Core hint: got hypertension should take medicine all one's life? Two cases give you different answers
"Doctor, is it true that you have to take medicine for life if you get high blood pressure?" Patient Li Shu nervously asked the doctor.
"Most of them are, but not necessarily, and some of them can be cured!" "Replied the doctor.
Hypertension is one of the most common chronic diseases. At the beginning of diagnosis of hypertension, doctors often advise patients to take oral antihypertensive drugs and improve their lifestyle and diet. Many patients are particularly worried: got high blood pressure is not to have to take a lifetime of antihypertensive drugs? Why would the doctor say not? The doctor explained it to us with two cases.
First, this kind of hypertension takes medicine for life generally
Mr. Li, 49 years old, 170cm tall, 190 pounds, usually like smoking, drinking, often drunk unconscious. He is also a man of taste and eats a little pickle at every meal. His blood pressure was found to be abnormally high during a medical check-up at the company this year, and he later went to the hospital for a check-up. The doctor said he had primary high blood pressure and needed to stick to his blood pressure medication. He also said he should control his diet, strictly limit salt, and stay away from alcohol and tobacco.
We most often say that hypertension, in fact, is essential hypertension, this kind of hypertension in the present can not find the exact cause of the disease, only long-term oral antihypertensive medication symptomatic treatment, is almost not a radical cure. There are, of course, a few cases where blood pressure returns to normal after medication adherence and life improvement, seemingly "cured," but then returns to a bad lifestyle and blood pressure rises again.
Therefore, for the vast majority of patients with essential hypertension, it is necessary to take life-long antihypertensive drugs.
Two, this kind of high blood pressure can be cured
Due to frequent headaches, heart palpitations, and excessive sweating, Liu, 52, went to the hospital for a check-up and found her blood pressure was abnormally high and her body was also in a state of high blood sugar. The doctor advised Liu to have the operation immediately and only used blood pressure medicine during the operation. Liu's blood pressure returned to normal after the surgery and she did not continue to take blood pressure medication.
The same is high blood pressure, why does aunt Liu need not life-long oral blood pressure medicine?
After a thorough examination of Liu, doctors found abnormal levels of catecholamines and their metabolites in her blood and urine. Taken together with other indicators, her hypertension was eventually found to be caused by pheochromocytoma. That is to say, the high blood pressure that Aunt Liu developed is a secondary form of high blood pressure, and it can be cured.
Secondary hypertension and primary hypertension are different, mainly remove the factors of secondary disease, general blood pressure will return to normal. Pheochromocytoma (Pheochromocytoma) is a neoplasm of neuroectodermal pheochromocytoma, which mainly secretes catecholamines. Pheochromocytoma occurs mostly in extraperitoneal, para-aortic, and adrenal glands, and is mostly benign. High blood pressure can be cured if the patient is detected and treated in time.
Doctors conclude: whether hypertensive patients should take life-long antihypertensive drugs, the key depends on primary hypertension or secondary hypertension.
Hearing the doctor's explanation, Uncle Li suddenly saw the light. After he knew that he had essential hypertension, he began to take oral antihypertensive drugs under the guidance of doctors, strictly control his diet, reduce oil and salt, stay away from tobacco and alcohol, and insist on regular exercise to maintain his weight within a reasonable range.