Interpretation of the medical examination report | Examination of high blood outlet pressure?Don't panic, do these 4 things well

"Doctor, I have a high blood output pressure. This is the first time I have found high blood pressure. Do you take antihypertensive medicines every day in the future?" Mr. Zhu, 41, recently came to the Party Committee of the Party Committee of the Affiliated Hospital of Ningbo University Medical College of Medical College. Member, cardiovascular disease expert He Civilized Clinic. In the medical examination a few days ago, the upper and lower pressures of his blood pressure were 156mmHg and 110mmHg, respectively, which made him worry.

He civilization said that among the patients with first diagnosis, it is common for patients like Mr. Zhu to find high blood pressure during the physical examination. So, does a high blood pressure mean hypertension? The physical examination found that the blood pressure was high. Do you need to go to the pharmacy to buy antihypertensive drugs?

Reporter Wang Ying Correspondent Zhu Yiqiong Video Production Wang Ying

High blood pressure is not necessarily hypertension

"High blood pressure is not necessarily hypertension."

He civilization explained to Mr. Zhu that there are many factors that affect blood pressure. Fatigue, emotional excitement, excessive drinking coffee tea, high learning and work pressure, emotional tension during blood pressure, etc. can cause blood pressure to rise. Therefore, the first thing Mr. Zhu has to do is determine the real blood pressure level.

For example, there is a common on -site on the scene called "white coat hypertension". Many patients rose blood pressure when they measured blood pressure at the hospital, but it was normal when self -test at home. This may be that the patient was nervous and accelerated after seeing a doctor in a white coat. He also accelerated his heartbeat. At the same time, the peripheral blood vessels contracted and the resistance increased, leading to an increase in blood pressure.

How to determine the real blood pressure level? There are generally three ways: clinic blood pressure, home self -test blood pressure, 24 -hour dynamic blood pressure.

He civilization said that for Mr. Zhu, a patient such as Mr. Zhu's first discovery of high blood pressure, it is more convenient to recommend self -testing blood pressure first. You can measure blood pressure once every morning, evening, and bedtime. It is recommended to monitor for more than 3 days, and set another step according to blood pressure monitoring.

When home testing of blood pressure, you should choose a quiet and comfortable environment. It is recommended to choose the blood pressure of the mix of the mix instead of the blood pressure meter of the wrist. Generally, the blood pressure of the right arm is the standard. At the same time, pay attention to the right upper arm and the heart at the same level. He Civilization introduced that when home testing blood pressure, it is necessary to pay attention to that many patients are unwilling to believe that their blood pressure is high, so it is measured repeatedly, and the lowest blood pressure value is used as the measurement result. This is not desirable. It only needs to be objectively recorded by the data, and others are given to the doctor to judge.

The doctor recommends the first discovery of a citizen with high blood pressure and the home testing blood pressure and recorded.

Taking antihypertensive drugs is too dangerous!

He civilization said that if the self -test of blood pressure is three days, the blood pressure value exceeds the normal range. If the upper pressure value exceeds 140mmHg, it must go to the cardiovascular specialist clinic for medical treatment.

"In the outpatient clinic, we found that many patients found high blood pressure, and they would go to the pharmacy to buy antihypertensive medicines. This is very dangerous." He Wenming pointed out that after the high blood pressure was found, the second thing was to determine the type of hypertension type. , Professional doctors have determined to belong to primary hypertension or secondary high pressure.

For example, renal insufficiency and adenoma may cause secondary hypertension. Under such circumstances, the first to treat the disease itself, not just how to lower the pressure.

Recently, He Civilized has been diagnosed with a guy in high school, and his blood pressure has remained high. Finally, the secondary hypertension caused by the diagnosis of pituitary tumors must be performed first. If the young man takes antihypertensive drugs blindly, not only the antihypertensive effect is not satisfactory, it will also misunderstand the condition.

Improve lifestyle first, then consider drug treatment

He Civilization introduced that after excluding secondary hypertension, the doctor would do the third thing: classify and risk hypertension.

The hierarchy is mainly based on the value of the blood pressure. For example, the upper pressure ≥140mmHg and the <160mmHg are level 1 hypertension, the upper pressure ≥160mmHg, and <180mmHg is a level 2 hypertension.

There are many influencing factors in dangerous layers. For example, whether patients have diabetes, family history of cardiovascular disease, history, heart, brain, kidney, arteries, and bottom -related organs are damaged.

The fourth thing is that professional doctors will comprehensively comprehensively formulate treatment plans.

He Civilization introduced that if it belongs to a level 1 hypertension, it is generally not recommended that patients take antihypertensive drugs directly.Instead, it is recommended to adjust the lifestyle first, such as low -salt diet, reducing weight, aerobic exercise, regular work and rest.It turns out that after many patients with level 1 hypertension are adjusted, blood pressure is expected to return to normal blood pressure levels.

Reporter Wang Ying Correspondent Zhu Yiqiong

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