The common people take antihypertensive medicine as cold medicine, and stop the medicine when the blood pressure drops after taking it for two days. Everyone knows that blood pressure drops to normal levels due to the effect of antihypertensive drugs in the body. Once the drug is stopped, the blood pressure will rebound, and the high and low blood pressure will cause great damage to the blood vessels. The blood vessel is like a rubber band. You continue to stretch, and your flexibility will soon disappear. The blood vessels in the head are the most fragile. Once the blood vessels become fragile, there is basically no possibility of recovery. This is also the reason why cerebral infarction and cerebral hemorrhage will recur once only once. Because the state of the blood vessels has reached the critical point of collapse when the crime was committed for the first time. The damage to the capillaries is irreversible. For example, for a house, if the tiles are old, the walls are cracked and the walls are cracked and the termites are not repaired. It is impossible to restore it to the previous level when the building is about to fall.
GGADS
Friday, February 26, 2021
Clinical Manifestations of Hypertension
The symptoms of high blood pressure vary from person to person. Early symptoms may be asymptomatic or unobvious. The common ones are dizziness, headache, tight neck, fatigue, and palpitations. Blood pressure rises only after fatigue, mental stress, and mood swings, and it returns to normal after rest. As the course of the disease is prolonged, blood pressure will continue to rise significantly, and various symptoms will gradually appear. At this time it is called chronic hypertension. The common clinical symptoms of chronic hypertension include headache, dizziness, inattention, memory loss, numbness of the limbs, increased nocturia, palpitations, chest tightness, fatigue and so on. Symptoms of hypertension are related to blood pressure levels. Most symptoms can be aggravated after nervousness or fatigue. Blood pressure can rise rapidly after morning activities. Early morning hypertension occurs, leading to cardiovascular and cerebrovascular events mostly in the early morning.
When the blood pressure suddenly rises to a certain level, symptoms such as severe headache, vomiting, palpitations, and dizziness may occur. In severe cases, confusion and convulsions may occur. This is a rapidly progressive type of hypertension and a critically ill hypertensive disease. Severe damage and pathological changes of heart, brain, kidney and other organs occur within, such as stroke, myocardial infarction, renal failure, etc. There is no consistent relationship between symptoms and elevated blood pressure levels. The clinical manifestations of secondary hypertension are mainly related to the symptoms and signs of the primary disease, and hypertension is only one of its symptoms. The increase in blood pressure in patients with secondary hypertension may have its own characteristics. For example, the hypertension caused by aortic constriction may be limited to the upper extremities; the increase in blood pressure caused by pheochromocytoma is paroxysmal.Causes of Hypertension
1. Genetic factors
About 60% of hypertension patients have a family history. It is currently believed to be caused by polygenetic inheritance, and 30% to 50% of hypertension patients have a genetic background. 2. Mental and environmental factors Long-term mental tension, excitement, anxiety, noise or poor visual stimulation and other factors can also cause the occurrence of high blood pressure. 3. Age factor The incidence rate tends to increase with age, and the incidence rate is higher for people over 40 years old. 4. Lifestyle factors Unreasonable dietary structure, such as excessive sodium, low-potassium diet, heavy drinking, and excessive intake of saturated fatty acids can all increase blood pressure. Smoking can accelerate the process of atherosclerosis and is a risk factor for hypertension. 5. Effects of drugs Birth control pills, hormones, anti-inflammatory painkillers, etc. can affect blood pressure. 6. The impact of other diseases Obesity, diabetes, sleep apnea hypopnea syndrome, thyroid disease, renal artery stenosis, renal parenchymal damage, adrenal gland mass lesions, pheochromocytoma, other neuroendocrine tumors, etc.Hypertension
Hypertension is characterized by increased systemic arterial blood pressure (systolic and/or diastolic blood pressure) (systolic blood pressure ≥140 mmHg, diastolic blood pressure ≥90 mmHg), and may be accompanied by the functions of the heart, brain, kidneys and other organs Or the clinical syndrome of organic damage. Hypertension is the most common chronic disease and the most important risk factor for cardiovascular and cerebrovascular diseases. Normal people's blood pressure fluctuates within a certain range with changes in internal and external environments. In the overall population, blood pressure levels gradually increase with age, with systolic blood pressure being more pronounced, but after the age of 50, the diastolic blood pressure shows a downward trend, and the pulse pressure also increases. In recent years, people’s understanding of the role of multiple risk factors for cardiovascular disease and the protection of heart, brain, and kidney target organs has continued to deepen, and the diagnostic criteria for hypertension have also been continuously adjusted. It is currently believed that patients with the same blood pressure level are at risk of developing cardiovascular disease. Different, so there is the concept of blood pressure stratification, that is, patients with different risks of cardiovascular disease should have different appropriate blood pressure levels. Evaluation of blood pressure and risk factors is the main basis for diagnosing and formulating hypertension treatment plans. Different patients have different goals for hypertension management. When facing patients, doctors will judge the most appropriate blood pressure for the patient based on the reference standards based on their specific conditions. Scope, adopt targeted treatment measures. On the basis of improving lifestyle, it is recommended to use 24-hour long-acting antihypertensive drugs to control blood pressure. In addition to assessing the blood pressure in the office, patients should also pay attention to the monitoring and management of family morning blood pressure to control blood pressure and reduce the incidence of cardiovascular and cerebrovascular events.
Gold 2021-05-21
Please be careful that the first breakout is always fake breakout. And the second one is true. That is scareful.