In the outpatient department of the hospital, patients often say: I feel dizzy today. Is it hypertension when I take a blood pressure of 150/90 mmHg? Give me some antihypertensive drugs.
During the physical examination, some people took their blood pressure more than 140/90 mmHg. They were very worried that they would suffer from hypertension and rushed to the Department of Cardiology for treatment.
In fact, a rise in blood pressure cannot be diagnosed as hypertension.
No matter people with normal blood pressure or patients with hypertension, blood pressure fluctuates continuously during the day. Overwork, nervousness and anxiety, overexertion, cold or heat, cough, diet and hard defecation and urination will cause blood pressure to rise, and dizziness, headache and other reactions will occur in more sensitive people.
Also during the physical examination, if the environment is not good, in a hurry, queuing and other circumstances, may affect blood pressure. This temporary blood pressure rise, generally can be recovered, most do not affect health.
Step 1: See if your blood pressure is really high.
If blood pressure is found to be elevated, the measurement should be repeated first to ensure the accuracy of the results.
First calm down and rest for 10 minutes to half an hour, then re-measure 2 ~ 3 times according to the standard posture.
No matter whether the result is normal or not, repeat the measurement several times in the next few days to see if the result is normal.
If the blood pressure is greater than 140/90 mmHg for 3 consecutive times (measured on different days), be careful that it is really hypertension and go to the Department of Cardiology in time.
If the results always fluctuate between normal and abnormal, it is also better to go to the hospital and have a 24-hour ambulatory blood pressure when necessary to understand exactly how the blood pressure changes during the day, so that doctors can carry out the next step.
Step 2: Clear diagnosis and suit the remedy to the case
If it is really hypertension, don’t be depressed and don’t worry about taking antihypertensive drugs to lower your blood pressure. You should go to the Department of Cardiology to see if your blood pressure is primary hypertension or secondary hypertension.
People often say that [hypertension cannot be cured], generally speaking, it is essential hypertension, which accounts for the majority of hypertension. There is also a category of secondary hypertension, which is hypertension caused by other diseases. After the disease causing hypertension is cured, blood pressure is likely to return to normal.
Diseases such as nephropathy, endocrine diseases and vasculitis may cause hypertension. When diagnosing hypertension, doctors will choose appropriate examinations according to the patient’s situation to clarify the cause of hypertension and facilitate the next treatment.
Step 3: Take medicine under the guidance of a doctor.
Many friends still have this idea: when they find that their blood pressure rises, they ask their friends with hypertension to take what medicine and then choose the same medicine themselves. This is very bad for two reasons.
1. Some hypertension can not take medicine first,
Whether hypertension requires taking medicine depends not only on the level of blood pressure, but also on the risk of cardiovascular accidents.
Doctors will refer to the patient’s age, whether there is a heart disease patient at home, whether there is obesity, hyperlipidemia, diabetes, etc., but also do some tests to understand the health of the heart and blood vessels. Sometimes you will see the diagnosis writing [hypertension level 1, moderate danger] such words, is the doctor’s judgment of hypertension level, and the degree of danger.
If you are interested, you can click to read this article < < just found hypertension, do you need to take medicine? > > Understand the judgment method.
The risk level varies, and the follow-up treatment is also different. For patients with low risk, you can try not to take medicine first and control your blood pressure by improving your lifestyle.
2. Taking what medicine requires doctors to judge
There are many kinds of antihypertensive drugs.
Diuretics, such as hydrochlorothiazide, spironolactone, etc.;
In addition to these types of first-line drugs, there are also some traditional compound preparations and new compound preparations.
In addition, drugs such as aspirin and statins, although not lowering blood pressure, are helpful to prevent cardiovascular and cerebrovascular accidents, and doctors are also required to decide whether to take them to patients after measuring the risks.
Different types of drug side effects, taboos are different, doctors will be based on guidelines and experience to choose. Side effects, such as low potassium after diuretics, lower limb edema when taking calcium antagonists, etc., will also adjust the medication in time.
Therefore, we must not buy or take these prescription drugs on our own so as not to cause harm to our bodies.
The causes of hypertension are very complicated. It is not an overnight thing to control blood pressure, but it is always the safest and most effective way to seek help from doctors and cooperate with them in time.
If you have a friend who finds his blood pressure high and does not know what to do, please remember to send this article to him.