My blood pressure is over 140/90, but I don't feel any discomfort in my body. Do I still need treatment?
Do you suffer from high blood pressure?
Do you have high blood pressure patients?
According to the survey, there are about 245 million people with hypertension in China, among which the prevalence rate of hypertension in adults is 27.9% . The rate data is even less objective. Only about 16.8% of hypertensive patients have been effectively controlled, the awareness rate is only about 1/3, and the treatment rate is only about 25% . These data are all from the "China Cardiovascular Disease Health and Disease Report 2019", and those who are interested can check it out by themselves.
In view of the high prevalence of hypertension, low awareness rate, and low treatment rate and control rate, a common psychological factor may be the incentive. That is, as long as the body is not uncomfortable, high blood pressure is fine. I believe that many hypertensive patients have also had such thoughts.
Does high blood pressure make you feel sick?
it's not true. In a considerable number of hypertensive patients, the early rise in blood pressure does not cause physical discomfort. A survey in the United States has found that among hypertensive patients, the proportion of headaches is not as high as that of the general population, or even lower than that of the general population . But can you say high blood pressure levels can be ignored? The answer is definitely no. It is not feasible to use the method of physical discomfort to judge whether high blood pressure is serious and whether it needs treatment.
Why is treatment necessary after blood pressure is over 40/90?
For the heart and brain, blood pressure continues to rise. After it exceeds 140/90, it will lead to greater pressure on the blood vessels in the human body, which will increase the burden of the heart pumping blood, which will easily lead to the enlargement of the heart , the weakening of the systolic function of the heart, and the weakening of the brain. People are prone blood circulation . Even if there are no symptoms, damage to the heart and brain is still there.
In patients with blood pressure over 140/90, kidneys , eyes , cardiovascular and cerebrovascular , etc. may be continuously damaged, and no abnormality can be seen in the short term, but after 1 year, 2 years, 5 years or even 10 years, It is very likely that these target organs are damaged, and it will be too late to lower blood pressure by then.
What happens before the bomb explodes? After people's blood pressure rises to 140/90, it is equivalent to pressing an invisible bomb in the human body. If the blood pressure is not lowered in time, it may explode one day in the future.
There are 3 cases where blood pressure exceeds 140/90 without taking medicine. See if you belong?
White coat hypertensive patients can delay taking medicine to lower blood pressure. When the patient's blood pressure is measured in the hospital or clinic, the blood pressure is above 140/90, but when the blood pressure is measured at home, it is always lower than 135/85. In this case, it is likely to be white coat hypertension, most of which is too nervous or stressed caused by too much.
Solution : It is recommended to make adjustments to life at home, improve low-salt diet, increase exercise, and regularly monitor 24-hour ambulatory blood pressure to stabilize the condition earlier. If you are in an unstable state for a long time, you still need to follow the doctor's advice and take medication.
Some patients with secondary hypertension can suspend the use of antihypertensive drugs after finding the cause of the increase in blood pressure . About 5% to 10% of people with high blood pressure are in this situation, you can first treat the cause of the increase in blood pressure, and perhaps the blood pressure will recover on its own.
Patients with abnormal blood pressure who can control their blood pressure and stabilize their blood pressure on their own . Some people can lower their blood pressure to below 140/90 by themselves by adjusting their lifestyles, losing weight, etc., and occasionally measuring their blood pressure over 140/90 once a month, they can try to lower their blood pressure first . It is not too late to consider medication.
In general, if the blood pressure exceeds 140/90, no matter whether there is discomfort or not, it is recommended to receive treatment in time. If it belongs to the three mentioned situations, the medication can be postponed under the guidance of the doctor.