Core tip: take antihypertensive drugs before bedtime, is it really easy to stroke?
Taking antihypertensive drugs before bedtime is easy to cause a stroke? There is indeed such a saying that it is not good to take antihypertensive drugs before going to bed at night, which will easily lower the blood pressure at night, thus causing stroke and cardiovascular risk events.
In fact, there may be such a problem, but it is not completely accurate. Because everyone's high blood characteristics are different, the treatment of hypertension needs an individualized treatment according to the specific comprehensive situation of each person.
This statement stems from the characteristics of spoon blood pressure
For many people, the blood pressure situation is different in each period of 24 hours of the day, often with two peaks. When awake in the morning, blood pressure began to rise, peaked at 6-10 o'clock, then decreased, and then began to rise at 4-6 p.m., reached the second peak, and then gradually decreased, and dropped to the lowest at 2-4 a.m.
This characteristic blood pressure fluctuation is called "two peaks and one valley" or "spoon blood pressure".
For patients with these spoon-shaped blood pressure characteristics, it is recommended to take long-acting antihypertensive drugs (once a day) in the morning. If taking short-acting antihypertensive drugs (2-3 times a day), it is also recommended that the last time to take antihypertensive drugs should not be later than 19 o'clock. In order to avoid the night blood pressure drop too low and cause stroke, myocardial infarction, and other cardiovascular and cerebrovascular events.
The treatment of hypertension should be individualized rather than generalized
But not all patients with hypertension are dipper blood pressure, and there is nondipper blood pressure, it is likely that the blood pressure increases at night and decreases during the day. If it is a non dipper type of hypertension patient, it is necessary to monitor their own 24-hour blood pressure fluctuations, combined with their own blood pressure goals, complications, and so on to develop their own medication program.
If the blood pressure increases at night and decreases during the day, it is reasonable to take antihypertensive drugs at night, which will not cause cardiovascular and cerebrovascular accidents.
Therefore, it is suggested that patients with hypertension should do 24-hour ambulatory blood pressure monitoring before medication, so as to find out whether their blood pressure fluctuation characteristics are spoon type or nonspoon type, so as to formulate an individualized medication scheme.
After taking medicine for a period of time, it is recommended to review the 24-hour ambulatory blood pressure so as to understand the change of blood pressure and see whether the medication regimen needs to be adjusted, so as to better control blood pressure and protect target organs such as heart, brain, and kidney.
