Author: Ji WenyangSource: Xinlu Xingchen /p>
A few days ago, 62-year-old Li was hospitalized for repeated chest tightness, palpitations and asthma.
On admission, it was found that Liblood pressure was 186/98 mmHg, moist rales in both lower lungs, enlarged heart, and enlarged liver , edema of both lower extremities.
bloodNT-proBNP up to 16572pg/ml, which is cardiac insufficiency The index, the larger the value, the worse the patient’s cardiac function, and the worse the prognosis.
ECG showedrapid atrial fibrillation, carotid ultrasonography, 55% right carotid stenosis.
Lao Li accidentally discovered that he had elevated blood pressure 12 years ago. At that time, his blood pressure reached 165/100mmHg, but he was not uncomfortable. He could still eat two meals per meal. A bowl of dry rice, carrying hundreds of pounds of things is easy.
Originally planned to come to the hospital for a look, but when friends heard about it, they laughed at him: he was afraid of death at such a young age.
The old man in the village also told him: it is a three-point poisonous medicine. Western medicine is very harmful to liver and kidney function. Don’t be young‘sThe body was overwhelmed by taking medicine.
Everyone said this, it really makes sense for Lao Li to think about it, and he didn’t feel any discomfort, so he didn’t bother about it anymore. Very good, even colds rarely happen.
Lao Li is even more fortunate that he did not take medicine casually, and there are many friends with high blood pressure around him. He often uses himself as an example to persuade others not to take medicine.
However, after the Spring Festival this year, he began to experience chest tightness, palpitations, and asthma repeatedly, which gradually worsened, and finally came to the hospital when he couldn’t bear it any longer.
And because of long-term hypertension but uncontrolled, Lao Li developed hypertensive heart disease, heart failure, rapid atrial fibrillation, carotid artery stenosis
strong>, in addition to heart problems, this situation is also prone to stroke.
The “toxicity” of hypertension is much more toxic than antihypertensive drugs. The probability of side effects of compression medicine is very small, but the probability of high blood pressure causing heart, brain, and kidney problems is very high.
After World War II, the leaders of the United States, Britain and the Soviet Union, Roosevelt, Churchill and Stalin, all died of complications from high blood pressure. Blood pressure is “toxic”. Many people don’t understand why high blood pressure causes heart disease? 1. When our heart contracts, it pumps blood into the arteries, and the pressure of the blood on the walls of the blood vessels is the blood pressure. If the blood pressure inside the arteries is too high, then the heart has to work harder< /span>contracts so that blood can be pumped out and supplied to other organs. In the continuous force, the heart will gradually When it gets bigger and thicker, the health of the heart is gradually overdrawn, but the heart can still hold on for a long time, so the “toxicity” of this high blood pressure is more poisonous than that of antihypertensive drugs. If the condition is adjusted to the drug, the probability of side effects of antihypertensive drugs is very small, while the probability of high blood pressure causing heart, brain, and kidney problems is very high. We know that the heart cannot rest, and the long-term continuous overload work makes the heart in a state of fatigue, which eventually leads to hypertensive heart disease. 2. We all know that if the pressure of the water pipe is too high, it is easy to cause the water pipe to be damaged or even burst. The same is true for human blood vessels. Long-term high blood pressure is a kind of damage to blood vessels, which can easily lead to damage to the intima of blood vessels. After the intima is damaged, the cholesterol in the blood will enter the blood vessel wall, and over time, it will accumulate and form arterial plaque. If atherosclerosis occurs in the coronary arteries of the heart and is not controlled, it will gradually narrow and block the coronary arteries. Once the plaque ruptures, myocardial infarction and sudden death will occur. 3. Sustained high blood pressure will affect the pumping function of the heart, prone to heart failure, and enlarged atria are prone to atrial fibrillation, which may lead to worsening of heart failure or stroke Common causes. At this time, it may be necessary to take anticoagulants such as warfarin and rivaroxaban for a long time to avoid cerebral blood vessel blockage. For this type of atrial fibrillation, the CHA₂DS₂-VASc score is usually used to determine the use of anticoagulants. 
For male patients with score ≥2 and female patients with score ≥3, The risk of embolism is high, and if there is no contraindication, anticoagulation therapy is required; If the score is 1, it is necessary to judge the benefits and risks to decide whether to take oral anticoagulants; If the score is 0, anticoagulation is generally not required.In addition, it is necessary to take medicine to control the heart rate, and radiofrequency ablation can also be used to eliminate atrial fibrillation through minimally invasive surgery.High blood pressure persists It can cause damage to the heart, as well as kidney, brain, and eyes. According to research, 70% of strokes, 50% of myocardial infarction, and 40-50% of heart failure are closely related to hypertension.< span>Many hypertensive patients are asymptomatic, but even if there are no symptoms, the damage is still huge.So once hypertension is found, it is necessary to do relevant examinations to clarify the cause and determine which type of hypertension it is. Blood pressure, active treatment.Everyone is worrieddrug The side effects are understandable but manageable, while high blood pressure is more toxic and uncontrollable.