After the diagnosis of hypertension, blood pressure has become the primary task of patients, but many patients always have the question: what is the most appropriate blood pressure drop?

We know that under normal circumstances, the blood pressure of healthy adults should be: systolic blood pressure in the range of 90mmHg-140mmHg, diastolic blood pressure in the range of 60mmHg-90mmHg. If it exceeds the upper limit, it is what we often call high blood pressure.

So, does it mean that all our hypertensive patients must lower their blood pressure to below 140/90mmHg?

What is the best blood pressure drop? The answer is different from what you think, hypertensive patients pay attention!

The doctor's answer is: not necessarily!

Why is this?

Doctors use two cases to tell us the answer.

Case 1: Uncle Jiang, 68 years old, when diagnosed with hypertension, his systolic blood pressure was 172mmHg and diastolic blood pressure was 96mmHg. Besides hypertension, he also had diabetes for more than ten years. Doctor's suggestion, let him lower blood pressure to below 150/90mmHg first.

What is the best blood pressure drop? The answer is different from what you think, hypertensive patients pay attention!

Case 2: Xiao Liu, 33 years old, when he was first diagnosed with hypertension, his systolic blood pressure was 161mmHg and his diastolic blood pressure was 112mmHg. In addition to high blood pressure, he is overweight and has a mild fatty liver, and has no other serious underlying diseases. The doctor asked him to immediately lower his blood pressure to below 140/90mmHg!

What is the best blood pressure drop? The answer is different from what you think, hypertensive patients pay attention!

Seeing this, many people began to wonder: the same high blood pressure, why are the goals of control different?

The doctor explained it this way:

The first case is a typical senile hypertension

The patient, Uncle Jiang, is over 65 years old and belongs to the elderly with hypertension. Elderly hypertension is generally high systolic blood pressure, blood pressure fluctuations are not easy to control, and often accompanied by coronary heart disease, diabetes, chronic kidney disease and other diseases.

Relevant guidelines also clearly point out that blood pressure in elderly hypertensive patients should be reduced to below 150/90mmHg. If you suffer from diabetes, chronic kidney disease and other diseases, you can also relax the blood pressure target.

What is the best blood pressure drop? The answer is different from what you think, hypertensive patients pay attention!

Uncle Jiang's systolic blood pressure is as high as 172mmHg, which has the characteristics of elderly hypertension, and has been accompanied by diabetes for many years. If the blood pressure is too low, he is prone to intolerance. Therefore, the doctor believes that his blood pressure target should be relaxed.

The second case is very common hypertension in young adults

The patient, Xiao Liu, is a young adult. The doctor communicated with him in detail and found that his high blood pressure was related to long-term drinking, improper diet, obesity and lack of exercise.

Considering that he is relatively young, has good physical fitness, and has a high degree of tolerance, he has no other underlying diseases except high blood pressure and mild fatty liver. Therefore, the blood pressure should be lowered to the target as soon as possible, and it should be achieved for a long time. Therefore, doctors set his blood pressure control goals to be stricter.

What is the best blood pressure drop? The answer is different from what you think, hypertensive patients pay attention!

Under the guidance of the doctor, Xiao Liu insists on rational use of antihypertensive drugs, actively quits smoking and drinking, formulates a diet suitable for him, strictly controls the intake of sodium salt, and insists on 45 minutes of cycling or brisk walking, swimming and other moderate-intensity exercise every day. .

In just 3 months, his blood pressure dropped steadily. Now, he stopped using antihypertensive drugs under the advice of doctors, and relies on lifestyle interventions to actively control blood pressure to achieve long-term goals.

What is the best blood pressure drop? The answer is different from what you think, hypertensive patients pay attention!

Through the doctor's analysis, we know the answer to the question "how much is the most appropriate blood pressure drop". Each hypertensive patient has different conditions, age, physical fitness, tolerance, etc., and the target value of blood pressure is also different, so it cannot be generalized.

That is to say, the most correct way for hypertensive patients should be to develop a personalized blood pressure target and blood pressure plan under the guidance of a doctor!

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