The blood pressure of 190 here should mean systolic blood pressure up to 190 mmHg, and its treatment can not be generalized according to the patient’s past history, current medical history and individual differences. It is recommended that the patient consult a doctor in time to avoid blindly using antihypertensive drugs.
1. Previously poorly controlled blood pressure: If the patient has a history of hypertension, and long-term poor blood pressure control, systolic blood pressure rises to 190mmHg, if not accompanied by dizziness, headache, chest pain, chest tightness, poor vision and other discomforts, oral antihypertensive drugs can be retested blood pressure, such as blood pressure continues to not fall or discomfort symptoms are recommended to consult a doctor in a timely manner. If the blood pressure can be lowered, it is still recommended to adjust the antihypertensive medication on a regular basis to maintain the blood pressure at the standard for a long period of time.
2. People with good blood pressure in the past: People with good blood pressure control in the past and sudden and obvious increase of blood pressure due to triggers such as anger, exertion, etc., when the systolic blood pressure reaches 190mmHg, which is often accompanied by progressive cardiac, cerebral, renal and other important target organs’ insufficiency, should consult the doctor in time, and be given with intravenous antihypertensive treatment, which is often used in the former case, such as nitroprusside, nitroglycerine, labetalol and so on, intravenously. Care should be taken to avoid lowering the blood pressure too quickly and gradually reduce it to the usual level in the next 24-48 hours.
In the life of hypertensive patients, they should avoid exertion, great joy and great sorrow, so as not to have great fluctuation of blood pressure, which will destroy the endothelium of blood vessels and its elasticity, pay attention to monitoring blood pressure, and consult the doctor in time if there is any discomfort, do not be negligent, so as to avoid delaying or aggravating the condition.