Even if a normal person has a blood pressure fluctuation during the day, the blood pressure fluctuation is within a certain range. But hypertension and patients are worried about excessive blood pressure fluctuations, even taking antihypertensive drugs. What's going on?
What should I do if my blood pressure fluctuates too much?
1. Secondary hypertension
Secondary hypertension is caused by diseases. For example, when pheochromocytoma occurs, blood pressure can suddenly rise, speed up heart rate . When the condition improves, blood pressure will return to normal. No matter how many antihypertensive drugs you take, it will have no effect. In this case, as long as the primary disease is actively treated, blood pressure can be kept stable.
2. Short-acting antihypertensive drugs
Some patients with hypertensive blood pressure are taking short-acting antihypertensive drugs. Although the blood pressure is fast, the duration is very short and the blood pressure cannot be maintained at all. Some patients also believe in other people's successful methods and choose to synthesize antihypertensive drugs. Although they can lower blood pressure, they do not last long. Therefore, try to choose regular long-acting antihypertensive drugs as required by the doctor.
3. Affected by lifestyle
Blood pressure is affected by various factors such as diet, holding urine and exercise, etc. There are also insufficient sleep, always staying up late and fatigue that can also cause blood pressure fluctuations. Take a 10-minute break before measuring blood pressure. Excessive anxiety, tension and excitement, and excessive stress can cause blood pressure to suddenly rise, so you need to make good self-regulation and get less angry.
4. Seasonal changes
After the blood vessels dilate in the hot summer, blood pressure will gradually drop, and blood pressure will decrease in summer. Patients need to go to the hospital to follow the doctor's advice to reduce the medicine.
5, White coat hypertension
The so-called white coat hypertension refers to the increase in blood pressure caused by the patient's nervousness and taking a bus to the hospital. Try to measure your blood pressure at home as much as possible, so that you can get close to your true blood pressure.
6, night blood pressure
0, poor sleep quality, failure to master the correct antihypertensive drugs, suffering from respiratory and sleep pause syndrome, and not controlling night blood pressure will all cause high night blood pressure. In this case, it can improve sleep, actively treat respiratory sleep pause syndrome, and appropriately adjust the time for taking antihypertensive drugs.
7, post-meal hypotension
Some elderly people may experience dizziness drowsiness , general weakness, sleepiness, etc., and may also experience fainting. This kind of attention is paid to monitoring post-meal blood pressure, which is a manifestation of post-meal hypotension.
8, orthostatic hypotension
orthostatic hypotension often occurs in the elderly, which is mainly related to the drugs used. Especially when the elderly are accompanied by arteriosclerosis, they are more likely to experience orthostatic hypotension. Therefore, when changing the position, you need to pay attention to slow movements and do not turn your head suddenly or turn back. You can't stand up suddenly.
9. Urgently lower blood pressure
Some hypertensive patients want to lower their blood pressure immediately when they see their blood pressure rise. Therefore, they arbitrarily increase the dose of drugs or change the dressing at will, which resulted in excessive fluctuations in blood pressure. Therefore, you should not be too anxious to lower blood pressure. When lowering blood pressure, you should ensure that it is slow and stable. You cannot change the medicine or stop the medicine by yourself.
patients with hypertension must pay attention to the importance of taking regular and regular medication, and also monitor their blood pressure frequently. You should quit smoking in your life because the nicotine and carbon monoxide contained in cigarettes will stimulate blood vessels and the heart, increase blood pressure, and accelerate the formation of atherosclerosis. Adopt a low-calorie, low cholesterol and low-fat diet structure, and eat less sweets and animal fat. In addition, you should eat more potassium-containing foods, such as tomatoes, spinach or rapeseed, to protect your cardiomyocytes and alleviate the harm caused by eating too much sodium. Patients with hypertension with renal insufficiency should not eat foods containing too much potassium, otherwise a large amount of potassium accumulation will occur due to the decrease in urine, which will cause arrhythmia .
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