Can all hypertensive patients take medicine before the check-up? Make no mistake!
Many young people think that high blood pressure is a disease of old age and has nothing to do with them, so they generally do not pay attention to their blood pressure levels. The trend of hypertensive youth requires a high degree of attention and vigilance. The exact pathogenesis of hypertension is still unclear. It is currently known that it is mainly caused by the interaction of genetic factors and environmental factors. If the parents have high blood pressure, then the children are more likely to have high blood pressure. In terms of environmental factors, the incidence of hypertension in young people is closely related to long-term mental stress, excessive stress, and bad living habits. Studies have found that children who sleep less than 5 hours a day are much more likely to develop high blood pressure in the future than children who get enough sleep. Therefore, it is very important to develop good living habits and ensure adequate sleep for the prevention and treatment of hypertension. And what we are going to tell you today is, for the physical examination of hypertensive patients, should we stop the antihypertensive drugs first? In the end what kind of approach is correct, let us see together.
Doctors believe that hypertension patients take antihypertensive drugs every morning to keep blood pressure stable. Stopping or delaying taking antihypertensive drugs will cause blood pressure to rise sharply, which is dangerous. Current antihypertensive regimens were evaluated. The effect of taking a small amount of antihypertensive drugs on the test is slight, so patients with high blood pressure should have a physical examination after taking antihypertensive drugs.
Can all hypertensive patients take medicine before the check-up? If the purpose of the physical examination is to evaluate the therapeutic effect of high blood pressure drugs, the drug should not be stopped before the examination; if you want to judge whether you have high blood pressure through the physical examination, you need to temporarily stop other drugs, so as not to interfere with the results and lead to false detection.
Do antihypertensive drugs require time? In fact, the long-acting antihypertensive drugs generally taken by hypertensive patients can maintain their efficacy for 24 hours, and the antihypertensive effect is very stable. Antihypertensive drugs do not have any requirements on the time of taking the drug, and most patients choose to take the drug in the morning due to their medication habits.
Whether it is a healthy person or a hypertensive patient, the fluctuation of blood pressure is basically the same. There are two peaks in blood pressure during the day, 6-8 in the morning and 4-6 in the afternoon. Long-acting antihypertensive drugs generally begin to work within 2 hours after taking the drug. Blood pressure fluctuations are regular and have specific fluctuation characteristics. If you do not do 24-hour blood pressure dynamic monitoring, you can choose 4 optimal time monitoring times. It is recommended to measure blood pressure every 6 hours for 3 consecutive days to understand your blood pressure fluctuation level. Remember to read the instructions of long-acting antihypertensive drugs carefully, and they will indicate the peak period of the drug's efficacy, and you can calculate the best time to take the drug.
There is also a situation worth noting, that is, some elderly people have high blood pressure problems or transient high blood pressure problems as they grow older. When taking antihypertensive drugs, more attention should be paid to monitoring blood pressure. If the blood pressure is too low due to taking the medicine, and there are problems such as dizziness, fatigue, palpitations, easy falling, etc., the tolerance of the elderly to blood pressure should be considered. Especially if the diastolic blood pressure is too low, below 60, you can consider reducing or stopping the drug to increase the hypotension. Usually for the elderly, it is not recommended to lower the blood pressure too low. It is also very good to control the systolic blood pressure below 150 when the body tolerates it. It is summer now. If the elderly people take low doses of antihypertensive drugs, the blood pressure will drop too low, so they can also consider stopping the drugs. But it also needs to be reminded that we must pay more attention to monitoring and measuring blood pressure. If blood pressure is greatly increased, the drug should still be controlled by medication.
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