The latest high blood pressure control standard is released, canceling grade 3 high blood pressure? Check yourself, choose medicine for
Hypertension is a very common chronic disease and a risk factor for many diseases such as coronary heart disease and diabetes, which greatly affects human health. The medical community has also continued to pay attention to this disease, and has 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 published the 2020 edition of the International Hypertension Practice Guidelines, which improved the definition of hypertension, and made some changes in the antihypertensive standards and drug treatment. Let's talk about it based on the latest version of the Hypertension Practice Guidelines Let’s talk about the latest high blood pressure control standards and how to choose medicine?
- Cancel grade 3 hypertension?
Everyone knows that people with systolic blood pressure between 140-159mmHg or diastolic blood pressure between 90-99mmHg were called grade 1 hypertension in the past;
A systolic blood pressure above 180mmHg and a diastolic blood pressure above 110mmHg is called grade 3 hypertension. Blood pressure values between the two are grade 2 hypertension.
The concept of grade 3 hypertension has been abolished in the latest guidelines for the prevention and treatment of hypertension, and systolic blood pressure higher than 160mmHg or diastolic blood pressure higher than 100mmHg are collectively referred to as grade 2 hypertension, which means that 180/110mmHg is no longer used as the boundary. However, although the concept has been cancelled, the facts still remain. Compared with patients with 160/105mmHg, patients with blood pressure of 185/110mmHg are more dangerous and have a greater chance of various complications.
- Different control objectives
In the past, the guidelines believed that as long as the blood pressure is below the standard value of 130/85mmHg, it is normal blood pressure. This is actually not conducive to disease control. For example, 90/60mmHg seems to be normal blood pressure, but patients may have symptoms of insufficient blood supply such as dizziness, limb weakness, and rapid pulse, which need to be treated differently.
Therefore, the new guidelines further clarify that during normal blood pressure, for example, for young and middle-aged people, 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, it is best to use antihypertensive drugs in combination, regularly, and throughout the course, but it is best to use a single drug at the beginning. Generally, you can choose related drugs such as Puli, Dipine, Sartan, and diuretics.
If the effect of single drug is not good, single-chip compound drugs such as compound dipine tablets can be taken. As the course of blood pressure progresses and it is difficult to achieve the control effect with single-tablet compound drugs, it is recommended to use combination drugs one by one, such as half-dose sartan/pril+dipine, full-dose sartan/pril+dipine, half-dose sartan/ Prily+dipine+diuretic, half dose of sartan/pril+diuretic+diuretic+spironolactone, etc. (pro, I’m not advertising).
Of course, the guideline is just a guideline, and the specific medication must be based on your own condition, and you must follow the doctor's prescription after the doctor's syndrome differentiation and treatment. All we have to do is to take medication on time. If we miss a dose, we need to consult a doctor before making up for it; take the full amount of medication, and don’t increase or decrease the type and dose at will; communicate in time, and communicate with the doctor in time when coughing or blood pressure control is unfavorable. .
Finally, I want to point out that drugs are necessary to control high blood pressure, but self-discipline is the greatest weapon to keep blood pressure stable. May each of us pay attention to our mouths, open our legs, open our hearts, deal with energy-consuming negative emotions, and welcome the arrival of a better life with a stable blood pressure.