High blood pressure around 4 p.m. may be caused by physiological factors such as emotional excitement, or by pathologic factors such as hypertension. Blood pressure can be lowered through lifestyle adjustment and medication.
1. Physiological factors: Drinking strong tea or coffee before measuring blood pressure at 4 p.m. and emotional excitement can cause sympathetic nerve excitation, leading to high blood pressure. It is also possible that the blood pressure of normal people fluctuates constantly, and the peak time for blood pressure is from 4 to 8 p.m. Therefore, high blood pressure occurs around 4 p.m. Usually, no special treatment is needed. Generally, no special treatment is needed, and after a period of time, the blood pressure can return to normal.
2. Hypertension: Hypertension patients’ own blood pressure fluctuation can be manifested as high blood pressure around 4 pm. Patients should consult the doctor in time, and can be treated by adjusting their lifestyles, such as eating a light diet, reducing the intake of foods with sodium and fat content, controlling body weight, and exercising appropriately. Antihypertensive drugs such as calcium channel blockers (e.g. nifedipine) can also be applied to lower blood pressure as prescribed by the doctor.
There are a variety of reasons that can lead to patients with high blood pressure measurements around 4 p.m. After excluding physiological factors, they should go to regular hospitals in a timely manner and receive standardized treatment under the guidance of a doctor in order to avoid delays in their condition.