When I heard about high blood pressure, I felt nervous. Because this disease requires long-term treatment, and there are many complications. For this reason, many middle-aged and elderly people’s awareness of the prevention of high blood pressure is also constantly improving, but there are many kinds of high blood pressure, and even some high blood pressure does not need to take medicine at all.
If there are still people around you who take high blood pressure drugs at will, you must understand clearly, so what kind of high blood pressure does not need to take medicine, and how to judge whether you are high blood pressure?
First of all, the diagnostic criteria for hypertension must be clarified. If the systolic blood pressure is greater than or equal to 140mmHg and the diastolic blood pressure is greater than or equal to 90mmHg when the side face blood pressure is in the doctor’s office, the measured person needs to be in a quiet state and repeat the blood pressure three times. These three measurements need to meet the conditions of the day to be diagnosed.
If the systolic blood pressure is greater than or equal to 130mmHg and the diastolic blood pressure is greater than or equal to 85mmHg, it can be determined as hypertension.
Secondly, determining hypertension also requires these diagnosed conditions，
- Within 20 hours, the patient’s blood pressure is measured, the average systolic blood pressure is greater than 130mmHg and the diastolic blood pressure is greater than 80mmHg, and it can basically be diagnosed as hypertension.；
- The patient’s night-time blood pressure measurement is that the systolic blood pressure is greater than 125mmHg, and the diastolic blood pressure is greater than 75mmHg can also be diagnosed.；
- The average systolic blood pressure measured by the patient during the day is greater than 135mmHg, and the diastolic blood pressure is greater than 80mmHg. Hypertension can also be diagnosed.
It should be noted that it is not possible to diagnose as long as it exceeds 140/90, because the level of blood pressure is related to the measurement environment, mood, and personal status.
For example, measuring blood pressure as soon as you are full is naturally much different from blood pressure on an empty stomach. Just having a conflict with your family is very stressful and anxious, which will affect the measurement results.
Blood pressure needs to be measured multiple times, and it is recommended that everyone consult a doctor in time after the measurement. Don’t blindly take high blood pressure drugs. This is very dangerous, because some high blood pressure does not need to take medicine at all.
- These “high blood pressure” do not need to take medicine
- False hypertension
The use of cuff compression method to measure false hypertension is prone to false hypertension. When this measurement method is deflated, the pressure state of the cuff is smaller than the pressure in the artery, which will affect the measurement results, and the arm will feel very uncomfortable after being pressurized, this feeling will also affect blood pressure.
- White coat high blood pressure
Simply put, as soon as you go to the doctor’s office to measure your blood pressure, it will be high, but the value measured at home is within the normal range.There is no need to take drugs for this situation. You only need to adjust your personal lifestyle and pay attention to relieving stress to improve it.
- High blood pressure in special circumstances
For example, the use of unqualified measuring instruments, the personal state of tension during the measurement, in addition to holding urine, improper sitting posture, talking to people during the measurement, etc., may cause inaccurate measurement results.
Key points: Diagnosis should be treated carefully, especially the use of drugs.
- When high blood pressure is diagnosed, under what circumstances can the drug be discontinued?
Mild patients can slowly stop taking the drug when their blood pressure is stable within half a year, but they still need regular observation.
For patients with moderate or severe hypertension, if the diastolic blood pressure value can be maintained at about 12kpa within half a year, the dosage of a drug can be reduced or discontinued.
For patients over the age of 80, if the diastolic pressure does not exceed 170mmHg and can be maintained within 90mmHg, they can not take drugs.
Finally, I would like to remind everyone that for patients with high blood pressure, they must not blindly follow the trend, let alone blindly take drugs or stop taking drugs. They must be treated under the guidance of a professional doctor.
