Poor blood pressure control is most often due to the following

  At present, the number of people suffering from hypertension in China is close to 300 million, and the diagnosis rate, treatment rate and treatment attainment rate of hypertension are not high. A considerable number of patients rarely monitor their blood pressure even though they know they have high blood pressure. Some people think, “I have high blood pressure, as long as I take the medicine, I will not be afraid. In fact, a significant number of patients have poor blood pressure control. Let’s take a look at some of the poor lifestyle or habits that affect blood pressure control are the following.  First, smoking: smoking can also make the blood vessel constriction, vascular resistance increases, blood pressure continues to rise, not easy to control. Patients with hypertension who have smoking habits, the sensitivity to antihypertensive drugs is reduced, the same use of drugs than non-smokers to poor results. In addition, smoking promotes the formation of atherosclerosis, so advise patients with hypertension who smoke to strictly quit smoking.  Second, a lot of alcohol, coffee: there is a causal relationship between alcohol and hypertension, blood pressure control is not good, the patient had better quit drinking. As for caffeine, hypertensive patients should drink less caffeinated beverages, it is best not to drink.  Third, excessive salt intake: 60% of hypertension in the Asian population is salt-sensitive, dietary sodium intake increases by an average of 2g per day, systolic and diastolic blood pressure increases by 2.0mmHg and 1.2mmHg respectively. limiting salt intake is particularly important for blood pressure control in patients with hypertension in China. In addition to visible salt, daily consumption of soy sauce, monosodium glutamate, seasoning sauce, cured meat and bacon, ham and sausage, squash and curd are also foods with high salt content. And noodles, noodles, cookies, cakes, bread, potato chips, potpourri, spicy strips, preserves, dried fruit, cereals, sports drinks, salt content is also quite a lot.  Fourth, the intake of high-sugar, high-fat food: this diet can increase cholesterol, abnormal blood lipids, the formation of atherosclerosis, aggravate hypertension, but also makes it more difficult to control blood pressure. Our guidelines recommend a diet based on fresh fruits, vegetables, low-fat dairy products, whole grains rich in edible fiber, plant sources of protein, and reduce saturated fat and cholesterol intake.  Fifth, obesity: our population is prone to the accumulation of abdominal fat. Abdominal fat accumulation is more likely to cause hypertension, dyslipidemia and diabetes. There are literature reports, at least 75% of the occurrence of hypertension and obesity-related. In addition, obese people are more likely to appear respiratory sleep apnea syndrome, aggravating the deterioration of blood pressure, so that the antihypertensive effect is poor.  Sixth, the amount of exercise is not enough: Although we usually feel more tired work, life, but the real amount of exercise is far from enough. While aerobic exercise can reduce systolic blood pressure by 3.84 mmHg and diastolic blood pressure by 2.58 mmHg. After participating in exercise, the reduction in vascular resistance of the circulatory system, plasma adrenaline and renin activity is the main reason for the decrease in blood pressure. We recommend a total of 30-60 minutes of moderate intensity exercise, such as walking, jogging, cycling, swimming, etc., 4-7 days a week, in addition to the activities of daily life.  Seven, irregular work and rest, staying up late: staying up late and insomnia will disrupt the body’s biological clock and destroy the circadian rhythm of blood pressure, which directly affects the effect of lowering blood pressure. Therefore, hypertension patients must pay attention to the quality of sleep, usually should try to avoid staying up late, regular life, work and rest.  Eight, poor psychological state: the occurrence of hypertension is closely related to psychosomatic factors, psychological factors are also vital to maintain the stability of blood pressure. The survey found that about 70% of hypertensive patients have varying degrees of tension, upset, irritability and other emotions, and increased psychological stress can cause anxiety, depression, causing imbalance in the excitation-inhibition system of the cerebral cortex, increased sympathetic nerve activity, vasoconstriction, spasm; at the same time can increase blood viscosity, increasing the risk of thrombosis. Strong personality, stubborn, argumentative, impatient, irritable, etc., are also important factors that lead to blood pressure not easily controlled.  Nine, drug-induced increase in blood pressure: clinically used non-steroidal anti-inflammatory drugs (NSAIDs), may raise blood pressure. Some decongestants are known to raise blood pressure. Such as drugs for the treatment of psychiatric disorders, corticosteroids, oral contraceptives, immunosuppressants and some antineoplastic drugs. When these drugs are taken together, the patient’s blood pressure is often poorly controlled.  Ten, taking health care or nutritional products: some TV and radio widely marketed health care products, nutritional products claim to have the effect of lowering blood pressure. However, we should know that health supplements cannot replace antihypertensive drugs in the treatment of hypertension, and blindly changing drugs can lead to blood pressure fluctuations and even cardiovascular and cerebrovascular events. Some drugs even contain ingredients of antihypertensive drugs with high side effects, which are very harmful to the body. And some other herbs, such as licorice, may raise blood pressure. It is also important to pay attention to drug interactions to avoid affecting the effectiveness of antihypertensive drugs.  Hypertension is a chronic disease, but also a lifestyle disease, in the case of poor blood pressure control requires a comprehensive analysis, systematic examination, to find out the reasons for poor blood pressure control, especially some lifestyle factors. On the basis of taking medication on time, pay attention to correcting the bad habits in life so as to truly and effectively manage blood pressure.