The latest blood pressure control standards have been introduced to cancel grade 3 hypertension? Check yourself, for drug selection
Hypertension is a very common chronic disease and a risk factor for coronary heart disease, diabetes and other diseases, which greatly affects human health. For this disease, the medical community has also continued to pay attention, and updated and released guidelines for the prevention and treatment of hypertension almost every year, presenting the latest research results to everyone.
In May of this year, the International Society of Hypertension released the 2020 edition of the International Hypertension Practice Guidelines, which improved the definition of hypertension and slightly revised blood pressure standards and drug treatment. Let’s talk about the latest version of the Hypertension Practice Guidelines. Let's talk about the latest hypertension control standards and how to choose medicines?
- Cancellation of grade 3 hypertension?
Everyone knows that in the past, people with blood pressure between 140-159 mmHg systolic blood pressure or 90-99 mmHg diastolic blood pressure were called grade 1 hypertension;
The systolic blood pressure is higher than 180mmHg and the diastolic blood pressure is higher than 110mmHg as grade 3 hypertension. A blood pressure value in between is grade 2 hypertension.
In the latest guidelines for the prevention and treatment of hypertension, the concept of grade 3 hypertension has been cancelled, and systolic blood pressure higher than 160 mmHg or diastolic blood pressure higher than 100 mmHg are collectively referred to as grade 2 hypertension, which means that the boundary is no longer 180/110 mmHg. However, although the concept has been cancelled, the fact remains that patients with blood pressure of 185/110mmHg are more at risk than patients with 160/105mmHg and have a greater chance of developing various complications.
- Different control objectives
In the past, guidelines considered normal blood pressure as long as blood pressure was below the standard value of 130/85 mmHg. This is actually not conducive to disease control. For example, 90/60mmHg seems to be a normal blood pressure, but the patient may already have symptoms of insufficient blood supply such as dizziness, limb weakness, and pulse speed, which needs to be treated differently.
Therefore, the new guidelines further clarify that during normal blood pressure, for example, for middle-aged and young people, the blood pressure should be between 120/70mmHg and 130/85mmHg. Too high or too low is not good for health.
- Choice of antihypertensive drugs
As we all know, antihypertensive drugs are best taken in combination, regularly, and throughout the whole process, but it is best to take a single drug at first, and generally you can choose related drugs such as pril, dipine, sartan, and diuretic.
If the effect of a single drug is not good, you can take a single-piece compound drug such as Compound Diping Tablets. With the progress of the blood pressure, when it is difficult to achieve the control effect of a single compound drug, it is recommended to use the combination drug successively, such as half-dose sartan/pril+dipine, full-dose sartan/pril+dipine, half-dose sartan/ Puli + dipine + diuretic, half-dose sartan/puli + dipine + diuretic + spironolactone, etc. (pro, I am not advertising).
Of course, the guideline is only a kind of guidance, and the specific medication must be prescribed according to the doctor's syndrome differentiation and treatment. All we have to do is to take the medicine on time. If we miss a dose, we need to consult a doctor before taking it up; take the full amount of medicine, and do not arbitrarily increase or decrease the type and dose; communicate in time, and communicate with the doctor in time when there is a cough or poor blood pressure control. .
Finally, I want to point out that it is necessary to control high blood pressure with drugs, but self-discipline is the biggest weapon to keep blood pressure stable. May each of us pay attention to our mouths, open our legs, open our hearts, manage negative emotions that consume energy, and welcome the arrival of a better life with stable blood pressure.