This disease is hypertension one of the most serious complications, slightly higher incidence of men, more common in 50 to 60-year-old elderly, the young but also the incidence of hypertension patients.
Hypertension often leads to brain arteries at the end of a pathological change, highlighting the performance of these small arteries in the wall or on a glass-fiber degeneration and focal hemorrhage, ischemia and necrosis, weakened the strength of the vessel wall , A limited expansion, and a small aneurysm.
Hypertensive cerebral hemorrhage that is, on the basis of this pathology, because of emotional, mental and excessive manual or other factors caused severe blood pressure increased, leading to the brain vascular lesions have been bleeding due. One beans profiling artery ruptured most common, followed by other hypothalamus penetrating artery, and the hypothalamus geniculate arteries after artery choroid plexus, and so on. Therefore, high blood pressure and cerebral hemorrhage have the good of its special position, according to statistics bulk cases, 55% in the putamen (the capsule), 15 percent in the brain cortex white matter, 10 percent in the hypothalamus, 10 percent of the pons , 10% in the cerebellar hemispheres. Which occurred in the medullary or in the brain are extremely rare. Hematoma expansion can sometimes break into the brain room, but generally not the cerebral cortex perforation caused subarachnoid hemorrhage. Pathology, hematoma caused by pressure around the brain, ischemia, cerebral infarction, necrosis, accompanied by severe cerebral edema, thus easy to dramatically increase the intracranial pressure and cerebral hernia.
Clinical features as sudden severe headache, and with more restless, sleepiness or coma. Hematoma in the contralateral hemiplegia, the pupil changes, early on both sides to narrow pupil, when the hematoma expansion, increasing cerebral edema, then there increased intracranial pressure, caused a hematoma side of the pupil, scattered crisis, such as cerebral hernia, a breathing disorders, slow pulse , High blood pressure. Then that is central to failure. Less bleeding, hematoma can be self-absorption dispersed, symptoms gradually eased.
According to history of hypertension and clinical features, it is not difficult to make general clinical diagnosis. Brain CT, MRI scans in the diagnosis of the most helpful, not only can be diagnosed early and accurately understanding the site of bleeding, the amount of bleeding, affected areas, whether ventricular perforation and hematoma circumstances surrounding brain tissue.
How to treat:
Hypertension of the surgical treatment of cerebral hemorrhage, should be in non-surgical treatment is unsuccessful and the bleeding has not been the primary or secondary cause fatal damage when valuable. Surgical treatment to remove the hematoma and to reduce intracranial pressure, cerebral hernia lifting of the occurrence and development, improve the cerebral circulation, pressure on brain tissue to promote the early resumption. In short, high blood pressure and cerebral hemorrhage treatment is selective, less bleeding, medical treatment can be taken, the greater hematoma, or if the capsule in the capsule area hematoma volume reached more than 20 milliliters, or to timely craniotomy Stereotactic brain surgery remove hematoma, often under pressure to lift the brain, contribute to the restoration. Stereotactic brain hematoma absorption except for precision positioning, surgical injury, especially adapted to deep brain or important functions of the District of hematoma. Onset Express, a short period of time that is increasingly deteriorating condition, the patient已呈coma, brain tonic to state, surgical treatment is sometimes difficult to achieve results. Including non-surgical treatment is bed rest, calm and stability in blood pressure, dehydration drug application, hemostatic, and maintain water and electrolyte balance, support therapy, respiratory tract and to maintain smooth. Unconscious patients should be meticulous care, timely control pneumonia, gastrorrhagia, and other complications, after the medical need treatment.
2008-09-13
Hypertension and erectile dysfunction
Many hypertensive patients with erectile dysfunction (ED) of the symptoms, the so-called erectile dysfunction is a desire, but the penis can not continue to maintain a full erection or to obtain a satisfactory sex life. Changbiaoxianwei erectile dysfunction, ED is not hard, insert difficulties. The incidence of hypertension and not unrelated.
Patients with hypertension in erectile dysfunction for two reasons: one for the heart because of the reasons that patients with hypertension Tam their high blood pressure caused by mental stress factors for the organic reason for this is that the factors that cause arteriosclerosis Genital mutilation vascular function.
During the time of life, not only in the physical activities, also contain the excitement, fear, and so the mental activities. Thus, with rapid heart rate increase, heart rate every minute of the increased output, the sympathetic nervous system, such as the strengthening of excitement, both systolic or diastolic blood vessels will be increased. However, as in life, sustained high blood pressure is not long, therefore will not have normal function of the body have a negative impact. But for patients with hypertension, this short-term high blood pressure likely to be fatal blow, if the old people, such as heart failure in patients with hypertension, particularly the extent of such impact. Common symptoms of the disease have cerebral vascular accident, pulmonary edema, arrhythmia, angina, and so on.
In the treatment of erectile dysfunction associated with the hypertension patients, a detailed record of history, a comprehensive check of erectile dysfunction is essential in determining the cause. Learn more about the patient's medication history is essential work, which will help doctors to the patients and treatment at the correct choice of drugs.
As patients with erectile dysfunction is the direct cause of hypertension, treatment of primary task is naturally buck, and stability of hypertension in the development, maintenance of normal blood pressure levels, is conducive to patients with the normal sex life. However, based on the daily life of blood pressure and can not truly reflect the life of the changes in blood pressure levels, so check the disease should include exercise testing and comprehensive assessment of the spirit if highly concentrated at the extent of the changes in blood pressure.
In order to prevent heart because of the occurrence of erectile dysfunction, doctors need to hypertensive patients to the appropriate advice and guidance, to tell patients to reduce weight, reduce salt intake, tobacco and alcohol bogey. Patients with hypertension do not need to strictly prohibits sex life, as long as do the following, the conduct of life is safe. (1) to avoid the intense sexual life, sex life should be the appropriate time, not to extend. (2) postprandial not immediately房事line, so as not to add to the burden of heart, drink more should be prohibited sex life (3) if the symptoms of cardiovascular disease, they should immediately stop sex life, and timely medical treatment.
Patients with hypertension in erectile dysfunction for two reasons: one for the heart because of the reasons that patients with hypertension Tam their high blood pressure caused by mental stress factors for the organic reason for this is that the factors that cause arteriosclerosis Genital mutilation vascular function.
During the time of life, not only in the physical activities, also contain the excitement, fear, and so the mental activities. Thus, with rapid heart rate increase, heart rate every minute of the increased output, the sympathetic nervous system, such as the strengthening of excitement, both systolic or diastolic blood vessels will be increased. However, as in life, sustained high blood pressure is not long, therefore will not have normal function of the body have a negative impact. But for patients with hypertension, this short-term high blood pressure likely to be fatal blow, if the old people, such as heart failure in patients with hypertension, particularly the extent of such impact. Common symptoms of the disease have cerebral vascular accident, pulmonary edema, arrhythmia, angina, and so on.
In the treatment of erectile dysfunction associated with the hypertension patients, a detailed record of history, a comprehensive check of erectile dysfunction is essential in determining the cause. Learn more about the patient's medication history is essential work, which will help doctors to the patients and treatment at the correct choice of drugs.
As patients with erectile dysfunction is the direct cause of hypertension, treatment of primary task is naturally buck, and stability of hypertension in the development, maintenance of normal blood pressure levels, is conducive to patients with the normal sex life. However, based on the daily life of blood pressure and can not truly reflect the life of the changes in blood pressure levels, so check the disease should include exercise testing and comprehensive assessment of the spirit if highly concentrated at the extent of the changes in blood pressure.
In order to prevent heart because of the occurrence of erectile dysfunction, doctors need to hypertensive patients to the appropriate advice and guidance, to tell patients to reduce weight, reduce salt intake, tobacco and alcohol bogey. Patients with hypertension do not need to strictly prohibits sex life, as long as do the following, the conduct of life is safe. (1) to avoid the intense sexual life, sex life should be the appropriate time, not to extend. (2) postprandial not immediately房事line, so as not to add to the burden of heart, drink more should be prohibited sex life (3) if the symptoms of cardiovascular disease, they should immediately stop sex life, and timely medical treatment.
The characteristics of the elderly of hypertension
Hypertension refers to the elderly aged 60 and above the crowd, systolic blood pressure> 21.3 kPa (160 mm Hg) and (or) diastolic blood pressure> 12.7 kPa (95 mm Hg) in patients with hypertension. The elderly of hypertension in part by the continuation of adult hypertension from the other part is due to atherosclerosis, by late flexibility, systolic blood pressure increased from.
The elderly of hypertension have the following characteristics:
1. Hypertension in the elderly relatively large fluctuations of blood pressure, particularly SBP. This is mainly because the elderly patients with vascular baroreceptor sensitivity caused by the decline. Therefore, in anti-hypertension drugs during treatment should be regularly measured blood pressure, at any time dosage.
2. Vulnerable elderly hypertensive effect of changes in body position, the position of the high incidence of low blood pressure, particularly in the anti-hypertension drug in the treatment of more, and pressure receptors have decreased sensitivity of relations. Should therefore be anti can cause postural hypotension drugs such as guanidine B啶, α1-blockers, such as furosemide.
3. Arteriosclerosis the elderly prone to false because the phenomenon of hypertension, high blood pressure in patients with this type of confrontation hypertension drug tolerance poor. More easily lead to serious adverse reactions and serious complications. At the same time rate of elderly patients with hypertension should not be too fast buck, should not drop too low.
4. Elderly hypertension mainly to higher systolic blood pressure, the greater danger of heart, more heart failure occurred, but also a stroke easier.
5. Β receptor response to the elderly decreased, the β-blocker tolerance better, but still a cause bradycardia, and the risk of congestive heart failure.
6. Older persons to reduce blood volume and sympathetic inhibition sensitive, this may be elderly people with cardiovascular reflex injury.
7. Hypertension in the elderly anti-hypertensive drug therapy initial dose, increasing doses than younger patients with hypertension small interval of time should be longer than younger patients with hypertension.
8. Elderly nervous system lower, more in drug treatment of depression, should avoid using the central nervous system role in the anti-hypertension drugs such as clonidine, such as methyl-dopa.
The elderly of hypertension have the following characteristics:
1. Hypertension in the elderly relatively large fluctuations of blood pressure, particularly SBP. This is mainly because the elderly patients with vascular baroreceptor sensitivity caused by the decline. Therefore, in anti-hypertension drugs during treatment should be regularly measured blood pressure, at any time dosage.
2. Vulnerable elderly hypertensive effect of changes in body position, the position of the high incidence of low blood pressure, particularly in the anti-hypertension drug in the treatment of more, and pressure receptors have decreased sensitivity of relations. Should therefore be anti can cause postural hypotension drugs such as guanidine B啶, α1-blockers, such as furosemide.
3. Arteriosclerosis the elderly prone to false because the phenomenon of hypertension, high blood pressure in patients with this type of confrontation hypertension drug tolerance poor. More easily lead to serious adverse reactions and serious complications. At the same time rate of elderly patients with hypertension should not be too fast buck, should not drop too low.
4. Elderly hypertension mainly to higher systolic blood pressure, the greater danger of heart, more heart failure occurred, but also a stroke easier.
5. Β receptor response to the elderly decreased, the β-blocker tolerance better, but still a cause bradycardia, and the risk of congestive heart failure.
6. Older persons to reduce blood volume and sympathetic inhibition sensitive, this may be elderly people with cardiovascular reflex injury.
7. Hypertension in the elderly anti-hypertensive drug therapy initial dose, increasing doses than younger patients with hypertension small interval of time should be longer than younger patients with hypertension.
8. Elderly nervous system lower, more in drug treatment of depression, should avoid using the central nervous system role in the anti-hypertension drugs such as clonidine, such as methyl-dopa.
To be high blood pressure hypertension
User: I am now 25 years old, the family has a history of hypertension, but a blood pressure on the tense, high blood pressure on, 150/100. I do not know that blood pressure normal? » How do I know if in the end ask for hypertension
Wu Haiying: It is now 25-year-old, high blood pressure itself a genetic tendency, if your parents have a history of hypertension, then the risk of children suffering from hypertension is 40 percent.
Diagnosis of a different blood pressure, blood pressure more than three times greater than 140/90 is called hypertension, for your question, a blood pressure on the tension, we clinical called "white coat phenomenon." This situation requires a dynamic blood pressure back to you in the end is not clear white coat phenomenon, if your blood pressure measured by the higher than normal blood pressure, we will be diagnosed with high blood pressure. For normal conditions, 25-year-old patients with hypertension, although you have the genetic family history, but also the first except for secondary hypertension. Has just begun can change the way of life, if you cut the fat weight, I eat relatively heavy restrictions on the intake of salt, if lifestyle changes after blood pressure has not reached normal standards, you can allow first three months of observation, and then we need to With drug treatment.
Xiaobian inserted the phrase: high blood pressure in the measurement process, sometimes encountered such a problem:arms blood pressure greater difference, then who is to prevail? » User: work tensions or cold-induced hypertension, long-term monitoring once a day has been monitoring two years, more than one-tenth of the 140/90 days, the need for long-term medication?
Wu Haiying: According to your question, the tension-induced hypertension is a factor, but I would like to correct this, influenza generally will not cause high blood pressure. If your blood pressure in various locations, on different occasions measured by more than equal to 140/90 mm Hg, we can diagnosis of hypertension. At first diagnosis of hypertension, suggest that you can first start with improving the way of life, of the rest, to avoid tension, appropriate exercise, low-fat low-salt diet, blood pressure after some time if still no improvement, we need drug treatment.
User: 120/100 blood pressure, need medication?
Wu Haiying: sure to use, if the DBP has more than 100 mm Hg, long-term more than 100 mm Hg to be on medication.
User: My 17-year-old son this year, the school medical examination found high blood pressure, high pressure 138, low 84, his weight is 150 jin, is 172 CM. Does not used then to the hospital for an examination to, the need for medication; peacetime should pay attention to what » (His father has high blood pressure, family history of) hope to get your help, thank you!
Wu Haiying: Your 17-year-old son this year, high blood pressure from medical schools, 138 high-pressure, low-voltage 84, and his father have genetic family history of hypertension. We recommend that young people's high blood pressure, if the family is family history of hypertension, an annual measurement of blood pressure must be to prevent a real hypertension. The blood pressure in borderline hypertension. For normal people, in the age of 30 within the first annual measurement of blood pressure, generally after the age of 30 a year to measure blood pressure or a normal physical examination.
User: My mother is hypertension, usually the left side of the body often a problem, the left-right side of the tongue is red, the first hard right is nothing left, 80/120 blood pressure in peacetime, and sometimes hard to Duosuo. The doctor said that coronary heart disease, do not know what causes the body is always uncomfortable.
Wu Haiying: In accordance with the normal blood pressure of the blood pressure, your mother does not apply in the left side of the body and tongue Fabai redness, with the blood pressure itself does not matter. How to interpret these symptoms » First of all, I suggest that you visit the hospital and do a CT brain and cervical ultrasound, CT look at the brain have any questions, did not have cervical bone hyperplasia. Systemic Duosuo sometimes uncomfortable, this is not the clinical symptoms of coronary heart disease, common symptoms of coronary heart disease is rapidly running on time if a heart pain, we will have to consider coronary heart disease, your body Duosuo not the mother of coronary heart disease Symptoms.
Wu Haiying: It is now 25-year-old, high blood pressure itself a genetic tendency, if your parents have a history of hypertension, then the risk of children suffering from hypertension is 40 percent.
Diagnosis of a different blood pressure, blood pressure more than three times greater than 140/90 is called hypertension, for your question, a blood pressure on the tension, we clinical called "white coat phenomenon." This situation requires a dynamic blood pressure back to you in the end is not clear white coat phenomenon, if your blood pressure measured by the higher than normal blood pressure, we will be diagnosed with high blood pressure. For normal conditions, 25-year-old patients with hypertension, although you have the genetic family history, but also the first except for secondary hypertension. Has just begun can change the way of life, if you cut the fat weight, I eat relatively heavy restrictions on the intake of salt, if lifestyle changes after blood pressure has not reached normal standards, you can allow first three months of observation, and then we need to With drug treatment.
Xiaobian inserted the phrase: high blood pressure in the measurement process, sometimes encountered such a problem:arms blood pressure greater difference, then who is to prevail? » User: work tensions or cold-induced hypertension, long-term monitoring once a day has been monitoring two years, more than one-tenth of the 140/90 days, the need for long-term medication?
Wu Haiying: According to your question, the tension-induced hypertension is a factor, but I would like to correct this, influenza generally will not cause high blood pressure. If your blood pressure in various locations, on different occasions measured by more than equal to 140/90 mm Hg, we can diagnosis of hypertension. At first diagnosis of hypertension, suggest that you can first start with improving the way of life, of the rest, to avoid tension, appropriate exercise, low-fat low-salt diet, blood pressure after some time if still no improvement, we need drug treatment.
User: 120/100 blood pressure, need medication?
Wu Haiying: sure to use, if the DBP has more than 100 mm Hg, long-term more than 100 mm Hg to be on medication.
User: My 17-year-old son this year, the school medical examination found high blood pressure, high pressure 138, low 84, his weight is 150 jin, is 172 CM. Does not used then to the hospital for an examination to, the need for medication; peacetime should pay attention to what » (His father has high blood pressure, family history of) hope to get your help, thank you!
Wu Haiying: Your 17-year-old son this year, high blood pressure from medical schools, 138 high-pressure, low-voltage 84, and his father have genetic family history of hypertension. We recommend that young people's high blood pressure, if the family is family history of hypertension, an annual measurement of blood pressure must be to prevent a real hypertension. The blood pressure in borderline hypertension. For normal people, in the age of 30 within the first annual measurement of blood pressure, generally after the age of 30 a year to measure blood pressure or a normal physical examination.
User: My mother is hypertension, usually the left side of the body often a problem, the left-right side of the tongue is red, the first hard right is nothing left, 80/120 blood pressure in peacetime, and sometimes hard to Duosuo. The doctor said that coronary heart disease, do not know what causes the body is always uncomfortable.
Wu Haiying: In accordance with the normal blood pressure of the blood pressure, your mother does not apply in the left side of the body and tongue Fabai redness, with the blood pressure itself does not matter. How to interpret these symptoms » First of all, I suggest that you visit the hospital and do a CT brain and cervical ultrasound, CT look at the brain have any questions, did not have cervical bone hyperplasia. Systemic Duosuo sometimes uncomfortable, this is not the clinical symptoms of coronary heart disease, common symptoms of coronary heart disease is rapidly running on time if a heart pain, we will have to consider coronary heart disease, your body Duosuo not the mother of coronary heart disease Symptoms.
Systemic Hypertension harm!
Sohu health special Fuwai Cardiovascular Disease Hospital Centre for treatment of hypertension Professor Wu Haiying, deputy director of guests Sohu interview room to explain on hypertensive reasonable treatment of the issue. Following is the body against high blood pressure on the relevant interview clips:
Moderator: hypertension on the body against which side »
Wu Haiying: hypertension great harm to the human body, not only directly from headaches, dizziness, insomnia, irritable, palpitations, chest tightness and other symptoms, long-term on the heart, brain, kidney and target organ damage is very serious. Many died of a stroke in patients with hypertension, heart failure and renal failure.
(A) the impact of the heart: As high blood pressure, left ventricular resistance increased, long-term overload in the state, because of compensatory and gradually left ventricular hypertrophy, expansion, and myocardial oxygen consumption increased, myocardial weight, but without the corresponding Increase the blood supply, while damage to coronary artery hypertension, coronary happen gradually so that atherosclerosis, at this time of coronary artery stenosis, reducing the supply of blood. Taken together, heart rate would lead to disorder, angina, myocardial infarction, heart failure, and so on.
According to Shanghai, Beijing and other places of the survey, 62.9 percent among patients with coronary artery disease to 93.6 percent have high blood pressure history. It is also Clinical Investigation, hypertension, left ventricular hypertrophy rate is 1.1% -9%, not hypertension patients electrocardiogram done generally not left ventricular hypertrophy, patients with hypertension and left ventricular hypertrophy, 25 percent to 30 %, Hypertension caused by the normal blood pressure, coronary heart disease is two to four times.
Not only easy to patients with hypertension in coronary heart disease, high blood pressure are likely to cause heart disease. Hypertension can cause long-term left ventricular hypertrophy, myocardial infarction and heart to increase the incidence of sudden death, in patients with hypertension should also pay attention to protecting the heart. (B) the impact on the brain: the role of long-term high blood pressure, the brain arteries will be seriously damaged, cerebral arteriosclerosis, small artery disease in the wall, the wall thickening, lumen narrow, easily formed cerebral thrombosis. Plug the tiny blood vessels to form lacunar infarction, a CT often do lacunar infarction, can lead to brain atrophy, has evolved into senile dementia. Because of cerebral vascular structure is relatively weak, in the case of hardening, more fragile and easy to fluctuations in blood pressure, cramps, and then rupture led to cerebral hemorrhage. These stroke (bleeding, thrombosis and lacunar lesions) and the incidence of blood pressure are closely related. Antihypertensive treatment has been proven to reduce the incidence of stroke is very effective, if diastolic blood pressure dropped a 5-6 mm Hg, the incidence of stroke can drop about 40 percent. 6 million stroke survivors nationwide, 75 percent of patients have different degrees of loss of labor, 40 percent of severe disability, to society, the family cause great pain and burden of the disease each year because of the financial burden of up to over 100 100 million yuan.
In the next 10 years, nearly half of the history of hypertension, but a blood pressure on the tense, high blood pressure on, 150/100, is likely to occur in patients with stroke, but a considerable number of patients with hypertension also did not realize the seriousness of the problem, more on Do not take the initiative to boost the prevention. (C) the impact on renal: above the heart, brain effects, to say the kidney. Hypertensive patients if we do not control blood pressure, conditions continued progress ,5-10 or even a short period of time, can appear mild to moderate renal arteriosclerosis. Renal artery hardening of the main arteries in the goal, if not with diabetes (feature interviews with the Advisory), less involved to a small ball artery. When the goal of small renal artery lumen due to high blood pressure and narrowing or even blocking the time, would lead to glomerular fibrosis, tubular atrophy, and other issues. Was initially concentrated urine dysfunction, the performance is nocturnal enuresis, a small amount of urine routine examination of proteinuria, such as renal further development of atherosclerosis, there will be a lot of proteinuria. Disruption in excrement, blood urea nitrogen, creatinine greatly increased, that increase kidney disease, systemic hypertension, a vicious cycle, increased blood pressure, up to 130 mm Hg diastolic blood pressure above, the ultimate in uremia, renal failure.
Moderator: the impact of hypertension on the kidney How likely is
Wu Haiying: there is no absolute figures, according to the specific circumstances, it was a good control of blood pressure, high blood pressure soon there was a change in kidney function.
Moderator: To prevent hypertension disease on the body of the important organs of kidney, the most important thing is to control blood pressure, is it true
Wu Haiying: right.
Moderator: hypertension on the body against which side »
Wu Haiying: hypertension great harm to the human body, not only directly from headaches, dizziness, insomnia, irritable, palpitations, chest tightness and other symptoms, long-term on the heart, brain, kidney and target organ damage is very serious. Many died of a stroke in patients with hypertension, heart failure and renal failure.
(A) the impact of the heart: As high blood pressure, left ventricular resistance increased, long-term overload in the state, because of compensatory and gradually left ventricular hypertrophy, expansion, and myocardial oxygen consumption increased, myocardial weight, but without the corresponding Increase the blood supply, while damage to coronary artery hypertension, coronary happen gradually so that atherosclerosis, at this time of coronary artery stenosis, reducing the supply of blood. Taken together, heart rate would lead to disorder, angina, myocardial infarction, heart failure, and so on.
According to Shanghai, Beijing and other places of the survey, 62.9 percent among patients with coronary artery disease to 93.6 percent have high blood pressure history. It is also Clinical Investigation, hypertension, left ventricular hypertrophy rate is 1.1% -9%, not hypertension patients electrocardiogram done generally not left ventricular hypertrophy, patients with hypertension and left ventricular hypertrophy, 25 percent to 30 %, Hypertension caused by the normal blood pressure, coronary heart disease is two to four times.
Not only easy to patients with hypertension in coronary heart disease, high blood pressure are likely to cause heart disease. Hypertension can cause long-term left ventricular hypertrophy, myocardial infarction and heart to increase the incidence of sudden death, in patients with hypertension should also pay attention to protecting the heart. (B) the impact on the brain: the role of long-term high blood pressure, the brain arteries will be seriously damaged, cerebral arteriosclerosis, small artery disease in the wall, the wall thickening, lumen narrow, easily formed cerebral thrombosis. Plug the tiny blood vessels to form lacunar infarction, a CT often do lacunar infarction, can lead to brain atrophy, has evolved into senile dementia. Because of cerebral vascular structure is relatively weak, in the case of hardening, more fragile and easy to fluctuations in blood pressure, cramps, and then rupture led to cerebral hemorrhage. These stroke (bleeding, thrombosis and lacunar lesions) and the incidence of blood pressure are closely related. Antihypertensive treatment has been proven to reduce the incidence of stroke is very effective, if diastolic blood pressure dropped a 5-6 mm Hg, the incidence of stroke can drop about 40 percent. 6 million stroke survivors nationwide, 75 percent of patients have different degrees of loss of labor, 40 percent of severe disability, to society, the family cause great pain and burden of the disease each year because of the financial burden of up to over 100 100 million yuan.
In the next 10 years, nearly half of the history of hypertension, but a blood pressure on the tense, high blood pressure on, 150/100, is likely to occur in patients with stroke, but a considerable number of patients with hypertension also did not realize the seriousness of the problem, more on Do not take the initiative to boost the prevention. (C) the impact on renal: above the heart, brain effects, to say the kidney. Hypertensive patients if we do not control blood pressure, conditions continued progress ,5-10 or even a short period of time, can appear mild to moderate renal arteriosclerosis. Renal artery hardening of the main arteries in the goal, if not with diabetes (feature interviews with the Advisory), less involved to a small ball artery. When the goal of small renal artery lumen due to high blood pressure and narrowing or even blocking the time, would lead to glomerular fibrosis, tubular atrophy, and other issues. Was initially concentrated urine dysfunction, the performance is nocturnal enuresis, a small amount of urine routine examination of proteinuria, such as renal further development of atherosclerosis, there will be a lot of proteinuria. Disruption in excrement, blood urea nitrogen, creatinine greatly increased, that increase kidney disease, systemic hypertension, a vicious cycle, increased blood pressure, up to 130 mm Hg diastolic blood pressure above, the ultimate in uremia, renal failure.
Moderator: the impact of hypertension on the kidney How likely is
Wu Haiying: there is no absolute figures, according to the specific circumstances, it was a good control of blood pressure, high blood pressure soon there was a change in kidney function.
Moderator: To prevent hypertension disease on the body of the important organs of kidney, the most important thing is to control blood pressure, is it true
Wu Haiying: right.
Young and middle-aged and older hypertensive the difference!
Ahn Jung Hospital epidemic research director Dr. Zhao Dong guest Sohu health interviews, on-line to answer netizens on the early prevention of hypertension and related issues. Following is on the young and middle-aged and elderly hypertensive hypertension related to the difference between interview segments:
Netizen: the young and middle-aged and elderly hypertensive difference between hypertension Where » In the performance and treatment What is the difference between
Zhao Dong: Hypertension is a chronic disease, most of the elderly of hypertension is the time for the young and middle-aged. Many elderly people over 40-year-old on high blood pressure, blood pressure and some elderly people do not, wait until it had myocardial infarction know that high blood pressure, high blood pressure that does not belong to the elderly.
Zhao Dong: elderly hypertension is a young man without hypertension, an old high pressure is not high after the low pressure, high pressure and low-voltage difference between the relatively large, this is part of the characteristics of elderly hypertension.
Zhao Dong: Youth hypertension is mainly high-pressure high. The reason why the elderly and low-voltage from a high pressure situation, in fact, a large extent, the main artery of reasons. Artery flexibility to the maintenance of normal systolic blood pressure played a very key role. When the old people, the main artery of the flexibility decline, the same contraction pressure, ease the ability of all but the high pressure on the particularly high. And when the time diastolic heart can not effectively maintain the diastolic blood pressure, the main artery of the flexible performance for the decline in the elderly is the systolic hypertension alone, mainly because of the great arteries flexible.
User: My blood pressure normal summer, but the winter on the high side, this is the reason for this
Zhao Dong: This is actually a common phenomenon in particular, some of hypertensive patients to the summer or on the need to reduce drug withdrawal, but in winter it is necessary to increase the drug, which is a very important reason is that with the climate, since the formation of hypertension Because the peripheral arteries spasm, small artery spasm has just begun to recover, long after a small artery wall thickening, increased resistance, high blood pressure also. Because the cold winter, the blood vessels in a contraction, the summer because of sweat, blood vessels are dilated, and this in itself will affect blood pressure.
Zhao Dong: Also, because the winter Tianqi Leng, we are to maintain the same temperature, body metabolism is increased, there are relatively winter than in summer sports less, these will have an impact on blood pressure.
Moderator: So the netizens do not have to worry too much.
Zhao Dong: do not have to worry too much, even if a normal blood pressure will be lower in the summer. However, if the winter has exceeded the normal range, they need to change the way of life, if lifestyle changes are still high blood pressure medication should be treated.
Netizen: the young and middle-aged and elderly hypertensive difference between hypertension Where » In the performance and treatment What is the difference between
Zhao Dong: Hypertension is a chronic disease, most of the elderly of hypertension is the time for the young and middle-aged. Many elderly people over 40-year-old on high blood pressure, blood pressure and some elderly people do not, wait until it had myocardial infarction know that high blood pressure, high blood pressure that does not belong to the elderly.
Zhao Dong: elderly hypertension is a young man without hypertension, an old high pressure is not high after the low pressure, high pressure and low-voltage difference between the relatively large, this is part of the characteristics of elderly hypertension.
Zhao Dong: Youth hypertension is mainly high-pressure high. The reason why the elderly and low-voltage from a high pressure situation, in fact, a large extent, the main artery of reasons. Artery flexibility to the maintenance of normal systolic blood pressure played a very key role. When the old people, the main artery of the flexibility decline, the same contraction pressure, ease the ability of all but the high pressure on the particularly high. And when the time diastolic heart can not effectively maintain the diastolic blood pressure, the main artery of the flexible performance for the decline in the elderly is the systolic hypertension alone, mainly because of the great arteries flexible.
User: My blood pressure normal summer, but the winter on the high side, this is the reason for this
Zhao Dong: This is actually a common phenomenon in particular, some of hypertensive patients to the summer or on the need to reduce drug withdrawal, but in winter it is necessary to increase the drug, which is a very important reason is that with the climate, since the formation of hypertension Because the peripheral arteries spasm, small artery spasm has just begun to recover, long after a small artery wall thickening, increased resistance, high blood pressure also. Because the cold winter, the blood vessels in a contraction, the summer because of sweat, blood vessels are dilated, and this in itself will affect blood pressure.
Zhao Dong: Also, because the winter Tianqi Leng, we are to maintain the same temperature, body metabolism is increased, there are relatively winter than in summer sports less, these will have an impact on blood pressure.
Moderator: So the netizens do not have to worry too much.
Zhao Dong: do not have to worry too much, even if a normal blood pressure will be lower in the summer. However, if the winter has exceeded the normal range, they need to change the way of life, if lifestyle changes are still high blood pressure medication should be treated.
2008-09-11
When newly diagnosed patients with hypertension should do what checks
Hypertensive patients as much as possible the initial physical examination should include the following: 1, blood pressure. Comparison of blood pressure both sides to verify,
From the side of higher value. If the blood pressure on both sides of the margin larger than 20 mm Hg, the lower side of the brachial artery may be more than the great vessels in particular subclavian artery in the narrow, narrow is the most common cause of atherosclerosis, Obstruction.
2, height, weight and waist circumference. Obesity, especially the concentric obese patients with hypertension is an important risk factor, as the saying goes, the longer the belt, the shorter life expectancy.
3, using Fundus microscope retinopathy. Retinal artery hypertension can reflect the changes in small peripheral artery disease, peripheral small degree of atherosclerosis more severe, more severe the heart of the load.
4, whether the neck vascular murmur, or jugular vein Nuzhang goiter, abdominal tumor and vascular murmur, peripheral arterial pulse, so as to rule out the possibility of secondary hypertension.
5, cardio-pulmonary system of checks and checks to see whether hypertension caused by cardiovascular complications.
Patients with hypertension wellness checks include the following:
1, hematuria conventional. If anemia, hematuria, protein, etc., should be considered for renal hypertension, or hypertension lead to a serious kidney damage.
2, blood biochemistry. Such as potassium, hyponatremia, liver and kidney function, blood sugar and blood lipids, and so on. Low serum potassium is the possibility of secondary hypertension. Liver and kidney function in accordance with doctors to check patients choose antihypertensive drugs, blood lipid testing blood sugar can have any understanding of cardiovascular and cerebrovascular diseases, other risk factors.
3, electrocardiogram. To know whether patients with hypertension caused by hypertension in cardiac hypertrophy, arrhythmia, or myocardial ischemia.
Conditional patients with hypertension, can be selected for further examination the following:
1, 24-hour ambulatory blood pressure monitoring. This examination will not only reflect the real point in time the blood pressure situation, but also reveals characteristics of fluctuations in blood pressure in patients with hypertension and changes of day and night.
2, echocardiography. The inspections can help us understand cardiac structure and function.
From the side of higher value. If the blood pressure on both sides of the margin larger than 20 mm Hg, the lower side of the brachial artery may be more than the great vessels in particular subclavian artery in the narrow, narrow is the most common cause of atherosclerosis, Obstruction.
2, height, weight and waist circumference. Obesity, especially the concentric obese patients with hypertension is an important risk factor, as the saying goes, the longer the belt, the shorter life expectancy.
3, using Fundus microscope retinopathy. Retinal artery hypertension can reflect the changes in small peripheral artery disease, peripheral small degree of atherosclerosis more severe, more severe the heart of the load.
4, whether the neck vascular murmur, or jugular vein Nuzhang goiter, abdominal tumor and vascular murmur, peripheral arterial pulse, so as to rule out the possibility of secondary hypertension.
5, cardio-pulmonary system of checks and checks to see whether hypertension caused by cardiovascular complications.
Patients with hypertension wellness checks include the following:
1, hematuria conventional. If anemia, hematuria, protein, etc., should be considered for renal hypertension, or hypertension lead to a serious kidney damage.
2, blood biochemistry. Such as potassium, hyponatremia, liver and kidney function, blood sugar and blood lipids, and so on. Low serum potassium is the possibility of secondary hypertension. Liver and kidney function in accordance with doctors to check patients choose antihypertensive drugs, blood lipid testing blood sugar can have any understanding of cardiovascular and cerebrovascular diseases, other risk factors.
3, electrocardiogram. To know whether patients with hypertension caused by hypertension in cardiac hypertrophy, arrhythmia, or myocardial ischemia.
Conditional patients with hypertension, can be selected for further examination the following:
1, 24-hour ambulatory blood pressure monitoring. This examination will not only reflect the real point in time the blood pressure situation, but also reveals characteristics of fluctuations in blood pressure in patients with hypertension and changes of day and night.
2, echocardiography. The inspections can help us understand cardiac structure and function.
Hypertension and unique position on!
Members of the general body of hypotension have been understanding. In fact, there is a posture of hypertension easily be neglected by everyone. This is only a standing or sitting in the lead when the blood pressure, and sits flat in blood pressure when they resume a normal phenomenon.
Posture of patients with hypertension in general do not have high blood pressure characteristics, the majority of people in the medical or accidental circumstances were found. Foreign-related reports indicate that the position of hypertension, high blood pressure of the crowd of 10 percent. A group of 2,000 cases of domestic hypertension study shows that hypertension position of all hypertension 4.2 percent.
Common sense: high blood pressure to be hypertension
Posture of many patients with hypertension mainly to increased diastolic blood pressure, and the fluctuations of the larger. In the standing position, because parts of the body falls stranded too much blood vein, resulting in reduced Huixin output, low cardiac output, this will cause reflection of the small artery spasm or contraction, resulting in high blood pressure. The body is usually able to adjust to its normal level. And some people because of excessive regulation reflection, thus reflecting the performance of such clear and strong, resulting in postural hypertension.
Since the position of the pathogenesis of hypertension and hypertension generally different, so the general posture of patients with hypertension do not have to serve antihypertensive drug treatment, or it will not only can not buck, it will stimulate further elevated blood pressure. The position of the treatment of patients with hypertension mainly to enhance physical exercise and improve muscle fullness, lifestyle changes, and other non-drug treatment based.
Recommended: blood pressure is good to eat out
We in the measurement of blood pressure, blood pressure if they sit higher, but lie down to a normal blood pressure, should consider whether there posture of high blood pressure, so as to avoid unnecessary use of the wrong treatment or have adverse consequences.
Posture of patients with hypertension in general do not have high blood pressure characteristics, the majority of people in the medical or accidental circumstances were found. Foreign-related reports indicate that the position of hypertension, high blood pressure of the crowd of 10 percent. A group of 2,000 cases of domestic hypertension study shows that hypertension position of all hypertension 4.2 percent.
Common sense: high blood pressure to be hypertension
Posture of many patients with hypertension mainly to increased diastolic blood pressure, and the fluctuations of the larger. In the standing position, because parts of the body falls stranded too much blood vein, resulting in reduced Huixin output, low cardiac output, this will cause reflection of the small artery spasm or contraction, resulting in high blood pressure. The body is usually able to adjust to its normal level. And some people because of excessive regulation reflection, thus reflecting the performance of such clear and strong, resulting in postural hypertension.
Since the position of the pathogenesis of hypertension and hypertension generally different, so the general posture of patients with hypertension do not have to serve antihypertensive drug treatment, or it will not only can not buck, it will stimulate further elevated blood pressure. The position of the treatment of patients with hypertension mainly to enhance physical exercise and improve muscle fullness, lifestyle changes, and other non-drug treatment based.
Recommended: blood pressure is good to eat out
We in the measurement of blood pressure, blood pressure if they sit higher, but lie down to a normal blood pressure, should consider whether there posture of high blood pressure, so as to avoid unnecessary use of the wrong treatment or have adverse consequences.
"Sudden cardiac death" of the high incidence
Spain star striker died of a heart attack!In recent years, the celebrity event of sudden death occurred frequently. Leaving star of Curan, so we often can hear one word: Sudden cardiac death. In the end what is Sudden cardiac death, it is how it happened » Let us first look at these events:
June 23, 2007, crosstalk performing artist Hou Yaowen rescue invalid due to myocardial infarction, died at home. Why peacetime no history of heart disease, before his death without any abnormal symptoms, they will burst myocardial infarction. Why this disease so dangerous » What of Katherine » What are the threats to human life
July 26, 2007, the Liaoshen the earth and football fans are immersed in grief are unlimited - Liaoning football godfather-class characters Hong-Li Wang in the morning to play tennis when suddenly felt unwell were sent to hospitals, because results "Sudden cardiac death" in the First Affiliated Hospital of China Medical University, the death of the age of 61 years.
August 28, 2007, the news came from Spain, in the first round of Spanish league game against Getafe due to a sudden heart attack in the fall of the Sevilla player Antonio - Puai Puerta, in the hospital three days later Rescue void left by the end of the world, only 22 years old.
What is Sudden cardiac death
Sudden cardiac death is due to various causes heart died of natural causes, the incidence of a sudden, rapid progress, the death occurred after the onset of symptoms within one hour. Incidents of sudden death in patients with heart disease before the performance, but the incidence of sudden death is not possible to predict the characteristics. A considerable number of patients with heart disease may be to sudden death as the first performance. In case of sudden death incident, the low survival chance, Sudden cardiac death occurred in patients with a history of myocardial infarction accounted for 75 percent.
Why is there no sign of no history of sudden death due to heart disease
The main supply of cardiac blood vessels have left coronary artery, right coronary artery. The left coronary artery supply more than 80 percent of the cardiac output. If coronary artery stenosis is not particularly serious, if left main coronary artery addition, other collateral circulation is still relatively smooth, the patient can no day-to-day performance of chest tightness, shortness of breath, chest pain of heart disease symptoms flooding. In addition, patients with coronary heart disease patients, sometimes performance of coronary heart disease without symptoms, because of peripheral neuropathy in diabetic patients, the perception of the symptoms was not obvious, this is likely to cause coronary heart disease missed.
No history of heart disease may have sudden death
Experts point out that no history of heart disease does not mean that there is no heart disease, because it is still not likely to be checked. Some patients showed occasional chest tightness, shortness of breath and other symptoms, but not before because of a history of heart disease, there is no attention, but also failed to receive timely diagnosis and treatment. However, its potential risk of heart disease already exists, are conducting a variety of diseases, including atherosclerosis, vascular stenosis, which may lead to the occurrence of myocardial infarction, or even Sudden cardiac death.
Celebrity sudden death incident no doubt for many ordinary people do not pay attention to the health of sounded the alarm. People began to the hospital for a medical examination and buy some appropriate first-aid medicines. However, care should normally start with the body, such as quit smoking, limit alcohol, appropriate exercise, the blood pressure, blood sugar, blood lipids and weight standards, and maintain cheerful mood, to prevent cardiovascular and cerebrovascular diseases. For cardiovascular and cerebrovascular diseases have risk factors of population, or more than 50 years of age, should be regular medical check-ups so that early discovery, early treatment.
Sudden Death How did it happen » Why is easy to coronary heart disease death
Beijing Military Region General Hospital and Professor Yu Bin and Dr. Wang Changhua: from the most common causes of sudden death is coronary heart disease. There are five types of coronary heart disease, high Xiumin is because of the sudden death in sleep, should be the sudden death of coronary heart disease. In addition to coronary heart disease other than cause sudden death were hypertension, myocarditis and cardiomyopathy, aortoarteritis, aortic dissection, congenital heart disease. Is the most common causes of coronary heart disease. Probably caused the sudden death of coronary heart disease accounted for about 80 percent of…
Can early myocardial infarction found » What are the sign of
Fuwai Cardiovascular Disease Hospital Professor Yang Yuejin: general have early symptoms, all of us to myocardial infarction patients is probably the earlier half of the patients have symptoms, half of the people is the sudden, unexpected people there are half a Threatened, mainly at the sign too small, particularly gay improper one thing, a moment like that, it is difficult to attention.
Before the body is very good, this morning with chest discomfort after that, just 12 minutes, or ride to work in the crowded bus and a while painful, but the又好. This is the real sign of myocardial infarction, if the past has never happened, happened the first time today, this is a sign of myocardial infarction.
Some people have is one of discomfort, a choked voice like smoke, as long as is the first time in myocardial infarction. Some people are asleep at night, all of a sudden Peter Bie, spontaneous chest tightness, or chat with others watching television or sudden cardiac uncomfortable, and a moment later. Bie awake at night to sleep at a very difficult subject, five minutes later, sweating body, more than 10 minutes every soaked, this is very dangerous, may die at any time, this happens to be the hospital… Who is the effort infarction high-risk population
Increasing incidence of coronary heart disease, especially since reform and opening up as the improvement of living standards, increased work pressure, bad living habits to enlarge, the accelerated ageing of society and the overall increase in risk factors, the people suffering from coronary heart disease越来The more, but the incidence among younger crowd became increasingly obvious, whether it is the ageing population, middle-aged crowd, and even the surrounding colleagues, Director, Chief of Staff, next to the driver, we could often hear the sudden Shuishui Son can not, sudden death, are due to coronary heart disease caused by the unexpected.
Lao Zhongqing coronary heart disease is affecting the lives of three generations of a serious illness, the elderly and will get sick, middle-aged people get sick, the young people also Taobu Diao. Everyone Tao Budiao coronary heart disease, young people may not be, a middle-aged, middle-aged may not be old age will be in every one should pay attention to the comrades, will pose a threat to everyone.
The so-called high-risk groups is the so-called risk factors for many people, talking about high-risk groups should be talking about what is the threat of coronary heart disease factors.
First, high blood pressure medication if hypertension is not the case, Liu Qishi-year-old is not hemiplegia cerebral hemorrhage, brain dementia, it will affect the well-being after the half, including sudden death.
Second, diabetes, such as diabetes is a bit of coronary heart disease, with diabetes on the equivalent of you already have coronary heart disease.
Third, hyperlipidemia peacetime is not feeling good Zhuang than anyone else, but after 10 years inside the whole obstruction of the blood vessels, not the people died in luck outside, the lucky man to the hospital, the person shall re-luck myocardial infarction .
In addition, smoking, drinking, meat, obesity and other factors also contribute to coronary heart disease risk factors. Nenghe eat, I eat meat a big mouth drinking, obesity strong people like to look out the occurrence of coronary heart disease. Strong people easily in the coronary heart disease…
People like the heart of the engine, if the engine stopped this man's life would be no. The improvement of living standards, Dayudarou, smoking drinking and other bad living habits, hypertension, diabetes, high blood lipid three high number of people have coronary heart disease as the "killer" of the preparations for the arrival of conditions. So love from the heart should start with lifestyle, starting from now.
A small study found that women drinking can prevent hypertension
Harvard Medical School researchers recently found that a small number of women drinking can be effective in preventing hypertension, a small amount of alcohol per week than women Dijiubuzhan the lower incidence of hypertension 15 percent. Harvard Medical School's Dr. La Weitai De Hani 70,891 the age of 25-year-old to 42-year-old woman was eight-years of follow-up survey. The results showed that in 4200 these people were suffering from hypertension. If the fourth day to Banbei drink wine (two to three glasses of wine per week), the incidence of hypertension than those who normally would not reduce alcohol consumption of 15 percent. But Dr. La Weitai De Hani warned women not to excessive drinking, because if excessive drinking, but the incidence of high blood pressure will increase, such as drinking a glass of wine a day, then the probability of suffering from hypertension will increase by 30%.
The results of this study and past people come to the small amount of alcohol can prevent hypertension basically consistent with the conclusions, but experts warned that, although a small amount of alcohol can prevent hypertension, but women must also act with caution, because alcohol may also Have other side effects, for example, cause breast cancer or give birth deformities, such as infants.
The study, published in November issue of Journal of Medicine "in the scientific literature".
The results of this study and past people come to the small amount of alcohol can prevent hypertension basically consistent with the conclusions, but experts warned that, although a small amount of alcohol can prevent hypertension, but women must also act with caution, because alcohol may also Have other side effects, for example, cause breast cancer or give birth deformities, such as infants.
The study, published in November issue of Journal of Medicine "in the scientific literature".
The prevention of hypertension meditation
According to a Reuters report, the University of Georgia College of the latest research shows that 20 minutes of daily meditation can lower blood pressure among secondary school students, and may reduce their old age suffering from cardiovascular disease risk.
Previous studies have revealed that those long-term mindset of the people than the customary mindset of the people do not lower blood pressure. As the general problem of hypertension in childhood are signs, experts on children's blood pressure more and more interested. University of Georgia School of Medicine, Dr Frank A Cui Bo, and others so that normal blood pressure of 73 students per day for seven years or every week to conduct a 20-minute meditation, and then their blood pressure on the state records. The results showed that three months later, these students at the heart of systolic blood pressure (that is, blood pressure readings peak) to reduce the 2-3 point. In a meditation not only through diet and exercise to lower blood pressure in a group, heart systolic blood pressure increased by 1-4 points. In addition, researchers also found that meditation can reduce absenteeism, reduce children's bad behavior.
The researchers pointed out: Do not underestimate this change, if maintained, it enables a person died at the age of stroke or other heart disease risk of death decreased 13 percent.
Previous studies have revealed that those long-term mindset of the people than the customary mindset of the people do not lower blood pressure. As the general problem of hypertension in childhood are signs, experts on children's blood pressure more and more interested. University of Georgia School of Medicine, Dr Frank A Cui Bo, and others so that normal blood pressure of 73 students per day for seven years or every week to conduct a 20-minute meditation, and then their blood pressure on the state records. The results showed that three months later, these students at the heart of systolic blood pressure (that is, blood pressure readings peak) to reduce the 2-3 point. In a meditation not only through diet and exercise to lower blood pressure in a group, heart systolic blood pressure increased by 1-4 points. In addition, researchers also found that meditation can reduce absenteeism, reduce children's bad behavior.
The researchers pointed out: Do not underestimate this change, if maintained, it enables a person died at the age of stroke or other heart disease risk of death decreased 13 percent.
American children and adolescents of cardiovascular disease risk factors tend to
In recent decades the United States of children and young people growing incidence of obesity, which may affect the obesity-related evoked a risk factor for cardiovascular disease trends.
The study used the Third National Health and Nutrition Examination Survey (1988-1994), 12,665 children and adolescents 2-17 years of age to the information, and the 1999-2000 National Health and Nutrition Examination Survey of 3,611 children and young people to the information.
The results showed that in these children, young people, male waist circumference increased by an average 1.6 centimeters, the average female waist circumference increased 2.4 cm. 8-17-year-old children, adolescents systolic blood pressure increased by an average 2.2 mmHg. 12-17-year-old children, young people triglyceride concentration (8.8 mg / dL) and glucose levels (2.5 mg / dL) were significantly decreased. Total cholesterol, high density lipoprotein cholesterol, low-density lipoprotein cholesterol and glycosylated hemoglobin relative to the average level has not changed. So the risk factors for age-related changes.
1990's children, youth risk factors tend to show a variety of models. Obesity increases the incidence of children, young people's cardiovascular health effects remain unclear.
The study used the Third National Health and Nutrition Examination Survey (1988-1994), 12,665 children and adolescents 2-17 years of age to the information, and the 1999-2000 National Health and Nutrition Examination Survey of 3,611 children and young people to the information.
The results showed that in these children, young people, male waist circumference increased by an average 1.6 centimeters, the average female waist circumference increased 2.4 cm. 8-17-year-old children, adolescents systolic blood pressure increased by an average 2.2 mmHg. 12-17-year-old children, young people triglyceride concentration (8.8 mg / dL) and glucose levels (2.5 mg / dL) were significantly decreased. Total cholesterol, high density lipoprotein cholesterol, low-density lipoprotein cholesterol and glycosylated hemoglobin relative to the average level has not changed. So the risk factors for age-related changes.
1990's children, youth risk factors tend to show a variety of models. Obesity increases the incidence of children, young people's cardiovascular health effects remain unclear.
2008-09-09
The most dangerous hypertension morning!
"Morning-blood pressure" brought about dangerous moment
Many patients with hypertension that only measured once a month on blood pressure enough, in fact, even if one has not measured daily, it is because of a 24-hour blood pressure fluctuations. Like the secretion of hormones can change over time, people's blood pressure has natural rhythm, this is a normal physiological phenomena. In the vast majority of normal blood pressure of the crowd and two-thirds of patients with hypertension, blood pressure at night than during the day to lower blood pressure about 10 percent. The blood pressure of the circadian rhythm allows heart, brain, kidney systemic vascular at night fully "break", which is a normal physiological regulation.
However, patients with hypertension the blood pressure fluctuations of the larger than normal. Understanding the patient's blood pressure fluctuation of the hypertension treatment is important.
People sleep at night when the blood pressure lowering, about two or three points in the early morning minimum. Early morning wake up before the rapid increase blood pressure, after the morning wake up the day-to-day activities within the first few hours (about the early morning 6-9), or nearly reached its peak blood pressure. At that moment, the blood pressure even higher than the night 40-50 mm Hg above, this phenomenon medicine called "blood pressure morning peak."
For patients with hypertension is a dangerous time, because patients at this time of the sympathetic nervous excitement at the time, speed up the heartbeat, high blood pressure; night not to drink water, many patients exhaled moisture, high blood viscosity. For atherosclerotic plaque in patients with hypertension, this plaque to rupture, leading to myocardial infarction, cerebral infarction and cerebral hemorrhage. Some research shows that: myocardial infarction at 9:00 in the 21:00 ratio three times higher; Sudden cardiac death is also the peak in the 9:00 to 12:00; morning about the incidence of stroke increased 60 percent. In the early morning of the death of the elderly accounted for 60 percent, cardiovascular disease outbreaks up to 70% of a 80 per cent. This danger to 12:00 will be reduced.
For patients with circadian rhythm, (often in the elderly, obese with respiratory syndrome sleep suspended, secondary hypertension), blood pressure even at night than during the day high blood pressure, leading to long-term cardiovascular and cerebrovascular not "rest", And easily with heart and cerebrovascular events.
Fluctuations in blood pressure caused harm upgrade
If intravascular pressure fluctuation throughout the day, very easy for the vascular endothelial damage will be caused by falling into heart, brain vascular incident. The mild and severe hypertension patients, if blood pressure fluctuations in a day of great relief can not be stable, may be more dangerous than not to take medicine.
Some of taking short-acting antihypertensive drug patients, as directed should be taken three times on the 1st, but only taking time, this will cause big fluctuations in blood pressure. Because their blood pressure medication in the 4-6 hours in the fall, but then if the medication no longer control, blood pressure will increase, long-term it is very dangerous. Therefore service antihypertensive drug, can not only look at whether the decline in blood pressure, but to see whether the 24-hour blood pressure stable buck.
Reduce the drug caused the fluctuation of blood pressure is the best way to do a 24-hour blood pressure monitoring, to understand changes in blood pressure throughout the day. This is also master of blood pressure changes at night to sleep only after the most reliable way. But 24-hour blood pressure monitoring process more complicated, patients often can not be done, so the current recommendation of the medical profession hypertensive patients learn to understand self-rated blood pressure medication after the buck is smooth, whether 24-hour blood pressure control.
"Valley peak ratio" help you monitor blood pressure
Society is the key to self-rated blood pressure control blood pressure, "Gu peak ratio." It is not difficult to grasp this ratio: Every morning before the measurement of blood pressure medication may be the weakest understanding of antihypertensive efficacy of the decline in blood pressure values ( "valley"); medication after two hours from the start, repeatedly measured blood pressure, blood pressure found The lowest, at this time is the strongest effect, the decline in the value of blood pressure called "peak." If the ratio of peak-equivalent to 1, said that after medication, blood pressure within 24 hours under control. If the "Valley peak ratio" less than 0.5 means that the early morning blood pressure increased significantly, the effect can not be sustained for 24 hours.
Hypertensive patients adhere to medication in the morning and after the strongest effect to pressure point in time, will be able to judge whether a 24-hour blood pressure control throughout the day. If the 16:00 to 8:00 with a blood pressure measurement to understand medication after 10 to 12 hours of blood pressure control, the more accurate judgement.
In the choice of antihypertensive drugs, the medical profession is the consensus choice of priorities once a day administration, continuing a 24-hour buck a long-term role of antihypertensive drugs. But one day taking a lot of antihypertensive drugs, often need 2-3 hours before the onset, the choice of antihypertensive fast and long-term effect of drugs is ideal. Many long-term antihypertensive drugs such as telmisartan smooth buck to 24 hours or more, on the morning of hypertension have good control. Of course, any anti-hypertensive drugs to different people of different antihypertensive effect, not 100 percent effective, must therefore be used under the guidance of a doctor, self-monitoring of blood pressure medication to help guide doctors is very important.
In short, in order to enhance the country's rate of hypertension control, first of all, should guide the patients measured blood pressure every morning, to avoid "blood pressure morning peak" occurred, thereby reducing the heart, brain vascular incident rate. At the same time choose the right person in the antihypertensive drug, and ensure a smooth 24-hour relief, so that the patient's heart, the brain of each day.
Many patients with hypertension that only measured once a month on blood pressure enough, in fact, even if one has not measured daily, it is because of a 24-hour blood pressure fluctuations. Like the secretion of hormones can change over time, people's blood pressure has natural rhythm, this is a normal physiological phenomena. In the vast majority of normal blood pressure of the crowd and two-thirds of patients with hypertension, blood pressure at night than during the day to lower blood pressure about 10 percent. The blood pressure of the circadian rhythm allows heart, brain, kidney systemic vascular at night fully "break", which is a normal physiological regulation.
However, patients with hypertension the blood pressure fluctuations of the larger than normal. Understanding the patient's blood pressure fluctuation of the hypertension treatment is important.
People sleep at night when the blood pressure lowering, about two or three points in the early morning minimum. Early morning wake up before the rapid increase blood pressure, after the morning wake up the day-to-day activities within the first few hours (about the early morning 6-9), or nearly reached its peak blood pressure. At that moment, the blood pressure even higher than the night 40-50 mm Hg above, this phenomenon medicine called "blood pressure morning peak."
For patients with hypertension is a dangerous time, because patients at this time of the sympathetic nervous excitement at the time, speed up the heartbeat, high blood pressure; night not to drink water, many patients exhaled moisture, high blood viscosity. For atherosclerotic plaque in patients with hypertension, this plaque to rupture, leading to myocardial infarction, cerebral infarction and cerebral hemorrhage. Some research shows that: myocardial infarction at 9:00 in the 21:00 ratio three times higher; Sudden cardiac death is also the peak in the 9:00 to 12:00; morning about the incidence of stroke increased 60 percent. In the early morning of the death of the elderly accounted for 60 percent, cardiovascular disease outbreaks up to 70% of a 80 per cent. This danger to 12:00 will be reduced.
For patients with circadian rhythm, (often in the elderly, obese with respiratory syndrome sleep suspended, secondary hypertension), blood pressure even at night than during the day high blood pressure, leading to long-term cardiovascular and cerebrovascular not "rest", And easily with heart and cerebrovascular events.
Fluctuations in blood pressure caused harm upgrade
If intravascular pressure fluctuation throughout the day, very easy for the vascular endothelial damage will be caused by falling into heart, brain vascular incident. The mild and severe hypertension patients, if blood pressure fluctuations in a day of great relief can not be stable, may be more dangerous than not to take medicine.
Some of taking short-acting antihypertensive drug patients, as directed should be taken three times on the 1st, but only taking time, this will cause big fluctuations in blood pressure. Because their blood pressure medication in the 4-6 hours in the fall, but then if the medication no longer control, blood pressure will increase, long-term it is very dangerous. Therefore service antihypertensive drug, can not only look at whether the decline in blood pressure, but to see whether the 24-hour blood pressure stable buck.
Reduce the drug caused the fluctuation of blood pressure is the best way to do a 24-hour blood pressure monitoring, to understand changes in blood pressure throughout the day. This is also master of blood pressure changes at night to sleep only after the most reliable way. But 24-hour blood pressure monitoring process more complicated, patients often can not be done, so the current recommendation of the medical profession hypertensive patients learn to understand self-rated blood pressure medication after the buck is smooth, whether 24-hour blood pressure control.
"Valley peak ratio" help you monitor blood pressure
Society is the key to self-rated blood pressure control blood pressure, "Gu peak ratio." It is not difficult to grasp this ratio: Every morning before the measurement of blood pressure medication may be the weakest understanding of antihypertensive efficacy of the decline in blood pressure values ( "valley"); medication after two hours from the start, repeatedly measured blood pressure, blood pressure found The lowest, at this time is the strongest effect, the decline in the value of blood pressure called "peak." If the ratio of peak-equivalent to 1, said that after medication, blood pressure within 24 hours under control. If the "Valley peak ratio" less than 0.5 means that the early morning blood pressure increased significantly, the effect can not be sustained for 24 hours.
Hypertensive patients adhere to medication in the morning and after the strongest effect to pressure point in time, will be able to judge whether a 24-hour blood pressure control throughout the day. If the 16:00 to 8:00 with a blood pressure measurement to understand medication after 10 to 12 hours of blood pressure control, the more accurate judgement.
In the choice of antihypertensive drugs, the medical profession is the consensus choice of priorities once a day administration, continuing a 24-hour buck a long-term role of antihypertensive drugs. But one day taking a lot of antihypertensive drugs, often need 2-3 hours before the onset, the choice of antihypertensive fast and long-term effect of drugs is ideal. Many long-term antihypertensive drugs such as telmisartan smooth buck to 24 hours or more, on the morning of hypertension have good control. Of course, any anti-hypertensive drugs to different people of different antihypertensive effect, not 100 percent effective, must therefore be used under the guidance of a doctor, self-monitoring of blood pressure medication to help guide doctors is very important.
In short, in order to enhance the country's rate of hypertension control, first of all, should guide the patients measured blood pressure every morning, to avoid "blood pressure morning peak" occurred, thereby reducing the heart, brain vascular incident rate. At the same time choose the right person in the antihypertensive drug, and ensure a smooth 24-hour relief, so that the patient's heart, the brain of each day.
Asymptomatic hypertension large mass destruction!
It is usually physical problems have not, but at a certain time, high blood pressure may be silently and suddenly attacked you, this is the "silent hypertension" The most common situation.
Professor Guo Jizhen said, patients with hypertension in many of which have no symptoms, and in about half of the ratio.
This type of blood pressure was slowly rising ladder, from mild to moderate and to severe, the patient can slow gradually adapt to increased blood pressure, even had high blood pressure, may also be no symptoms and do not apply, such as Like normal people, resulting in timely diagnosis and treatment do not often have symptoms of high blood pressure than the more dangerous.
It was so sudden cerebral hemorrhage, myocardial infarction and other accidents, dying before the discovery of blood pressure too high, but have been difficult to control.
"Asymptomatic hypertension," the control and low rates of hypertension in China is closely related to low awareness. China's hypertension patients on their own awareness of the problem only when the United States and Japan, less than half. Professor Guo Jizhen said: "In Japan, there are about 35 million hypertension patients, while sales of electronic device is about 35 million Taiwan. Many Japanese patients with hypertension is found through self-testing blood pressure and high blood pressure treatment, but in China, Self-rated blood pressure at home to the minority. "According to a Shanghai public survey found that patients with hypertension, with the device in the home and often self-rated blood pressure was only 18.69 percent. And self-awareness rate of hypertension increased pressure is an important way.
To deal with asymptomatic hypertension, the best way is prevention as soon as possible. With senior citizens, lipid disorders, obesity, heart disease risk factors, such as those who should be standing at home blood pressure device, or two months in January on a measurement of blood pressure.
In addition, the risk factors for hypertension crowd in the event of the symptoms of headache, often Luanchi pain medicine for pain, rather than timely inspection, which can easily delay the timely diagnosis and treatment of hypertension, or even lead to heart and brain vascular accident occurred.
Guo Ji Zhen, Shanghai Ruijin Hospital director Dr. hypertension, Professor. China's chief health education experts, the Chinese Health Education Association executive director.
Professor Guo Jizhen said, patients with hypertension in many of which have no symptoms, and in about half of the ratio.
This type of blood pressure was slowly rising ladder, from mild to moderate and to severe, the patient can slow gradually adapt to increased blood pressure, even had high blood pressure, may also be no symptoms and do not apply, such as Like normal people, resulting in timely diagnosis and treatment do not often have symptoms of high blood pressure than the more dangerous.
It was so sudden cerebral hemorrhage, myocardial infarction and other accidents, dying before the discovery of blood pressure too high, but have been difficult to control.
"Asymptomatic hypertension," the control and low rates of hypertension in China is closely related to low awareness. China's hypertension patients on their own awareness of the problem only when the United States and Japan, less than half. Professor Guo Jizhen said: "In Japan, there are about 35 million hypertension patients, while sales of electronic device is about 35 million Taiwan. Many Japanese patients with hypertension is found through self-testing blood pressure and high blood pressure treatment, but in China, Self-rated blood pressure at home to the minority. "According to a Shanghai public survey found that patients with hypertension, with the device in the home and often self-rated blood pressure was only 18.69 percent. And self-awareness rate of hypertension increased pressure is an important way.
To deal with asymptomatic hypertension, the best way is prevention as soon as possible. With senior citizens, lipid disorders, obesity, heart disease risk factors, such as those who should be standing at home blood pressure device, or two months in January on a measurement of blood pressure.
In addition, the risk factors for hypertension crowd in the event of the symptoms of headache, often Luanchi pain medicine for pain, rather than timely inspection, which can easily delay the timely diagnosis and treatment of hypertension, or even lead to heart and brain vascular accident occurred.
Guo Ji Zhen, Shanghai Ruijin Hospital director Dr. hypertension, Professor. China's chief health education experts, the Chinese Health Education Association executive director.
Measuring blood pressure by the need to know before
A blood pressure measurement to the attention of what
1. As blood pressure is characterized by significant volatility, so it is necessary to repeatedly on the extraordinary measure to determine whether the elevated blood pressure for continuity. 2. To be quiet environment, the emotional stability of this small fluctuations in blood pressure. 3. Measurement should be standard. One of mercury column, the cuff size should be consistent with the standards. 4. Methods to be appropriate, specific requirements are as follows: (1), who was measured at least five minutes off static, 30 minutes before the measure to prohibit smoking or drinking coffee, emptying the bladder, patients should try to relax. (2), was measured to take seats, the best ride Kaobei Yi; bare right upper arm, elbow and heart at the same level. (3), the use of the appropriate size cuff, cuff within the balloon should be at least 80 percent of parcels upper arm. (4), will be tied up in the cuff close to the measured upper arm, the cuff margin should be 2.5 cm in Zhouwan on. The probe will Stethoscope Waterloo brachial artery at the elbow. (5), measured at the fast inflatable, balloon, the pressure should reach the radial artery pulse disappeared and then increased 30 mm Hg, and then a constant rate (2-6 mm Hg / s) slow deflation. Slower heart rate when deflation rate is slower. Quick access to diastolic blood pressure readings after the release gas to zero. (6), put gas in the process of carefully listening to the sound Keshi, I observed Keshi at the first-phase and Part V of the mercury column convex when the vertical height. Keshi systolic blood pressure readings from the first-phase V (disappearance of Music) (7), blood pressure unit-by-mm. (8), should be separated two minutes repeated measurements, from the average of two readings recorded. Especially if the irregular heart rate or extra frequent atrial fibrillation, repeated determination to take six times the average blood pressure to reduce error.
2. Cuff of the device used when measuring blood pressure to attention problems
First of all we should pay attention to standard width of the cuff, which can not be measured adult children sphygmomanometer cuff blood pressure, high blood pressure in order to avoid false. Secondly, Tianleng, went out not to roll up sleeves, otherwise it will cause low blood pressure measurements.
3. Limbs of the body like blood pressure values?
The blood pressure values of human limbs because of anatomical location and the relationship between hemodynamics is not the same as the normal right upper limb of high blood pressure than the left upper limb 5-10 mm Hg. Normal blood pressure than the upper leg high blood pressure 20-40 mm Hg, a major factor in this difference is the width of gas sleeve, with direct pressure, blood pressure and lower limb on non-discriminatory.
4. The use of the advantages and disadvantages of electronic measurement of blood pressure
The experience has proved that the electronic device, the electronic device repeatable, the use of fast, without special training, the results are reliable. The use of electronic device in the family blood pressure more convenient self-rated accurately. In addition, the electronic device may replace the mercury pollution of the environment-sphygmomanometer, to minimize environmental pollution. It should be noted that, the electronic device has three, sub-upper arm, wrist-and-Zhitao. One of the wrist because of the level below the heart, and Zhitao-elastic artery echo of the obvious impact, causing blood pressure measurement is inaccurate, do not recommend the use, reliability better-arm, recommended.
5. Why can not simply a diagnosis of hypertension blood pressure Gaojiu
Because of a blood pressure measurement only once to capture a brief moment of blood pressure, blood pressure is obviously due to the volatility, so it's hard on behalf of subjects, must be repeated testing of blood pressure and the average interval comes a few days later to repeat Determination of blood pressure, according to several blood pressure measurements made in the diagnosis and classification is correct.
6. Blood pressure fluctuations in the day the law » Why promote family self-rated blood pressure
Normal blood pressure of healthy people in the rhythm of the day is not the same. Generally speaking at a higher level of volatility during the day, evening 8:00 pm decreased gradually to 2-3 at night to minimize the valley, early morning blood pressure rose sharply to meet at 6:00-8:00 am Peak, and then continued fluctuations in blood pressure at a relatively high level to the next night at 4-6 in the second peak, after gradually declining.
We advocate self-rated general family of blood pressure, for the following reasons: 1. Self-rated daily blood pressure can be measured 1-2, in the initial diagnosis or treatment when the day began to adjust the pressure repeatedly, more comprehensive. 2. Self-testing blood pressure, because at home in a more relaxed environment, will not lead to "white coat hypertension," that is, in the medical environment, patients are healthcare workers of increased blood pressure caused short-term response, blood pressure more than a normal phenomenon. 3. Self-rated for patients with blood pressure medication and observed that because of their own after eating habits and lifestyle adjustment of blood pressure dropped and the process so that patients with more confidence in the restoration of health.
1. As blood pressure is characterized by significant volatility, so it is necessary to repeatedly on the extraordinary measure to determine whether the elevated blood pressure for continuity. 2. To be quiet environment, the emotional stability of this small fluctuations in blood pressure. 3. Measurement should be standard. One of mercury column, the cuff size should be consistent with the standards. 4. Methods to be appropriate, specific requirements are as follows: (1), who was measured at least five minutes off static, 30 minutes before the measure to prohibit smoking or drinking coffee, emptying the bladder, patients should try to relax. (2), was measured to take seats, the best ride Kaobei Yi; bare right upper arm, elbow and heart at the same level. (3), the use of the appropriate size cuff, cuff within the balloon should be at least 80 percent of parcels upper arm. (4), will be tied up in the cuff close to the measured upper arm, the cuff margin should be 2.5 cm in Zhouwan on. The probe will Stethoscope Waterloo brachial artery at the elbow. (5), measured at the fast inflatable, balloon, the pressure should reach the radial artery pulse disappeared and then increased 30 mm Hg, and then a constant rate (2-6 mm Hg / s) slow deflation. Slower heart rate when deflation rate is slower. Quick access to diastolic blood pressure readings after the release gas to zero. (6), put gas in the process of carefully listening to the sound Keshi, I observed Keshi at the first-phase and Part V of the mercury column convex when the vertical height. Keshi systolic blood pressure readings from the first-phase V (disappearance of Music) (7), blood pressure unit-by-mm. (8), should be separated two minutes repeated measurements, from the average of two readings recorded. Especially if the irregular heart rate or extra frequent atrial fibrillation, repeated determination to take six times the average blood pressure to reduce error.
2. Cuff of the device used when measuring blood pressure to attention problems
First of all we should pay attention to standard width of the cuff, which can not be measured adult children sphygmomanometer cuff blood pressure, high blood pressure in order to avoid false. Secondly, Tianleng, went out not to roll up sleeves, otherwise it will cause low blood pressure measurements.
3. Limbs of the body like blood pressure values?
The blood pressure values of human limbs because of anatomical location and the relationship between hemodynamics is not the same as the normal right upper limb of high blood pressure than the left upper limb 5-10 mm Hg. Normal blood pressure than the upper leg high blood pressure 20-40 mm Hg, a major factor in this difference is the width of gas sleeve, with direct pressure, blood pressure and lower limb on non-discriminatory.
4. The use of the advantages and disadvantages of electronic measurement of blood pressure
The experience has proved that the electronic device, the electronic device repeatable, the use of fast, without special training, the results are reliable. The use of electronic device in the family blood pressure more convenient self-rated accurately. In addition, the electronic device may replace the mercury pollution of the environment-sphygmomanometer, to minimize environmental pollution. It should be noted that, the electronic device has three, sub-upper arm, wrist-and-Zhitao. One of the wrist because of the level below the heart, and Zhitao-elastic artery echo of the obvious impact, causing blood pressure measurement is inaccurate, do not recommend the use, reliability better-arm, recommended.
5. Why can not simply a diagnosis of hypertension blood pressure Gaojiu
Because of a blood pressure measurement only once to capture a brief moment of blood pressure, blood pressure is obviously due to the volatility, so it's hard on behalf of subjects, must be repeated testing of blood pressure and the average interval comes a few days later to repeat Determination of blood pressure, according to several blood pressure measurements made in the diagnosis and classification is correct.
6. Blood pressure fluctuations in the day the law » Why promote family self-rated blood pressure
Normal blood pressure of healthy people in the rhythm of the day is not the same. Generally speaking at a higher level of volatility during the day, evening 8:00 pm decreased gradually to 2-3 at night to minimize the valley, early morning blood pressure rose sharply to meet at 6:00-8:00 am Peak, and then continued fluctuations in blood pressure at a relatively high level to the next night at 4-6 in the second peak, after gradually declining.
We advocate self-rated general family of blood pressure, for the following reasons: 1. Self-rated daily blood pressure can be measured 1-2, in the initial diagnosis or treatment when the day began to adjust the pressure repeatedly, more comprehensive. 2. Self-testing blood pressure, because at home in a more relaxed environment, will not lead to "white coat hypertension," that is, in the medical environment, patients are healthcare workers of increased blood pressure caused short-term response, blood pressure more than a normal phenomenon. 3. Self-rated for patients with blood pressure medication and observed that because of their own after eating habits and lifestyle adjustment of blood pressure dropped and the process so that patients with more confidence in the restoration of health.
2008-09-08
Reminder: cerebral hemorrhage should be cautious buck!
Hypertensive cerebral hemorrhage (HCH) is the most common brain disorders. Its treatment of the key issues is to control blood pressure, blood pressure control of the Department of Neurology, is the focus of great concern, because the occurrence of hypertension on the basis of substantial fluctuations in blood pressure is the most direct reasons for HCH. After the bleeding continued high mortality and high blood pressure is an important factor in poor prognosis.
Usually, HCH after the patient's blood pressure will increase, will be larger than the most hypertension patients with previous levels. On the one hand, is due to the primary body to increase blood pressure, which is a direct result of bleeding the basis of the cause of the other is due to cerebral hemorrhage after the brain edema caused increased intracranial pressure and cerebral hypoxia, through the vascular conditioning systems, so that blood pressure Reflection of the increase. High blood pressure so that the brain arteries and increase blood pressure and bleeding in the brain tissue surrounding the pressure increased, thereby increasing the degree of bleeding and edema, a vicious cycle.
Physical and physiological disease from the point of view, lower blood pressure may reduce blood pressure, slow down the rate of bleeding and reduce the amount of bleeding. However, lower blood pressure and reduce the excessive brain blood circulation, have adverse consequences. If the over-emphasis on the lower blood pressure, too fast and too earth lower blood pressure can lead to cerebral artery perfusion pressure drop, more serious brain tissue hypoxia, or even lead to circulatory failure.
Well, HCH patients how to control blood pressure?
According to domestic and international experimental research and clinical observation that a lot: If blood pressure does not exceed 180/120 mmHg, which does not require antihypertensive treatment. If the blood pressure more than 200/140 mmHg best antihypertensive treatment in time, but not too low blood pressure, control the disease before or systolic blood pressure controlled at the level of 160 mmHg, diastolic blood pressure control in the 110 mmHg suitable. At the same time, antihypertensive treatment can not be too fast, can not be repeated, even large number of joint use of a variety of potent anti-hypertensive drugs, generally do not recommend the use of strong expansion of vascular drugs. Finally, down intracranial pressure, cerebral edema treatment of the use of anti-dehydration, diuretics, we must also strictly observe the blood pressure, peripheral circulation and water and electrolyte balance.
Usually, HCH after the patient's blood pressure will increase, will be larger than the most hypertension patients with previous levels. On the one hand, is due to the primary body to increase blood pressure, which is a direct result of bleeding the basis of the cause of the other is due to cerebral hemorrhage after the brain edema caused increased intracranial pressure and cerebral hypoxia, through the vascular conditioning systems, so that blood pressure Reflection of the increase. High blood pressure so that the brain arteries and increase blood pressure and bleeding in the brain tissue surrounding the pressure increased, thereby increasing the degree of bleeding and edema, a vicious cycle.
Physical and physiological disease from the point of view, lower blood pressure may reduce blood pressure, slow down the rate of bleeding and reduce the amount of bleeding. However, lower blood pressure and reduce the excessive brain blood circulation, have adverse consequences. If the over-emphasis on the lower blood pressure, too fast and too earth lower blood pressure can lead to cerebral artery perfusion pressure drop, more serious brain tissue hypoxia, or even lead to circulatory failure.
Well, HCH patients how to control blood pressure?
According to domestic and international experimental research and clinical observation that a lot: If blood pressure does not exceed 180/120 mmHg, which does not require antihypertensive treatment. If the blood pressure more than 200/140 mmHg best antihypertensive treatment in time, but not too low blood pressure, control the disease before or systolic blood pressure controlled at the level of 160 mmHg, diastolic blood pressure control in the 110 mmHg suitable. At the same time, antihypertensive treatment can not be too fast, can not be repeated, even large number of joint use of a variety of potent anti-hypertensive drugs, generally do not recommend the use of strong expansion of vascular drugs. Finally, down intracranial pressure, cerebral edema treatment of the use of anti-dehydration, diuretics, we must also strictly observe the blood pressure, peripheral circulation and water and electrolyte balance.
Why would people in the hypertension
What is blood pressure? Blood flows in the blood vessels in the vascular wall called the lateral pressure of blood pressure. This shows that the direct impact on blood pressure factor has two aspects: blood and vessels.
Where to from the blood ? Bone marrow. What are the raw materials hematopoietic » The body's bone cells, myeloid cells, periosteal cells, cartilage cells are white color, they are in white tissue fluid for food, tissue fluid is precisely the activity of bacteria in food. What is the tissue fluid » Cells and between cells of water known as tissue fluid, the flow of meridian passage, the Organization of oral Jin Ye is a senior composition. After the 30-year-old people to lean more and more Yafeng, tooth for bone Pins, on behalf of bones, and teeth that bone cells from the joints due to nutritional deficiencies in the Norwegian-transfer. Bone cells are not on the supply of adequate nutrition can not create high-quality blood. Impurities in the blood, increasing the pressure on the vein wall.
And then talk about vessels. By lymphocytes and vascular smooth muscle flexible component. Transport vessels inside the blood vessels outside the extension of Meridian, Meridian, running the vascular tissue fluid supply of nutrients. Vascular cells are rich in nutrition Jinrun Zhao, elastic like. Health vessels inside a layer of mucous membrane can produce material to help smooth passage of blood. If the human body Meridian unreasonable, the nutritional needs of vascular cells less than long-term supply, can not produce the endometrial Nianhua, wall clock will gradually shrink the Shibuya become dry. Loss of the vessel can not be flexible with the blood flow expansion, contraction, high blood pressure inevitable.
At the same time, do not clean the blood of a lot of bubbles, the bubble wall clock on the effect of very large, like water pipes yard exposed by the easy part of rust, was the pulse of the wall will also have spots, Blood of impurities attached to the deposition of these spots gradually hardens, arteriosclerosis and blood embolism occurs. Atherosclerosis and thrombosis-prone areas in the peripheral microcirculation of the capillary.
In addition, the bone cavity will also study the pressure vessel, causing high blood pressure.
Hypertension how governance » And expansion diluted the blood vessels are not the fundamental way to solve the problem. Blood circulation is maintained by meridian circle, Meridian-and-blood can be. Bone cells and vascular cells in tissue fluid for all food, tissue fluid full, natural blood pressure down. Tissue fluid flow channel is Meridian, Meridian is the driving force of bladder operation of the gas.
To make the gas bladder function strong, and the need to increase gas supply to the human body, the body is the only source of nutrition from the mouth to eat into the food. What kind of food to eat can be Air » The body's use of gas in the air to fill. Ancestors "during the life extension plans," said Shen Qi-eat both the possession of the world's food is the material basis for human health. Modern people eat the food too fine, enter the human food before the gas had been scattered and lost spirituality, so the people can not eat it.
Where to from the blood ? Bone marrow. What are the raw materials hematopoietic » The body's bone cells, myeloid cells, periosteal cells, cartilage cells are white color, they are in white tissue fluid for food, tissue fluid is precisely the activity of bacteria in food. What is the tissue fluid » Cells and between cells of water known as tissue fluid, the flow of meridian passage, the Organization of oral Jin Ye is a senior composition. After the 30-year-old people to lean more and more Yafeng, tooth for bone Pins, on behalf of bones, and teeth that bone cells from the joints due to nutritional deficiencies in the Norwegian-transfer. Bone cells are not on the supply of adequate nutrition can not create high-quality blood. Impurities in the blood, increasing the pressure on the vein wall.
And then talk about vessels. By lymphocytes and vascular smooth muscle flexible component. Transport vessels inside the blood vessels outside the extension of Meridian, Meridian, running the vascular tissue fluid supply of nutrients. Vascular cells are rich in nutrition Jinrun Zhao, elastic like. Health vessels inside a layer of mucous membrane can produce material to help smooth passage of blood. If the human body Meridian unreasonable, the nutritional needs of vascular cells less than long-term supply, can not produce the endometrial Nianhua, wall clock will gradually shrink the Shibuya become dry. Loss of the vessel can not be flexible with the blood flow expansion, contraction, high blood pressure inevitable.
At the same time, do not clean the blood of a lot of bubbles, the bubble wall clock on the effect of very large, like water pipes yard exposed by the easy part of rust, was the pulse of the wall will also have spots, Blood of impurities attached to the deposition of these spots gradually hardens, arteriosclerosis and blood embolism occurs. Atherosclerosis and thrombosis-prone areas in the peripheral microcirculation of the capillary.
In addition, the bone cavity will also study the pressure vessel, causing high blood pressure.
Hypertension how governance » And expansion diluted the blood vessels are not the fundamental way to solve the problem. Blood circulation is maintained by meridian circle, Meridian-and-blood can be. Bone cells and vascular cells in tissue fluid for all food, tissue fluid full, natural blood pressure down. Tissue fluid flow channel is Meridian, Meridian is the driving force of bladder operation of the gas.
To make the gas bladder function strong, and the need to increase gas supply to the human body, the body is the only source of nutrition from the mouth to eat into the food. What kind of food to eat can be Air » The body's use of gas in the air to fill. Ancestors "during the life extension plans," said Shen Qi-eat both the possession of the world's food is the material basis for human health. Modern people eat the food too fine, enter the human food before the gas had been scattered and lost spirituality, so the people can not eat it.
Hypertension how to identify the severity
Each of hypertension patients have a preliminary judgement of the priorities of the basic knowledge of disease, improve the prognosis for improving the cure rate is very useful.
See phased in clinical hypertension is divided into three. The first phase is to achieve the level of diagnosed hypertension, clinical unmotivated, brain and kidney complications are performance. Phase II is to achieve the level of diagnosed hypertension, and one of the following: 1. Medical examinations, X-ray, electrocardiogram or ultrasound examination see a left ventricular hypertrophy, 2. Fundus examination see a retinal artery narrowing; 3. Proteinuria and (or) plasma creatinine concentration increased. Phase III refers to blood pressure reached the level of diagnosed hypertension, and one of the following: 1. Cerebral vascular accident or hypertensive encephalopathy, 2. Left heart failure, 3. Renal failure, 4. Retinal bleeding, seepage To edema, or nipple. Phase I of less severe diseases, with no injury; second phase of illness heavier, there is injury, but its function was normal; injury in the third period Yishi compensatory organ that serious condition.
See diastolic blood pressure levels
Mild: diastolic blood pressure for 95 ~ 104 mmHg
Moderate: diastolic blood pressure was 105 ~ 114 mmHg
Severe: diastolic blood pressure> 115 mmHg
So look at the course, the general course in less than 10 (except for a small number of radical-type) can be seen as less severe diseases, if the illness more than 20 years, the condition is serious, especially that late diagnosis, has not conducted a reasonable treatment.
To see if the patient's family history in the immediate blood (especially parents and compatriots) was suffering from hypertension in middle-aged or middle-aged and died before the stroke or other complications of hypertension, should be particularly vigilant.
To see whether other complications and antihypertensive effect if patients with hypertension associated with coronary heart disease, diabetes, hyperlipidemia and hyperuricemia, and other diseases, to accelerate the development of disease, so that important organ damage more evident and will affect the treatment of hypertension The choice of drug, it should be taken seriously. Under the guidance of a doctor, the correct application of antihypertensive drugs, the effect is not ideal if the buck, high blood pressure, high or low when, big fluctuations in blood pressure, the situation is very accident-prone, to take seriously, Doctors identify the reasons for adjustment of drugs, in order to achieve satisfactory results.
See phased in clinical hypertension is divided into three. The first phase is to achieve the level of diagnosed hypertension, clinical unmotivated, brain and kidney complications are performance. Phase II is to achieve the level of diagnosed hypertension, and one of the following: 1. Medical examinations, X-ray, electrocardiogram or ultrasound examination see a left ventricular hypertrophy, 2. Fundus examination see a retinal artery narrowing; 3. Proteinuria and (or) plasma creatinine concentration increased. Phase III refers to blood pressure reached the level of diagnosed hypertension, and one of the following: 1. Cerebral vascular accident or hypertensive encephalopathy, 2. Left heart failure, 3. Renal failure, 4. Retinal bleeding, seepage To edema, or nipple. Phase I of less severe diseases, with no injury; second phase of illness heavier, there is injury, but its function was normal; injury in the third period Yishi compensatory organ that serious condition.
See diastolic blood pressure levels
Mild: diastolic blood pressure for 95 ~ 104 mmHg
Moderate: diastolic blood pressure was 105 ~ 114 mmHg
Severe: diastolic blood pressure> 115 mmHg
So look at the course, the general course in less than 10 (except for a small number of radical-type) can be seen as less severe diseases, if the illness more than 20 years, the condition is serious, especially that late diagnosis, has not conducted a reasonable treatment.
To see if the patient's family history in the immediate blood (especially parents and compatriots) was suffering from hypertension in middle-aged or middle-aged and died before the stroke or other complications of hypertension, should be particularly vigilant.
To see whether other complications and antihypertensive effect if patients with hypertension associated with coronary heart disease, diabetes, hyperlipidemia and hyperuricemia, and other diseases, to accelerate the development of disease, so that important organ damage more evident and will affect the treatment of hypertension The choice of drug, it should be taken seriously. Under the guidance of a doctor, the correct application of antihypertensive drugs, the effect is not ideal if the buck, high blood pressure, high or low when, big fluctuations in blood pressure, the situation is very accident-prone, to take seriously, Doctors identify the reasons for adjustment of drugs, in order to achieve satisfactory results.
2008-09-07
Why elderly patients with hypertension feel tired
Q: I am 54 years old, suffering from hypertension for several years, oral Tongxinluo a daily live-hi, Cozaar after a breakfast and dinner after Ban Li, now in control blood pressure around 140/90 mm Hg. Recently feel fatigue, may I ask what reasons, what needs to be checks
Cardiology Department, Peking University Third Hospital, Dr. Nieying A: The combination of the patients, fatigue may have to consider the following two reasons, first, whether at the same time taking other drugs such as diuretics, - receptor blockers, these drugs Are likely to cause fatigue, weakness.
Second, the use of the drug in patients with fewer side effects, but can not completely rule out the possibility of fatigue caused by drugs, such as the exclusion of other reasons, still can not alleviate fatigue, could be considered for use of other drugs.
In addition, we must consider a number of diseases. First, secondary hypertension, especially primary aldosteronism, a severe hypokalemia, the patient will feel powerless. Should check potassium, B-bilateral adrenal glands. Second, heart disease, high blood pressure may affect long-term heart rate, heart rate slow when, it will reduce the blood supply caused by body organs, caused fatigue. ECG should be done. Moreover, the patients suffering from hypertension for many years, should be held echocardiography, cardiac structure and function of understanding. Third, hepatitis, tuberculosis, both of which compare to hide or not obvious symptoms, is the most common cause of fatigue, weakness of the disease. Liver function tests, abdomen and chest film to B-examination can help rule out the possibility. Fourth, renal dysfunction, patients suffering from hypertension for many years, may affect renal function. Renal function should be routine. Fifth, anemia, fatigue is also common cause of the disease. Possible blood checks. 6 diabetes. Feasible fasting and two hours after meal blood sugar screening, diabetes to determine whether the merger. Seventh, the tumor, 54-year-old patient, if the long-term feeling of weakness, should also consider the possibility of cancer.
Patients in life we must pay attention to the following: low-salt diet, maintain a proper weight and avoid obesity; appropriate activities, good sleep, Laoyijiehe; medication on time, without diabetes, blood pressure control should be in the 140/90 mm Hg Following; over the age of 50 patients with hypertension, without taboos, should be used aspirin daily 75-100 mg
Cardiology Department, Peking University Third Hospital, Dr. Nieying A: The combination of the patients, fatigue may have to consider the following two reasons, first, whether at the same time taking other drugs such as diuretics, - receptor blockers, these drugs Are likely to cause fatigue, weakness.
Second, the use of the drug in patients with fewer side effects, but can not completely rule out the possibility of fatigue caused by drugs, such as the exclusion of other reasons, still can not alleviate fatigue, could be considered for use of other drugs.
In addition, we must consider a number of diseases. First, secondary hypertension, especially primary aldosteronism, a severe hypokalemia, the patient will feel powerless. Should check potassium, B-bilateral adrenal glands. Second, heart disease, high blood pressure may affect long-term heart rate, heart rate slow when, it will reduce the blood supply caused by body organs, caused fatigue. ECG should be done. Moreover, the patients suffering from hypertension for many years, should be held echocardiography, cardiac structure and function of understanding. Third, hepatitis, tuberculosis, both of which compare to hide or not obvious symptoms, is the most common cause of fatigue, weakness of the disease. Liver function tests, abdomen and chest film to B-examination can help rule out the possibility. Fourth, renal dysfunction, patients suffering from hypertension for many years, may affect renal function. Renal function should be routine. Fifth, anemia, fatigue is also common cause of the disease. Possible blood checks. 6 diabetes. Feasible fasting and two hours after meal blood sugar screening, diabetes to determine whether the merger. Seventh, the tumor, 54-year-old patient, if the long-term feeling of weakness, should also consider the possibility of cancer.
Patients in life we must pay attention to the following: low-salt diet, maintain a proper weight and avoid obesity; appropriate activities, good sleep, Laoyijiehe; medication on time, without diabetes, blood pressure control should be in the 140/90 mm Hg Following; over the age of 50 patients with hypertension, without taboos, should be used aspirin daily 75-100 mg
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