Treatment of hypertension in sixteen errors

Some hypertensive patients after taking medicine, often meet in blood pressure reduction effect, but did not reach the target value.

One of errors: high blood pressure is a little nothing, don't get excited over a little thing.

In fact, many observational studies confirmed that, even if slightly higher blood pressure cardiovascular disease risk will be increased, for hypertension, don't take no care attitude should be taken seriously.

Zone two: the systolic blood pressure is a little higher no harm, as long as the diastolic blood pressure is normal.

Long argued that hypertension harmfulness mainly lies in the diastolic blood pressure levels increased point of view should be corrected. Because, the latest clinical research confirms, systolic blood pressure increased harm than diastolic hypertension.

Error three: the elderly hypertension is a physiological phenomenon.

The elderly hypertension is a physiological phenomenon, the elderly hypertensive diagnostic criteria and young people. Prevention and treatment of hypertension in China the guide points out that elderly hypertension target systolic blood pressure to < 150mmHg. Guide points out again if tolerance can be further reduced. But this point in the international differences, because it is in the aging heart and vascular more in need of protection, the elderly and young people need to have the same level of blood pressure. The same level of high blood pressure values for the elderly harm than young people.

Zone Four: the cardiovascular and renal function has been compromised patient would not be appropriate to lower blood pressure.

Once thought of as, cardiovascular and renal function has been in existence for injury to the patient, blood pressure should be a little higher in order to maintain the organ blood supply, reduce blood pressure will increase the ischemia. The current view is that, for cardiovascular and renal target organ damage done in hypertensive and diabetic patients more actively buck, so as to protect the already damaged organs, blood pressure and to avoid further deterioration.

Zone Five: antihypertensive drugs to stop eating, cannot hold.

Hypertension is a chronic disease, but long-term adherence to medication, can effectively reduce the harm. Stop to eat, easy to cause fluctuations in blood pressure, not only useless but harmful.

Zone Six: the blood pressure decreased to normal should stop, until high up and medication.

Blood pressure decreased to normal, only that the drug effect, cannot explain hypertension has been cured. Hypertension usually need lifelong medication adherence. Blood pressure stable normal, sometimes in the observation can be carefully epsilon by drugs, but not stopping. Otherwise, in most cases, blood pressure will rebound.

Zone seven: the requirement of rapid to increase blood pressure to normal level.

Eager to compute, demand increased rapidly to the normal blood pressure level is not realistic, but harmful, particularly blood pressure over 180mmHa in hypertensive patients. Because the body has adapted to the high level of blood pressure, if drop too fast, causing the body to have new symptoms appear, the organ supply will be hurt. Small dose of antihypertensive drug treatment should be started, so that blood pressure is slow and steady decline, let the body get new adaptation and balance, it is reasonable. In fact, some antihypertensive drug effect, also does not take place instantaneously, needs patience. Of course there is an exception, that is only acute hypertension patients ( including acute target organ damage in the hypertensive crisis, hypertensive encephalopathy, acute hypertension patient ) only to be hospitalized as soon as possible will suddenly sharply higher blood pressure control.

Zone eight: the changing drug varieties.

" Don't eat the same drugs, so as to avoid failure. " With this view of the patient often actively changing antihypertensive drugs. In fact, this is wrong. Choose certain antihypertensive drugs, and satisfactory results were obtained after should continue to adhere to taking, is generally not a failure, such as a blood pressure fluctuations occur, should look for other reasons, including cold, fever, mood swings, stay up late, excessive fatigue, can lead to the fluctuation of blood pressure.

Zone nine: try not to eat or less medication, because " is the three drug toxicity ".

Indeed, the drug is a double-edged sword, incorrect drug problem. But please be assured, through strict examination and approval of marketed drugs, basically all is safe and effective, do not have to worry too much. The medicine is ill, are not personal subjective desire, but the objective existence, all according to need to determine. As long as you need, we should under the guidance of a doctor in medicine.

Zone ten: Chinese medicine than western medicine safety, refused to eat Western medicine.

This view needs to be corrected. Since it is the medicine can be toxic side effects, due to Chinese traditional medicine toxicity resulting disability, death cases have also been reported. We advocate for a scientific validation of effective and safe drugs.

Zone Eleven : antihypertensive drugs should not be in the evening or at bedtime.

Because the clinical observation to some patients with hypertension mainly appears in the morning or at night, therefore, for this type of patient, the evening before going to bed or medication is reasonable, time of taking medicine should it differs from man to man.

Zone twelve: the summer should be stopping or reducing drug.

This only applies to the part of the patient, and confined in a close observation of epsilon cautiously probing by drugs, drug withdrawal is often wrong.

Zone thirteen: blood pressure treatment but not up to the standard.

Some hypertensive patients after taking medicine, often meet in blood pressure reduction effect, but did not reach the target value. Hypertension guidelines proposed by the target level of blood pressure in patients with essential hypertension is common to below 140/90mmHg. Here " following " appears very important. Because the target value no specific limit. But notable is, guide also presents " the level of blood pressure from 110/75mmHg, along with elevated blood pressure levels and cardiovascular risk increases continuously, and the comparison of blood pressure blood pressure < 110/75mmHg, 120～ 129/80 ～84mmHg, cardiovascular risk increases 1 times, 140-149/ 90-94mmHg, blood pressure, cardiovascular risk increases 2 times. " From this passage, we understand the ideal blood pressure value should be 110/75mmHg. If the blood pressure to below 140/90mmHg, such as 139/89mmHg level, it's just a barely passed the maximum level target value, should try to lower the blood pressure a little low, benefit will be more. Blood pressure of 120～ 139/80-89mmHg level, the United States considered " hypertension ", our guide considered "normal value ", all that is not normal.

Error fourteen: error that Buck target value is 140/90 mm hg.

We can be seen from the above, " with blood pressure < 110/75mmHg 140/90mmHg, blood pressure, cardiovascular risk can increase 2 times. " The blood pressure target value is set to 140/90mmHg, is undoubtedly a misunderstanding. So far, there is still a lot of people think that 140/90mmHg is a normal level of blood pressure values. In fact, blood pressure, 140/90mmHg has already reached the diagnosis criteria of hypertension. Based on the available evidence, " Chinese hypertension prevention guide " ( 2005) recommendations, normal blood pressure in hypertensive patients should be strictly controlled in the following 140/90mmHg; diabetes and nephropathy patient blood pressure should be reduced to below 130/80mmHg; elderly systolic blood pressure has fallen to below 150 mmHg, such as tolerance, can also further reduce.

Zone Fifteen: according to the casual blood pressure values to determine the outcome of treatment.

The general values of blood pressure in 24 hours has the fluctuation, accidental to the measured blood pressure values (generally find physicians measured blood pressure values of consulting room ) can often lead to misdiagnosis ( the white coat hypertension, namely hypertension as hypertension ) and missed diagnosis ( a normal blood pressure to the presence of occult hypertension, often missed .) can not reflect the true comprehensive blood pressure and antihypertensive efficacy. At present, advocate and encourage hypertensive patients for sphygmomanometer, like diabetes patient of self blood glucose monitoring, monitoring of blood pressure by his understanding of circadian blood pressure fluctuation. Most of the patients of early morning blood pressure peak, also has the higher nighttime pressure. If the conditions, should receive 24 hour blood pressure monitoring, for the judgment of the hypotensive effect and formulate a treatment plan will be very helpful.

Zone Sixteen: with a symptomatic medication.

Some people feel dizziness, headache and other uncomfortable symptoms when temporary eat some antihypertensive drugs, no symptoms when they mistakenly believe that their blood pressure was normal, usually do not take medicine, this is wrong. Because some of the blood pressure in hypertensive patients even up to 200 mmHg above will have no symptoms, these patients are called adaptive hypertension. Hypertension patients even with symptoms are often non-specific. Taking the only basis should be measured to the blood.