What about high blood pressure in young people?

  The cause of hypertension in young people should be clarified, whether it is primary or secondary, to improve lifestyle, to treat the cause, and to take antihypertensive drugs if necessary.  Hypertension in young people, first of all, to clarify whether it is really hypertension, an increase in blood pressure is not enough to diagnose hypertension, measurement of blood pressure in the upper arm brachial artery area when sitting at rest quietly, generally need to be measured on non-same day three blood pressure values systolic pressure (high pressure) are ≧ 140mmHg and (or) diastolic blood pressure are ≧ 90mmHg can be diagnosed hypertension. 24-hour ambulatory blood pressure monitoring is also feasible. Second, to identify primary or secondary, perform ultrasound of both renal arteries and CT of the adrenal glands, RAAS system, aortic CTA and cortisol rhythm and other tests to rule out secondary hypertension. Finally, if the cause of secondary hypertension is clear, treatment will be directed at the cause; if it is primary hypertension, for mild hypertension that appears early, hypertension can be controlled entirely by non-pharmacological treatment such as salt reduction, weight reduction, alcohol cessation and exercise; however, for severe and long-term hypertension, antihypertensive drugs are still the main treatment measures, although lifestyle adjustments can reduce the amount of drugs. Specific measures are: 1, salt reduction and salt restriction: the World Health Organization recommends that each person’s daily salt intake does not exceed 6g (equivalent to a beer bottle cap), if you can control salt to meet the standard, then blood pressure can be reduced by 2-8mmHg. 2, balanced diet: encourage patients to eat more fresh vegetables, fruits, fish, coarse grains, beans and soy products, skim milk and other foods rich in potassium, calcium, dietary 3. Quit smoking and limit alcohol: Tobacco directly causes atherosclerosis, and long-term smoking increases the incidence of cardiovascular disease and death; you should take the initiative to quit smoking and refuse second-hand smoke. Control daily alcohol intake, men <25g, women <15g. If the daily limit of alcohol consumption to meet the standard, blood pressure can be reduced by 2-4mmHg. 4, weight control: reduce weight can reduce blood pressure, which has been clearly verified. It is recommended to control body mass index (BMI) below 24kg/m2 and waist circumference <90cm for men and <85cm for women. 5.Adhere to exercise: Aerobic exercise is recommended. If regular and moderate exercise, 5-7 times a week for 30 minutes each time, blood pressure can be reduced by 4-9 mmHg. 6, peace of mind: Whether it is negative emotions such as sadness, anger, anxiety, depression, or positive emotions such as excitement and agitation, it is not conducive to blood pressure control. Therefore, hypertensive patients should pay attention to maintain an optimistic state of mind, handle things without panic, calm and comfortable, to learn to "watch the flowers bloom in front of the garden, look at the clouds rolling in the sky" mentality. If the blood pressure in hypertension level 2 or higher (systolic blood pressure ≧ 160mmHg or diastolic blood pressure ≧ 100mmHg) patients, or combined with diabetes, already have heart, brain and kidney organ damage or complications, as well as blood pressure continues to rise, after improving lifestyle blood pressure is not effectively controlled, you need to take medication, to the hospital to choose a reasonable antihypertensive drugs, and regular medication, daily monitoring of blood pressure and Heart rate and blood pressure should be monitored daily. Currently, the target value of blood pressure control is <140/90 mmHg. Young people with hypertension must pay attention to it, and should seek timely medical consultation to identify the cause, treat the cause, improve lifestyle, take medication regularly, and monitor blood pressure and heart rate daily.