Can I make decisions about my blood pressure?

  Outpatient clinics often have young people coming to see hypertension, many are found to have high blood pressure during physical examinations, and usually have no obvious symptoms, and look very anxious, “Is the diagnosis wrong? Is it too early to take medication? Is there a way to lower blood pressure without medication?” According to the China Cardiovascular Disease Report, the total number of hypertensive people in China is 300 million, of which nearly 200 million are mildly hypertensive. With the emergence of electronic blood pressure monitors, some hypertension management software and apps can help record blood pressure, which brings great convenience to hypertensive patients, so in the Internet era, learn to be a smart hypertensive patient, especially light hypertensive patients, by monitoring their blood pressure, adjusting their diet, changing their lifestyle, with medication, can do “my blood pressure I am in charge”.  I. Blood pressure curve To be a smart hypertensive patient, you must first understand your blood pressure curve, you can use some hypertension management software and app to record the fluctuation of blood pressure during the day, when the peak occurs and how long it lasts. Normal blood pressure shows a daytime high and nighttime low, with a rapid rise in blood pressure starting early in the morning around the time of awakening, a condition known as the “morning peak”. However, some people have high blood pressure in the afternoon, and some patients have high blood pressure at night, so the blood pressure curve is not set in stone, but varies from person to person.  The specific practice of recording blood pressure curve: 1, choose a relatively free day, every half hour ~ 1 hour to measure blood pressure; 2, the measured blood pressure data into the high blood pressure management software (such as high blood pressure manager), these software automatically make the daily blood pressure curve; 3, choose the peak time to measure blood pressure, to understand the daily blood pressure high value, make a weekly blood pressure curve and monthly blood pressure curve.  Second, accurate measurement of blood pressure home self-measurement of blood pressure is recommended to use the upper-arm electronic blood pressure monitor, talk, meal can make blood pressure rise 20%, defecation can make blood pressure significantly higher, so before measuring blood pressure to sit and rest for at least 5 minutes, and then start measuring blood pressure, the cuff and heart at the same level, both legs relaxed to the ground. Each measurement of blood pressure value is different, often the first time the highest, it is recommended that each measurement of blood pressure should be measured 2-3 times in a row, each interval of about 1 minute, and then take the average, so that the calculated blood pressure value will be more accurate, if the first time particularly high, do not use.  Third, hypertension diagnosis criteria According to China’s home blood pressure monitoring expert consensus, home self-measurement blood pressure during the day when the average value of ≥ 135/85 mm Hg can confirm the diagnosis of hypertension, <130/80 mm Hg is normal blood pressure.  Fourth, non-pharmacological treatment For the initial onset of hypertension, subhealth-induced hypertension, mild hypertension, through a healthy lifestyle, to achieve lower blood pressure is feasible, these measures include: salt reduction, weight loss, pressure reduction, quit smoking, quit drinking, more exercise, more fruits and vegetables (refer to the article I wrote: hypertension can be lowered without drugs?) .  In conclusion, with the popularization and promotion of smart medicine, hypertensive patients should learn to manage their blood pressure and achieve blood pressure control through diet and lifestyle modifications with the use of medications under the advice of their doctors.