People with high blood pressure, if these 6 conditions exist, the blood pressure of both arms should be measured

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"Should blood pressure be measured on the left arm or the right arm?" This is a question that almost all people with high blood pressure will ask. Usually, doctors will instruct "the side of the dominant arm should be usually measured". The dominant arm can be simply understood as one Which hand is mainly used for normal labor, for example, the left arm is the left arm; the second refers to the side with the higher blood pressure measured on both sides.

But what needs to be known is that although the blood pressure measured on both sides of the arm will be different, the difference is not very big. The difference is 5-10mmHg, which is normal. The situation suggests that there is a greater risk of cardiovascular and cerebrovascular diseases in the body. How to understand it?

As we all know, the greatest harm of high blood pressure is to damage blood vessels, leading to atherosclerosis and plaque.

One is to narrow the vascular lumen, obstruct blood flow, and cause insufficient blood supply and oxygen supply to surrounding tissues and organs, resulting in dysfunction.

The second is the rupture of vascular plaque, causing a large number of platelets to aggregate to form thrombus, which will block the blood vessel and interrupt blood flow, causing infarct disease.

The third is the rupture and hemorrhage of the diseased blood vessels, and a large amount of blood flows out of the blood vessels, compressing the tissues and organs, resulting in dysfunction or even necrosis.

Therefore, the ultimate goal of hypertension treatment is to prevent and delay the occurrence of vascular lesions, and to closely monitor the occurrence of vascular lesions, such as regular carotid arterial ultrasound examinations. The carotid artery is a large artery in the human body. The occurrence of atherosclerosis and plaque is often used as a test to indicate the risk of cardiovascular and cerebrovascular diseases, but this test needs to be completed in the hospital.

Many people with high blood pressure may ask: Is there a simple daily monitoring method?

First of all, it is necessary to do daily blood pressure monitoring to ensure that the blood pressure control is up to the standard, especially in the morning before taking antihypertensive drugs, the blood pressure should not exceed 140/90mmHg at least, the middle-aged should be lower than 130.80nnHg, and the young people should also keep it at 120/90mmHg. 80mmHg or less; and nighttime blood pressure cannot exceed 120/70mmHg, we must know that reaching the target blood pressure at night is more important than daytime blood pressure.

Secondly, measure the blood pressure of the two arms from time to time, and compare the difference between the blood pressure on both sides, which should not exceed 20mmHg at most, otherwise it indicates that atherosclerosis may occur in the subclavian artery. The subclavian artery, like the carotid artery, is a large artery in the body, but lesions in the carotid artery usually do not affect blood pressure, while subclavian arteriosclerosis has a greater impact on blood pressure, often resulting in a larger difference in blood pressure measured on both arms, suggesting that Cardiovascular and cerebrovascular may have the same lesions.

Clinical practice has confirmed that if people with hypertension have the following conditions, the risk of cardiovascular and cerebrovascular diseases will be greatly increased, and the blood pressure difference between the two arms may increase significantly. It is necessary to regularly measure the blood pressure of the two arms for comparison. If the difference exceeds 10mmHg, especially when it exceeds 20mmHg, the cause should be further investigated in time, focusing on the occurrence of cardiovascular and cerebrovascular diseases.

over 60 years of age;

The initial diagnosis of hypertension is higher than 160/100mmHg;

overweight and obese;

Higher systolic blood pressure leads to larger pulse pressure difference;

Have a family history of cardiovascular and cerebrovascular disease;

Cardiovascular disease has occurred.

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