Core tip: there are more than 200 million hypertension patients in China, and the number is still rising. The control rate of hypertension is only 6%, that is to say, most people's blood pressure is not up to standard.
There are more than 200 million hypertension patients in China, and the number is still rising. The control rate of hypertension is only 6%, that is to say, most people's blood pressure is not up to standard. Feng Yingqing, the chief physician of hypertension specialist of Guangdong Provincial People's Hospital, said that in the process of hypertension treatment, patients often have many misunderstandings, so that blood pressure control is not ideal. She advocates that people should take their own blood pressure at home and clearly understand the standard level of their own blood pressure, to protect the cardiovascular and cerebrovascular system to the greatest extent.
Mistake 1: no symptoms, no blood pressure measurement
Generally speaking, patients with hypertension will appear dizziness, irritability, tinnitus, fatigue, insomnia, and other symptoms. However, there are also some patients with high blood pressure, but no symptoms mentioned above. But because of asymptomatic, patients do not think they are sick, often do not want to accept antihypertensive treatment, which has great potential risk.
Therefore, adults without any symptoms (especially the elderly) should regularly measure their blood pressure, at least once a year; if they have high blood pressure, they should take antihypertensive treatment regardless of whether they have symptoms so that their blood pressure can be controlled within the normal range
Mistake 2: taking medicine every day is still not up to standard
"I have high blood pressure, but I take antihypertensive drugs every day. How can I have a stroke?" every time I encounter a stroke patient, I always have such questions. Feng Yingqing said that in the eyes of patients, they think that if they take the medicine, their blood pressure should reach the standard. In fact, this is not the case at all.
The purpose of taking medicine is to reduce blood pressure. Therefore, patients must find out whether their blood pressure is well controlled after taking medicine, that is, to monitor their blood pressure level. Otherwise, if they just take medicine without looking at the curative effect, they will be too irresponsible for their own diseases.
Mistake 3: take less medicine so as not to take medicine for life
The idea that "medicine is divided into three kinds of poisons" is deeply rooted in the hearts of the people in China. Therefore, many patients with hypertension think that once they take antihypertensive drugs, they can't stop taking them, and the drugs have so many side effects, so they insist on not taking them.
Feng Yingqing stressed that the concept of "patients with hypertension should take medicine for life" must be accepted, and most patients with hypertension need two or more drugs to achieve the target blood pressure. Therefore, patients with hypertension should not credulously believe the irregular advertising of "radical treatment of hypertension". At present, no drug in the world can cure hypertension.
Myth 4 the lower the blood pressure, the better
The goal of antihypertensive treatment is: the blood pressure of common hypertension patients is lower than 140 / 90mmHg, and the blood pressure of high-risk patients such as diabetes and nephropathy is lower than 130 / 80mmHg.
The lower the blood pressure is, the better. There is a certain risk of excessive hypotension. When the pressure drops to a certain extent, the blood vessels are in a state of maximum expansion, and it is still difficult to maintain the blood supply to the heart and brain, causing dizziness, angina pectoris, and even myocardial infarction and cerebral infarction. For example, in people over 85 years old, those with diastolic blood pressure less than 120 mmHg have an increased risk of death. Therefore, reducing blood pressure should be enough. Generally speaking, the threshold of blood pressure reduction should be based on the principle of individualized treatment, and the bottom line of blood pressure reduction should be that the patients can tolerate it and do not have hypoperfusion of the heart, brain, kidney, and other organs.
Myth 5 the faster the blood pressure, the better
Does blood pressure drop as fast as possible? The answer should be No. Some drug advertisements claim that "drugs can rapidly reduce blood pressure". In fact, this rapid reduction of blood pressure is not beneficial but will increase the risk of cardiovascular and cerebrovascular diseases. Rapid depressurization can lead to increased heart rate and insufficient coronary and cerebrovascular blood supply, she said. Increased heart rate is an independent risk factor for cardiovascular disease. Even small changes in heart rate can cause serious heart damage. Remember that haste makes waste.
