National
Hypertension Pressure Day
October 8, 2022 is the 25th
"National Hypertension Day "
This year's promotional theme:
Blood pressure should be known, blood pressure should be reduced to meet the standards
50% of my country's 70% of stroke
50% of heart Myoinfarction
is related to hypertension
There are as many as 245 million patients with hypertension. However, the treatment rate is only 30.5%
Control rate is only 11.2%
Misconceptions about hypertension are everywhere.
seriously interferes with the standardized treatment of hypertension
Misconception 1
Prevention and control of hypertension is a personal problem
Intake of 2-3 grams of sodium salt every day is a must for the human body to maintain life.
consumes more than 6 grams of sodium salt every day, and increases blood volume and increases norepinephrine levels, which can lead to significant increase in blood pressure, especially in the early morning blood pressure and at night.
If the family insists on "heavy taste" , it will become empty talk for patients with hypertension to limit salt.
non-smokers are exposed to second-hand smoke , and the risk of stroke in coronary heart disease and increased by 20%-30%. If you don’t quit smoking, your family will never eliminate this cardiovascular risk factor.
Misunderstanding 2
Estimate blood pressure based on feelings
Hypertension is measured by blood pressure, not by feeling or estimation.
first, no feeling of discomfort, it does not mean that the blood pressure is not high.
Most patients with hypertension have no symptoms.
Although some people have significantly increased their blood pressure, they have adapted to high blood pressure levels because they have been sick for a long time and still have no feeling of discomfort. It was not until cerebral hemorrhage that they have "feeling".
Second, no discomfort feeling, does not mean there is no harm. The results of the
study show that for every 10 mmHg increase in systolic blood pressure , the risk of stroke and fatal myocardial infarction in Asian populations increases by 53% and 31%, respectively.
Third, symptomatic treatment drugs cannot replace antihypertensive drugs for treatment.
Some patients with hypertension may experience symptoms such as headache, dizziness, tinnitus and . It can also be relieved by using Western medicine, Chinese medicine, and health care equipment, but it must not replace antihypertensive drugs for treatment.
Misconceptions 3
There is no problem with the high blood pressure in the elderly
Many people mistakenly believe that as they get older, the higher the blood pressure is, and they think that the older the age, the diagnostic standards for hypertension will also increase accordingly. This wrong understanding is particularly prominent among the elderly, and some patients cannot get correct diagnosis and effective treatment. The diagnostic criteria for hypertension is: blood pressure is measured three times on the same day >140/90mmHg. If you exceed this standard, you need to receive timely treatment.
Misconceptions 4
The faster the blood pressure drops, the lower the better
If a patient with hypertension lowers his blood pressure too low, which is lower than the normal range, the cardiovascular system will not be able to adapt to this low pressure state for a while, which will affect the heart ejaculation. After the heart ejaculation decreases, it may cause insufficient perfusion of blood volume in the brain, heart, and other organs, affecting the normal metabolism of the organs. is prone to orthostatic hypotension, , insufficient brain blood supply, myocardial ischemia , and other problems, especially in the elderly.
Misunderstanding 5
There is no problem without symptoms
People with hypertension have different sensitivity to blood pressure. Some people have high blood pressure for a long time and do not feel any discomfort, so they do not actively control their blood pressure. However, the damage to the body's organs and blood vessels by higher blood pressure persists, and it is more likely to cause hypertension complications, such as cerebral hemorrhage, cerebral infarction, , coronary heart disease myocardial infarction, renal failure, aortic dissection , etc. Once serious complications occur, actively control blood pressure, the damage to the organs is irreversible, so hypertension has no symptoms and is more dangerous.
Misconceptions 6
No need to change your lifestyle
Some hypertensive patients believe that after having hypertension, as long as they follow the doctor's advice and insist on taking medicine for a long time, they do not need to change their lifestyle. In fact, factors such as smoking, alcoholism, obesity, insufficient physical activity, and long-term mental stress may induce or aggravate hypertension. Therefore, patients with hypertension should control their blood pressure by improving their lifestyle and taking antihypertensive drugs.
Misunderstanding 7
Blood pressure drops to normal and can stop the medication
Patients with hypertension usually need to take antihypertensive drugs for life. After the medication is stopped, the blood pressure will rise again. Excessive fluctuations in blood pressure are more harmful to target organs such as the heart, brain and kidneys. The correct approach is to gradually reduce the dosage and type of drugs under good long-term blood pressure control, and blood pressure must be strictly monitored during the process of reducing drugs.
Misconceptions 8
Health products can cure hypertension
Some patients believe that Western medicine has great side effects, so they blindly listen to the exaggerated publicity of some businesses, believing that health therapy and health care diet therapy can replace oral medication to reduce blood pressure. However, most health products such as natural health foods, beverages, and anti-hypertensive devices (pressure-reducing pillows, anti-hypertensive mattresses, anti-hypertensive watches, and anti-hypertensive insoles, etc.) do not have a clear anti-hypertensive effect , which will delay the time of standardized treatment.
Misconceptions 9
only knows to take medicine, and does not know how to check regularly
currently lacks fundamental treatment methods for the causes of hypertension.
Most patients with hypertension need to take medication for life and have regular examinations to evaluate the efficacy of antihypertensive drugs and monitor target organ damage.
1. Monitoring medication plan
blood pressure control and meets the standards should self-test blood pressure for 1-2 days a week, once in the morning and once in the evening. It is best to self-test the blood pressure in the sitting position after getting up in the morning, before taking antihypertensive medicines and breakfast, and after urinating, and then self-test the blood pressure in the seat for a fixed time after urinating.
If the blood pressure is ≥135/85 mmHg, you need to seek medical treatment in time and adjust the medication plan under the guidance of a doctor.
2. Check the target organ damage
All patients with hypertension should undergo routine examinations: blood routine ; blood biochemistry (serum potassium, sodium, fasting blood sugar , blood lipid , uric acid and creatinine); urine analysis ( urine protein , urine sugar and urine sediment microscopy); electrocardiogram, etc.
Coping with hypertension
Simple three steps
Review: Liang Shan
Editor: Shi Jinglin
Editor: He Jiao
Proofreading: Wang Zitong
Source: Medical beauty Public health and preventive medicine
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