Do I need to take medication if I have high blood pressure, how is high blood pressure diagnosed, and what are the causes of high blood pressure?

A 60-year-old Zhang went to a friend's house to play mahjong, and after "playing" a big tile, he got too excited and felt dizzy. The friend took out the blood pressure meter at home and measured the old man's blood pressure at 155/88 mm Hg. The old man didn't believe it, he was always in good health and had healthy habits, so how did he get high blood pressure? After discussing with his partner at home, he went to the hospital.

A. What kind of blood pressure is hypertension

The doctor told him that if his blood pressure was equal to or greater than140/90mmHg, he had reached the standard of hypertension. But only once can not be sure, told the old Zhang come back in a few days to measure again.

2, not the same day multiple measurements are overThe standard: after three days, the old Zhang again to the hospital, this time the measurement results for 155/83mmHg, still exceed the standard. The doctor told Lao Zhang that if his blood pressure reached the diagnostic standard within 4 weeks of repeated measurements on non-same days, he could be diagnosed with hypertension. Old Zhang can now be diagnosed with hypertension.

3, high pressure and low pressure should be viewed separately: Old Zhang asked the doctor, his low pressure did not reach 90mmHg, is also considered hypertension? The doctor said that the high pressure and low pressure in blood pressure should be considered separately, as long as one of them reaches the standard, it can be diagnosed as hypertension. The diagnostic standard for hypertension in the hospital office is 140/90mmHg, while at home the body is more relaxed, so in the home self-measurement, the blood pressure standard is 135/85mmHg.

Second, why do you get hypertension

Old Zhang was very upset, he said to the doctor, he has very healthy habits, usually eat very light, taste is not heavy, but also often exercise exercise, how can also get hypertension? The doctor told the old Zhang, for the original occurrence of hypertension, the current medicine did not find the exact cause of the disease. But several high-risk factors have been identified, including obesity, smoking, alcoholism, anxiety, mental stress, irregular work and rest, and a certain genetic predisposition, if there are immediate family members suffering from hypertension, then the probability of developing the disease will increase significantly.

Old Zhang scratched his head, embarrassed, said he likes to drink, every day you have to drink a small two wine to feel comfortable. The doctor nodded, it seems that the old man may be drinking caused by high blood pressure. In fact, people in old age, the elasticity of blood vessels will certainly be reduced, all people's blood pressure will tend to rise. But if there are bad habits, it will make the high blood pressure come earlier.

Third, if you have high blood pressure, you have to take drugs?

1, first check to assess the risk: Lao Zhang learned that he had high blood pressure, was very worried, asked the doctor if he had to take drugs immediately? The doctor told Zhang to take it easy and do some tests first. The doctor gave Zhang a bunch of lists, check the brain, heart, kidneys, carotid arteries, need to draw blood, urine tests, but also to go to the eye to see the fundus. The old Zhang heart muttered, is a high blood pressure, how to check from head to toe all over?

The doctor seemed to have guessed Zhang's thoughts and explained to him that since he was found to have high blood pressure, he needed to be further checked for other combined diseases to see if there was damage to the target organs of high blood pressure, and also to check blood lipids, blood sugar, liver and kidney function to assess the risk of cardiovascular and cerebrovascular diseases, based on these tests, in order to develop an individualized antihypertensive program.

2, high-risk groups need to take drugs: after the examination results, the old Zhang organ function is still normal, but the blood lipids are a little high. 60-year-old Zhang, with high blood pressure, high blood lipids, but also love to drink, comprehensive assessment results for the cardiovascular and cerebrovascular disease high-risk groups. The doctor told Lao Zhang that people with low and medium risk can be observed for 3 months, and those who cannot lower their blood pressure by non-pharmaceutical means can then take medication. However, he had to take antihypertensive drugs now and also receive lipid-lowering treatment.

Old Zhang asked the doctor whether the antihypertensive drugs can not be stopped after eating? The doctor told Lao Zhang that the purpose of treating hypertension is to control blood pressure. Some people can control their blood pressure through a low salt (no more than 6 grams per day), low fat (no more than 25 grams per day) diet, increased activity, weight loss, smoking and alcohol cessation and other healthy life attempts, or in the summer when blood pressure naturally decreases, it is possible to stop the drug. The ability to discontinue medication is based on close monitoring of blood pressure in general. However, for most patients with hypertension, continuous medication is required to control blood pressure.

In summary, hypertension requires multiple measurements (at least 2) on non-same day to confirm the diagnosis. Once hypertension is diagnosed, a physician will need to assess the risk level to determine whether to observe or take medication immediately. However, a healthy lifestyle is essential whether or not medication is taken. Please consult your doctor or pharmacist if you have any problems with your medication. I am pharmacist Huazi, welcome to follow me and let me be your pharmacist.