Hypertension, how should we reduce blood pressure?

In the treatment of hypertension, patients often have two misunderstandings: one is to take medicine to solve hypertension once it is found; The other is high blood pressure, Take medicine only when you have symptoms. Neither statement is correct. We often call hypertension [lifestyle disease]. So, since hypertension is a disease [nurtured] by bad living habits, the cornerstone of treatment must be to change bad living habits. However, can all hypertension patients have their blood pressure lowered as long as they change their living habits? Hypertension, which degree should I take medicine? Generally speaking, for friends with hypertension level 1 (i.e. Blood pressure = 140 ~ 159 mmHg/90 ~ 99 mmHg) and no damage to target organs (heart, brain, kidney, retina, etc.), we sometimes let diet and exercise play a role first, observe for 3 ~ 6 months, and then rely on drugs to help if the effect is not ideal. However, if the blood pressure value reaches hypertension level 2 or above (i.e. Blood pressure ≥ 160/100 mmHg), or if we belong to high-risk and extremely high-risk friends according to the risk stratification, we will consider using drugs from the beginning. How much is the appropriate blood pressure drop? No matter whether the cat is white or black, If you can catch mice, you are a good cat. To judge whether the antihypertensive drug you have is [a good cat], Prices, packaging and publicity are not counted. Your blood pressure is the only measure. After many high blood pressure friends get sick, Eat carefully, exercise attentively, take medicine well, But I found that I still didn’t adjust my blood pressure to the state before I got sick. At this time, I began to lose heart. I feel that I have no therapeutic value. First of all, we need to make it clear that stable hypotension does not mean a one-size-fits-all approach. It does not mean that all hypertension patients can only drop below 140/90 mmHg. Compared with ordinary hypertension population, patients with target organ damage have stricter hypotension standards. That what is called hypotension standards? Many guidelines for the prevention and treatment of hypertension have already given clear answers: (1) the blood pressure of ordinary hypertension population should drop below 140/90 mmHg; (2) People with diabetes or kidney diseases should be controlled below 130/80 mmHg; (3) Blood pressure should be controlled below 130/80 mmHg for nephrotic proteinuria less than 1 g/day; (4) For nephrotic proteinuria greater than 1 g/day, blood pressure should be controlled more strictly and should be lower than 125/75 mmHg. According to this standard, have you reached the standard? How should antihypertensive drugs be adjusted? In the use of antihypertensive drugs, doctors will also follow the following principles: (1) When adding drugs, doctors will often start from a smaller dose and slowly explore the gradual increment in order to obtain the best effect while minimizing the side effects; (2) When the use effect of a single drug is not good, doctors will consider the combination of two or more drugs. Reasonable use can significantly improve the antihypertensive effect and reduce adverse reactions; (3) It is better to use drugs that are administered once a day and have 24-hour continuous antihypertensive effect, which not only facilitates hypertension friends and improves treatment compliance, but also ensures long-term blood pressure stability and is more conducive to the protection of target organs. (4) slow depressurization, It is advisable to reach the standard in 2-3 months. If the blood pressure is lowered too fast, the blood flow in the originally filled blood vessels will be relatively reduced, and the human organs will not be supplied with [accustomed] blood volume, which may induce some diseases instead. To sum up, hypertension is a chronic disease and cannot be treated urgently. Follow the doctor’s advice and take your time to make the blood pressure drop safer and more stable.