Why does blood pressure fluctuate greatly after high blood pressure medication? Mostly related to 5 reasons, don't ignore

Relevant research surveys show that the incidence of hypertension in China has been rising in a straight line in recent years, and it has become the country with the largest number of hypertensive patients in the world, with the number of patients approaching 300 million.

　　However, in clinical practice in China, because the symptoms of early hypertension are not obvious enough and patients do not pay attention to it, the awareness rate and control rate of hypertension are very low, and nearly 1/2 of the patients have not been diagnosed and treated.

　　Among the patients who knew they had high blood pressure, 86.8% were undergoing treatment, but the treatment control rate was only about 37.6%. The average blood pressure control rate for all hypertensive patients combined was only 15.3%.

　　There are many hypertensive patients who have indeed cooperated with doctors to start taking medication after diagnosis, but their blood pressure control remains unstable and their blood pressure fluctuates too much. The reason for this is actually due to the following aspects:

1. Natural changes in blood pressure

　　Human blood pressure is actually unstable throughout the day, and it will be affected by many aspects such as sleep and activity. Typically, blood pressure is at its lowest level throughout the day in the middle of the night.

　　However, after waking up , the renin-angiotensin system is activated because the sympathetic nerves are in the excitatory phase , which leads to faster heartbeat and higher blood pressure. Under normal circumstances, patients with high blood pressure will usher in the first peak blood pressure period between 6-9 in the morning;

2. Improper medication

　　The most important thing for hypertensive patients to stabilize their condition is medication control. If the patient does not take medicine according to the doctor's instructions, such as often forgetting to take the medicine, reducing the antihypertensive drug on his own when the blood pressure is stable, and stopping the antihypertensive drug at will , it may lead to repeated fluctuations in blood pressure .

　　In addition, some hypertensive patients use one antihypertensive drug, and it is often difficult to control and stabilize blood pressure. In this case, a combination of drugs is required;

　　3. Life and diet, etc.

　　The treatment of hypertension is a comprehensive process, and medication is the basis for controlling blood pressure. However, on this basis, patients also need to pay attention to life conditioning, such as actively quitting smoking and drinking, maintaining regular sleep, maintaining a light and healthy diet, losing weight, exercising , and so on.

　　If the patient does not improve bad habits, even after medication, blood pressure may be unstable and even fluctuate repeatedly;

4. Climate

　　In fact, human blood vessels are very sensitive to changes in temperature. Although it has completely entered spring, the temperature in many areas in the north is actually not stable, and the temperature difference between day and night is relatively large .

When people are in a warm environment, the blood vessels are in a state of expansion and relaxation, but when they are suddenly stimulated by cold, the blood vessels will start to spasm and contract , resulting in a further increase in blood pressure and a heavier burden on the heart pumping blood;

　　5. Emotional

　　A related research survey has shown that there is also a close relationship between people's emotions and blood pressure. If a person is highly nervous for a long time, has a restless mentality, or is prone to anger , it will stimulate the adrenal glands, hypothalamus, etc., resulting in a large amount of hormone secretion, an instantaneous increase in blood pressure, and a disordered heartbeat . This emotional change is also one of the reasons for high blood pressure.

　　Finally, it should be emphasized that the control of high blood pressure should be adjusted from three aspects: medication, life and diet. However, the most important point is still medication. If the patient's blood pressure is unstable for a long time, even after life adjustment, there is no effect. They should seek medical advice in time to see if they need to change or combine medication.