October 8, 2022 is the 25th
"National Hypertension Day "
This year's promotional theme:
Blood pressure should be known, and blood pressure reduction must meet the standards
022 National Hypertension Day Promotion Highlights
1. Prevent Hypertension , start from every day: limit salt to lose weight and exercise, quit smoking and alcohol, calm your mind
. Restrict sodium salt intake: excessive sodium salt intake, the risk of hypertension increases, and long-term salt limit can delay the increase of blood pressure with age. WHO recommends that each person eat salt intake shall not exceed 5g/day.
- . Weight loss: Overweight and obesity can promote blood pressure to rise and increase the risk of hypertension. Abdominal obesity may have a stronger correlation with hypertension. It is recommended that people with overweight and obese lose weight.
- . Moderate exercise: Exercise can reduce sympathetic activity, relieve tension, reduce weight, and reduce the risk of hypertension. It is recommended to exercise appropriately according to your own conditions, perform muscle strength and flexibility exercises. . Quit smoking: Smoking can increase the risk of cardiovascular and cerebrovascular disease . It is recommended to quit smoking (including traditional cigarettes and e-cigarettes).
. Maintain psychological balance: Long-term mental tension or anxiety and depression can increase the risk of hypertension. You should maintain a positive and optimistic attitude, avoid negative emotions, and actively accept psychological intervention if necessary.
2. Blood pressure exceeds 130/80 (mmHg) should be paid attention to
1. Without using antihypertensive drugs, if blood pressure exceeds 140/90mmHg three times on the same day, it can be diagnosed as hypertension and start lifestyle intervention and drug treatment.
2. Blood pressure exceeds 130/80mmHg and should attract attention. As the blood pressure rises, it may bring harm to the heart, brain and kidneys. It is recommended to start lifestyle intervention.
3. Control hypertension and protect the heart, brain and kidney
1. The main harm of hypertension is to cause damage to important organs such as the heart, brain and kidney, and even endanger life. Therefore, active treatment should be taken to control blood pressure. Treatment strategies include healthy lifestyle and medication.
2. Healthy lifestyle intervention can effectively reduce blood pressure or directly reduce the risk of cardiovascular and cerebrovascular diseases (Healthy Lifestyle Six Section: limiting salt and weight loss and exercise more, quitting smoking and drinking, and having a calm mind). All patients should adhere to a healthy lifestyle.
3. Patients with hypertensive who cannot meet the standards through lifestyle intervention alone should actively receive antihypertensive drugs.
4. Smoothly reduce blood pressure, long-term compliance with the standards
1. Patients with hypertension should insist on taking medicine for a long time and encourage them to choose long-term antihypertensive drugs that can be taken once a day to ensure stable blood pressure.
2. Blood pressure meets the standard: Generally, patients with hypertension have a blood pressure drop below 140/90mmHg. Patients with diabetes , coronary heart disease , heart failure or chronic renal disease with proteinuria should reduce it to below 130/80mmHg; patients aged 65 to 79 years old will reduce the blood pressure to below 140/90mmHg. If tolerated, it can further reduce it to below 130/80mmHg; patients aged 80 and above will reduce it to below 140/90mmHg.
Misconception 1: The concept of normal blood pressure is unclear
Blood pressure level classification:
- Normal blood pressure: systolic blood pressure ＜120mmHg and diastolic blood pressure ＜80mmHg;
- Normal high value: systolic blood pressure 120-139mmHg and (or) diastolic blood pressure 80-89mmHg;
- Hypertension: systolic blood pressure ≥140mmHg and (or) diastolic blood pressure ≥90mmHg.
When the blood pressure is ≥120/80mmHg, you should change your lifestyle.
If antihypertensive drugs are not used, the systolic blood pressure measurements of ≥140mmHg and (or) diastolic blood pressure ≥90mmHg can be diagnosed as hypertension. The family continuously measured blood pressure for 5-7 days, and the average blood pressure ≥135/85mmHg can be considered for diagnosis of hypertension, and it is recommended to seek medical treatment.
Misconception 2: Estimate blood pressure based on feelings
Hypertension is measured by blood pressure, not by feeling or estimation. Some patients have been ill for a long time and have adapted to high blood pressure levels. It is too late to feel dizzy, headache, chest tightness and . Therefore, it is important to measure blood pressure regularly.
Misconception 3: Unwilling to take antihypertensive drugs too early
Many patients aged 40-50 were diagnosed with hypertension and worried that taking antihypertensive drugs would cause "drug resistance". Using too early will lead to ineffective medication in the future. This is a very wrong and very dangerous concept.
. Antihypertensive drugs have no resistance
Antihypertensive drugs are not antibiotics and will not produce "drug resistance". Some patients with hypertension need to use two antihypertensive drugs in a few years. This is not drug resistance, but as they age, atherosclerosis worsens, etc. The blood pressure is higher than before, and they need to use the drug in combination to achieve antihypertensive effects.
- . Early control and early prevention
The earlier the blood pressure is controlled, the more effective it can prevent damage to the heart, brain, kidney and other organs.
Misconception 4: The faster the blood pressure drops, the better
When treating treatment, you must master the principle of stably lowering blood pressure . If the blood pressure drops too quickly, it will cause insufficient perfusion of important organs such as the heart, brain, and kidneys, leading to ischemia. Most patients with hypertension should gradually reduce their blood pressure to their target levels within 4 weeks or 12 weeks. Most long-acting antihypertensive drugs take 1-2 weeks to achieve maximum and stable antihypertensive effects. Do not rush to change the antihypertensive drugs varieties.
Misconception 5: After the blood pressure drops to normal levels, take antihypertensive medicine once the next day
Many patients think that blood pressure is 140/90mmHg is normal, and then take medicine at intervals. In fact, taking antihypertensive drugs once the next day, the blood pressure fluctuates and decreases will aggravate the damage to the target organs and is as harmful as hypertension.
" Chinese Hypertension Prevention and Treatment Guidelines " clearly states that general hypertension patients should reduce it to <140/90mmhg;>
If you take one tablet of antihypertensive medicine every day, your blood pressure is low, you can change to taking half a tablet every day, which can avoid significant fluctuations in blood pressure, but sustained-release tablets and controlled-release tablets cannot be broken apart.
Misconception 6: I only know how to take medicine, but I don’t know how to check regularly
At present, there is still a lack of fundamental treatment methods for the causes of hypertension. While taking medication for life, most patients with hypertension also need to undergo regular checks on to evaluate the efficacy of antihypertensive drugs and monitor target organ damage.
Monitor blood pressure
Blood pressure control is stable and meets the standards. You should self-test your blood pressure for 1-2 days a week, once in the morning and once in the evening. It is best to get up in the morning and urinate, and be sure to self-test before taking the medicine. The time for each self-test should be fixed. If your blood pressure is ≥135/85mmHg, you need to seek medical treatment in a timely manner and adjust the medication plan under the guidance of a doctor.
Monitor target organ damage
All patients with hypertension undergo routine examinations at least once a year: blood routine ; blood biochemistry (serum potassium, sodium, fasting blood sugar , blood lipid , uric acid and creatinine, etc.); urine analysis ( urine protein , urine sugar and urine sediment microscopy); electrocardiogram, etc.
Source: Shandong Disease Control
