Many friends with high blood pressure come to the outpatient clinic. The most common saying I hear is that my blood pressure was too high before taking antihypertensive drugs, but it was normal after taking the medicine. Is this kind of hypertension normal?

Many friends came to the outpatient clinic with . The most common saying I heard was that my blood pressure was too high before taking antihypertensive drugs, but after taking the medicine, it was normal. Is such hypertension normal? Is blood pressure controlled well? Let’s analyze it together.

First of all, I want to tell you that this type of blood pressure is abnormal and there may be potential risks.

The biggest complication of hypertension is that it causes cardiovascular disease and kidney damage. To reduce the occurrence of complications, two things must be done: one is to control blood pressure within the ideal range, and the other is to achieve stable blood pressure reduction.

The so-called ideal blood pressure has different requirements for different groups and different ages. As we mentioned earlier, if the general population is, it is best to control it below 140/90mmHg; for the elderly aged 65-79, it is best to control it below 150/90mmHg. If it can be tolerated, it is best to control it below 140/90mmHg; for the elderly who are over 80 years old, it is best to control it below 150/90mmHg; for the elderly who have diabetes , coronary heart disease , heart failure , and chronic renal insufficiency with proteinuria, it is best to control it below 130/80mmHg.

The so-called steady blood pressure reduction refers to being able to follow the circadian rhythm changes of hypertension. The average blood pressure in 24 hours is within 130/80mmHg, the average blood pressure during the day is below 133/83mmHg, and the blood pressure at night is within 125/75mmHg. The number of times you exceed the high blood pressure value in a day should not exceed 10%. For example, if you measure your blood pressure 20 times a day, you can only occasionally exceed the normal value. Monitoring circadian rhythm changes requires dynamic blood pressure monitoring .

We have many hypertensive patients with high blood pressure fluctuations. Before taking medicine, especially when they wake up in the morning, their blood pressure will slowly drop after taking medicine. Such blood pressure has a certain risk. Many patients with stroke and acute myocardial infarction are caused by high blood pressure in the morning.

The reason for the large fluctuations in blood pressure is related to the degree of atherosclerosis of the patient, the patient's living habits, and especially the method of taking medication.

How can

reduce blood pressure fluctuations?

When choosing medication, you need to pay attention to avoid using short-acting drugs. Choose drugs with a long half-life of as much as possible. For example, captopril , nifedipine , niquentipine, etc. are all short-acting drugs. Take a tablet of drugs for a short time, but sartan drugs, benapril, enalapril and other nifedipine controlled release tablets are all long-acting antihypertensive drugs.

is also very particular about the medication time. For dynamic blood pressure examinations, patients with increased blood pressure in the morning and normal blood pressure at night can take a tablet of medicine before getting up in the morning, rest for half an hour before getting up. If you find that the blood pressure in the morning is high, the blood pressure at night will also increase, take long-acting antihypertensive drugs orally before going to bed at night, which can control the blood pressure in the morning.

In short, the treatment of hypertension focuses on adjusting details, and maintaining stable blood pressure is the essence of hypertension management.