Sleep with these two habits, 80% have nighttime high blood pressure! Common in 6 types of people, proteinuria increased by 3 times

“Doctor Zhang, you said that the high blood pressure I suffer from is more dangerous than other people’s high blood pressure. I only understood after listening to you tell me this, and I will follow your words in the future. Do it.” This is what a hypertensive patient told me when he came to see my doctor.

This person with high blood pressure has a specific type of high blood pressure that is quite dangerous. In fact, many fans and friends in front of the mobile phone also have them. Today, Dr. Zhang will introduce this type of hypertension to you, hoping to help the friends in front of the mobile phone.

The particular type of high blood pressure I’m talking about today is “nocturnal high blood pressure,” which is actually a very common type of high blood pressure, but it’s not easy to spot, so Most of the time people ignore it. Dr. Zhang will introduce this special type of high blood pressure at night in detail. #Cardiovascular health questions and answers#

One, the incidence of nocturnal hypertension is not low

When it comes to nighttime high blood pressure, many people may think it’s not about me and think they don’t have nighttime high blood pressure. If you think so, then you are dead wrong. As early as 2007, the medical team of Shanghai Ruijin Hospital found through a study of 2,059 subjects that 10.9% had high blood pressure only at night, while 38.4% had high blood pressure during the day and night. hypertension.

“China Hypertension Prevention and Control Guidelines 2018 Edition”, it is particularly pointed out in the ninth chapter of the book that people who snore at night are prone to nighttime hypertension, and the incidence of hypertension in such patients is Between 35%-80%.

Speaking of which, do you still think nocturnal hypertension is a rare condition? Presumably seeing this, many people will ask how to check for nighttime high blood pressure? Can’t say fall asleep, let me get up and check my blood pressure? Next we talk about how to diagnose the problem.

Very high incidence

Second, how to diagnose nocturnal hypertension?

Diagnosis of nocturnal hypertension is not to ask everyone to get up and measure blood pressure when they fall asleep at night. The most commonly used examination method, strictly speaking, is 24-hour ambulatory blood pressure monitoring. This test can determine the average blood pressure level throughout the day, during the waking hours during the day and during the sleep time at night through routine monitoring of the human body’s blood pressure throughout the day. If a person’s average nighttime blood pressure level is greater than or equal to 120/70mmHg, then nighttime hypertension can be diagnosed.

Speaking of this, some people may say that the diagnosis is the diagnosis. I am not afraid of high blood pressure, but I am also afraid of nighttime high blood pressure. What Dr. Zhang Zhiying wants to tell you is that high blood pressure at night is actually more harmful.

Nocturnal hypertension needs to be checked and 24-hour ambulatory blood pressure monitoring is required

Three, nighttime high blood pressure is very dangerous

Nocturnal high blood pressure is very harmful, and in many ways, it exceeds the harm of daytime high blood pressure. And this kind of harm is not easy to find without 24-hour ambulatory blood pressure monitoring. A previous study of hypertension in the United States found that the incidence of nighttime hypertension in the United States was 19.1%, and patients with nighttime hypertension may have more serious damage to the heart, blood vessels, kidneys, and brain later, such as left ventricular hypertrophy. The incidence of coronary heart disease, heart failure, dementia, cerebral infarction, and cerebral hemorrhage increased across the board. Therefore, this inconspicuous “nocturnal hypertension” is a practical problem that cannot be ignored.

Hypertension Science: Nocturnal high blood pressure is dangerous

Four and six types of people are prone to nighttime hypertension

1. Diabetics

Patients with diabetes, especially those with type 2 diabetes, are prone to nighttime hypertension because of insulin resistance, and their blood pressure drops slowly after resting at night. Therefore, diabetic patients must pay attention to blood pressure at night, and it is best to do a 24-hour ambulatory blood pressure monitoring.

2. Patients with salt-sensitive hypertension

Salt-sensitive hypertension is particularly common among Chinese people. In fact, it is simply high blood pressure caused by eating too much salt. This kind of high blood pressure is very common around us, and even authoritative data shows that the proportion of Chinese salt-sensitive hypertension patients is 67%. It is an indisputable fact that many of these hypertensive patients have higher blood pressure at night because of the high salt intake. Therefore, for people who eat a lot of salt, they must pay attention to checking 24-hour ambulatory blood pressure monitoring, and then evaluate their nighttime blood pressure level.

3. Patients with chronic kidney disease

People with chronic kidney disease are prone to high blood pressure and have a high rate of nighttime high blood pressure. There are many mechanisms involved, but people with poor kidney function do need to pay more attention to whether they have nocturnal hypertension, because nocturnal hypertension and kidney damage may aggravate each other, and early detection and early treatment must be given.

4. Patients with cerebrovascular disease

Clinically experienced clinicians can feel that patients with cerebrovascular disease have a higher incidence of nocturnal hypertension. The cerebrovascular disease mentioned here, whether it is ischemia Sexual stroke or hemorrhagic stroke will all have this phenomenon, and nighttime hypertension will further increase the chance of secondary recurrence of cerebrovascular disease. Therefore, patients with cerebral vascular disease should also pay attention to the problem of nighttime hypertension.

5. People who snore

Snoring in the mouths of ordinary people is actually called “sleep apnea syndrome” in medicine. People with this habit and characteristic of sleeping at night have even a study showing that the incidence of hypertension is as high as 80%, and the incidence of nighttime hypertension is even higher. Therefore, people who have the habit of snoring should pay attention to visiting a respiratory department, and carry out targeted examination and treatment for snoring, which is very beneficial for improving blood pressure and nighttime hypertension.

6. People with insomnia

The reason why people with insomnia have high blood pressure at night is because they can’t fall asleep quickly at night, which causes the sympathetic nerves to be excited all the time, and then the blood pressure can’t be lowered for a long time, so there will be more nighttime high blood pressure Phenomenon. Such patients must pay attention to the treatment of psychiatric sleep specialists. After the specialists improve their sleep, many people’s high blood pressure and nighttime high blood pressure can also be improved.

An important reason for insomnia in the next generation is the rich nightlife. Even if there is no nightlife, many people will look at their mobile phones before going to bed at night. This will make it difficult to sleep. If you have these health problems, you must pay more attention.

Playing with mobile phones at night affects sleep

5. How to treat high blood pressure at night?

For the treatment of nocturnal hypertension, in addition to considering adjusting the antihypertensive drugs and medication time under the guidance of a doctor, the more important thing is to find the cause, and then carry out targeted treatment for the cause, such as It is said that good treatment of snoring and insomnia can greatly improve nighttime high blood pressure in some people. Therefore, for nocturnal hypertension, we must pay attention to its huge harm, and at the same time, it is best to find the cause of nocturnal hypertension, and then treat it in a targeted manner. This is the root of the problem.

I hope this article of mine can help everyone. If everyone feels good, they can forward it to their relatives and friends, so that more people can benefit. It’s really not easy to write medical science articles, and you can give more likes and comments.