See a doctor. Blood pressure is soaring? White coat hypertension may have seriously damaged cardiovascular health.
Friends who have checked their bodies in the hospital and taken their blood pressure will find that the blood pressure measured by doctors or nurses is always higher than that measured at home. This is actually a very normal physiological reaction. Although you feel calm, your sympathetic nerve is still more excited than usual, and your blood pressure will naturally rise. This phenomenon has a proper term, which is called blood pressure white coat effect. The white coat effect of blood pressure may cause some people's blood pressure to be overestimated, but this situation can be easily corrected. If you suspect that the blood pressure measured by the doctor is high, you can tell the doctor your blood pressure measured independently at home, so that the doctor can have a more comprehensive understanding of your blood pressure. Our blood pressure fluctuates continuously within 24 hours and will be disturbed by external factors. Sometimes it's higher, sometimes it's lower, or it's higher in some occasions and lower in some places, which is very normal. The white coat effect of blood pressure is helpful to evaluate a person's cardiovascular health. If your blood pressure measured in the hospital is 5- 10 mmHg higher than that measured at home (taking systolic blood pressure as an example), it means that your cardiovascular health is still good; If the difference between them exceeds 10 mmHg, or even 20 mmHg, it means that you may have some cardiovascular health risks. But for patients with hypertension, if abnormal blood pressure fluctuations are found, we should be highly vigilant: 1. The blood pressure measured by white coat hypertension hospital is higher than that measured at home 10 (diastolic pressure) /20 (systolic pressure) mmhg or more. These people may be potential patients with severe hypertension, and their cardiovascular health has been damaged, so they need to actively adopt a light diet. It is also necessary to increase the number of blood pressure measurements; As for whether it is necessary to increase the dosage and variety of antihypertensive drugs, it needs to be determined after evaluation by doctors. 2. Recessive hypertension is just the opposite of white coat hypertension. The blood pressure measured by these friends at home is significantly higher than that measured in the hospital. Compared with white coat hypertension, hypertensive patients in this situation are more dangerous and have a high risk of myocardial infarction or cerebral infarction. They need to do 24-hour ambulatory blood pressure monitoring, and the doctor will adjust the treatment plan according to the monitoring results. 3. Refractory hypertension These hypertensive patients must take more than three antihypertensive drugs in order to lower their blood pressure to a safe level. These patients are often older and have been ill for a long time, and may also be accompanied by obesity, diabetes, kidney disease or left ventricular hypertrophy. They are hypertensive patients who need special attention. 4. Hypertensive patients with elevated systolic blood pressure mostly occur in elderly hypertensive patients, indicating that the degree of atherosclerosis in patients is already quite high, and the risk of cardiovascular disease is also significantly increased; Because the diastolic blood pressure of these patients should not be too low (below 60 mm Hg), otherwise it will be dangerous. These patients need to carefully choose antihypertensive drugs under the guidance of doctors. 5. Early morning hypertension, * * * hypertension or * * hypotension also occur in elderly hypertensive patients with a long course of disease. Once it is found that the blood pressure (systolic blood pressure) fluctuates more than 20 mm Hg in the morning, or changes from sitting posture to standing posture, it is necessary to actively prevent the outbreak of various cardiovascular and cerebrovascular diseases. We don't need to worry too much about our blood pressure being overestimated, and professional doctors don't decide whether to take antihypertensive drugs for patients according to blood pressure fluctuations in one place and another. In fact, we need to pay more attention to the above abnormal fluctuations of blood pressure. The appearance of these situations shows that your cardiovascular health is deteriorating, and malignant cardiovascular events may occur at any time, such as angina pectoris, myocardial infarction or cerebral infarction, cerebral hemorrhage and so on. More active preventive measures are needed. Disclaimer: The above content comes from the Internet, and the copyright belongs to the original author. If there is any infringement of your original copyright, please let us know and we will delete the relevant content as soon as possible.