A few days ago, the patient, Aunt Wang, came for a follow-up consultation. Tears fell as soon as she sat down. After asking, she found out that her son suffered a myocardial infarction half a month ago and was sent to the local hospital He was already in shock, and he was not rescued in the end.
Author: Ji WenyangSource: Xinlu Xingchen
Her son is 42 years old with a history of hypertension for more than 10 years and works in a small nearby city.
blood pressure as high as 200/120mmHg, But he didn’t have any symptoms, and he was tall and big, and he exercised every day, so he was full of confidence. At that time, he didn’t think there was anything wrong with high blood pressure.
But Aunt Wang, who also has high blood pressure and has been taking medicine for many years, knows that, so she persuades her son to see a doctor every day. The medicine was finally annoyed by Aunt Wang. A few years later, the then 32-year-old son was reluctantly taken to the hospital by Aunt Wang.
The nurse measured Aunt Wang’s son’s blood pressure to 210/126mmHg. Through the examination, it was found that he had hyperlipidemia and his blood sugar was slightly higher at 6.8mmol/L. , while excluding secondary hypertension.
Under normal circumstances, the next step should be standardized treatment, which generally includes: 1. Lifestyle adjustment (low-salt and low-fat diet, quit smoking and limit alcohol, exercise reasonably, not stay up late, pay attention to rest, maintain a good attitude, etc.). 2. Appropriate drug treatment.
At the beginning, Aunt Wang brought her son to see the doctor every month, and the blood pressure was quickly controlled to the normal range.
Later, when Aunt Wang came to see a doctor, she took medicine for her son by the way, but apparently there was no rule to take medicine, because the medicine was prescribed for a month Usually can be eaten for 3 months.
Afterwards, Aunt Wang stopped taking medicine for her son. She would occasionally talk about her son, saying that his blood pressure was still very high, but he was worried. He refused to take medicine every day. There are many reasons: it is said that taking antihypertensive drugs at a young age will affect the body and cause damage to liver and kidney functions. Besides, there are no uncomfortable symptoms such as dizziness. Colleagues all laugh at him for fear of death. Many people with high blood pressure around do not recommend taking medicine. So he noweats one when he remembers it, even if he drinks or forgets it strong>, a box of 7 tablets of antihypertensive drugs is often not finished in one month.
As a result, 10 years later, myocardial infarction, a complication caused by high blood pressure, still crushed the 42-year-old.
Hypertension is known as “silent killer”, most patients have no symptoms, many Therefore, patients ignore the harm of high blood pressure and worry about the side effects of antihypertensive drugs. Therefore, it is common to take medicine intermittently. This is the case with Aunt Wang’s son.
In fact, it is very dangerous to take medicine like this. For hypertensive patients, Smooth lowering of blood pressure is to reduce the heart and brain An important method of vascular accident, and taking medicine intermittently, not only unstable blood pressure control, but also high and low blood pressure, it is easy to have myocardial infarction, stroke, etc., taking medicine in this way is harmful and unhelpful.
High blood pressure treatment needs to pay attention to these 5 details: 1. Find high blood pressure Afterwards, do some related examinations to find out whether there is any damage to the heart, brain and kidney. 2. There are 5 kinds of first-line antihypertensive drugs, which are suitable for different groups of people. The appropriate drugs should be selected according to the specific conditions to reduce side effects. 3. Try to choose long-acting antihypertensive drugs that can stabilize blood pressure within 24 hours, and take the drugs regularly to avoid blood pressure rising and falling. 4. It is recommended to measure blood pressure at home and record it so that the doctor can adjust the medicine and taking time reasonably according to the change of blood pressure. 5. It is important to develop good living habits.
There are 270 million hypertensive patients in China, but the awareness rate, treatment rate and control rate of hypertension are still very low. There are many misconceptions about the treatment of high blood pressure.
The following common misconceptions are widespread, but harmful: span>
Mistake 1:You don’t need to take medicine if you don’t feel dizzy. Most The patient is asymptomatic, but the absence of symptoms does not mean there is no harm. If blood pressure is not well controlled, myocardial infarction, stroke, renal insufficiency, etc. may occur over time. p>
Mistake 2: Antihypertensive drugs can cause dependence, once you take it, you can’t stop.Actuallyantihypertensive drugs are not addictive at all, the reason why we do not recommend stopping the drug is not because of addiction, but because high blood pressure is lifelong The disease itself requires long-term medication to control.
Mistake 3: You can’t take good medicine when you start taking medicine, otherwise There will be no drugs available in the future. Therefore, many people choose those antihypertensive drugs that are short-acting and are about to be eliminated. Mistake 4: Try not to take antihypertensive drugs too early. Many people try to find excuses not to take medicines after measuring their blood pressure rise. It proves that you really suffer from high blood pressure, and you will have to take medicine for the rest of your life.
In fact, high blood pressure is not our problem. Will is transferred, Whether you take antihypertensive drugs or not, it is there, long-term uncontrolled high blood pressure will lead to heart and brain The occurrence of vascular disease.
Mistake 5: Taking antihypertensive drugs has side effects, It will damage the kidneys and liver. In fact, the side effects of the commonly used first-line long-acting antihypertensive drugs are quite small, and we should understand that
Mistake 6: Health products have no side effects for lowering blood pressure. This is really a beautiful legend and a gorgeous lie. However, under the temptation of the salesman “to take health care products without taking medicine and without side effects”, there are still many patients who give up antihypertensive drugs and spend a lot of money on various health care products that “can cure high blood pressure” , In fact, health products do not treat high blood pressure.
Nowadays, all kinds of news on the Internet are mixed, and there are many false medical science articles, many of which are specious rumors, but it is often easy for people to believe them. It’s always only yourself that gets hurt.
Life came to an abrupt end at age 42. Many times, gullibility brings endless harm, life is like this, so is taking medicine.
Reference: National Grassroots Hypertension Prevention and Management Guidelines 2017