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Several common points in the treatment of hypertension

2021.08.21 / Saturday
Several common points in the treatment of hypertension

 




Point 1: If there is no feeling, there is no problem?


After the blood pressure rises, you will feel headache, dizziness, tinnitus, and insomnia. But some people don't feel anything, it's like boiling a frog in warm water, slowly rising up but not uncomfortable.

So there is no problem if there is no feeling?

No feeling does not mean no harm! By the time myocardial infarction, cerebral infarction, or cerebral hemorrhage is felt, it may be too late. Therefore, if the blood pressure rises, you should take medicine no matter whether you feel it or not.




Point 2: Is the lower the blood pressure the better?

The systolic blood pressure is best maintained between 110~140mmHg. If it is too high or too low, complications and mortality will increase. This is the J curve of the famous antihypertensive treatment.
By the same token, the diastolic blood pressure is best maintained between 70~90mmHg.


Point 3: Once the blood pressure is found to rise, should it quickly drop to normal?


Blood pressure is gradually rising, and blood pressure should also be gradually reduced.

Except for emergency situations such as hypertensive crisis, it is not recommended to quickly and drastically reduce blood pressure, otherwise it will cause accidents such as cerebral hypoperfusion. It can also cause sympathetic nerve excitement and induce cardiovascular and cerebrovascular diseases.


For hypertensive emergencies, the blood pressure can be slowly reduced to 160/100mmHg within 24 to 48 hours, and intravenous medication is generally not required.