High blood pressure requires lifelong medication? Doctor: Not necessarily, these three types of patients may be able to stop the drug according to the situation!

Do you know which type of chronic disease is the most common in China today? The answer is only three words: high blood pressure!

　　Relevant data surveys show that in recent years, affected by changes in living environment, diet and living habits, hypertension in China has entered a period of high incidence, and the total number of patients has reached nearly 300 million . Among these patients , more than 90% belong to patients with essential hypertension . Not only that, but in recent years, hypertension has gradually shown a trend of younger people.

　　But even if the situation of hypertension is so severe, the diagnosis rate of hypertension in China is not high.

　　Because early hypertension basically does not have any symptoms, or just patients occasionally have symptoms such as headache and dizziness , it is difficult to link these symptoms with hypertension itself without professional examination. 50% of hypertensive patients are undiagnosed.

　　Because of this, many people mistakenly believe that as long as high blood pressure has no symptoms, it does not need treatment. As everyone knows, the purpose of hypertension treatment is never to control the increase in blood pressure itself, but to stabilize the blood pressure to reduce the probability of later hypertension complications . Therefore, the vast majority of diagnosed hypertension patients require long-term or even lifelong medication.

　　Of course, there are exceptions to this situation. The following three types of patients can also stop the drug if they meet the conditions:

1. Patients with mild hypertension

　　Essential hypertension is clinically divided into three grades. The so-called mild hypertension refers to that the arterial blood pressure exceeds the normal fluctuation value, but the blood pressure is maintained between 140/150~90/99mmhg .

　　If the patient is relatively young, such as under the age of 40 , the blood pressure can be adjusted and stabilized through life intervention , such as actively quitting smoking and drinking, maintaining good sleep habits, controlling weight, adjusting diet and sleep , etc., and the blood pressure gradually returns to the normal range. In this case, the patient does not need to use drug control;

　　2. Secondary hypertension

　　The so-called secondary hypertension refers to the type of hypertension that can be identified in patients through current medical technology . This kind of high blood pressure, if the blood pressure rises high, the patient does need to take antihypertensive drugs for treatment, but this is not lifelong .

　　If the cause has been identified, after effective treatment, the cause can be removed or the development of the disease can be controlled, and the hypertension as a secondary symptom can be cured or significantly relieved . In this case, the patient also No need for long-term or lifelong medication;

3, blood pressure is too obvious

　　If the patient's blood pressure increases, but after a period of medication, the blood pressure decreases too significantly, for example, the blood pressure index is lower than 120/ 70mmHg , or it is persistently lower than 100/60mmHg, or even symptoms of hypotension have appeared , such as Frequent dizziness, dark eyes , etc.

　　In this case, the patient cannot blindly continue the medication control, but needs to adjust the medication under the guidance of the doctor, reduce the dose, change the medication or stop the medication for a period of time , and then fully observe the blood pressure. Diagnose and adjust medication again.

　　Finally, it should be emphasized that the vast majority of patients with essential hypertension will be long-term or even lifelong once they start taking medication.

　　If the patient arbitrarily increases or decreases the dosage of the drug, or stops the drug, it may cause abnormal blood pressure fluctuations, which has no benefit to the disease control. Therefore, whether the patient needs to reduce the medication and whether to stop the medication should follow the doctor's advice and arrangements, and should not proceed blindly.