October 8 is the National Hypertension Day . According to the latest "China Cardiovascular Health and Disease Report 2021", the prevalence of hypertension in adults over 18 years old in my country is 23.2%, and the number of patients is 245 million. However, the awareness rate of hypertension is only 46.9%, less than half. The control rate of hypertension in my country is only 16.8%, and most patients still do not realize the importance of controlling blood pressure.
High blood pressure does not take the medicine as precepts, and "no symptoms" has become "symptomatic"
44-year-old Mr. Du found his blood pressure increased in physical examination 2 years ago. He was diagnosed with hypertension in a local hospital, and the doctor gave oral antihypertensive drugs. However, Mr. Du did not take the medicine according to the doctor's instructions, and monitored blood pressure and showed poor blood pressure control. Because there were no symptoms of discomfort, Mr. Du never actively intervened. Recently, Mr. Du began to feel weak and numbness in his left upper limb, and his symptoms continued to worsen. A week later, he finally came to the cardiovascular department of Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine for treatment. The outpatient clinic measured blood pressure of 170/100mmHg. In order to seek further diagnosis and treatment, chief physician Gu Minglin admitted him to the hospital.
Long-term poor blood pressure control leads to acute cerebrovascular lesions
After admission, detailed medical history collection and related examinations were improved. Mr. Du's blood sugar, blood lipids , and uric acid were all high, and he also had the habit of smoking. The risk factors for secondary hypertension of , such as RAS system hormones, adrenal , and renal artery ultrasound were screened, and there were no obvious abnormalities. However, due to long-term failure to take medication on time according to doctor's advice, the heart has become hypertrophic, which is a hypertensive heart change. The head magnetic resonance examination showed that acute cerebral infarction .
After comprehensive evaluation and discussion by Gu Minglin's team, Mr. Du was considered to be primary hypertension , which caused acute cerebrovascular disease due to long-term poor blood pressure control, showing symptoms of limb fatigue and numbness. Then, oral drugs are given to treat anti-platelet, lowering lipids and stabilizing plaques, etc. to prevent the recurrence of cerebrovascular accidents. When he was discharged from the hospital, Mr. Du's symptoms were significantly relieved and his blood pressure dropped to the normal range. Director Gu Minglin asked him to monitor his blood pressure regularly and take antihypertensive drugs regularly.
Hypertension complications often occur invisible, and may have serious consequences when detected
The prevalence of hypertension continues to rise and poor blood pressure control is many reasons. One of the important reasons is that the patients lack compliance with treatment, and they do not actively follow the doctor's advice whether it is drug treatment or improving their lifestyle. The treatment of hypertension is mainly to prevent the occurrence of complications, because once blood pressure is not well controlled for a long time, it will greatly increase the risk of a series of complications such as heart, kidney, and cerebrovascular diseases. Since most of these risk factors are hiding, it often leads to vascular lesions when detected, and even causes serious myocardial infarction, stroke, and other diseases.
Director Gu Minglin reminds that even if patients with hypertension have no symptoms, they should go to the hospital in time, and ask a cardiovascular specialist to treat it and follow up regularly. In addition to controlling blood pressure in daily life, we must also strengthen the evaluation of cardiovascular risk factors and carry out necessary prevention and treatment for hypertension target organ damage to .
Correspondent Yin Shuyue Luo Xin Yangzi Evening News/Zi Niu News Reporter Yu Dandan
Proofreading Xu Heng
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