What happens if high blood pressure is not treated? If this result is acceptable, then no treatment
A few days ago, a friend found high blood pressure and asked me if I could do it without treatment. I told him a case in our department, and then immediately asked me what medicine I took.
This is a 28-year-old patient who received a large amount of cerebral hemorrhage a year ago. Due to the amount of bleeding outside the brain, the doctor judged that there was no hope, because the operation could not be saved.
But the patient's mother had to insist. It turned out that the patient's 50-year-old father died of hypertensive cerebral hemorrhage six months ago. The patient's father had high blood pressure and always thought that he was fine and had a cerebral hemorrhage.
The 28-year-old patient also discovered high blood pressure 2 years ago. He thought he was young and had no problem. However, the death of his father six months ago shocked him a little.
It hit the patient's mother too hard. She kept telling the doctor to let his father and mother take medicine, but no one listened.
The patient persisted in the ICU for 9 days and finally left. The loss of her husband and child within half a year was a huge blow to the patient's mother. Such a tragedy can actually be avoided.
Because of the need for high blood pressure to be well controlled, these fatal complications often do not occur.
Hypertension is the blood pressure higher than 140/90mmHg in the quiet state, and the normal blood pressure is 90-140/60-90mmHg. If it is diagnosed as high blood pressure, whether it is high blood pressure, high low pressure, or both, it needs treatment. .
But some people just don't care and think that it's not uncomfortable and that if you don't have symptoms, you can go without treatment. This is absolutely wrong.
Studies have shown that people with untreated high blood pressure live an average of 10 to 15 years less than people with well-controlled blood pressure.
Most people with high blood pressure who do not take medicine will have symptoms of high blood pressure, whether it is primary or secondary high blood pressure, these symptoms generally have these symptoms, which seriously affect daily life.
Common symptoms include dizziness, headache, neck stiffness, fatigue, palpitations, etc.
It is mildly persistent and aggravated after tension or exertion, but it is not necessarily related to the blood pressure level.
3, some may also appear blurred vision, nosebleeds and other serious symptoms.
- A small number of patients have abrupt symptoms, such as severe headache, proteinuria, and hematuria.
There are also a small number of patients who are asymptomatic and are only discovered after physical examination or other organ complications, but they are fatal when acute and chronic complications occur.
Uncontrolled blood pressure, when tense and tired, will often induce hypertensive emergencies, referring to a short period of time (hours or days), the blood pressure is severely elevated, diastolic blood pressure > 130mmHg and (or) systolic blood pressure > 200mmHg, accompanied by Serious dysfunction or irreversible damage to vital organs and tissues such as heart, brain, kidneys, fundus, large arteries and requires urgent treatment.
A hypertensive secondary emergency is defined as a sudden and significant increase in blood pressure without target organ damage.
If hypertensive emergencies and secondary emergencies are not treated, hypertensive crisis or hypertensive encephalopathy will occur, and may also occur in other disease processes, such as cerebral hemorrhage, subarachnoid hemorrhage, and acute left heart failure.
Hypertensive crisis: A sudden and marked increase in blood pressure (usually >210-220/130-140 mmHg), accompanied by symptoms or characterized by acute damage to target organs such as the heart, brain, and kidneys. In addition, if the diastolic blood pressure is higher than 140Hg blockade, it should also be regarded as a hypertensive crisis with or without symptoms.
Long-term uncontrolled hypertension, these complications are all found without exception.
Hypertensive crisis: induced by tension, fatigue, cold, etc. These symptoms are often caused by a sharp and rapid increase in blood pressure. If not treated in time, it is easy to affect the blood supply of important organs and produce critical symptoms.
Hypertensive encephalopathy: It is more common in patients with severe hypertension, especially long-term hypertension. Under certain incentives, hypertensive cerebral hemorrhage is prone to occur. Hypertension is the most important cause of cerebral hemorrhage.
Cerebrovascular disease: due to long-term high blood pressure, it is easy to cause arteriosclerosis, cerebral hemorrhage, cerebral thrombosis, lacunar cerebral infarction, transient ischemic attack, etc.
Heart failure, chronic renal failure, etc., long-term high blood pressure, resulting in increased burden on the heart, increased burden on the kidneys, and heart failure and renal failure.
Aortic dissection: An aneurysm occurs and is easily ruptured. Dissection rupture or compression of large branches of the aorta can lead to sudden death.
The above are all caused by high blood pressure. If the blood pressure is controlled within the normal range, the occurrence of these symptoms and complications will be greatly reduced, and even a healthy life will be maintained.
In order to further reduce the incidence of complications, the United States has set the value of hypertension as 130/80mmHg, so if you have high blood pressure, you must not let it go.
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