[World Hypertension Day] High blood pressure and high low blood pressure, which one is more harmful?

Blood pressure measurement can yield two values, one is high pressure (the term is called “systolic blood pressure”, It’s talking about the pressure inside the arteries when the heart contracts), and one is low pressure (the term “diastolic pressure” refers to the pressure inside the arteries when the heart relaxes). The value of high pressure minus the value of low pressure is called “pulse pressure” (commonly known as “pulse pressure difference”).

Hypertension is defined as high pressure, high low pressure, or both high pressure and low pressure. Some hypertensive patients only have high low pressure and low high pressure, and obese young people often belong to this type; some people only have high high pressure, normal or even low low pressure.

Someone asked, High pressure is more harmful or low pressure is more harmful? The answer is clear: both low pressure and high pressure are harmful, but high pressure is more harmful and more difficult to treat. People with long-term elevated high pressure and poor control are more prone to myocardial infarction, cerebral infarction, cerebral hemorrhage and renal failure.

Low pressure and high blood pressure are better to treat. The main methods are weight loss, less drinking, more exercise, mental relaxation, and adequate sleep. If blood pressure is still high after a few months, you can take antihypertensive drugs under the guidance of your doctor.

Most of the people with high blood pressure are older people who are often accompanied by low blood pressure. lower. Since high blood pressure is more harmful, even if low pressure is low, it is still necessary to actively control high blood pressure, which is an important measure to reduce the risk of myocardial infarction, cerebral infarction, cerebral hemorrhage and renal failure. Don’t be afraid to control the increase of high pressure because you are worried about the decrease of low pressure. Please go to a regular hospital to determine the specific treatment method by a doctor.

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(Guo Yifang, Hebei Provincial People’s Hospital)