Hypertensive patients, if blood pressure is unstable, we must find out the reason behind it as soon as possible
In recent years, with the increasing prevalence of hypertension, people's awareness of hypertension is also increasing. For hypertensive patients, in addition to taking antihypertensive drugs to stabilize blood pressure on weekdays, it is also necessary to avoid some factors that are likely to cause blood pressure to rise to help stabilize blood pressure, prevent the deterioration of the condition, and avoid causing a series of cardiovascular and cerebrovascular diseases. Generally speaking, the patient's blood pressure fluctuates, such as staying up late or changing temperature.
For hypertensive patients, the most important thing is to control blood pressure in place, which is the premise of everything. Controlling blood pressure is not the lower the better, but the blood pressure should not fluctuate too much, which is more harmful than pure high blood pressure. Hypertensive patients should aim to stabilize blood pressure and control blood pressure within a reasonable range. However, some hypertensive patients simply cannot control their blood pressure. For hypertensive patients, unstable blood pressure is not a good thing, and it is necessary to find out the reasons behind it as soon as possible.
The causes and treatment of unstable blood pressure
1. Not taking medicine on time
In order to stabilize blood pressure and keep it within a reasonable range, active treatment is necessary, which means that antihypertensive drugs should be taken on time and according to the amount. Some people feel that they are almost better, and the symptoms are not as severe as before, so they can reduce the dose at will or stop the drug directly. This is the wrong thing to do, and stopping or reducing the drug at will can increase blood pressure.
After the diagnosis of hypertension, long-term medication should be adhered to, and attention should be paid to monitoring the fluctuation of blood pressure at any time. Once abnormal blood pressure is found, seek medical attention in time, and adjust the medication regimen if necessary. In addition, we must pay attention to regular review of organ damage and vascular disease, so as to adjust the medication plan in time according to the development of the disease. These are the keys to ensure that antihypertensive drugs can maximize the antihypertensive effect and control the pressure stably for a long time.
2. Living and eating habits
Blood pressure is still unstable and has to think about my lifestyle. Among them, common reasons include excessive sodium intake and uncontrolled diet. Smoking, sedentary, lack of exercise. High-pressure life, long-term accompanied by anxiety and other negative emotions. Long-term staying up late, insomnia, overwork, etc., can lead to uncontrolled blood pressure.
High blood pressure cannot rely solely on the antihypertensive drugs prescribed by doctors, and a healthy life is also essential. Patients with high blood pressure are required to eat a reasonable diet, low sodium and high potassium diet, eat less animal food, and eat more fruits and vegetables. Quit smoking and drinking, increase exercise, and do moderate exercise every day. Beware of arrogance, learn to release pressure, and maintain a peaceful mind. Regular work and rest, ensure sleep, combine work and rest, and ensure adequate rest.
3. Other diseases
For patients whose blood pressure has been poorly controlled, some special cases should be considered, such as pseudo-hypertension, that is, the blood pressure indirectly measured by the sphygmomanometer from outside the body is higher than the normal value, but the blood pressure directly measured by arterial puncture is actually normal. Such patients are more common in the elderly and are caused by arteriosclerosis . In addition, secondary hypertension is also included, that is, hypertension secondary to other diseases.
Generally, blood pressure can be lowered only after the primary disease is controlled, and the effect of antihypertensive drugs is not obvious. False hypertension , the blood pressure measured clinically is higher than that measured at home, and is caused by stress. Orthostatic hypertension is an increase in blood pressure due to changes in body position. Drug-induced hypertension , taking certain drugs can also cause high blood pressure, such as antipyretic analgesics, ephedrine, licorice tablets, antidepressants, etc.
Patients with newly diagnosed hypertension, especially young patients, and patients with chronic hypertension or severe hypertension without target organ damage, should be further examined to exclude the possibility of special types of hypertension. For hypertensive patients, once abnormal fluctuations in blood pressure are found, they should seek medical attention in time to find out the cause.
Reminder: For most hypertensive patients, reducing damage to other vital organs and prolonging life is the ultimate goal of treating hypertension. Therefore, the blood pressure can be reduced to below 140/90 mmHg, indicating that the goal has been achieved. In order to achieve this goal, on the basis of improving lifestyle, the combined use of drugs with good effect and less side effects should be used to treat hypertension.
In addition, hypertensive patients should control blood pressure, but blood pressure should not be too high, and blood pressure fluctuations should not be too large. Hypertensive patients should follow the doctor's advice, take active and reasonable treatment, and take antihypertensive drugs on time and in quantity. Regular adjustments should be made in life, including diet, exercise and some lifestyle habits to help control blood pressure.