Hemorrhage refers to primary non-traumatic intraparenchymal hemorrhage, also known as spontaneous cerebral hemorrhage. The most common cause is hypertension combined with small and small arteries. Sclerosis, other causes include cerebral arteriovenous malformation, aneurysm, blood disease, post-infarction hemorrhage, cerebral amyloid angiopathy, Moyamoya disease, cerebral arteritis, anticoagulation or thrombolytic therapy, tumor stroke, etc.
Cerebral hemorrhageIt is more common in patients over 50 years old, slightly more men than women.The incidence rate is higher in cold seasons. Generally, there are no prodromal symptoms, and it usually occurs during activities or when emotional. The onset of the disease is sudden, and the symptoms reach a peak within minutes to hours after the onset. The blood pressure often rises significantly, and headache, vomiting, limb paralysis, disturbance of consciousness, meningeal irritation, and epileptic seizures may occur.
The main cause of cerebral hemorrhage is high blood pressure, but there is no unified blood pressure. If the standard reaches a certain value, it will inevitably cause cerebral hemorrhage. The benefits and risks of using aspirin coexist. In terms of the overall disease risk, Assessment should not simply look at the risks of medication.
1
What are the definition, classification and risk stratification of hypertension?
The diagnostic standard for hypertension in my country is that in a calm state for adults, temporary systolic blood pressure ≥ 140mmHg, (or) diastolic blood pressure ≥ 90mmHg is divided into 3 levels according to the blood pressure value: 1, 2, and 3, and the risk is divided into Low risk, medium risk, high risk, very high risk 4 layers.
The standard of hypertension is defined based on clinical and epidemiological data. The definition of hypertension in my country is that without the use of antihypertensive drugs, true systolic blood pressure ≥140mmhg, or diastolic blood≥90mmhg, according to blood pressure High blood pressure is divided into levels 1 to 3.
Normal blood pressure is systolic blood pressure <120mmhg> Normal high blood pressure is systolic blood pressure 20~139mmh g and diastolic blood pressure 80~89mmhg, first-level hypertension is systolic blood pressure 40~159mmhg and diastolic blood pressure 90~99mmhg, and second-level hypertension is systolic blood pressure 160~1179mmhg and diastolic blood pressure 100~109mm.
Grade three hypertension is systolic blood pressure ≥180mmhg and diastolic blood pressure ≥110mmahg. There is also a type of simple systolic hypertension, which refers to Systolic blood pressure ≥140mmhg and diastolic blood pressure less than 90mmhg Risk stratification of hypertension. From the perspective of guiding treatment and judging prognosis, cardiovascular risk stratification of patients with hypertension is divided into low risk, medium risk, high risk and very high risk. High risk.
The specific risk stratification standards are based on the level of elevated blood pressure, other cardiovascular risk factors, diabetes targets, organ damage and complications . For example, those with high blood pressure level 1 without risk factors are considered low risk, and those with high blood pressure level 1 have no risk factors. Those with 1 to 2 risk factors or hypertension grade 2 with two or less risk factors are classified as intermediate risk.
High blood pressure html Grade 11 or 2 with more than 3 risk factors, or with grade 3 hypertension without other risk factors, is high risk. Hypertension in Grade 1 or 2 has clinical comorbidities or diabetes , or high Anyone with blood pressure level 3 who has risk factors or comorbidities or diabetes is considered to be at high risk.
cardiovascular risk factors, mainly age, impaired glucose tolerance, dyslipidemia, family history of premature heart disease, abdominal type Obesity, elevated homocysteine, etc., target organ damage, mainly including left ventricular hypertrophy, carotid atherosclerotic plaque, microalbuminuria, etc., accompanied by clinical diseases, mainly including cerebrovascular disease, heart disease, kidney Disease, peripheral vascular disease, retinopathy, diabetes.
2
What level of high blood pressure is most likely to cause cerebral hemorrhage? Does taking aspirin increase your risk?
There is no exact standard for how high blood pressure can cause cerebral hemorrhage. Whether it will cause cerebral hemorrhage depends on the individual's physical condition, such as blood vessel elasticity, underlying diseases, age and other factors. Usually, there is Hypertensive patients have an increased risk of cerebral hemorrhage.
If it exceeds 180/110mmHg, it is a third-level hypertension. The risk of cerebral hemorrhage is greatly increased. Generally, cerebral hemorrhage will have early symptoms, such as dizziness, headache, head fullness, and nausea. In severe cases, vomiting will occur.
Hypertensive patients may have severe blood pressure fluctuations ( large differences in pressure values measured multiple times within a day), long-term high blood pressure, persistently high mental stress, frequent drinking, staying up late, or combined with aneurysms or congenital blood vessels. Risk factors such as malformation, hyperlipidemia, and diabetes may all induce cerebral hemorrhage.
3
Will taking aspirin increase the risk of high blood pressure?
Many people have the habit of taking aspirin, because aspirin can inhibit platelets , prevent platelet aggregation to form thrombus, and can prevent the occurrence of cerebral infarction and myocardial infarction.
Research has found that high-dose aspirin can significantly increase the probability of cerebral hemorrhage, but preventing cardiovascular and cerebrovascular diseases uses small-dose aspirin, which can increase the probability of cerebral hemorrhage by approximately 0.02%, but prevention of diseases can produce A gain of about 14%.
The hemorrhagic risk increased by aspirin, mainly refers to the minimal impact of gastrointestinal bleeding on cerebral hemorrhage. The direct cause of cerebral hemorrhage is high blood pressure, not aspirin. If people with high blood pressure cannot stabilize it, control blood pressure at It is not recommended to take aspirin below 160mmhg.
When taking aspirin, it is necessary to be evaluated by a doctor. Only people with high cardiovascular and cerebrovascular risks need to take it . Generally speaking, it is not recommended to take aspirin for people who do not have cerebral infarction, myocardial infarction, coronary heart disease, or carotid artery stenosis of less than 50%.
