Just found hypertension, do you need to take medicine?

Many people take their blood pressure by chance and find that their blood pressure has reached the standard of hypertension (higher than 140/90 mmHg). At this time, don’t be nervous first, and then take it two or three times. If it is still high, it is recommended to take it again every other day or two.

If the results of multiple measurements are higher than 140/90 mmHg, you must be careful. You must go to the internal medicine department or the cardiology department of the hospital to have a look and let the doctor help lower your blood pressure.

Many people think that when they arrive at the hospital, doctors must let them take medicine. In fact, they are not. For newly discovered hypertension patients, whether to take medicine or not needs to be decided according to cardiovascular risk stratification.

Low risk patients

First, improve lifestyle and monitor blood pressure, and try to change other risk factors at the same time. Observe for 3 months. If blood pressure is still higher than 140/90 mmHg, then consider drug therapy.

Moderate risk patients

First, improve lifestyle and monitor blood pressure, and at the same time try to change other risk factors that may lead to cardiovascular and cerebrovascular complications. Observe for one month. If blood pressure is still higher than 140/90 mmHg, drug therapy is required. Some people also suggest that patients at risk had better start taking drugs immediately.

Patients with high risk and high risk

Antihypertensive drugs must be taken immediately, lifestyle adjustment must be carried out, and coexisting risk factors and diseases must be treated at the same time.

How to judge whether my hypertension is dangerous?

This is generally judged by doctors. How dangerous hypertension is is not only related to blood pressure values, but also related to other personal factors. Here, I can briefly introduce it to you.

According to the blood pressure value, we divide the blood pressure into four levels. Combined with age, body shape, family history, etc., it is divided into four risk levels: low risk, medium risk, high risk and very high risk.

For details, please look at the following two pictures:

Why do you want to lower your blood pressure?

Continuous blood pressure rise will damage blood vessels in the heart, brain, kidney, eyes and other places. Blood pressure cannot be controlled for a long time. Cerebral infarction, cerebral hemorrhage, heart failure, renal failure, fundus diseases and so on may occur, which may cause consequences that seriously affect the quality of life and even death.

The purpose of lowering blood pressure is to maintain blood pressure within the normal range, minimize various damages caused by excessive blood pressure to systemic blood vessels, and avoid complications such as cardiovascular and cerebrovascular diseases, hypertensive nephropathy, fundus diseases, etc. as much as possible.

Is there any side effect when antihypertensive drugs are taken for a long time?

Many friends are worried that taking medicine for a long time will cause damage to their bodies.

在这里, 要跟大家说: Any kind of drug, will have side effects, but, hypertension this disease brings harm to the body, is far greater than the side effects of antihypertensive drugs.

The medicine you are taking now is suitable and safe for you as long as it can stabilize your blood pressure within the normal range and does not cause intolerable side effects.

After taking antihypertensive drugs for 3 days, the blood pressure is still high. Do you need to change dressing?

In the treatment of hypertension, if the blood pressure drops too fast or too low, ischemia of various important organs may occur, which is also very unfavorable to the body.

Generally, patients should undergo 4 ~ 12 weeks of drug therapy to make their blood pressure reach the standard. If it is an elderly patient (> 65 years old), with coronary artery lesions, or patients with bilateral carotid artery stenosis, this time can also be appropriately prolonged.

In addition, the recommended treatment plan now is to give priority to long-acting drugs, which can effectively control blood pressure all day and hypertension in the morning. Long-acting drugs generally need about 1-2 weeks to play a stable antihypertensive role.

Therefore, we can’t think that the problem of medicine is that the blood pressure has not dropped for 3 days. It is suggested to take it for at least 2 weeks according to the doctor’s requirements, and at the same time monitor the blood pressure at home and record it so as to give the doctor a reference when seeing a doctor again.