Unusual unusual hypertension prevention and control

Each of the 5 adult has 1 people suffering from hypertension, the incidence of hypertension 18.8%, my province is as high as 28.8%, but the rate of awareness, treatment and control rate is only 30.2%, 24.7%, 6.1%. Neglect and indifference are allowed a " silent killer " was a dangerous journey

The young people don't know is increasing prevalence

30 year old Li Jin (a pseudonym ) this year just married. Wedding trip, he felt unwell, back a measured systolic blood pressure up to 170mmHg, then to the Shanxi Medical University first hospital, found that the heart had hypertrophy increases, leading to ventricular dysfunction, heart failure.

" The normal blood pressure systolic blood pressure ( hypertension ) is less than 120mmHg, diastolic blood pressure ( low pressure ) is less than 80mmHg. Blood pressures were higher than or equal to 140mmHg and 90mmHg in hypertension are considered. At present, China's hypertension incidence rate is increasing year by year, and a younger age trend. Shanxi Medical University first hospital hypertension unit director Shen Xiaomei introduced: " the year in hypertensive patients with 10000000 people, the existing 200000000 patients. High normal blood pressure level population total adult population proportion is growing, especially in young, has increased from 29% in 1991 to 34% in 2002, is China's number of patients with hypertension increased the main source. And the children of hypertensive incidence of a disease is not optimistic, which is 2%4% preschoolers, school-aged children as 4%9%.

" A lot of people with elevated blood pressure, but not uncomfortable, although some dizziness headache, but that the shoulder will be the last, most young people with other diseases in medical or physical examination when learn they have hypertension, some diagnosis is very serious. " The Institute hypertension ward associate professor Zhang Hongling said: " outpatient encounters many such patients, a 23 year old university graduates ' traces hypertension, there are some students' college entrance examination found systolic blood pressure up to 190mmHg. "

Cardiovascular deaths by half on hypertension

" Hypertension is a kind of continuous level of cardiovascular syndrome, is a systemic disease. Often patients that their body is very good, but pressure is a little high, to the hypertension harmfulness cognition seriously insufficient. " Shen Xiaomei said: " a lot of people with high blood pressure without symptoms, time is the key factor for a long time, to the heart, kidneys, brain vascular and systemic organ caused irreversible damage. "

" Our annual cardiovascular death of 3000000 people, of which at least half of associated with hypertension. " Shen Xiaomei introduced: hypertension cerebrovascular disease " is the most important risk factor of coronary heart disease, stroke, heart failure, myocardial infarction, arteriosclerosis, chronic kidney disease, complications such as retinopathy, disability, death rate is high, bring heavy burden to the family and society. " " With the army expansion of hypertension, aortic dissecting hematoma this accepted cardiac surgical critically ill become common disease. Hypertension and diabetes mellitus can also aggravate each other, not good blood pressure control, glucose is difficult to reach. " Zhang Hongling says.

" Will accelerate the aging process in the brain of patients with hypertension. " The United States of America California University researchers, uncontrolled hypertension early in early middle age can disrupt patients of brain structure and function, when young, understanding and treatment of hypertension, can avoid the influence of late-life brain health.

Ignorance and Prejudice small ailment long pulls a serious illness

" Hypertension early without any symptoms, causing organ damage in many years to be shown. Many people feel that the hypertension is not a disease, but also not active treatment, this is a big misunderstanding. " Shen Xiaomei said: " some patients with systolic blood pressure up to 200mmHg, but does not affect the work and life, it is not necessary in the treatment of Western medicine; some believe that the presence of adverse, worry about eating a lifetime away from; and though the use of drugs, but the blood pressure is not reached, or to see blood pressure decrease on unauthorized withdrawal, dressing change. "

In the job, Shen Xiaomei met many such patients. Neighbor 76 year old father, ten years ago diagnosed hypertension, but did not adhere to treatment, after many years, cerebral infarction complicated with diabetes mellitus. Some college leaders 40 years traces hypertension, due to busy work, he still smoking, drinking, not drugs. Later cerebral hemorrhage affects the optic nerve, more than 50 years of age he contracted hemianopia. " Ten years have passed, complications have appeared. Now, he is very careful, take medicine on time every day, every year the regular physical examination, but the damage is irreversible. " Shen Xiaomei said regretfully.

" Some time ago, a friend of mother brain obstruct, I view the medical records, before the discovery of hypertension treatment plan is very good, how come by? Ask ability knows to go on a pilgrimage for Buddhist scriptures, elderly neighbor, to doctor of medicine into the apocynum. " Shen Xiaomei stressed: " hypertension requiring individual treatment, the medication is divided into five major categories, dozens of kinds of. Frequent changes will cause fluctuations in blood pressure, vascular injury more. " " There are a lot of details of hypertension medication. For example, in patients with diabetes mellitus, usually without hydrochlorothiazide tablets and other effects on glucose metabolism. Our primary hypertension, 75% are associated with elevated homocysteine in type H hypertension. This kind of patients in a controlled pressure while also taking folic acid, to reduce stroke risk. But many old patient perennial hooded medicine, never check to the hospital, it is very difficult to get the guidance system. " Zhang Hongling says.

Heavy environmental pollution have difficulty regulating blood pressure

52 year old Zhang Zhigang (a pseudonym ) in the provincial capital of a state-owned enterprises, the usual blood pressure is high. During the National Day this year, he went to Fujian for a few days in Wuyishan, found that blood pressure was inexplicably returned to normal.

" It is not difficult to explain the phenomenon. Air pollution can be caused by cardiovascular and cerebrovascular disease and hypertension increases, there is a certain correlation. " Taiyuan Municipal Center for Disease Control and prevention of vice director Deng Xiaowei introduces, their study found that air pollutants in Taiyuan City, with sulfur dioxide and respirable particulate matter ( aerodynamic diameter less than 10 μ m fine particles) is relatively serious, can lead to cardiovascular disease incidence.

2009, " China Environmental Science " magazine article said, PM10 and PM2.5 concentrations for each additional 10 micrograms per cubic meter, cardiovascular disease mortality will increase 0.40% and 0.53%. German researchers have found that, if the air to gather a large amount of particulate matter in a local area, the content of sulfur dioxide and cardiac systolic blood pressure increased on 1.79mmHg.

Another study confirmed, long-term residence in the noise environment of the larger people predisposed to hypertension. According to the average above 65 decibels, road traffic noise will directly lead to more than 50% people have the risk of high blood pressure.

" Patients with hypertension in the air polluted place exercise, the risk also increases. " Deng Xiao suggested, should pay close attention to air pollution index, try to choose the better air quality time periods and areas, generally considered the pollution concentration high morning, afternoon three or four when air is the best.

Life style disease comprehensive intervention is the fundamental

" Primary hypertension etiology is complex, in addition to genetic, usually considered high sodium low potassium diet, overweight and obesity, excessive alcohol consumption, stress, lack of physical activity are important risk factors. " Shen Xiaomei said, most patients require long-term, even lifelong adherence to treatment. In the standard medication, stable pressure control at the same time, the healthy way of life at any time, any of the hypertensive patients ( including the high-normal blood pressure ) are all effective methods of treatment. Salt restriction, limiting alcohol, smoking, weight control, regular exercise, relieve mental pressure for better control of concomitant cardiovascular risk factors.

" Lifelong medication is not immutable and frozen. " Zhang Hongling said, systolic blood pressure in between 140mmHg-159mmHg, diastolic blood pressure in 90mmHg-99mmHg between a period in patients with hypertension, as long as the age less than 55 years old, not smoking, 2 hour postprandial glucose tolerance abnormal, and no family history of premature cardiovascular disease and dyslipidemia, but through lifestyle changes to control blood pressure. " If the blood pressure, healthy life will likely replace medicine, but many patients to persevere. "

" Only the comprehensive prevention and control, can effectively controlled pressure. In the treatment of hypertension at the same time, to active intervention patients out of all risk factors, the appropriate treatment of a variety of clinical situations, to the greatest extent to reduce the morbidity and mortality of cardiovascular and cerebrovascular disease risk. "