common and everyone can manage it. How to manage our blood pressure is a learned skill, and whether that skill is mastered or not makes quite a difference, and the results are not seen in the short term. Hypertension is a minor disease, but it can be a serious one. Attention to blood pressure diagnosis and treatment will result in lasting benefits.

Quite an interesting question.

A 48 year old friend of mine, height 172cm, weight 84kg, high blood pressure for 12 years, diabetes for 5 years, blood pressure is always between 160/110mmHg, blood sugar is basically in a state of indulgence, 8-10 before meals, after meals basically depends on how much he can eat. Because he is in business, he has a lot of socializing and a lot of alcohol.

Since we are friends and often get together, every time I talk to him about the treatment of hypertension, heMy favorite question is whether there is a way to bring down blood pressure without medication, injections, alcohol cessation, weight loss, diet, or changing lifestyle habits (he is used to staying up late).

When I said I couldn't do it as a doctor, he laughed at me and said I was not as good as his second uncle in his hometown, who relied on eucalyptus leaves to dispense medicine号Claims to cure high blood pressure.

Later, his blood pressure came down on its own for the simple reason that he had a massive anterior wall infarction, with an ejection fraction of only 39 (normal >50), and was rescued in time with the placement of three stents, which saved his life, but now his blood pressure has dropped to 90-110/55-60mmHg, and he can't even think of a higher level.

High blood pressure itself is not fatal, even if it is as high as 200mmHg or more, as long as there is no hidden damage to the blood vessels, then it can be resisted and still will not die. However, the damage to blood vessels caused by hypertension is a direct trigger for various embolic diseases.

Improve your life habits, be good at channeling psychological stress, control your diet, control your weight, and get into the habit of exercising every day. Together with medication control, it is indeed troublesome to keep the blood pressure below 140/90mmHg. I also wish there was a miracle drug that I could take to control my blood pressure for the rest of my life. The problem is, there is no such miracle drug at the current level of technology.

I can imagine there must be quite a few remedies, meridians, and dietary solutions in the answers to this question.

All are enthusiastic respondents, pointing to remind everyone, if these methods can solve the problem of high blood pressure, the Nobel Prize we do not talk about him, the first prize of the National Progress Award that is a sure thing.

There are a number of telemedicine companies doing hypertension management programs, such as Dr. Chunyu, which has a long-term hypertension remote management program. The future goal is to enable users to realize the full process of hypertension management at home. This may be the future of hypertension management that can be seen.

Feel free to follow along, there's a different view of medicine here.

Thanks for the invite!

This is too big a question to be answered only briefly and in principle (for interested readers, go to my headline for the article).

【What is considered high blood pressure?】

Criteria for the diagnosis of hypertension were office blood pressure, systolic (high pressure) ≥140 and/or diastolic (low pressure) ≥90 mmHg (3 sittings on a non-same day); in the case of home self-measurement of blood pressure, the criteria were ≥135 and/or 85 mmHg; and ambulatory blood pressure, with a mean of ≥130 and/or 80 mmHg over 24 hours and ≥135 and/or 85 mmHg during the day.

A blood pressure that meets, or exceeds, these criteria is high. However, in the case of young and middle-aged people, a blood pressure of 120-139 and /80-89 mmHg should also be noted as being on the high side.

【如What is the safe way to lower blood pressure?】

First, checkRule out secondary hypertension. Because secondary hypertension is caused by other diseases, treatment focuses on treating the primary disease.

after thatvaluation. ToScreening for diabetes.To check for hypertensive target organ damage, blood lipids (including liver and kidney function, muscle enzymes, etc.), blood homocysteine, etc. are tested. This is because it is important to risk-stratify hypertension, decide whether to start medication, which medications to use, and what conditions need to be treated at the same time, such as hyperlipidemia, diabetes mellitus, hyperhomocysteinemia, and so on.

For low to intermediate risk first-degree hypertension(BP 140-159/90-99 mmHg)Patients (the elderly will be discussed later), can improve their lifestyle for 1 to 3 months to see the effect; if they are at high risk, if they have hypertension of grade 2 or higher, they should start medication to lower their blood pressure.

Selection of antihypertensive drugs: If available.testimonialsoptionfrontlineThe five major classes of antihypertensive drugs: calcium antagonists ["diphenhydramine" (dihydropyridine) class predominates], angiotensin-converting enzyme inhibitors ("prilosec" class), angiotensin-converting enzyme receptor antagonists ("sartan " class), diuretics (thiazides mainly), and beta-blockers ("Lol" class), which are effective and safe.

Among them, combined with diabetes mellitus, preferred "Prilosec" or "sartan" class, there are ventricular hypertrophy, albuminuria, but also these two types of better; high systolic blood pressure is mainly, calcium antagonists, diuretics are better; fast heart rate, diastolic blood pressure is high, β-blockers can be Both.

In the case of second-degree or higher hypertension (blood pressure ≥160/100 mmHg), a two-drug combination should be considered at the outset, which can be chosen from a different broad class of drugsuniteFor example, "diphenhydramine" plus "prilosec" or "sartan", or a beta blocker, or a diuretic; or "prilosec" or "sartan" plus a diuretic, or a beta blocker. "or sartan plus a diuretic, or a beta blocker. The combination of Prilosec and Sartan is generally not recommended. More combinations of categories are possible if needed.

Antihypertensive treatment required to meet standardsThat means it's going to come down to140/90mmHg or lessIf you have a combination of diabetes and albuminuria, you should lower it to below 130/80 mmHg. If the combination of diabetes, albuminuria, should be lowered to 130/80mmHg or less; the elderly at first required to lower to 150/90mmHg or less, can be tolerated can be lowered again.

A few points to note here:

First, don't rush to lower your blood pressure too quickly. Generally speaking, it is better to drop to the target value within 2 to 4 weeks. This is safer and easier for the body to adapt to, called "make steady progress toward a goal"and it counts."Early attainment".

Second, the effect of lowering blood pressure is to be sustained, 24 hours a day to control blood pressure stable, especially early in the morning when blood pressure tends to rise(multiple cardiovascular events such as myocardial infarction, stroke)Lowering blood pressure up to the mark. Therefore, it is better to choose a long-acting medicine, once a day, which has a stable effect and is not easy to miss. Do."Early morning blood pressure up to standard","24-hour blood pressure compliance".

Third, after taking medication to lower blood pressure to reach the standard, we should adhere to the treatment, long-term control of blood pressure in the target rangeprofit from sth... Don't change medications frequently and don't take and stop taking them. Frequent changes in medication, the concentration of drugs in the blood and the body is not stable, the antihypertensive effect is not stable; antihypertensive drugs to eat and stop will lead to fluctuations in blood pressure, the damage to blood vessels and organs more serious. So antihypertensive treatment should be "Long-term compliance".

Fourth, for the elderly, the general blood pressure is higher than 150/90mmHg to start medication; 80 years of age or older, can blood pressure 160/90mmHg or more before starting medication, but also pay attention to small doses to start.

Otherwise, blood pressure should be monitored during treatment (and not measured too often for those who are particularly mentally stressed), and comorbid metabolic disorders and clinical diseases such as hyperlipidemia, hyperuric acid, hyperhomocysteine, diabetes mellitus, and coronary artery disease should be treated together.

In conclusion, hypertension treatment hasguidebookwithformulaBut in the end, it's all about the patient.individualizationMedication, therefore, requires good communication between the patient and the treating physician.

(Some images from the Internet)

Hypertension, because the cause of the disease can not be determined, so far, the world has not been a drug or treatment can be completely cured, that is to say, the treatment of hypertension is basically symptomatic, even if the blood pressure is reduced to normal does not mean that hypertension has been cured, so hypertension needs to adhere to the treatment of lifelong, to control blood pressure. Hypertension is not scary, but serious complications such as stroke and myocardial infarction brought about by hypertension, so patients with hypertension should adhere to the medication even if their blood pressure is reduced to the normal target value.

So what do you need to be aware of to keep your blood pressure smoothly within the target range? Pharmacists give you the following advice:

1. Psychological guidance:

Patients should maintain and control their emotions to avoid anxiety, depression, tension and over-excitement, which may trigger or aggravate hypertension.

2. Dietary guidance:

Give a low-calorie, high-quality protein, high-vitamin light and easy-to-digest diet, avoiding seafood, gas-producing foods and strong tea, coffee or spicy stimulating foods;

Consume less than 6g of salt per day, which means that the amount of salt used in a day should be less than the size of a beer bottle cap.

Animal offal, fish roe, mollusks, and shellfish, which can raise cholesterol and are risk factors for high blood pressure, should be eaten in small amounts.

Eat more fresh vegetables and fruits containing more vitamins and less fruits containing more sugar, especially pay attention to the dinner is not easy to overfill, and should not eat again after the meal. When using antihypertensive drugs containing diuretics, you should enter fruits containing high potassium, such as oranges and bananas. Prohibit snacking. Quit smoking, limit alcohol: no smoking, drinking alcohol <20-30g/day.

3. Guidance on rest activities

(1) Ensure adequate sleep.

(2) Hypertensive patients should have appropriate activities to minimize the maladaptive state of patients. Generally speaking, walking, cycling, tai chi and so on are better ways to exercise. The amount of exercise varies from person to person, and it is generally appropriate not to induce panic, shortness of breath and other uncomfortable symptoms.

(3) Avoid hot baths, saunas and other high-temperature environments to prevent blood pressure from dropping suddenly due to vasodilation and accidents.

4. Weight control

Being overweight is another risk factor for hypertension, so good weight control is very important for lowering blood pressure. We often use the body mass index (BMI) to evaluate this. Calculation: Body Mass Index (BMI) = Weight (kg) ÷ Height2 (m). BMI values for adults:

Too light: less than 18.5

Normal: 18.5-23.9

Overweight: 24-27

Obesity: 28-32

Very obese, over 32.

Patients can develop a weight loss program based on their body mass index, with goals and plans for weight control.

5. Drug selection for stabilizing blood pressure:

Long-term oral drug therapy is a key measure to maintain stability and reduce the risk of adverse cardiovascular events. If there is a change in his/her condition, he/she should seek prompt medical attention and should not change his/her medication regimen or discontinue the medication on his/her own. In order to effectively prevent target organ damage, it is required to stabilize blood pressure within the target range for 24 hours a day, including preventing a sharp rise in blood pressure in the early morning, so as to achieve a smooth lowering of blood pressure, protect the target organs and reduce the risk of cardiovascular and cerebrovascular events. Long-term regular antihypertensive therapy requires improved medication adherence. Another advantage of long-acting antihypertensive drugs is improved patient compliance with treatment. Therefore, it is preferable to use drugs that have a sustained 24-hour effect when administered once a day, one of the hallmarks of which is a drug that needs to be taken only once a day. The commonly used clinical antihypertensive agents include five classes: angiotensin-converting enzyme inhibitors (~pril), angiotensin II receptor antagonists (~sartan), calcium antagonists (~diphenyldipine), beta-blockers (~lol), and diuretics. Among them, captopril and nifedipine tablets, which are taken several times a day, are short-acting agents that are prone to blood pressure fluctuations if missed doses occur and should be avoided as much as possible. Amlodipine, Benidipine and most of the Prilosec and Sartans are good choices because they can lower blood pressure smoothly and continuously and can all be given once a day.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Thanks for the invitation!

Let me tell you a story. A doctor in our hospital named Xiao Chen, 32 years old, was found to have high blood pressure during a physical examination in his organization a year ago, when he had only been married for a short time. His blood pressure was found to be 153/95, which is not high, it is the lowest level of hypertension, and it was found at an early stage, so it is reasonable to say that he can lower his blood pressure without taking medication and improving his lifestyle. However, living a healthy life is not easy and requires strong willpower and execution. Besides, working in the hospital is already very tiring, and after work, I am basically a salted fish, so I don't have any intention to manage a healthy life! Neither want to take medicine, but also want to be a salted fish, Xiao Chen looked at the report card tangled for a long time, and finally told us: "do not take medicine, I want to live a healthy life, because my wife and I are planning to have a child, the preparation of the medicine is not good, it is a medicine three times poison, for the sake of the child, I have to insist!" In this way, he really insisted for half a year. After half a year, his blood pressure dropped to 129/83, and he started to prepare for pregnancy with his wife, who is now 3 months pregnant.

Let's take a look at how Dr. Chen Jr. lives a healthy life and brings his blood pressure down to the normal range!

I. Healthy diet is the foundation

I have to say, now the heavy diet is really too much, even if the doctor knows the harm of heavy diet, but also eat as it is, after all, ~ is really delicious ...... The former Dr. Xiao Chen is also a heavy diet, called takeout are not heavy. Since he began to live a healthy life, work dinner hall, off work at home to cook, eat are low salt, low oil, low sugar, and eat more vegetables, less meat.

I would like to emphasize to you once again that patients with high blood pressure must be low in salt, and some studies have shown that a low-salt diet can lower blood pressure by 2-8 mmHg.

Second, adherence to exercise is the key

The saying "I am like a salted fish after work" is really a true reflection of most people, and Dr. Chen is no exception. Later on, he insisted on running, and even dragged other doctors in the department to play ball together. We thought he could only stick to it for a few days, but we didn't expect him to stick to it for half a year. Later, not only did his blood pressure come down, but his whole body was much thinner and his muscles were firmer than before, and his whole temperament was different.

Some studies have shown that consistent exercise can lower blood pressure by 4-9 mmHg.

Third, avoid staying up as late as you can

Working in a hospital, staying up late is the norm, but there are many people who stay up late and play with their cell phones when they are not on the night shift. Dr. Chen liked to play games very much and often stayed up late to play games during his breaks. Later, he uninstalled the game app and asked his wife to supervise his sleep and finally developed a good biological clock.

Dr. Chen Jr.'s healthy living is all about these three points, and sticking to them lowers your blood pressure.If people smoke and drink habits should also be stopped, and if their weight is out of the normal range it should also be kept under control.By the way, one wouldn't think that Dr. Chan Jr. would be able to return to his old life just because he lowered his blood pressure? That's not true.After that, you also need to maintain a healthy lifestyle in order to maintain normal blood pressure.Otherwise, it would be a lost cause, but Dr. Chen has formed a habit, and it won't be too hard to stick to it later.

Healthy living is the foundation of controlling blood pressure. If you have high blood pressure that requires medication, you can take your medication and live a healthy life at the same time, and you will be pleasantly surprised by the results.

For people of different ages and conditions, there is no standardized criterion for "how much blood pressure is considered high". There are two main groups of standardized data, one is normal blood pressure, not more than 120/80mmHg; the second is high blood pressure, up to 140/90mmHg. The former is the range of blood pressure that all people can benefit from, and the latter is the diagnostic standard of high blood pressure. So, for people of different ages and conditions, how much blood pressure is considered high, and how to lower blood pressure safely, next, Medical Senlution will analyze for you.

How high is your blood pressure?

• For non-hypertensive people, blood pressure over 120/80mmHg is considered high. Even if the blood pressure is below 140/90mmHg and does not meet the diagnostic criteria for hypertension, it still exponentially increases the risk of cardiovascular events such as stroke and myocardial infarction. Therefore, it is recommended that non-hypertensive people try to keep their blood pressure below 120/80 mmHg to reduce the risk of cardiovascular events. Lowering blood pressure is based on lifestyle changes, with low-sodium and high-potassium diets, quitting smoking and limiting alcohol, exercising appropriately, and losing weight.
  
• Hypertensive people, if combined with diabetes, or has developed serious complications, blood pressure more than 130/80mmHg is considered high. For this group of people, diabetes and hypertension will synergize to damage the cardiovascular system and significantly increase the occurrence of complications; patients who have already developed serious complications should have their blood pressure strictly controlled in order to reduce the damage caused by blood pressure on the cardiovascular system. Therefore, for the above patients, 130/80 mmHg or less is the target for lowering blood pressure, and any value above that is considered high.
  
  
  
• Hypertensive patients, without diabetes or serious complications, are considered high if their blood pressure exceeds 140/90 mmHg for those under 65 years of age, and high if it exceeds 150/90 mmHg for those 65 years of age and older. This is because as age increases, the greater the drop in blood pressure, the less tolerable it is for hypertensive patients, and symptoms of ischemia in vital organs such as the heart, brain, and kidneys may occur. Therefore, for non-elderly people, blood pressure can be strictly controlled below 140/90mmHg, while elderly people should relax their target blood pressure appropriately.
  

How to lower your blood pressure safely

Hypertensive patients' blood pressure can be controlled within the target blood pressure, the lowering amplitude should not be too large, and the occurrence of hypotension should be avoided, especially for patients with carotid artery stenosis in advanced age, the lowering amplitude of blood pressure will induce cerebral infarction, and the starting small dose of drug can avoid the large fluctuation of blood pressure. Secondly, blood pressure should be lowered slowly, ordinary hypertensive patients should slowly reach the blood pressure standard in 4-12 weeks; patients with blood pressure higher than 180/120mmHg, combined with serious target organ damage, should lower the initial blood pressure by 25% in the first hour, and then slowly lower it to 160/100mmHg; patients with blood pressure higher than 180/120mmHg without combined with serious target organ damage should gradually lower their blood pressure to 160/100mmHg in 24-48 hours. If the blood pressure is higher than 180/120 mmHg without severe target organ damage, it can be gradually lowered to 160/100 mmHg in 24-48 hours, which can avoid the occurrence of hypoperfusion and ischemia of vital organs.

To summarize, for non-hypertensive people, blood pressure over 120/80mmHg is considered high; for hypertension combined with diabetes and serious complications, blood pressure over 130/80mmHg is considered high; and for hypertensive patients without diabetes or serious complications, blood pressure over 140/90mmHg is considered high for those under 65 years of age, and over 150/90mmHg is considered high for those 65 years of age and older. Safe blood pressure lowering can be achieved by lowering blood pressure slowly while reducing the risk of hypertension and avoiding hypotension.

Thank you all for reading!

We are looking forward to your attention and presenting more health knowledge to you!

Note: The images in this article come from the Internet, if infringement of copyright, please contact to remove. The content of the article is only as a health science popularization, not as a medical advice or opinion, and does not have the condition of medical guidance.

If you have regular medical checkups, blood pressure measurement is usually one of the most basic medical checkups. Typically, we say that the standard value of blood pressure is 120/80, and if it exceeds this value, there is often an elevated trend. And if the office measurement of blood pressure value more than 149/90, usually can be diagnosed as high blood pressure problems, and blood pressure systolic blood pressure in 121 ~ 139, diastolic blood pressure in the 81 ~ 89 between, belong to the normal blood pressure high value, but also worth to pay attention to.

Nowadays, many of our friends are equipped with electronic blood pressure monitors at home. Usually, the measurements of these blood pressure monitors are also accurate, but taking into account the possible measurement errors, if you measure your blood pressure several times at home and it is more than 135/85, you can be judged as having high blood pressure.

Sometimes our blood pressure is not so regular, sometimes it is simply high diastolic blood pressure, but the systolic blood pressure does not exceed the standard, for example, the blood pressure appears to be 130/95 such a situation, or simply elevated systolic blood pressure, but the diastolic blood pressure does not exceed the standard, for example, the blood pressure 150/85 such a situation, in these cases, we usually to elevated blood pressure to judge the blood pressure situation, and the goal of the blood pressure adjustment and control are also The goal of blood pressure adjustment and control is to lower the elevated diastolic or systolic blood pressure as much as possible, while minimizing the impact on other indicators.

For the problem of high blood pressure, we should not wait until the blood pressure exceeds the hypertension determination value of 140/90 before we start to pay attention to it. If in our daily life, we find that the blood pressure often exceeds 120/80, this time it means that our blood pressure has begun to show an elevated tendency, and it is the best time if we can give timely intervention to control it. Therefore, if you want to lower your blood pressure safely, the first thing you should pay attention to is that early attention and early treatment.

It is very important to detect elevated blood pressure as early as possible and intervene to control the problem of elevated blood pressure. This kind of intervention and control does not necessarily mean that we have to take medication and drugs to control it. Very often, changing some of the bad habits in our life will be conducive to the reduction of blood pressure. Low-salt diet, adjusting and maintaining a good dietary structure (such as DASH diet and Mediterranean diet), controlling obesity, adhering to exercise, maintaining a good work routine, maintaining a calm state of mind, quitting smoking and restricting alcohol, these good and healthy lifestyle interventions, for friends with high blood pressure but undiagnosed hypertension, will often have a good effect on lowering blood pressure.

For patients whose blood pressure exceeds 140/90 and is diagnosed as hypertension, if the blood pressure is not too high and has not exceeded 160/100 for mild hypertension, usually if it is a simple high blood pressure problem without diabetes or cardiovascular disease, it is also possible to consider not taking medication for the first time. The lifestyle intervention and conditioning as mentioned earlier is also applicable to patients with mild hypertension, and through self-discipline on life Through self-discipline in life, many times, it is possible to control the blood pressure to below 140/90, and it would be better if it can be reduced to below 130/80.

Life interventions to control and regulate blood pressure are also applicable to simple low-pressure hypertension, which usually occurs in middle-aged and young people. Mental stress and anxiety, obesity, unhealthy diet, dislike of exercise, smoking and alcoholism, and often staying up all night are all life influencing factors that lead to simple low-pressure hypertension, therefore, for simple low-pressure hypertension, by targeting the improvement of life, it also tends to have a better effect of lowering the blood pressure.

And for the blood pressure more than 160/100 moderate and severe hypertension, or through life regulation can not control the blood pressure of hypertensive friends, then the drug or timely and reasonable to take drugs to control blood pressure, the use of antihypertensive drugs have a few basic principles, briefly introduced, one is a low dose to start, mainly to gradually control the blood pressure, to avoid overdose to avoid excessive antihypertensive situation; two is recommended For moderate to severe hypertension, or single drug can not control the situation, it is recommended to combine the application of different mechanisms of antihypertensive drugs, synergistic antihypertensive effect is better; Third, personalized use of medication, according to the individual different circumstances, and contraindications to take medication, choose to take their own antihypertensive drugs. In the process of long-term medication, pay attention to the monitoring and measurement of blood pressure to ensure that the blood pressure can be smoothly controlled to meet the standard, is also an important aspect of safe blood pressure reduction.

Dr. Zhang has talked a lot about the prevalence of hypertension before. The number of people is so large that you can see how common it is by observing some of your relatives and friends around you. Although so many people suffer from hypertension, the rate of awareness and treatment of hypertensive patients is not high, not to mention the rate of standardized treatment, which must be even lower. I think it is the duty of cardiologists to make sure that every hypertensive patient receives standardized treatment, and it is also the unshirkable responsibility of scientists. Therefore, I will take great pains to discuss the standardized treatment of hypertension over and over again in the hope that we can spread the word so that more friends can benefit. So back to the question, how should hypertensive patients lower their blood pressure in the long run? Dr. Zhang believes that hypertensive patients should first distinguish between primary hypertension or secondary hypertension?


If the hypertension is secondary then the cause should be identified and the treatment targeted. For example, if the elevated blood pressure is caused by a pheochromocytoma, then we may recommend that you surgically remove the tumor, after which the patient usually no longer needs to take antihypertensive related medications.

And in the case of primary hypertension, we do have to consider the issue of lowering blood pressure in the long term. The treatment of primary hypertension is indeed like a long-lasting battle, requiring continuous treatment to achieve satisfactory results. As for the methods, Dr. Zhang has said it many times before: lifestyle modification and medication (required in most cases). Lifestyle adjustments include: low-salt, low-fat diet, balanced diet, weight control, maintaining a comfortable mood, quitting smoking and drinking, and moderate exercise. Pharmacological treatment, on the other hand, is often recommended for the following five drugs namely angiotensin converting enzyme inhibitors (Prilosec antihypertensive), angiotensin II receptor antagonists (sartan antihypertensive), calcium antagonists (diphenhydramine antihypertensive), beta-blockers and diuretics. Depending on the patient's condition, it is possible that several antihypertensive drugs may be used in combination. Please take your medication as prescribed by your doctor.

In patients with essential hypertension, long-term antihypertensive is really necessary to avoid the occurrence of target organ damage, as I mentioned above, I hope it can help you.

Currently, 1 in 4 people in our country suffer from high blood pressure.

The worst part is that most people don't realize that they are hypertensive because most hypertensive people don't feel any discomfort and so they don't go without measuring their blood pressure.

The standard for high blood pressure in our country and in Europe is 140/90, which means that high blood pressure is considered when it is higher than 140/90.

High blood pressure, if left unchecked, may cause cerebral infarction, cerebral hemorrhage, heart failure, kidney failure, myocardial infarction, and other dangers, so it is important to actively control blood pressure.

How can I lower my high blood pressure?

1. Healthy lifestyle

Healthy lifestyles are desirable with or without high blood pressure; even more so when high blood pressure is detected.

For newly detected Grade 1 hypertension, that is, when the blood pressure is below 160/100 and there is no cardiovascular disease of any kind, you can start by controlling your blood pressure through a healthy lifestyle.

Healthy lifestyle: stop smoking and drinking, low salt diet, high potassium diet, low fat and low sugar diet, weight control, aerobic exercise, regular rest and relaxation, reduce stress and so on.

2. Formal medication

For high blood pressure that cannot be controlled by a healthy lifestyle, or new onset of high blood pressure of 160/100 or more, or has been combined with diabetes, heart disease, kidney disease, etc., then this is the time to start antihypertensive medication immediately.

Antihypertensive drugs currently in routine use include: diphenhydramine, sartans, prilosec, diuretics, b-blockers, and so on. The specific choice of which antihypertensive drug to take, or several, depends on each person's specific blood pressure and co-morbidities.

In short, there are two ways to lower high blood pressure: healthy lifestyle + regular medication.

(Dr. Cardiovascular Wang officially authorized original protection, such as theft must be held legally responsible.)

I am a hypertensive patient!

I am a hypertensive patient and am taking my regular medication to lower my blood pressure. But I don't think I am a hypertensive person. Because I was taking half a tablet of my antihypertensive medication and in the morning without taking the medication, my blood pressure was high sometimes up to a hundred and something. So I consulted my doctor and stopped the medicine. However, on September 18th of the previous year, my blood pressure suddenly reached more than two hundred. So I was hospitalized urgently and all the instrumental tests were normal except for a cardio-mechanical bridge. After I was discharged from the hospital in seven days, the doctor advised me to take Betalucil and Rosuvastatin for a long time.

Until yesterday I was taking ten milligrams of Betalucil half tablets and 47.5 milligrams of Resuvastatin half tablets. My morning blood pressure was over 110 high pressure and 60 low pressure and was normal all day. Until yesterday afternoon at 5:00 pm, the high pressure suddenly reached 150, headache, panic, all kinds of discomfort. My family members persuaded me to relax, and after a while, my blood pressure came down. This happened a couple times last winter too. I think this is totally menopause for me.

Do you guys think I have high blood pressure?