Do you know what time of the day the blood pressure is the highest? How to make your blood pressure more stable? Which period is most likely to experience hypertension complications? Today I will tell you how to lower your blood pressure.
Everyone knows that the human body has a biological clock, and the fluctuations in blood pressure are also affected by the biological clock, and there are changes in circadian rhythms. For most people, the circadian rhythm of blood pressure is relatively obvious, in line with the following rules:
Our blood pressure has 2 peaks and 1 trough in a day. The first peak occurs from 6:00 to 10:00 am, the second peak occurs from 4:00 to 8:00 in the afternoon, and the second peak is lower than the first. The blood pressure at the trough occurred around 12 o'clock at night. In this way, if you do blood pressure a few more times 24 hours a day, connect it into a curve, just like a spoon used at home, so it is also called a "scoop-shaped" curve.
This circadian rhythm has a lot to do with the human body's sympathetic nerve excitation . When you wake up in the morning, the human body will adapt to changes in the environment and mobilize the enthusiasm of the whole body. The heartbeat will gradually accelerate, the blood pressure will begin to rise, and the potential in the body will gradually be stimulated, and the work and life will begin a day.
But some people's blood pressure does not have this pattern. This spoon shape may "lighter", and the blood pressure during the day and at night is not much different. Some people even have "anti-circadian rhythm", which means that blood pressure increases at night.
Anti-circadian rhythms are common in the elderly, or in patients with long-term hypertension and . Some hypertensive patients have increased their blood pressure in the afternoon and night blood pressure due to morning medication.
For patients with hypertension, there are two things that are most afraid of: one is that their blood pressure cannot be controlled, and the other is that their blood pressure is unstable and fluctuates too much.
Therefore, in addition to actively controlling their blood pressure, friends with hypertension must understand the rules of their blood pressure fluctuations and achieve purposeful treatment to reduce the occurrence of complications. How can
find its own rules? First, you monitor it frequently, and you can measure it multiple times at different times and discover the rules of your blood pressure. Second, you rely on to monitor dynamic blood pressure. You can carry a box at the hospital and break the measurement in 24 hours, which can reflect the rules of your blood pressure fluctuations.
study shows that the incidence of cardiovascular events increases with an anti-circadian rhythmic type of blood pressure at night. Circulation published a study that for every 20 mmHg increase in blood pressure during sleep, the risk of cardiovascular disease is increased by 18%, and the risk of heart failure is increased by 25%. Compared with people with normal blood pressure on the day and night, people with circadian rhythm disorders have a 48% increase in cardiovascular disease risk, while heart failure and risk has a 145% increase in .
If you find that your night blood pressure and morning blood pressure are high, you can take long-acting antihypertensive drugs before going to bed. Studies have shown that for people with high night blood pressure, taking antihypertensive drugs before going to bed will reduce cardiovascular events by 48%.
If the blood pressure is normal at night, but the blood pressure is high when you wake up in the morning, then it is not suitable to take medicine at night. You can take medicine first and then wash up when you wake up, or even take medicine first, lying in bed and waiting for the medicine to work, and it is safer to wake up after half an hour.
In short, hypertension requires to carefully manage , master the rules of blood pressure fluctuations, and carry out targeted medication to reduce the occurrence of complications.
