"The Lancet" once reported that in China, the proportion of hypertension and in the 35-75-year-olds is close to 50%, but the treatment rate is only 30%, and the control rate is less than 10%. Many hypertensive patients take antihypertensive drugs every day, but their blood pressure still cannot drop. What's going on? There are several reasons:
. The medication time is incorrect, and the antihypertensive effect is greatly reduced.
Most patients’ problems are not with antihypertensive drugs, but with the wrong medication time. If the medication time is not right, the antihypertensive effect will be greatly reduced.
The blood pressure of a person is high during the day and low at night, and the fluctuates in the shape of a spoon. Generally speaking, there are 2 peaks and 2 troughs in a day: 6-8 am early is the first peak, and it starts to fall slowly after 8 am, but it still belongs to the higher blood pressure level throughout the day, and continues until around 11 am; 12-14 am is the first trough of blood pressure throughout the day, and then the blood pressure begins to rise again, 17-20 am the second peak; after that, the blood pressure drops, and drops to the lowest point of the day at 2-3 am the next day, and then the blood pressure gradually rises.
Generally, the first 2 hours of the peak of blood pressure is a relatively appropriate time for taking the medicine. The specific decision should be based on the physical condition of each person. If you take short-acting antihypertensive drugs and take them twice a day, it is recommended to take them at 6:00 am and 15:00 pm. If you eat three times a day, it is recommended to eat it between 6:00 and 7:00, 13:00 and 14:00 and 17:00 to 18:00. The first choice is long-acting antihypertensive drugs, because the efficacy of long-acting antihypertensive drugs is maintained for more than 24 hours, making the blood pressure more stable. You only need to take the medicine once a day. It is generally recommended to take it from 6:00 to 7:00 in the morning.
You can do Dynamic blood pressure monitoring to understand your blood pressure peak and choose the medication time according to your own situation.
2. The dosage is insufficient or the medicine is single.
When patients with hypertension first visit, their doctors will remind them: take a recheck after taking it for about two weeks, and blood pressure should be measured every day within these two weeks. However, many patients will forget this sentence. The meaning of this sentence is to determine whether the current plan is effective during the 2-week medication period. If the blood pressure reduction effect is good, stick to this plan. If the blood pressure reduction effect is not good, you need to adjust the dosage or the type of medicine to better reduce blood pressure. There are many cases of this in above. Some patients with hypertension have been taking an antihypertensive drug prescribed by the doctor after they have been diagnosed with hypertension. They have not continuously monitored their blood pressure, nor have they followed up, and they have not known that the blood pressure drop has not dropped. Antihypertensive drugs are not static. If the dosage is insufficient, the dosage is small, and the medication is single, the blood pressure may not be reduced. Therefore, during use, you should pay attention to monitoring your blood pressure regularly, adjust the dosage or medication in time according to the doctor's advice to control your blood pressure.
3. It is caused by "bad habits that are difficult to change".
Many patients feel self-comfortable after taking antihypertensive drugs, thinking that it is okay to take the medicine and continue to eat and drink. In fact, hypertension is closely related to our diet and living habits. Most patients with hypertension are caused by bad living habits such as overeating and staying up late. Therefore, if you want to control your blood pressure, you must firmly say no to your previous bad habits.
4. Renal cortical damage causes increased blood pressure.
Some patients with hypertension have long-term elevation of blood pressure and are prone to damage and lesions in the renal cortex. The renal cortex can secrete an aldosterone hormone, which can promote the body to absorb sodium ion and excrete potassium ion . Too much sodium ions will bring more water, which will greatly increase the circulating blood volume in the body. When the blood volume increases significantly, the pressure on the blood vessel wall will also increase, and blood pressure will increase accordingly.
55. Secondary blood pressure increase.
partial hypertension. If you take 3 or even 4 antihypertensive drugs, you still cannot control your blood pressure normally. You should consider the increase in blood pressure caused by other reasons, such as nephritis , renal cyst , renal artery stenosis , hyperthyroidism, cortisolism and other causes. These will cause secondary increase in blood pressure. Only by solving these problems can you control your blood pressure normally.
and above are excerpted from the Internet. I would like to express my gratitude to the original author!
