I inquired about the medical history in detail and learned that Aunt Zhang did not have a clear history of hypertension on weekdays. She also took her blood pressure two months ago, and her blood pressure was normal. At that time, Aunt Zhang's grandson was in the college entrance examination, and the children were not very nervous, but Aunt Zhang herself was more nervous than the children. I personally measured Aunt Zhang's blood pressure, and the blood pressure 158/98mmHg was still on the high side.
But it can't be said that hypertension was diagnosed, and it can't be said that Aunt Zhang was given antihypertensive drugs immediately because of this measurement. I think Aunt Zhang's hypertension is caused by her recent bad rest, nervousness, insomnia and so on. Besides, Aunt Zhang's blood pressure is not very high, so I am not in a hurry to prescribe antihypertensive drugs for her.
Tell Aunt Zhang to go back to monitor her blood pressure and take some medicine to help her sleep. With the improvement of sleep, her blood pressure may get better.
Two weeks have passed, and Aunt Zhang's blood pressure has been below 140/90mmHg in these two days, so now that hypertension has been ruled out, there is no need to take antihypertensive drugs!
In fact, we can't diagnose hypertension according to the results of blood pressure measurement!
Blood pressure is affected by many factors, such as staying up late, insomnia, getting angry, not controlling diet, not insisting on exercise, etc. Even talk when measuring, cross your legs when measuring, and have no back to rely on when measuring; Hold your urine when measuring; Measure immediately after exercise; Drinking, drinking strong tea, coffee, etc. may deviate from your true blood pressure.
Moreover, the inaccurate sphygmomanometer will naturally affect the blood pressure result, so it is best to choose a calibrated sphygmomanometer.
After meeting the above conditions, we will measure blood pressure, and according to the measurement results, we can judge whether we have high blood pressure.
However, this does not mean that after measuring 1 time, if the blood pressure is higher than 140/90 mmhg, it is judged that a person has hypertension.
What does the guide say:
Hypertension guidelines suggest that 2~3 hospital measurements should be taken within 1~4 weeks, which means that a certain period of time should be given to exclude the temporary increase of blood pressure caused by other factors. You can't diagnose hypertension without seeing high blood pressure. It must be evaluated by a professional doctor and measured higher than 140/90 three times on the same day according to the specific situation before hypertension can be diagnosed!
Just like Aunt Zhang took her blood pressure 160/ 100mmHg at home, and then I took her 158/98mmHg at the hospital. Although the blood pressure is higher than 140/90mmHg, combined with Aunt Zhang's nervous grandson college entrance examination at that time, there is no guarantee of quality sleep for several days. Therefore, if you can improve your mood and ensure that your blood pressure returns to normal after sleep, then naturally you can't diagnose hypertension, let alone prescribe antihypertensive drugs.
Therefore, it must be remembered that it is impossible to diagnose hypertension by measuring blood pressure above 140/90mmHg once. We need to take three measurements higher than 140/90mmHg on different days, or take two or three hospital measurements within 1~4 weeks, and then we can finally diagnose hypertension after excluding short-term hypertension caused by other reasons.
Through the above accurate sphygmomanometer and correct measurement method, it does not mean that antihypertensive drugs must be taken immediately after the diagnosis of hypertension.
Hypertension guidelines point out that:
1, do not take antihypertensive drugs for the time being.
For new-onset hypertension of 1 grade, under the premise of no complications and no symptoms, we can control hypertension through a healthy lifestyle first, instead of taking antihypertensive drugs immediately.
What do you mean? After the diagnosis of hypertension, if the blood pressure does not exceed 160/ 100mmHg, it belongs to 1 grade hypertension. And there are no diseases such as heart, brain and kidney, no diabetes, no dizziness, headache and dizziness. Then you can control your blood pressure by insisting on exercise, controlling your weight, eating a low-salt and low-oil diet, eating more vegetables and fruits, coarse grains and other foods, not staying up late, quitting smoking and drinking, and so on.
After 3-6 months of observation, if the blood pressure can be reduced to 140/90mmHg, continue to maintain a healthy lifestyle to control blood pressure without taking antihypertensive drugs; However, if the blood pressure is still higher than 140/90mmHg after 3-6 months, it is necessary to prescribe regular antihypertensive drugs to lower blood pressure.
2, you need to start antihypertensive drugs.
If it is new-onset hypertension, which is higher than 160/ 100mmHg, then antihypertensive drug treatment should be started immediately;
If there are new cardiovascular and cerebrovascular diseases such as hypertension, diabetes, coronary heart disease, heart failure, myocardial infarction, angina pectoris, renal failure and cerebral infarction, you must also start taking antihypertensive drugs;
Of course, always remember that whether we take antihypertensive drugs or not, we should stick to a healthy lifestyle. A healthy lifestyle is the basis of controlling hypertension!
In short, if we can't see hypertension, we can easily diagnose it and let patients take antihypertensive drugs immediately!
The diagnosis of hypertension should be cautious!