Is it necessary to take antihypertensive drugs when diagnosed with high blood pressure? To effectively prevent and control hypertension, learning these 4 points is the key

Friends with high blood pressure, how much do you know about high blood pressure? How much do you still don't understand?

In our country, with the substantial improvement of people’s living standards and the acceleration of the pace of life, people’s lifestyles have gradually entered a state of high-calorie diet, less exercise consumption, and high mental stress, resulting in high blood pressure The prevalence of the disease is gradually increasing and is becoming younger.

Hypertension is mainly divided into two types: secondary and primary.

primary hypertension

The vast majority of hypertension is essential hypertension, that is, hypertension without a definite cause. So how is essential hypertension caused? In fact, most of them are caused by small things in daily life, such as eating a little more food, eating a little saltier, less exercise, mental stress, obesity and other problems, which will increase blood pressure. Of course, it is not to say that blood pressure will rise one day like this. These bad habits will gradually occur over time as these bad habits accumulate.

Some people may ask, why my living habits are good, but I still have high blood pressure?

excludes bad living habits, and there is another very important factor, which is age. Although it is said that no matter it is high blood pressure, high blood fat, high blood sugar, there is a trend of younger people, which is caused by bad living habits. But in general, the main population of the "three highs" is still middle-aged and elderly people, because the blood vessels will become stiff when they are older. After the blood vessels have served you for decades, they are more likely to have thicker walls and luminal changes than young people. The blood pressure may increase even if there is no bad living habits.

Secondary Hypertension

There is also a type of hypertension medically called "secondary hypertension", clinically called "may Cured high blood pressure" accounts for 5% of all high blood pressure. It is said that it can be cured because it is caused by certain diseases, which means that after these diseases are cured, high blood pressure is naturally gone. But the treatment process is not easy.

There are 8 common types of secondary hypertension: renal parenchymal hypertension, renal vascular hypertension , primary aldosteronism, pheochromocytoma, hypercortisolism, Coarctation of the aorta , obstructive sleep apnea syndrome.

Because secondary hypertension is more dependent on clinical treatment, and primary hypertension can be improved through life intervention, Dr. Jarvan today mainly talks about the relationship between primary hypertension content.


Scientific prevention and control of hypertension, the following 4 points are the key.

1. What is the standard for hypertension?

Many people don’t know how much my blood pressure is high blood pressure or how do I know if I’m high blood pressure?

In fact, there are two criteria for determining hypertension. Our country and the United States have different standards.

my country: 140/90, higher than this value is considered high blood pressure.

United States: 130/80, higher than this value is considered high blood pressure.

Don’t ask which standard should be followed? Of course, we Chinese follow Chinese standards! !

But if your blood pressure is already higher than 130/85, although it is not high blood pressure, you should be prepared to prevent it. Because you are already at the tipping point!

2. Should I take medicine for life if I have high blood pressure?

How many people think that the blood pressure exceeds 140/90, and the diagnosis of high blood pressure should be taken immediately? This is not necessarily true. The following four types of hypertension do not need to take medicine immediately, and there is a chance to restore blood pressure to normal through life intervention.

  1. The newly discovered first-degree hypertension . That is, if your high blood pressure does not exceed 160/100, and you do not have diabetes, heart, brain, or renal vascular diseases, you can temporarily stop taking antihypertensive drugs and intervene through healthy lifestyle habits and observe for 3-6 months. If the blood pressure does not drop but rises during the observation process, exceeding 160/100, then the observation period is ended and the blood pressure is lowered according to the doctor's diagnosis.
  2. White coat hypertension . What is white coat hypertension? It means to measure blood pressure at home, the blood pressure is within the normal value, but when it is measured at the hospital, it is high blood pressure, which is called white coat hypertension. This type of high blood pressure can generally be measured at home. When your blood pressure at home does not exceed 135/85, you can temporarily stop taking medicine. Careful friends here will find that our standard value is 140/90, but the white coat hypertension does not exceed 135/85 to be normal. Does any "class representative" know why this is?
  3. Blood pressure returned to normal after stopping taking antihypertensive drugs . This statement is not to encourage people with high blood pressure and not to take antihypertensive drugs, but you are taking antihypertensive drugs, and later through your own efforts, exercise, healthy eating, etc., you can control your blood pressure more and more without taking drugs. Well, when blood pressure can return to normal even without taking medicine, the medicine can be stopped appropriately for observation.
  4. Part of secondary hypertension. is what Dr. Jarvan mentioned above. Some diseases can be cured directly by surgery. In this case, there is no need to take antihypertensive drugs.

(Many people have a "misunderstanding" about whether or not to take medicine for high blood pressure. It is recommended to pass it on to people with high blood pressure or more people.)

3. How to pass Life intervention to prevent and improve high blood pressure?

Dr. Jiawen repeatedly emphasized above that healthy living intervention can effectively control the occurrence and deterioration of hypertension, so what is a healthy lifestyle?

Reasonable diet

  1. Limit salt and reduce sodium intake, which is the key point to control hypertension. For hypertensive patients, or friends who are about to enter the field of hypertension, Dr. Jarvan recommends that you not consume more than 6g of salt per day. Of course, the 6g mentioned here cannot be weighed by everyone. Here is a value that you can refer to. According to statistics, the daily salt intake of Chinese people is about 12g, which means that people with high blood pressure can reduce the amount of salt by more than half when cooking. If you eat saltier than others, you have to reduce more.
  2. Limit total calories, especially control oils and fats and intake, eat less greasy food, and it is recommended to replace the edible oil with olive oil. Eating less desserts, milk tea, etc. can reduce the intake of trans fatty acids.
  3. Nutrition should be balanced. Properly eat some egg white, fish, lean meat and other protein supplements. Eat about 500g of fresh vegetables and 1-2 fruits a day. For staple foods, Dr. Jarvan recommends using whole grains, oats, whole grains and other foods that are rich in dietary fiber.

Quit smoking and limit alcohol

If you are taking antihypertensive drugs, you must do this well. Because no matter what medicine you are taking, nothing good will happen when you encounter tobacco and alcohol. Smoking and drinking can make antihypertensive drugs reduce their medicinal properties and can't play their own role. If you want to prevent the occurrence of high blood pressure, proper smoking cessation and alcohol restriction will also help a lot.

Reasonable weight loss

For obese hypertensive patients, we must pay attention to "weight loss." According to research, it is found that every kilogram of lightening can reduce the systolic blood pressure by about 4mmHg. Dr. Jarvan reminds everyone that haste is not enough. Losing weight too quickly can also cause certain diseases, such as cardiovascular and cerebrovascular diseases, anemia, etc. Therefore, the weight loss within one year is about 10% of the original body weight.

Regular exercise

The "exercise" mentioned here mainly refers to aerobic exercise. It is recommended to exercise 3-5 times a week for the prevention and control of high blood pressure, at least 30 minutes each time. There are many ways to exercise, such as swimming, jogging, brisk walking, square dancing, Tai Chi, etc., depending on everyone's preference, there is no strict standard. Fitness enthusiasts can also perform "strength exercises", that is, lifting dumbbells twice a week, once every two days.

There is a slightly stricter requirement for sports here, that is, "when do you exercise?" It is recommended that everyone be in the evening. Because the blood pressure in the morning will be relatively high, which is also a high incidence of cardiovascular and cerebrovascular diseases, avoid exercising at this time.

Relax and have a good night's sleep

There is a point that many people don’t know. If you don’t sleep well at night, then your blood pressure the next day It is bound to rise. And when you are in a bad mood, adrenaline will increase, and blood pressure will also increase. Therefore, to prevent and control high blood pressure, it is important to maintain a calm mood and good sleep.

Looking at the full article, someone might say: Doctor Jarvan, are you not a Chinese medicine practitioner? Why don’t you order dry Chinese medicine?

Of course, Chinese medicine also has dry goods! Chinese medicine pays attention to dialectical meals!

Fourth, Chinese medicine prevention and control of blood pressure tips, please be sure to keep it!

  1. Liver fire type: eat more celery, wax gourd, kelp, corn silk, tomatoes. Drink green tea appropriately.
  2. Yin deficiency and Yang hyperactivity type: chrysanthemum cassia tea. Take cassia seed and hang chrysanthemum, add water and boil for 15 minutes, instead of tea.
  3. Phlegm-damp Yongsheng type: (1) Hawthorn lotus leaf tea . Take hawthorn and lotus leaves and decoct water to replace tea. (2) Gastrodia orange peel drink. Take gastrodia elata and fresh orange peel and decoct water to replace tea.
  4. Yin and Yang deficiency type: eat more ginger, lamb, shiitake mushrooms, and longan meat can be decocted in water to replace tea. If you are a friend of Yin deficiency, you can eat Tremella Red Date Soup or Lotus Seed Lily Soup; for Yang deficiency, eat more fried shrimps with leeks.

Doctor Jiawen about hypertension will talk about this for the time being, and there will be more "hypertension" science knowledge afterwards. If anyone wants to know doctor Jiawen science Please leave a message in the comment area. Beat high blood pressure