Winter blood pressure fluctuates easily, drugs should be "added" if necessary.

19-01-11 bright traditional Chinese medicine

Some time ago, the temperature dropped obviously. The visit of the reporter found that the number of patients with hypertension visiting the hospital increased significantly. Some patients reported that they had taken effective antihypertensive drugs, but their blood pressure began to fluctuate recently. Are these symptoms related to a drop in temperature?

First affiliated hospital, jinan university, said guo chief physician, director of the cardiovascular internal medicine blood pressure fluctuation relationship with season, these patients blood pressure fluctuations associated with the temperature drops, also is closely related to their lifestyle, "the temperature to a sudden drop in blood pressure fluctuations, the original drug curative effect to reduce patients, need to communicate with the doctor, adjust the regimen drugs to" overweight "when necessary, on the other hand, high blood pressure as a chronic disease, also want to learn from the origin of life on patients with active intervention".

The blood pressure of hypertensive patients is easy to fluctuate when the temperature drops

Cen yi, a patient with a history of hypertension of six or seven years, said that she had just finished a physical examination a few months ago, and the cardiovascular specialist adjusted the treatment plan for her. Her blood pressure was very stable in recent months.

This kind of situation is very common, said guo. According to the previous experience, after the temperature drops in winter, the patients with hypertension due to the fluctuation of blood pressure to visit the doctor account for one third of the cardiovascular outpatient department.

"This is because after the cold weather, the human body sympathetic excited, adrenal cortical hormone secretion increases, makes the blood vessels contraction, the peripheral resistance increases, and then causes the human body blood pressure to rise. In addition, the elderly's ability to adapt to the cold and their ability to regulate blood pressure are slightly worse, leading to more obvious fluctuations in blood pressure. Guo jun introduced.

, on the other hand, some people don't have high blood pressure or have high blood pressure but no symptoms, suddenly found myself blood pressure levels, or appear the symptom such as dizziness, chest tightness, gas frequency, "these cases, the cool weather is a major causative factor, moreover is closely related to individual way of life, such as irregular life, work pressure, weight, body has hidden dangers, easily induced hypertension in cold weather situation."

Early intervention, good compliance is expected to get rid of drugs

"Many people with high blood pressure are afraid to take medicine, thinking that once they take medicine, they will have to take it for a lifetime. Guo jun said.

Guo, explained that in the early developing hypertension, if patients with early intervention, and with good adherence, some patients can no longer after the blood pressure medication, "degree of early hypertension disease, if it is the lighter primary hypertension, through timely adjusting the bad way of life, with drug therapy, reduce the adverse effects such as hardening of the arteries, a part of patients after the blood pressure can be done without having to take blood pressure medication."

Guo jun reminds, to the patient that newly hair hypertensive condition recently, can intervene treatment as early as possible, a few illness are light can be in 1~3 months observation period need not take medicine, through the adjustment of daily life and the guidance of the doctor control illness. Wait until the weather is warm again observation, the patient with good compliance sex is hopeful in good condition of the control in inceptive intervening.

Blood pressure fluctuations need to be "stepped up"

However, for patients with a history of hypertension for many years, the probability of a patient wishing to achieve a stable blood pressure by improving their lifestyle without taking medication is very low. Perennial hypertensive patient must insist to take medicine, cannot do STH without authorization and stop medicine casually. When the blood pressure fluctuates greatly in winter, it is necessary to pay special attention and find a doctor to adjust the medication plan in time.

Some patients worry that the dosage will not be reduced after "adding", guo jun said, when the blood pressure drops in warm weather in general, you can communicate with the doctor to adjust the medication, an appropriate amount of drug reduction.

"Another common misconception among people with high blood pressure is that medications have a lot of side effects, so if you can skip them, you can skip them. Guo jun pointed out that the ultimate goal of taking antihypertensive drugs is to stabilize blood pressure, and the fundamental goal is to reduce the risk of cardiovascular, cerebral, renal and vascular complications. If the blood pressure fluctuates unsteadily for a long time, it is not only easy to cause irreversible damage to the target organs of the body, but also easy to cause cardiovascular and cerebrovascular complications.

In addition, take medicine time also has exquisite. Most hypertensive patients have their blood pressure fluctuating during the day, so use the drug during the day. But blood pressure fluctuations in large part of patients at night, at that time under the guidance of medication can be time adjusting to the evening, and night blood pressure patients with large fluctuations, caused by such fluctuations are more likely to target organ damage, so want to pay more attention to monitoring, timely monitoring well daily blood pressure data, unstable condition, timely communication with the doctor.

Say goodbye to a high-cholesterol diet in winter

Guo jun said that the management of chronic diseases in patients with hypertension must start from the source of bad living habits to change and abandon the unhealthy lifestyle. Winter, for example, some old people like "fat", successive eat mutton food supplements, such as high cholesterol, but the food is associated with elevated blood lipid, increase vascular sclerosis, plus the cold weather less movement, increased the risk of disease of heart head blood-vessel, so patients with high blood pressure to rational diet, reducing food intake too greasy, high cholesterol, eat more vegetables and fruits vitamin supplements.

"In China, the standard for salt intake is no more than six grams a day, but a lot of them exceed the limit." Guo jun reminds, our cooking way often is to add salt by habit, often put more do not know, "especially thick soup, put more salt, drink a bowl of soup exceeds the standard, hypertension patients to control the daily salt intake.

The doctor reminds us to pay attention to the choice of exercise time in cold weather. For example, from 6 am to 10 am is the time when the incidence of myocardial infarction is high. Patients with hypertension should try to avoid strenuous exercise during this time.

Troubleshoot the causes of high blood pressure

As a chronic disease, hypertension requires patients to have good compliance and establish a long-term communication mechanism with doctors.

"The data shows that about 10 out of 100 patients with hypertension are of the more difficult type to diagnose and treat, which increases the difficulty of diagnosis. Without correct diagnosis, patients will not be able to get effective treatment." Experts say.

Guo, for example, some patients with high blood pressure, repeatedly replacement therapy or unable to control the blood pressure, by CT, ultrasound, hormone and so on, only to find that the body long pheochromocytoma, due to the tumor cells release factor, can affect blood pressure, heart rate instability, "this caused by pheochromocytoma patients with blood pressure, heart rate instability, after surgical resection of the tumor, average blood pressure and heart rate can get good control." Experts remind patients with perennial hypertension, if there are facial flushing, rapid heart rate, sweating, blood pressure suddenly rose to more than 200mmHg and other symptoms, should pay attention to check whether there is a pheochromocytoma in the body.

In addition, the patient of long-term insomnia, check as far as possible whether to have disorder of morpheus breath, cooperate the disease treatment of hypertension again.