Blood pressure control in patients with cerebrovascular disease

  Patients with cerebrovascular disease, whether cerebral infarction, stenosis, smog or cerebral aneurysm, may have more or less combined problems of hypertension. Long-term hypertension is an important cause of cerebrovascular disease. Even in patients after surgery such as stenting/bypass, hypertension, especially sudden fluctuations in blood pressure, can still trigger the recurrence of cerebrovascular disease. It is essential to keep an eye on the status of your blood pressure.  There are many factors that affect the fluctuation of blood pressure, such as the amount of salt intake, weather changes, physical fatigue and staying up late, emotional stress, and whether the antihypertensive drugs are taken regularly.  1, high pressure 140 / low pressure 90 is the ideal upper limit of most hypertensive patients can accept, more than the timely adjustment; 2, reduce salt intake / cold weather, pay attention to warmth / avoid staying up late; 3, some patients often ask me, now that the blood pressure is stable, whether you can stop antihypertensive drugs. In fact, the blood pressure is stable is an indication of the effectiveness of antihypertensive drugs, stopping the drug is likely to cause fluctuations in blood pressure. It is feasible to cautiously reduce the medication, but there must be a doctor’s guidance.  4, timely blood pressure monitoring is necessary. You can buy a small electronic blood pressure monitor at the pharmacy – you must be able to operate the kind yourself, a few hundred dollars, not expensive. Use a small book to record the blood pressure situation every morning and evening regularly as well as the time to take antihypertensive drugs, you can see a general blood pressure trend.  5, the details of the regulation of blood pressure problems need to cardiology to see a doctor.