11/14/2012

How to spend the winter in patients with essential hypertension

Autumn basic began cooling, winter temperature is decreased sharply, this is all dormant when, but for patients with hypertension is an eventful year in winter than in summer, because the more difficult to control blood pressure in a normal range, especially in November each year to March of the following year, a year in cardiovascular disease death peak month. Therefore, the winter season is forthcoming, remind patients with hypertension disease, must vigilant attack.
Winter: blood pressure is difficult to control in patients with hypertension and cardiovascular physicians have this feeling, when frost comes, antihypertensive drugs seem to be false, so a drug pressure adjusting well, now two piece of control, is the original feeling and experience, there is no evidence, but in recent years, the United States of America Heart Association of researchers a study of, let us understand thoroughly the winter in patients with hypertension what. Study on more than 440000 patients with hypertension were a period of 5 years of follow-up, patients throughout the United States in 15 city, north to the cold Alaska, South to the warmth of the Puerto Rico. The researchers found that, regardless of geographic, racial and gender, blood pressure control in winter than in summer 8% normal persons.
Thermal expansion and contraction, vascular contraction: hypertension is a closely related diseases and meteorological changes. Based on the influence of genetic factors, patients with sympathetic reactivity was higher than those in controls, specific performance: the usual nervous, excited, can not adapt to the change of environment. The arrival of winter, the cold stimulation can result in abnormal sympathetic activation, resulting in cardiac contractile force enhancement, peripheral vasoconstriction, leading to systolic and diastolic blood pressure rise. In addition, the vascular itself, also comply with the " thermal " principle, hot summer and cold winter vasodilation, vasoconstriction. In addition, because winter people gain weight, changes in eating habits and exercise too little may also lead to increased blood pressure, at the same time, the winter diet may eat more salt, but also to urge the elevated blood pressure is one of the reasons.
Myocardial infarction, stroke concentrated high: in the case of climate change, the fluctuation of blood pressure increases, the main risk is the leading cause of acute disease, especially cerebral hemorrhage, cerebral infarction and myocardial infarction incidence. For example, like a rubber hose, arrived when the weather is cold, rubber will become brittle, if the water pressure increases, it is easy to open, our blood vessels is also so. Every winter, especially when temperatures drop, the hospital emergency room packed with stroke, myocardial infarction patients also increased significantly, this phenomenon is more obvious in our northern region. Especially in the elderly, vascular itself elastic itself than the young people should have the difference, therefore, cerebral hemorrhage, myocardial infarction and other accidents probability is higher.

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