The seasonal changes in blood pressure are closely related to the risk of cardiovascular events.
Recently, the "Chinese Expert Consensus on Clinical Management of Seasonal Changes in Blood Pressure in Patients with Hypertension" pointed out that home blood pressure monitoring should be carried out regularly during the early summer and winter every year, especially during seasonal changes with significant changes in temperature. If there is a significant change in blood pressure, you should consult a doctor in time.
Regarding the measurement of blood pressure, according to the recommendations of the home self-test blood pressure guidelines, blood pressure should be measured every morning and evening.
Doing blood pressure in the morning should be done within 1 hour after getting up, before taking antihypertensive medication, before meals and before strenuous activities.
The blood pressure measurement at night is performed after supper and before going to bed.
No matter morning and evening, you should pay attention to emptying your bladder before taking blood pressure, and record the time of getting up, sleeping, three meals and taking medicine.
consensus suggests that hospitals or community medical institutions with conditions actively carry out dynamic blood pressure monitoring .
For patients who already know that blood pressure levels will fluctuate with seasonal changes or are prone to fluctuation with seasonal changes, including the elderly, patients with chronic kidney disease , diabetes , and atherosclerosis hypertension , dynamic blood pressure monitoring is performed in summer and winter every year to understand blood pressure fluctuations.
For those with significant increase in blood pressure in winter, if it is determined that it is caused by seasonal changes in blood pressure, the types and dosage of antihypertensive drugs can be adjusted in a timely and flexibly according to the situation.
If the patient's blood pressure is low in summer, it can be judged whether it is related to seasonal changes. When it is necessary to reduce the medication or dose, dynamic blood pressure monitoring should be carried out to prevent nightly hypertension.
Consensus also points out that attention should also be paid to the impact of "migratory bird-style" lifestyle on blood pressure mutation.
For these people, you should pay attention to adding blood pressure measurement within a few weeks before and after a long trip to understand blood pressure changes in time. If blood pressure fluctuates greatly, the intensity of antihypertensive treatment needs to be adjusted in time.
Source:
[1] Professional Committee of Cardiovascular Disease Prevention and Rehabilitation of China Heart Alliance. Chinese Expert Consensus on Clinical Management of Seasonal Changes in Blood Pressure in Patients with Hypertension. Chinese Journal of Hypertension , 2022, 30(9): 813-817.
[2] Chinese Journal of Hypertension "Guidelines for Family Blood Pressure Monitoring" Committee. 2019 Chinese Family Blood Pressure Monitoring Guide. Chinese Journal of Circulation , 2019, 34: 635-639. DOI: 10.3969/j.issn.1000-3614.2019.07.003 [ long press or scan the QR code to view the full text ]
[3] China Hypertension Alliance "Dynamic Blood Pressure Monitoring Guide" Committee. 2020 China Dynamic Blood Pressure Monitoring Guide. China Circulation Magazine, 2021, 36: 313-328. DOI: 10.3969/j.issn.1000-3614. 2021. 04. 001. [ long press or scan the QR code to view the full text ]
Reprinted: Please indicate "China Circulation Magazine"
