What is blood pressure 150/100? Is it dangerous? Do I need to take antihypertensive drugs?

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Mr. Zhang has measured his blood pressure several times, and his blood pressure is between 150-160/100-110mmHg, but he doesn't feel anything. If it wasn't for the physical examination, he didn't know what his blood pressure would be. He wanted to know what level of blood pressure belonged to. hypertension? Is it dangerous to ignore it? Do I need to take blood pressure medication?

High blood pressure does not rise in one or two days, there is a gradual increase process, just like "long time no smell", the body will have a certain adaptability to the high blood pressure, on the contrary, if the blood pressure drops rapidly, it will cause various discomforts. However, the damage of high blood pressure to the body happens unconsciously. When it causes the lesions of certain organs and progresses to a certain extent, symptoms will appear, but most of them have reached an irreversible level. Therefore, the "China Guidelines for the Prevention and Treatment of Hypertension" requires adults to measure their blood pressure 1-2 times a year to ensure timely detection of hypertension.

The diagnostic requirement for hypertension is that the blood pressure is higher than 140/90mmHg three times on different days. It should be noted that different days should be separated by 1-2 weeks to remove various factors that cause short-term increase in blood pressure; blood pressure should also be measured at 8:00-10:00 in the morning and 16:00-18:00 in the afternoon There are two blood pressure peaks throughout the day, because the diagnosis of hypertension is based on the highest blood pressure throughout the day.

Hypertension is graded according to systolic (high) and diastolic (low) blood pressure, and the criteria are:

First-degree hypertension: systolic blood pressure 140-160mmHg and/or diastolic blood pressure 90-100mmHg

Secondary hypertension: 160-180mmHg systolic and/or 100-110mmHg diastolic

Grade III hypertension: systolic blood pressure greater than 180mmHg and/or diastolic blood pressure greater than 110mmHg

The greatest harm of high blood pressure is the damage of blood vessels, which can damage the vascular endothelium, allowing a large amount of fat in the blood to enter and deposit, and then cause a series of inflammatory reactions, fatty degeneration to form atherosclerotic lipids, causing atherosclerosis , the lipids are actively agglomerated to form plaques. Diseased blood vessels obstruct blood flow, resulting in insufficient blood supply and oxygen supply, plaque rupture to form thrombotic infarcted blood vessels, increased vascular fragility, and bleeding and compression of organs after rupture. Therefore, high blood pressure should be actively intervened and treated.

How to find out whether high blood pressure caused organ disease?

24-hour ambulatory blood pressure monitoring can clearly understand the overall changes in blood pressure throughout the day, and determine whether it conforms to the change rule of human blood pressure in the daytime high and nighttime low, and provides an accurate basis for the formulation of intervention treatment.

Blood sugar and blood lipid examinations determine whether there is abnormal glucose and lipid metabolism. Hyperglycemia and hyperlipidemia not only often accompany hypertension, but also play a synergistic and promoting role in vascular damage caused by hypertension.

Liver and kidney function rule out renal hypertension on the one hand, and provide the basis for selecting appropriate antihypertensive drugs on the other hand.

Homocysteine ​​test is associated with an increase in this index in more than 70% of people with hypertension in China. It is a risk factor for blood vessel damage independent of hypertension. It is necessary to control this index synchronously in the treatment of hypertension. index.

Electrocardiogram and chest X-ray: to understand whether high blood pressure causes cardiac hypertrophy, and the direct consequence of cardiac hypertrophy is the occurrence of heart failure.

Color Doppler ultrasound of the carotid artery can determine whether there is atherosclerosis and plaque formation, and evaluate the risk of cardiovascular and cerebrovascular diseases.

Fundus examination This examination can directly observe whether the small blood vessels have lesions and the degree of lesions, which is a more sensitive examination for evaluating hypertension on vascular damage.

The basic principle is: if there has been a clear vascular disease, antihypertensive drugs should be taken immediately, on the one hand to stabilize blood pressure, on the other hand to protect organs; on this basis, first-degree hypertension can be temporarily without medication. , through lifestyle intervention for 3-6 months, if the control requirements are not met, antihypertensive drugs should be taken, and antihypertensive drugs should be taken immediately for grade two or three hypertension.

To sum up, Mr. Zhang should take antihypertensive drugs. He must know that the absence of symptoms of high blood pressure does not mean that there is no damage to the body. The benefits of taking antihypertensive drugs to control blood pressure in a timely manner cannot be replaced by any reason. It is wise to keep taking it.

[If this article helped you, give a like, a reward, click to follow, and learn and exchange more health knowledge together]

24-hour ambulatory blood pressure monitoring can clearly understand the overall changes in blood pressure throughout the day, and determine whether it conforms to the change rule of human blood pressure in the daytime high and nighttime low, and provides an accurate basis for the formulation of intervention treatment.

Blood sugar and blood lipid examinations determine whether there is abnormal glucose and lipid metabolism. Hyperglycemia and hyperlipidemia not only often accompany hypertension, but also play a synergistic and promoting role in vascular damage caused by hypertension.

Liver and kidney function rule out renal hypertension on the one hand, and provide the basis for selecting appropriate antihypertensive drugs on the other hand.

Homocysteine ​​test is associated with an increase in this index in more than 70% of people with hypertension in China. It is a risk factor for blood vessel damage independent of hypertension. It is necessary to control this index synchronously in the treatment of hypertension. index.

Electrocardiogram and chest X-ray: to understand whether high blood pressure causes cardiac hypertrophy, and the direct consequence of cardiac hypertrophy is the occurrence of heart failure.

Color Doppler ultrasound of the carotid artery can determine whether there is atherosclerosis and plaque formation, and evaluate the risk of cardiovascular and cerebrovascular diseases.

Fundus examination This examination can directly observe whether the small blood vessels have lesions and the degree of lesions, which is a more sensitive examination for evaluating hypertension on vascular damage.

The basic principle is: if there has been a clear vascular disease, antihypertensive drugs should be taken immediately, on the one hand to stabilize blood pressure, on the other hand to protect organs; on this basis, first-degree hypertension can be temporarily without medication. , through lifestyle intervention for 3-6 months, if the control requirements are not met, antihypertensive drugs should be taken, and antihypertensive drugs should be taken immediately for grade two or three hypertension.

To sum up, Mr. Zhang should take antihypertensive drugs. He must know that the absence of symptoms of high blood pressure does not mean that there is no damage to the body. The benefits of taking antihypertensive drugs to control blood pressure in a timely manner cannot be replaced by any reason. It is wise to keep taking it.

[If this article helped you, give a like, a reward, click to follow, and learn and exchange more health knowledge together]