An introduction to elevated blood pressure

  Recently, I have seen many young patients are asking what they should do when they just found elevated blood pressure, now together with the following answer for reference: blood pressure everyone has, without blood pressure life would not exist. Only with the improvement of technology, people found that blood pressure is higher than a certain level for a long time, the heart, brain, kidneys and other organs are not conducive, prone to stroke, heart and kidney failure and other symptoms, and with the results of large-scale clinical trials suggest that control of blood pressure to a certain extent, can significantly reduce the occurrence of stroke, heart failure, kidney failure, thus, lowering blood pressure only increasingly show its importance. Decades ago, the blood pressure exceeded 160/90mmHg before the need for medication, while the current standard of more than 140/90mmHg is hypertension, and even found that the closer to 110/70mmHg the less dangerous the heart, brain and kidney. At the same time, it should be known that everyone’s blood pressure fluctuates every day, generally speaking, there are two blood pressure peaks at 8-9 a.m. and 5-6 p.m. Moreover, normal people’s blood pressure can exceed normal values for a short time under conditions such as stress, poor rest, exercise, severe climate fluctuations, and cervical spondylosis attacks. Therefore, it is very common for blood pressure to rise occasionally and there is really no need to be overly nervous.  So, what is considered hypertensive disease?  Medically, in order to determine whether a person is really suffering from hypertension, one must have a blood pressure higher than 140/90mmHg more than three times at different times, in different places (i.e. different environments), and with different instruments (i.e. not the same measuring instrument, to avoid errors as much as possible) before the disease can be considered. Of course, these are mainly for young people, for some elderly people who usually do not physical examination, until the emergence of heart failure, kidney failure or stroke, etc., then in the clinic can be directly diagnosed as hypertensive disease (and with organ damage, that is, hypertensive disease stage III) According to the survey, there are more than eighty causes of elevated blood pressure, with genetics, age, race, personality, gender, environment, diet, occupation, climate, emotions, sleep And so on all have a relationship.  In fact, after excluding the measurement error factor and excluding 10% – 20% of secondary hypertension, the so-called primary hypertension, in fact, is caused by the above-mentioned factors, to put it bluntly, that is, unexplained, is a syndrome, because it is not caused by any particular cause, such as genetics, age, race and other factors are also you Therefore, if you find that your blood pressure is elevated, after trying to correct certain correctable factors such as stress, poor sleep, alcohol abuse, high salt diet, reduced activity, obesity and other factors, if your blood pressure still exceeds 140/90mmHg, you will have to use medication to control your blood pressure.  It does not mean that you should take medication as soon as you find out that your blood pressure is elevated.  First of all, you should try to control the above factors that can be changed, such as low salt diet, increasing activity, controlling blood lipids and blood sugar, and abstaining from smoking and limiting alcohol, etc. After 1-3 months, if your blood pressure is still high, you should go to the hospital for examination to rule out 10-20% of secondary hypertension caused by endocrine and renal causes. Even if it is clear that it is primary hypertension, there is no need to be overly nervous. Experiments have shown that the life expectancy of hypertensive patients with normal blood pressure control is the same as that of normal people. At the beginning, if there is no combination of high blood pressure, high blood sugar, high uric acid and so on, or the dizziness is not obvious, you can completely observe for many months, or when the weather gradually becomes colder, you can start to take antihypertensive drugs, or when the dizziness symptoms are obvious, take some Chinese medicine such as Tianma pill, Songling blood pulse Kang or prescribe some pacifying liver and submerging Yang, tonifying liver and kidney, calming liver and quenching wind Chinese medicine soup to take to reduce symptoms. Remember: once you start taking western antihypertensive drugs, it is recommended to take them for life!  Of course, in the early stage of elevated blood pressure, you can take the above-mentioned herbal tonics or herbal medicines to reduce the symptoms.  In fact, in real life, there are also many people who usually prefer to use some white chrysanthemum, wolfberry, cassia, asparagus, maitake, etc. to make tea for health care, or to take during the treatment of hypertension, which can also be used to some extent to lower blood pressure or reduce symptoms, in addition to giving full play to the role of Chinese medicine systemic conditioning, improving the internal environment and protecting organs. However, to bring down the blood pressure index and to control it for life, it is still more convenient and less forgettable with western medicine. What’s more is that every country currently has blood pressure control guidelines that stipulate in which period that drug must be used and it is unethical not to use it, because these are summarized after tens of thousands or hundreds of thousands of cases. In fact, there are many Chinese medicine antihypertensive effect is also very good, maybe long-term use more to protect the heart, brain and kidney, but due to the lack of large-scale clinical trial data, can only be used in conjunction with the clinical, which can not be said to be a pity, but also pending domestic large enterprises in this area to increase research, and truly play the advantages of Chinese medicine.  Before taking regular antihypertensive drugs, you should also monitor blood pressure changes at the right time.  If the blood pressure does not drop for a long time, or fluctuates greatly, or when the symptoms are obvious and accompanied by other symptoms, you should promptly go to the hospital specialist examination to avoid delaying the condition. It is important to know that there are many clinical causes of dizziness, such as cervical spondylosis, cerebral blood supply deficiency, anemia, overexertion, brain tumors, cardiac arrhythmia, including hypotension, etc. Patients with high blood pressure do not necessarily have dizziness and other symptoms, and patients over 50 years of age should be more vigilant and seek timely medical consultation for a clear diagnosis and early treatment.