Took three kinds of antihypertensive drugs, but blood pressure is still high.

This situation is also relatively common clinically, especially in some elderly people, uremia and some other patients are more common, what should be done at this time?

1. whether the medication is correct.

Although some people eat three kinds of antihypertensive drugs, poor compliance always fails to take the medication on time, which will lead to abnormal blood pressure. Furthermore, the combination of drugs is not standardized, eat a kind of antihypertensive drugs can not add to two, and then add to three. But not all antihypertensive drugs can be combined, must be under the guidance of a professional doctor, the regular scientific combination of drugs.

For example, Priligy and Sartan are originally a large class of antihypertensive drugs, can not be used together, the conventional combination of drugs: Priligy/Sartan + diphenhydramine + diuretics, which is the most common combination of three antihypertensive drugs program, according to the heart rate can also be added to the lor antihypertensive drugs.

The need for a combination of 3 antihypertensive drugs indicates that the blood pressure is more stubborn and possibly refractory hypertension. However, these three antihypertensive drugs should include diuretics, other commonly used are long-acting calcium channel blockers, angiotensin-converting enzyme inhibitors (ACEI), or angiotensin receptor blockers (ARB), and all antihypertensive drugs are administered at the maximum tolerated dose and appropriate frequency, when the blood pressure still cannot be lowered to be considered refractory hypertension. If the antihypertensive drugs are not used in a standardized manner, or if they cannot be taken regularly on time, it does not mean that the antihypertensive program has failed.

2. the medication time is enough.

Generally, long-acting antihypertensive drugs are slow to take effect, if the combination of drugs just started, at least 2 to 4 weeks of observation time, so only the combination of drugs to achieve more than 4 weeks of blood pressure still can not come down, only then counted as program failure.

3. Exclude life factors are not well controlled

Control blood pressure, not only antihypertensive drugs, the first basis is a healthy life, some people give the task of lowering blood pressure all to antihypertensive drugs, certainly not. Because obesity, do not control the diet, stay up late, do not exercise, etc. will raise blood pressure, if you eat 3 kinds of antihypertensive drugs, blood pressure is still high, first, look at whether you stay up late, obese, do not exercise, no low-salt diet, long-term alcohol abuse and so on these factors have to be removed first.

4. Exclude drugs caused by

Some long-term use of drugs can cause blood pressure, such as oral contraceptives, cyclosporine, erythropoietin, glucocorticoids, non-steroidal anti-inflammatory drugs, antidepressants, cocaine, and certain Chinese medicines (such as licorice, ephedra), and so on. See if you have been taking these drugs for a long time.

5. the presence of factors of secondary hypertension.

In patients with refractory hypertension, about 20%-25% of them are secondary hypertension, commonly renal hypertension, renal vascular hypertension, endocrine hypertension, etc. Therefore, for patients with refractory hypertension, some screening for secondary hypertension can be carried out in conjunction with their condition.

6. Adjustment of antihypertensive drugs.

If it is indeed refractory hypertension patients, some drug adjustments can be made, such as diuretics in terms of using chlorothiazide or indapamide to replace hydrochlorothiazide, if still not up to standard can add spironolactone or eplerenone; patients with a fast heartbeat (more than 80 beats/min), can add metoprolol and other %u3B2 receptor blockers or carvedilol and other %u3B1 and %u3B2 receptor blockers, such as heartbeat is on the slow side, can add prazosin and other %u3B1 receptor blockers, can also try to use isosorbide mononitrate; for uremic patients and other patients, often need to add colistin and other central antihypertensive drugs.

7. device therapy.

For part of refractory hypertension, renal nerve ablation and some other device therapy can also achieve some good results.

Blood pressure standard is the hard truth, for patients with hypertension, only blood pressure standard, to minimize the occurrence and development of secondary cardiovascular and cerebrovascular disease caused by it. It is also said that surgery can treat refractory hypertension. The theory is that it can, but the evidence on the efficacy and safety of surgery for hypertension is still insufficient, so the method is still in the clinical research stage. In short, when you find that you are taking 3 kinds of blood pressure, and the dose is already sufficient, but your blood pressure is still high, make sure to look for a professional senior cardiovascular doctor!

4 details for taking antihypertensive drugs , otherwise the drug even if for nothing

For patients with hypertension, once the disease is developed, they need to take antihypertensive for the rest of their lives. Otherwise, the blood pressure value will rise repeatedly and the probability of inducing an acute heart attack, cerebral infarction, and other cardiovascular and cerebrovascular diseases will be very high, which will be more dangerous to health and even life. When taking medication, many precautions must be kept in mind, otherwise not only will the blood pressure value rise repeatedly, but also cause certain harm to other systems or organs.

The details for hypertensive patients to take antihypertensive drugs

1. Do not change the dose by yourself

When hypertensive patients take antihypertensive drugs, they must strictly follow the doctor's instructions to take the drug quantitatively, not to change the dose on their own.

For some hypertensive patients, after taking antihypertensive drugs for a while, the blood pressure value will always be in a stable state. So they will reduce the medication on their own, this behavior is wrong.

Once suffering from hypertension, you need to take antihypertensive drugs for life to be able to stabilize blood pressure and achieve the role of avoiding some vascular diseases.

Once you stop the medication or reduce the amount of medication on your own, it will most likely lead to unstable blood pressure, or even a sudden rise in blood pressure, which is difficult to fall.

2. Do not change your medication indiscriminately

The causes of hypertension vary, as do the degree and type of hypertension and the individual's physique.

For hypertension patients, do not choose some antihypertensive drugs to take indiscriminately, and do not mix some antihypertensive drugs.

If you change your medication frequently or take it indiscriminately, not only will it not work to lower your blood pressure, but it may also form drug resistance. Even if you take the drugs, your blood pressure will still rise.

In addition, most antihypertensive drugs can cause some harm to the kidneys.

If you take some antihypertensive drugs indiscriminately for a long time, these drugs will lead to damage to kidney function. In serious cases, it can even cause chronic kidney failure, which is very dangerous to health.

3. pay attention to life adjustment during the medication

Many hypertensive patients are taking antihypertensive drugs, still appear to drink alcohol, smoking, staying up late, as well as eating some high salt, high oil, high sugar, and other food behavior.

If hypertension patients have such behavior, it will lead to erratic blood pressure, which is very harmful to vascular health.

Therefore, hypertension patients must adjust their habits during the medication, three meals a day should be plant-based food, especially vegetables, beans, and coarse grains of food, these foods can play an auxiliary effect of lowering blood pressure.

4. Blood pressure should still be measured regularly every day

Most of the hypertension patients during  taking antihypertensive drugs, almost will not appear to monitor blood pressure, this behavior is not desirable.

For hypertensive patients, they must monitor their blood pressure every day, even if they do not feel any discomfort, they should also do a good job of monitoring their blood pressure.

It is especially important to monitor blood pressure when the temperature changes significantly.

Once the phenomenon of elevated blood pressure, accompanied by some dizziness, headache symptoms, must be quickly treated to ensure their health to the greatest extent.

All in all, hypertension patients, when taking antihypertensive drugs must pay attention to the above four points.In addition, you should take your medication regularly every day and do not miss any medication.

During the treatment period, patients should consult a doctor promptly if their blood pressure becomes unstable, and should not change their medication on their own. In addition, do not take antihypertensive drugs with drinks or milk, or other beverages.

And when taking antihypertensive drugs, you must stop smoking and drinking to stabilize blood pressure.

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The dangers of smoking for people with high blood pressure

I believe we are all very aware of the dangers of smoking. There are quite a few common diseases that have a lot to do with smoking. Even if the cause of the disease is not smoking, but after the disease, you should quit smoking before it is too late, hypertension is one of them. However, many patients do not take this seriously and still stick to the habit of smoking. This article will talk to you about smoking and hypertension, and I hope that after reading this article, people with hypertension should quit smoking in time.

Consequences of smoking for people with high blood pressure

I can tell you clearly that if a person with high blood pressure smokes, it will have a detrimental effect on his or her condition. It is a proven statement that smoking is harmful to your health, and you should quit smoking before it is too late, whether you are a hypertensive patient or not. In the case of hypertensive patients, it may continue to aggravate their condition, thus causing more serious effects.

Smoking are harmful to people with high blood pressure

• First. The effect on blood pressure levels. When the body inhales cigarettes, tar, nicotine, and other substances will enter the liver for metabolism. If you smoke for a long time, the liver is not able to metabolize the toxins completely, and then the toxins may be deposited in the blood vessels. At this time, the viscosity of the blood may increase, resulting in stagnation, causing an increase in blood pressure.

• Second. Cigarettes contain substances that may cause sympathetic, central nervous system, a certain amount of stimulation, when the body may produce catecholamines. This substance may accelerate the contraction rate of small arteries, and the blood pressure value will increase. In addition, the patient's heart contraction speed will also be accelerated, the body's blood volume may be reduced, the same will also appear to increase blood pressure.

• Thirdly. The effect of antihypertensive drugs. As we all know, after suffering from this disease, patients need to take drugs for a long time to ensure that their blood pressure is controlled within the normal range. But patients who adhere to the medication, if there is a habit of smoking, the body's sensitivity to the drug will be reduced. At this time, even if the amount of medication remains unchanged, the blood pressure will be difficult to control, and the only way to ensure that the blood pressure is worthy of stability is to increase the amount of medication.

What are the possible safety risks for people with high blood pressure who smoking?

It can be seen that patients with high blood pressure should not smoke. The impact of smoking on patients with hypertension, not only in terms of blood pressure but some safety risks will also increase, which should never be ignored, the following will take you to understand.

1, easy blood vessel blockage, increase the risk of sudden death

People suffering from hypertension, their blood vessel situation is relatively poor, and if you smoke, will only make the blood vessel situation worse. At this time, due to increased blood viscosity, there may be a risk of blood vessel blockage. If this happens in the cardiovascular system, the blood does not flow back to the heart in time, and the heart does not get enough oxygen and nutrients. If such a phenomenon is not improved for a long time, the heart function will gradually weaken, and the risk of sudden death may increase at this time.

2、Increase the risk of stroke

For patients with hypertension, their blood pressure levels rise, the pressure in the blood vessels itself is relatively large. As mentioned above, if a hypertensive patient smokes, the blood pressure value will continue to rise, so the pressure in the blood vessels will also continue to rise. At this point, our cerebral blood vessels may break down, thus causing a hemorrhagic stroke.

In addition, smoking for people with high blood pressure may also have increased blood viscosity, causing the phenomenon of blood vessel blockage, which is likely to cause an ischemic stroke if the blockage of cerebral blood vessels occurs. Many people may find that this is the same as the pathogenesis of stroke, except that patients with hypertension who smoke have a higher risk of developing the disease, so we should be cautious.

3. Increase the risk of other types of diseases

We should be clear that even if you are not a hypertensive patient, if you smoke for a long time, it will have a great impact on your health. It may lead to the prevalence of other types of diseases, typically lung diseases, cancer, etc. Cigarettes enter the body through the respiratory tract, which naturally affects lung health, and the lungs are stimulated by cigarettes for a long time, which naturally increases the risk of disease.

In addition, nicotine in cigarettes has long been classified as a carcinogen by the WHO, because it may cause cell damage, thereby increasing the risk of cellular mutations. At this time, normal cells in the body may develop into cancer cells, and when the body's immunity decreases, cancer cells may develop in a big way, thus leading to the occurrence of cancer.

Many people with hypertension, may have the habit of smoking, and usually, when they are told that they need to quit smoking, they will have various reasons to get back at you. But this is a fluke of people. By introducing you above, I hope to give you a warning to all hypertensive patients.

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Whether the high blood pressure can get covid-19 vaccine?

Whether the high blood pressure can get covid-19 vaccine?

As more and more people have been vaccinated against COVID-19, more and more people want to be vaccinated, but they are worried about the side effects due to their reasons. Among them, a lot of people ask more is whether the high blood pressure can get covid-19 vaccine? 

New crown from r&d to vaccine to clinically, in fact, time is short, and other vaccines have obvious differences, and often there will be some limitations when vaccines, not everyone can be injected, when vaccines need to master some taboo matters, such as high blood pressure patients can not injection.

Why can't hypertension vaccine of injecting new champions league?

The reason why patients with high blood pressure should not receive the COVID-19 vaccine is that injecting the vaccine without control of blood pressure will make blood pressure more serious and even cause a series of adverse reactions, which will affect the effect of vaccination. 

The COVID-19 vaccine is not suitable for all people

The COVID-19 vaccine is not suitable for all people, such as allergic people, breastfeeding women, and people with chronic diseases. If chronic diseases can be controlled by drugs and the body can remain stable and in good condition, vaccination can be given. Conversely, vaccination is not recommended if you are in the acute phase of the disease, regardless of the condition.

• For hypertensive patients, inoculation can be carried out when the hypertensive treatment plan is adjusted and the blood pressure is controlled at or near the normal range. If the blood pressure fluctuates significantly beyond the normal range, it is recommended to postpone the vaccination, have timely communication with the doctor, adjust the treatment plan, and then vaccinate after meeting the requirements. 

• Patients with diabetes can receive the COVID-19 vaccine normally if their blood glucose is stable and there are no acute complications or acute episodes of chronic complications after lifestyle adjustment and/or drug treatment. In the case of acute diabetic complications (ketoacidosis, hypertonic state, lactic acidosis) or acute onset of chronic complications, it is recommended to postpone inoculation. Various drugs used to treat diabetes (including insulin injection) are not contraindicated as vaccination. 

• For patients with other diseases, such as tumors, who have been stabilized after surgery or radiotherapy and chemotherapy, they can be vaccinated normally. Like heart disease patients, in a stable period can also be vaccinated. 

Can people with high blood pressure get covid-19 vaccine?

Patients with hypertension need to have their condition under control before they can be vaccinated, and whether or not they can be vaccinated depends on how well their blood pressure is controlled.

• Patients with hypertension whose blood pressure does not exceed 140/90 MMHG can receive the COVID-19 vaccine if they take care of medication, diet, and exercise. 

• If the patient has a low pressure < 100mmHg and a high pressure < 160mmHg, the injection can also be administered, but be sure to keep the patient under observation. 

• If the patient has a low-pressure ≥100mmHg or a high-pressure ≥160mmHg, do not rush the injection until the blood pressure is under control after medication or lifestyle improvements. 

It is recommended that patients with high blood pressure inform medical staff of their physical condition and disease history truthfully before vaccination so that medical staff can make a judgment on whether the injection is acceptable.

The upcoming high blood pressure vaccine, a shot will not need to take antihypertensive drugs?

Some time ago there was a good news that made many people with high blood pressure feel very surprised, that is, the high blood pressure vaccine will soon be available. Some people feel that after this vaccine is released, there will be no need to take medication after the high blood pressure vaccine is injected, and the body will no longer get those so-called side effects Is the effect of the hypertension vaccine exactly that? Let's learn more about it below.

1. Is high blood pressure vaccine a vaccine?

The high blood pressure vaccine is different from the hepatitis vaccine, the flu vaccine, and the covid vaccine that we used to get because the common vaccines are given to healthy people before they get sick to prevent the occurrence of related diseases. The high blood pressure vaccine is not preventive, but rather a "therapeutic player" that can replace some of the hypertension medications, targeting the main targets that cause hypertension, and allowing the body to produce antibodies through the vaccine and maintain the effect of lowering blood pressure for a while.

2. High blood pressure vaccine, one shot can say goodbye to antihypertensive drugs?

This idea is still in the ideal stage for now.

First, the high blood pressure vaccine is not a one-shot, once-and-for-all solution.

The longest duration of antibodies found in the literature is the Ang II vaccine developed by Nakagami's team in Japan, which lasts for more than 6 months.

Second, high blood pressure vaccine do not cover all patients with hypertension.

The site of action of current hypertension vaccines lies in the renin-angiotensin-aldosterone system (RAAS), where the Ang II vaccine has made greater progress, and the small molecular weight of Ang II plays a key role by blocking the RAAS. However, the pathogenesis of hypertension is complex and diverse, and blocking only a single mechanism, the RAAS, does not address the diverse etiology of hypertension.

Depending on the pathogenesis, there is more than one type of drug therapy corresponding to different pathogenic mechanisms, and the common ones are.

• ① Diuretics, common drugs include furosemide, spironolactone, etc.

• ② β-blockers, the effect of these drugs on lowering blood pressure is weaker, and the representative drugs mainly include beta-lactam and bisoprolol.

• ③ Angiotensin receptor antagonists or converting enzyme inhibitors, common drugs include Enalapril, Irbesartan, and other drugs.

• ④ Calcium channel blockers, common drugs include amlodipine, nifedipine.

Many hypertensive patients taking antihypertensive drugs need a combination of drugs to achieve a good antihypertensive effect, and I am afraid that this single antihypertensive mechanism of high blood pressure vaccine can not meet the needs of patients with complex conditions.

Third, there are indications for high blood pressure vaccine

• A single-target high blood pressure vaccine may only be suitable for those patients with mild to moderate hypertension (systolic blood pressure: 140 mmHg to 179 mmHg, diastolic blood pressure: 90 mmHg to 109 mmHg).

• Because patients with severe hypertension have excessively high blood pressure and more complex pathogenesis, the benefit of vaccination against hypertension with a single target is limited.

• In addition, hypertensive patients with immunodeficiency or autoimmune diseases are not suitable for high blood pressure vaccine; patients who are allergic to high blood pressure vaccine should not be used.

In summary, people who want to get rid of hypertension and antihypertensive drugs with a single shot may forget that the ideal is very rich and the display is very skeletal. At this stage, it is still necessary to rely on antihypertensive drugs.

3. When can the high blood pressure vaccine be started?

The high blood pressure vaccine has been proposed since the 1950s, until 2008 when The Lancet reported an article about a Swiss drug company developing a high blood pressure vaccine, and then now, the hypertension vaccine and individualized treatment, immune tolerance, immune system impact, and other very problems are still to be verified one by one.

There is also news that it is expected that by August 2022 perhaps patients can use, even after the high blood pressure vaccine is available, it is not recommended to vaccinate blindly, should be based on the doctor's advice for reference.

4. To stabilize blood pressure, in addition to taking drugs regularly and quantitatively, you should also put your hope in some small things in your daily life, if the small things are not done well, even if you take more drugs may affect the effectiveness of the drugs.

• Control weight and eat lightly

Patients with hypertension should take the initiative to stay away from foods that may lead to fat because these foods generally have a common feature, that is, the fat and fat content is very high, a large amount of fat into the body is easy to accumulate in the body, not only will lead to fat, while some lipid substances into the blood vessels, will also affect the stability of blood pressure.

• Control sodium quit smoking and alcohol

I believe we should have heard that the daily salt intake of healthy adults should not exceed 6 grams, know that hypertensive patients are not considered healthy adults, so these people in the control of sodium salt should be reduced, it is recommended that the daily salt intake is maintained within 4 grams, because too much salt intake into the body is easy to stimulate the blood vessels, and often smoking and drinking will also lead to harmful substances into the body is not conducive to the health of blood vessels and blood pressure.

• Exercise properly and take regular blood pressure tests

Do not feel afraid to participate in sports after suffering from hypertension, in fact, for people with high blood pressure, a certain amount of time every day to participate in some moderate exercise, which will help stabilize blood pressure.

In summary, although the arrival of the high blood pressure vaccine can largely reduce people's suffering, for people suffering from hypertension, do not put all your hopes on the vaccination, the key is to regulate the usual behavior habits, regular and quantitative medication.

Conclusion: Are you friends in front of the screen looking forward to the release of the high blood pressure vaccine? What do you think about it? Welcome to leave comments below.

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What is the relationship between heart rate and blood pressure？

Basic human signs cannot be separated from blood pressure, respiration, and pulse.

As to whether there is a relationship between blood pressure and heart rate, I cannot say that there is not, but it is not a direct effect. Our heart rate can be affected by emotions. If we are too emotional, it will lead to a faster heart rate, and blood pressure may rise at this time, but the effect of emotions is only short-lived, and for healthy people, they can recover quickly, probably within a few minutes. However, for people with high blood pressure, it is not advisable to be overly emotional. A moment of rapid heart rate may cause blood pressure fluctuations and bring damage to the relevant organs, and it is best to be concerned to avoid excess damage.

Then hypertensive patients, heart rate to maintain how much will be beneficial to health? 

It depends on the situation. The heart rate range for a normal person is 60-100 beats per minute. In the case of patients with high blood pressure, it depends on heart health. For people without heart problems, a heart rate of 60-65 beats would be more appropriate. For people with heart problems, the heart rate should be kept between 55-60. There is no need to be too nervous, just pay more attention in your daily life and develop good habits that will help to maintain a normal heart rate.

How to maintain a normal heart rate

1. To ensure balanced nutrition in the body, to reduce the phenomenon of anemia. 

If you have anemia, the blood supply will be affected and the oxygen will not be sufficient. If the heart does not have sufficient blood and oxygen supply, the heartbeat will be affected and the heartbeat and breathing rate will become chaotic, which will disturb the person's emotions and bad moods, which will also speed up the heart rate. If you don't want to be anemic, it is recommended to eat a reasonable diet every day to ensure a balanced nutritional intake and to eat less unhealthy food.

2. It is also important to get a good sleep. 

Having a good sleep is good for blood circulation and body metabolism, and it also allows the body organs to get a good rest. If you stay up late for a long time and do not get enough sleep, it will affect the normal operation of the body and stimulate the nerves, which will affect the heart rate. Usually, it is still necessary to develop good sleep habits, and all things that disrupt sleep and food should be avoided in time.

3. An appropriate increase in physical exercise will also be beneficial to stabilize the heart rate. 

But a word of caution, that is, do not have too strenuous exercise, aerobic exercise is very good. Do not make mistakes when doing aerobic exercise, do not think that the more the better, do too much can also cause a rapid heart rate, which is also very bad for regulating blood pressure. Be relevant to your situation and go for exercise. Suitable projects would be walking, jogging.

consequence of a fast or slow heart rate in patients with hypertension

Patients with hypertension whose heart rate is greater than 84 beats per minute have a 1-fold increased risk of developing coronary heart disease compared to patients whose heart rate is less than 65 beats per minute.

Patients with hypertension who have a heart rate greater than 79 beats per minute have an 89% increased risk of death than those with a heart rate less than 79 beats per minute.

This is the truth, and the main reason why many hypertensive patients take antihypertensive drugs for years, but still have coronary heart disease and even sudden unexpected death, so hypertensive patients should not only control their blood pressure but strive to stabilize their heart rate within the target range, which is as important as controlling their blood pressure.

What causes increased heart rate in patients with hypertension

The main cause of increased heart rate in hypertensive patients is the overexcitation of sympathetic nerves, the triggers are mainly excessive salt intake, smoking, obesity, and disorders of blood sugar and fat metabolism, mostly seen in young and middle-aged hypertensive patients, the result will cause an increase in blood pressure, which can be manifested as accelerated breathing, swelling of the lower limbs, headache and dizziness, blurred vision, gum enlargement, and other symptoms. The increase in blood pressure will cause endothelial dysfunction and atherosclerosis, resulting in cardiac hypertrophy, myocardial ischemia, and heart failure, which in turn will lead to an increased heart rate. As can be seen, the two are causal and affect each other, and the long-term existence of such a state will inevitably cause damage to the heart, brain, eyes, kidneys, and other important organs, and in serious cases can lead to sudden unexpected death. 

Therefore, patients with hypertension should control their blood pressure at least below 140/90mmHg, and at the same time, monitor their heart rate closely. Patients with hypertension combined with coronary artery disease and other cardiovascular diseases: start treatment immediately when the heart rate is greater than 70 beats per minute in a quiet state, and the treatment target is 55-60 beats per minute.

It should be reminded that the heart rate of hypertensive patients is not the slower the better, but too fast or too slow can increase the risk of cardiovascular disease.

Is a smart blood pressure watch suitable for people with high blood pressure

Smart Blood Pressure Watch Definition

A smart blood pressure watch is a watch that is comparable in size to an ordinary watch and can be worn on the wrist for several hours or even days to monitor human blood pressure at any time. A smart blood pressure watch is a true wearable medical device, completely different from a wrist-type electronic blood pressure monitor, which can be worn on the wrist for more than a few minutes before it becomes unbearable for the wearer, so a wrist-type blood pressure monitor cannot be called a smart blood pressure watch.

Types of smart blood pressure watches

Smart blood pressure watches can be divided into the following categories in terms of principle.

1. Photoelectric method (PPG)

The bracelet emits a kind of photoelectric signal to the skin, and the pulse wave at the wrist area is collected by the sensor, and then the blood pressure value is estimated by a specific calculation formula. When used, the bracelet is simply worn on the wrist to directly measure blood pressure.

2, photoelectric + ECG method (PPG + ECG)

Is based on the photoelectric signal, and adds a few pieces of metal, used to collect the ECG signal, integrated two signals, to estimate the blood pressure value. When using it, you need to use your finger to press the metal button on the surface to measure properly.

3、Oscillometric method

There is a micro airbag on the back of the bracelet, through the process of inflation, pressurization, and then deflation, automatic measurement of blood pressure, which is the same principle as the electronic sphygmomanometer, except that it is used on the wrist, rather than the arm.

Smart blood pressure watch advantages and disadvantages

1. Photoelectric method (PPG)

The pulse waveform at the wrist area is captured by a photoelectric sensor, and the analysis of characteristic parameters such as the rising slope of the pulse wave and the duration of the wave can lead to a specific calculation formula to estimate the blood pressure value. For example, the slope of the rising waveform of the ejection phase increases when the blood pressure is high.

Advantages.

1. Simple acquisition method, only need photoelectric sensor and algorithm, good user experience.

2. Can continuously monitor blood pressure.

Disadvantages: 

Accuracy to be verified, there is no monitoring device and algorithm recognized by the medical community that can meet medical standards.

2. Photoelectric + ECG method (PPG + ECG)

The time difference between the ppg and ECG waveforms is analyzed by combining the pulse wave ppg and ECG signals collected at the wrist area by photoelectric sensors.

This time difference is called PTT and represents the time difference between the blood flow to the test site (e.g. wrist) from the start of the heartbeat.

because the ECG signal propagation acquisition principle is the speed of light, the propagation time can be neglected as 0, while the blood flow to the wrist takes a certain amount of time.

This PTT is mainly influenced by the blood flow velocity, which is mainly influenced by the blood pressure.

The invention of this technology is based on the premise that blood is an ideal fluid, and the corresponding blood pressure reference values are derived by processing the optical signals of different individuals.

So the stability of the light source, the individual variability (fatness and thinness degree and vascular distribution differences), and the advanced signal processing technology all affect the accuracy and stability of the blood pressure measurement.

Advantages.

Accuracy is higher than simply analyzing the ppg waveform, but no mass-produced product has yet passed US FDA certification.

Disadvantages.

1. Manufacturing costs and user costs are higher than single photoelectric blood pressure measurement.

2. The acquisition method is relatively complex, which requires a photoelectric sensor and ECG module, and the user needs to monitor both ppg and ECG signals when measuring. Usually, the ECG watch is tested by a single lead duplex to test the difference of heart voltage of both hands, which requires one hand to press on the watch that is worn on the other hand.

3. Oscillometric method watch-type blood pressure monitor

Indirect measurement of blood pressure is divided into Auscultatorymethod and Oscillometricmethod. The Oscillometric method is used in electronic sphygmomanometers.

The process of measuring blood pressure by the oscillometric method is the same as that of the Koch sound method. The cuff is pressurized to block the flow in the brachial artery and then slowly decompressed, during which sounds and small pulses of pressure are emitted from the arm.

The Koch method relies on manual recognition of the sound coming from the arm and interpretation of systolic and diastolic pressures.

The oscillometric method, on the other hand, relies on an instrument that recognizes the small pulses coming from the arm to the cuff and differentiates them to derive a blood pressure value.

Advantages.

The accuracy is relatively high.

Disadvantages.

1. high cost.

2. The product is larger and uncomfortable as it affects the user's life when inflated and pressurized.

We see that the history of blood pressure measurement has gone through 3 stages.

The first stage is the so-called invasive stage, that is to say, the need to cut open the blood vessels of the measurement program, of course, this program is certainly not accepted by the general public, but the current use of implantable sensors to measure is still an invasive program. 

The second stage is to enter the non-invasive measurement, using mercury sphygmomanometer measurement, which is what we specify today by the standard.

The third stage of automation, the electronic sphygmomanometer we commonly use at home, is gradually becoming less ready from the direction of development, but gradually increasing in portability, thus reflecting the need to lower the threshold of blood pressure management itself. 

Artificial use of optical measurement of the program can further make blood pressure measurement of the user cost reduction, even the ordinary people can pay attention to their blood pressure at any time.This technology, the smart blood pressure watch, is not a substitute for a medical blood pressure monitor. It is also not used for medical purposes, but daily health management. Reducing the cost for everyone to know their body status is what it is all about.

What aerobic exercise is suitable for patients with high blood pressure？

Hypertension patients are best suited to do some easy and effective aerobic exercise, without a lot of physical exertion, like walking, jogging, swimming, cycling, etc., are good exercise options.

Exercise can lower blood pressure at rest, and the antihypertensive effect of a 10-minute or more low- to medium-intensity exercise can be maintained for 10 hours-22 hours, and long-term adherence to regular exercise can enhance the antihypertensive effect brought about by exercise.

Patients with hypertension can do warm-up exercises such as turning the neck, bending the waist, bending the knees, etc., 5 minutes before exercise to move the joints, and then do some flexibility movements to stretch the body and make the heart rate quickly adapt to the next activity. General preparation activities from 5 minutes to 10 minutes are appropriate.

Walking, arguably the best form of exercise for people with high blood pressure is also the easiest way to achieve exercise。

We advocate walking every day, insist on walking, long-term walking, each walking time of at least 30 minutes; however, we should pay attention to gradual progress, not to force and make themselves feel very tired; do not just go out to walk after eating, which is not conducive to digestion; to choose the right shoes, pants, clothing, and socks; to choose the right weather; the walking process should pay attention to walking posture, slope, adjust breathing, pay attention to the weather and warmth, the intensity of exercise should be coordinated with one's blood pressure and heart rate.

The jogging process will trigger an accelerated heart rate and enhanced myocardial contraction, resulting in an abnormal rise in blood pressure. 

Running at a slower speed, the rise in blood pressure is limited and will not rise to a dangerous level. But in the process of exercise will reduce the tension of peripheral blood vessels, blood vessels are thus dilated, and running can improve the body's pleasant degree, reduce the excitement of the cerebral cortex, which is conducive to the regulation of neural and vascular functions, so it can achieve the effect of lowering blood pressure.

And research also confirms that exercise can lower the blood pressure at a quiet time, which can make the systolic pressure drop about 10-15 mmHg and the diastolic pressure drop about 4-9 mmHg. Therefore, running, like other exercises, has a significant blood pressure-lowering effect and is an important non-pharmacological adjunct to the treatment of hypertension.

It should be noted that not all hypertensive patients can run to lower blood pressure.

Patients with grade 1 hypertension, i.e. blood pressure around 130/90, or hypertensive patients who do not exceed the limit of 159/99, and who have no risk of cardiovascular disease in other areas of the body, and no target organ damage caused by hypertension, then running can be considered as an adjunct to lowering blood pressure.

Running to lower blood pressure should pay special attention to the fact that patients should run moderately and reasonably scientifically.

The first thing you need to do is to take a look at the actual results. The heart rate should be tested during running, the heart rate can be controlled at about 50% of the reserve heart rate, calculated as (maximum heart rate - quiet heart rate) x 50% + quiet heart rate, or you can use the simpler 170 - age for approximate calculation. In addition, hypertensive patients should pay special attention to the time of running, as hypertensive patients' blood pressure is often at a relatively high level in the early morning, and early morning is also a high incidence of cardiovascular events. Therefore, it is more suitable for people with hypertension to choose afternoon or evening to exercise.

Patients with hypertension can choose a suitable exercise method that they can stick to according to their preferences and choose the appropriate exercise intensity. For obese people, you can appropriately increase the amount of exercise; not at 6:00 a.m. - 11:00 a.m. exercise, this time of the heart and blood vessel burden is the largest, after a night of rest metabolism, excretion, concentrated body fluids, the most vicious blood, sympathetic nerves are the most excited, the most vasoconstrictor substances, vascular assistance is the largest, hypertension, cardiovascular disease patients are prone to sudden death. At the same time, also pay attention to the surrounding environment, in summer to avoid the noon sunny time, winter to pay attention to keep warm to prevent a stroke.

What is the difference between hypertension and hypotension?

Blood pressure disorder has long been a common one in the category of diseases nowadays. The number of people with hypertension is getting younger and younger, and the total number is slowly increasing. And although hypotension is not as harmful as hypertension, it also creates confusion for some groups. And hypotension often occurs in women who are tender.

Hypertension may be asymptomatic or asymptomatic in its early stages, and may only increase after exertion, nervousness, or mood swings, and return to normal after rest. As the disease lengthens, the blood pressure continues to rise significantly, and various symptoms gradually appear, which is called bradykinetic hypertension.

The common clinical symptoms of bradykinetic hypertension include headache, dizziness, lack of concentration, memory loss, numbness in the limbs, increased nocturia, palpitations, chest tightness, and weakness. Insufficient blood supply to the brain due to prolonged hypertension is also a cause of dizziness.

The main symptoms of hypertension are dizziness, head swelling, headache, head fever, tinnitus, forgetfulness, memory loss, insomnia and dreaminess, neck pain, neck and back stiffness, panic, shortness of breath, chest tightness, chest and abdomen fullness, heavy legs, weakness of lower limbs walking, numbness of hands and feet, weakness of waist and knees, coldness of both feet, heat in the heart of hands and feet, excessive nocturnal urination, pain all over the body, red face and eyes, dryness of both eyes, eye blur, blurred vision, constipation, fatigue, sexual dysfunction, irritability, etc.

There are different types of hypotension, acute and chronic.

Acute hypotension means that the blood pressure suddenly decreases from all normal or high levels, and is more significant, and most of these conditions are due to ischemia of the brain, heart, kidneys and other human organs, appearing dizziness and black eyes, limbs soft and sweaty, palpitations and urine and other conditions, more serious will be shock.

Chronic hypotension means that the blood pressure is significantly lower than the normal category, and is a persistent condition. It is prevalent in women and the elderly, with mild cases of mian without all illnesses, and more severe cases of physical fatigue, dizziness, etc. It is more significant in summer when the average temperature is higher. A part of patients with hypotension patients dizziness when standing up, which is called postural hypotension.

The symptoms of hypotension may include: dizziness, headache, loss of appetite, fatigue, pallor, indigestion, seasickness, etc. Serious symptoms include: upright vertigo, cold extremities, palpitations, dyspnea, ataxia, slurred pronunciation, even fainting, and prolonged bed rest. These symptoms are mainly due to the drop in blood pressure, resulting in slow blood circulation and distal capillary ischemia, which affects the supply of oxygen and nutrients to tissue cells and the excretion of carbon dioxide and metabolic wastes. In particular, the blood supply to the brain and heart is affected.

Such a prolonged period of time makes the body function greatly reduced, and the main hazards include: vision, hearing loss, induced or aggravated senile dementia, dizziness, fainting, falls, and fracture incidence greatly increased. Weakness, mental fatigue, depression and melancholy always occur, which affects the quality of life of patients.

25 Healthy Tips for You

With the continuous development of society, healthy life has long been more than a hypothetical one. The pursuit of health is also the right and hope of everyone. There is a saying that it is better to earn more money than to have a good body. Then how to live a healthy life? It is not difficult, as long as you do the smallest details and pays attention to those hidden points, so that you can have health. Here are some suggestions from top physicians for your health.

The first point, relax and laugh can reduce both the social and work stress around everyone, but also lower blood pressure and promote the effectiveness of the body's internal coordination, so keep smiling is a prerequisite for everyone to have a good body.

The second point, breakfast must be eaten. Not only is not eating breakfast ineffective for weight loss, and can cause rebound, a moderate breakfast can also reduce the body's absorption of excess sugar.

The third point, to ensure adequate sleep everday, sufficient sleep not only provides everyone with a day of energy but also prolongs life expectancy and improves memory.

The fourth point, prohibit staying up late, staying up late is an act that hurts the body. The human body enters a rest period after midnight zero, so staying up late is an overdraft of the body.

The fifth point, too much pampering of the spine is a disguised injury, more rest is not conducive to the health of the spine, more exercise to relieve pain and protect the spine.

The sixth point, eat fruits and vegetables, to pick up the bright colors to eat. The bright color indicates that the nutrients contained in itself are rich, eat more conducive to the absorption of the body.

The seventh point, the cleaning of bacteria in the mouth, through a combination of brushing and flossing. Brushing can only maintain the cleanliness of the mouth, flossing is the key to a clean mouth.

The eighth point, in a place where the air conditions are good, does deep breathing. Good air conditions meet the needs of all parts of the body, and breathing deeply is an indispensable way to maintain health.

The ninth point ,put yoga class into their activity schedule, yoga is also an important way to prevent cardiovascular disease, body ligament strain.

The tenth point is to overcome isolation so that everyone has a young heart. A heart full of things will make everyone age faster, and there is a possibility that people will not be able to top the heavy pressure and produce the idea of questioning themselves.

The eleventh point, try to  fewer intakes of high-calorie food. High-calorie food is the culprit of obesity, want to have a healthy body, a reasonable weight is important.

The twelfth point, be a mindful person, whether sick or not, everyone should have a thorough understanding of their own body, to be able to deal with unexpected situations with ease.

The thirteenth point, male friends should be turned away from the beer belly, beer belly not only has increased the risk of disease, but also can weaken the testosterone secretion of male friends, so that male friends gradually lose sexual function.

The fourteenth point, green tea is an important substance to prevent cardiovascular disease and cancer.

The fifteenth point, occasionally a few sound sports is also the key to have a good body. Such exercise not only has the effect of reducing stress and weight loss but also provides the basis for you to have a good body.

The sixteenth point, look at sex as a kind of enjoyment, proper sex will make your whole person look younger.

The seventeenth point, learn to put their money in the bank, money is an important reason to bother everyone's life, put money in the bank to help you have a good state of mind, it is also helpful to your health.

The eighteen points , clear about the standard health coefficient of each part of the body. Know these dogs, go to the hospital for regular checkups, and if there are changes, make timely adjustments to keep your body healthy.

The nineteenth point, strength training is also essential, strength training can exercise everyone's muscles can also accelerate the burning of calories in the body.

The twentieth point, nuts are also an important food to supplement the body's nutrition, eat more nuts is also beneficial to the body.

The twenty-first point, regular examination of their genitals, for male friends, the probability of genital disease is particularly high, if found in time, there is the possibility of medical treatment.

The twenty-second point, dancing is also a way to maintain a healthy body, appropriate dancing also has the effect of weight loss, but also exercise everyone's reaction ability, is a simple but practical healthy lifestyle.

The twenty-third point, for some purpose also to adhere to exercise, according to scientific statistics, a long period of exercise can enhance the quality of male friends' sex life.

Point twenty-four, do not only a skill but also a way to keep healthy, cooking according to their tastes, help to have a good diet condition, so that everyone keeps a good body.

The twenty-fifth point, get out of the house, more sunshine, more fresh air. These are all ways to maintain health anytime and anywhere.

These are the common ways to maintain health in everyone's life, learn these, closer to a healthy body, all of us have what reason not to master it? For your own body, it's time to put in the effort.

 

What is white coat hypertension?

Whitecoat hypertension is a condition in which some patients have elevated blood pressure when their blood pressure is measured in a doctor's office, but their blood pressure is normal when they self-test at home or do two or four-hour ambulatory blood pressure monitoring with a device carried by the patient themselves and no medical personnel present.

This may be due to the increased heart rate of the patient after seeing a doctor in a white coat, as well as the presence of excessive catecholamines in the blood, which also causes peripheral vasoconstriction and increased resistance, resulting in the so-called white coat effect, thus causing an increase in blood pressure.

With the progress of research on the diagnosis and prevention of hypertension, white coat hypertension is receiving more and more attention, and epidemiological surveys have found that white coat hypertension accounts for 9% to 16% of patients with hypertension.

At present, the mechanism of the disease is not too clear, and most people believe that it is related to mental stress, which may be related to the stress response and or alertness response generated by the patient.

It has been found that this white coat hypertension may be an intermediate state between normal blood pressure and persistent hypertension, and the incidence is higher in young women and non-smoking people, so this white coat hypertension should be strengthened with follow-up observation.

Whitecoat hypertension is when blood pressure is measured in the hospital due to mental tension, anxiety, and sympathetic excitement, resulting in elevated blood pressure, while blood pressure is normal when measured at home because it is very relaxed. 

The following methods can defeat white coat hypertension.

1. You should communicate with your doctor before taking your blood pressure.

2. Do your psychological adjustment, do deep breathing, rest for 20 minutes, and then test your blood pressure.

3. Eat some calming and calming food beforehand, such as bananas, milk, sour dates, etc. If necessary, take some sedatives, such as Valium, etc.

4. Severe cases can see a psychiatrist for psychological guidance.

5. Further do ambulatory blood pressure monitoring to clarify whether there is hypertension or not.

Although white coat hypertension is not high blood pressure, some studies have confirmed that people with white coat hypertension are more likely to suffer from hypertension after years than normal people, so we should pay attention to white coat hypertension. Adjust your emotions in time and actively improve your lifestyle to avoid developing true hypertension.

Why is high blood pressure linked to gut flora?

The pathogenesis of primary hypertension is still unclear and is a major key problem plaguing the medical community, but diet, life, environment, and bad mood can cause hypertension are known factors, so what mechanism do these factors use to cause hypertension? One study found that intestinal flora may be associated with these factors causing high blood pressure.

The metabolite SCFA can lower blood pressure. 

SCFA is a class of metabolites that are produced from undigested carbohydrates in the intestine after intestinal bio metabolism, including acetate, butyrate, and propionate. These substances can be involved in blood pressure regulation, diastole blood vessels, reduce inflammation, and suppress immune responses.

Gut microbes can also influence hypertension through inflammatory and immune responses

The dietary intake of red meat, which is digested and metabolized in the body to produce TMAO, has been the subject of much attention for its ability to cause atherosclerosis. They have also been found to be correlated with hypertension. Ferments of Lactobacillus can protect vascular endothelial cells and inhibit hypertension-related inflammation and oxidative stress by reducing the production of reactive oxygen species. The process of systemic immune and inflammatory response can be induced by the release of endotoxins after the self-decomposition of intestinal flora, which can aggravate the progression of hypertension-associated chronic kidney disease.

The number of bifidobacteria in the intestinal flora of hypertensive patients is significantly reduced and inflammatory cells in serum and tissues are significantly increased, while bifidobacteria are probiotics that are involved in the maturation and regulation of the body's immune system, which is why imbalance of intestinal flora can cause hypertension.

Intestinal flora can indeed affect blood pressure values, but some flora can significantly lower blood pressure, which is beneficial to human health; some flora will instead raise blood pressure, which is not beneficial to human health.

how to play the role of antihypertensive flora and avoid the role of antihypertensive flora? Mainly from two aspects.

Eat a light diet, avoid high salt diet.

High salt diet will lead to high blood pressure this is the old knowledge, in the past, we think high salt diet causes high blood pressure because of high osmotic pressure brought about by high salt diet, the blood vessel wall has a relatively strong destructive force. And now there are new findings on high salt diet causing high blood pressure, high salt diet will affect the number and type of lactobacillus in the intestine, but also through the immune response, affecting blood pressure. In addition to avoiding a high salt diet, a light diet should also avoid large fish and meat, especially red meat, and a vegetarian diet with more dietary fiber, which has a positive effect on lowering blood pressure.

In addition, prebiotics such as plant polyphenols, inulin, and or oligosaccharides can promote the growth of bifidobacteria and promote the recovery of butyrate production substances, thus lowering the blood pressure of the organism. 

A more typical plant polyphenol-rich substance is tea, which is rich in tea polyphenols. Therefore, appropriate tea consumption by hypertensive patients can regulate blood pressure by affecting probiotics, in addition to relieving fatigue and regulating mood.

 

How to stay away from hypertension complications?

If hypertension is not well controlled, its complications have a high rate of disability. Complications result in 75% of patients losing their ability to work to varying degrees, which places a great burden on society and families. In addition, the death rate of hypertension complications is also high, because hypertension can damage the heart, brain, and kidney three organs, leading to cardiovascular disease and even death.

Prevention of hypertension complications can reverse hypertension on target organs such as the heart, brain, and kidney, thus reducing the morbidity and mortality of cardiovascular and cerebrovascular diseases and kidney diseases.

Keep away from hypertension complications

1. Insist on taking long-term antihypertensive drugs. 

Some hypertensive patients with mild symptoms think that their condition is not serious and do not want to take medication, blood pressure is often at a high level, and over time, it is easy to cause complications. Some patients do not take medication according to medical advice, but by self-perception abuse of drugs, sometimes taking medication "three days to fish, two days to sunbathe", and sometimes overdose, this practice will often cause blood pressure is high and low, it is easy to an accident.

2. Regular blood pressure measurement, timely detection, and diagnosis of hypertension. 

Some information shows that more than half of the hypertensive patients  are undetected, and these people who have the disease and do not know it are prone to complications.

3. reasonable diet, eat less and move more. 

Patients with hypertension should pay attention to a light diet, a reasonable food mix, and eat less high-calorie food. Exercise regularly to keep the body active and delay the emergence of various complications.

4. Combine work and rest, get enough sleep, lead a regular life, quit smoking, and do not drink liquor.

Regular life can lower blood pressure and help it stabilize, while overwork, chronic lack of sleep, heavy smoking and alcohol abuse can easily cause blood pressure to increase or make it fluctuate drastically, and make it prone to complications.

5. Strengthen personality training, maintain emotional stability. 

Research shows that the mental state has a great impact on blood pressure. Bad mood, mental depression, especially frequent thunder, and lightning, can cause violent fluctuations or further increase in blood pressure, and easily induce cerebral hemorrhage. Therefore, patients with hypertension should be broad-minded, not angry when things go wrong, and often keep a calm and peaceful mind.

6. Daily diet should be supplemented with more potassium, magnesium, calcium, peptide.

Daily food soybean, soybean is rich in protein, this we all know the common sense knowledge! But do you know that soybeans are rich in potassium? Every 100 grams of soybeans is rich in 1503 mg of potassium, potassium can effectively promote the body's salt and sodium discharge! Thus effectively lowering blood pressure, daily potassium supplement food are potatoes, rape, mushrooms, soybeans! 

Which herbs and teas can lower blood pressure

Hypertension is a condition in which blood pressure is outside the normal range. Normal systolic blood pressure in a healthy person ranges from 120-139 mm Hg and diastolic blood pressure is about 80 mm Hg. Common symptoms of hypertension include headache, shortness of breath, dizziness, chest pain, abnormal heartbeat, and heart attack. Although medications can relieve and treat hypertension problems, they have varying degrees of side effects. Natural remedies, on the other hand, are usually the safest and most reliable way to lower blood pressure.

Turmeric: 

This is one of the most effective remedies for lowering blood pressure. Turmeric powder is a well-known ayurvedic herb that is used in most Indian households to make curry foods. Turmeric contains curcumin which is a powerful anti-inflammatory agent that helps lower blood cholesterol. In addition to this, turmeric can boost metabolism, help soothe blood circulation and strengthen blood vessels.

Ginkgo: 

Ginkgo is a herb often used in Chinese medicine and is known to have a blood pressure-lowering effect. Ginkgo controls blood pressure by expanding the arteries and promoting blood circulation.

Hawthorn Berry: 

Also known as Mayflower. It helps to dilate the arteries and promote blood circulation. Hawthorn berries improve the strength of the heart muscles and therefore can help soothe blood circulation.

Ashwagandha (dancing mushroom):

Ashwagandha is an herbal ingredient that is an important herb capable of lowering blood pressure, it balances blood pressure levels by regulating systolic and diastolic blood pressure.

Ginger: 

Ginger root is a popular digestive spice food in Asian countries and has many health benefits. Asians (especially in India) have a habit of adding ginger to their teas and dishes. In addition to promoting digestion, ginger helps blood circulation and relaxes blood vessel muscles.

Olive Leaf: 

Olive oil is known to be beneficial for immune system health. Olive leaves, on the other hand, have excellent medicinal properties. Many scientific studies have proven that olive leaves are also effective in lowering blood pressure.

In most cases, high blood pressure is associated with sedentary lifestyle habits. Regular exercise and a proper diet are important to maintain healthy blood pressure. Never wait until your blood pressure rises to solve the problem. Prevention should always be the main focus. Adopting a healthy lifestyle can be effective in reducing the risk of hypertension.

1、Chrysanthemum tea

Prepare an appropriate amount of chamomile or white chrysanthemum, each time use three grams, directly in a cup of tea to drink, take three times a day. You can also wash the right amount of chrysanthemum, licorice, and honeysuckle in a pot and decoct it to drink as a substitute for tea, which has the effect of clearing heat and detoxifying as well as calming the liver and clearing the eyes, and can assist in the treatment of arteriosclerosis and hypertension.

2、Hawthorn tea

 Hawthorn has the effect of dilating blood vessels and lowering blood pressure and blood sugar and helps digestion of food.

3, lotus leaf tea

 Lotus leaf has the effect of detoxification, lowering blood pressure and dilation of blood vessels, and can also help break down fat, wash and chop the fresh lotus leaf, put it in a cup, and add water to it for 10 minutes and then you can use it.

4, Pueraria Mirifica tea

 Kudzu can improve blood circulation in the brain, can relieve dizziness and tinnitus caused by high blood pressure, waist and knee weakness, and headaches, as long as often drink kudzu tea can assist in the treatment of hypertension, wash and cut kudzu into slices, take out 30 grams directly in the water boil

5, lotus seed tea

 Although the lotus seed heart is very bitter, but has the effect of lowering blood pressure and fat, put 12 grams of lotus seed heart in a cup, use boiling water to brew tea drink, with the daily morning and evening once, not only to lower blood pressure but also has the effect of clearing heat, strengthen the heart and calm the mind

Can play a role in lowering blood pressure tea: mulberry tea, bitter melon tea, buckwheat tea, cassia seed tea, rooibos tea, lotus leaf tea, long-term adherence to the consumption of these teas, all have a certain degree of auxiliary antihypertensive effect. However, drinking these teas for the regulation of blood pressure only auxiliary effect, can not replace antihypertensive drugs, blood pressure rose seriously patients should still take antihypertensive drugs for antihypertensive treatment.

How is daily blood pressure monitored?

The picture below shows a homemade line graph of blood pressure monitoring by an elderly patient, who took and recorded his blood pressure and heart rate almost every hour, which is equivalent to doing a homemade version of ambulatory blood pressure monitoring (everyone does ambulatory blood pressure at half-hour intervals in the hospital). This surprised me very much. With one line graph, the pattern of systolic and diastolic blood pressure and heart rate can be seen at a glance, adjusting medication more efficiently and safely, and accurately. 

Of course, not everyone has to do this. The reference table I have drawn up, taking into account the latest guidelines, expert consensus, and the actual situation of the majority of patients, is as follows.

The table is suitable for the following groups.

Patients with unknown blood pressure, those diagnosed with hypertension but with unstable blood pressure, and those already diagnosed with hypertension and receiving long-term treatment.

How is it measured?

• 1. Take your blood pressure at least five times a day, divided into morning, morning, midday, afternoon, and bedtime.

• 2. record the time and date of measurement, preferably with a note if there are special circumstances.

• 3. it is recommended that blood pressure is measured at a set time each day.

• 4. if time and circumstances permit, measure both sides of the blood pressure, whichever is higher.

• 5. If the difference between the two sides is greater than 20 mmHg, prompt medical attention is needed to alert for diseases such as subclavian artery stenosis and occlusion.

How many days to measure?

It is usually recommended that if there is no significant discomfort, it is best to measure for 7 consecutive days before consultation for patients with initial or suboptimal blood pressure, and then for at least 7 consecutive days after adjustment of medication for home blood pressure, and then twice daily if the blood pressure is stable.

Some specific issues of concern to patients with high blood pressure

1 My blood pressure is 160/90. Do I have high blood pressure?

Blood pressure 160/90 is a relatively serious hypertensive disease when your high pressure reaches 140mmHg level or more or low pressure reaches 90mmHg and above is a hypertensive disease, high pressure in reaching 140mmHg, but not reach 160mmHg, low pressure reaches 90mmHg, but not reach 100mmHg, belong to hypertension grade 1. High pressure reaching 160mmHg and not reaching 180mmHg, or low pressure reaching 100mmHg and not reaching 110mmHg, belongs to hypertension grade 2. High pressure of 180mmHg and above, or low pressure of 110mmHg and above, is classified as hypertension grade 3.

At present, your blood pressure has reached hypertension grade 2, and damage to target organs such as the heart, brain, kidney, and eye may occur at any time, so your blood pressure already belongs to the more serious hypertensive disease, and you should actively control your blood pressure to reduce the chance of its complications.

2 My blood pressure is 158 / 79, is it normal?

The blood pressure reference value for normal people, systolic blood pressure 90-139mmHg and/or diastolic blood pressure 60-89mmHg is normal, but the diagnosis of hypertension cannot be concluded based on one blood pressure alone. It is necessary to monitor the blood pressure several times for many consecutive days which are higher than the normal reference value and to exclude the influence of emotional tension, psychological factors, activities, and other factors on blood pressure before hypertension can be considered. If there is no family history of hypertension, it is unlikely to consider hypertension. It is recommended that you master the correct method of blood pressure measurement and take blood pressure measurement after sufficient rest before taking blood pressure measurement, preferably the blood pressure measured in the morning when there is no activity.

3 Is my blood pressure of 90 / 60 normal or too low?

Blood pressure 90/60 is critical and is not considered low blood pressure. Generally, patients with blood pressure below 90-60 mmHg are hypotensive, so 90-60 mmHg is only the threshold. It is suggested that you can take some medicine to replenish blood and Qi, eat a light and regular diet, and achieve a balanced and reasonable nutrition. It is recommended to observe blood pressure every day, and if there are abnormal symptoms, such as dizziness and palpitations, to consider the treatment.

4 My blood pressure is 110/90, is that normal?

A low blood pressure of 90 is on the line of hypertension, and if the blood pressure is 90 on 2 consecutive measurements on a non-same day, then hypertensive disease can be diagnosed. But it is important to exclude other factors that affect blood pressure, such as poor sleep, and having other diseases that cause changes in blood pressure. Such as poor sleep, high blood lipids, high work stress, mental tension, etc. If there is the latter case, it should be ruled out first. You can go to check the blood lipids, blood sugar, etc. Exercise properly, live a regular life, eat less oil and salt, do not smoke, and eat more vegetables and fruits. At present your blood pressure is just on the line of hypertension, not very high, so you don't need to take medicine first, life adjustment 1-2 months later. But usually, you need to monitor your blood pressure and measure it 1-3 times a day. For example, measure it recently in the morning, at night, and at noon to see if there are times when your blood pressure gets higher.

5 My blood pressure is 150/105, is it normal?

High pressure 150 mmHg, low pressure 105 mmHg belongs to the second level of hypertension, this blood pressure can be restored to normal through good habits or take drugs to correct blood pressure, does not belong to a very serious disease, can be appropriate to relax the pressure, cause blood pressure is relatively more reasons. For example, genetic factors, emotional excitement, poor rest, endocrine disorders, renal artery stenosis, cold, and fever, etc. The first time the blood pressure is found to be high, you can drink some corn husk tea or honeysuckle tea under the guidance of your doctor, and then recheck your blood pressure after a week. Don't think too much, keep your mood relaxed, and seek medical attention if you have any problems.

6 My blood pressure is 124/55, is that low blood pressure?

Usually, when we do a medical checkup to measure blood pressure, we are more concerned about the high and low blood pressure, but not many people may be concerned about the differential blood pressure, in fact, the size of the differential blood pressure also indicates the possibility of our body suffering from a disease. When the pulse pressure difference is detected greater than 60 or less than 20 are abnormal conditions.Your high pressure is normal and your low pressure is slightly low. In addition, the pulse pressure difference is slightly high. Surrounding environment as well as personal emotions have a great influence on blood pressure. So it is recommended to measure blood pressure several times. Also keep an optimistic state of mind every day, pay attention to rest and do not stay up late.

7 My blood pressure is 85/67, is it normal?

Normal blood pressure is 90-140/60-90mmHg, your blood pressure is 85/67 normal low level. It is recommended to measure blood pressure several times, sometimes the value of one measurement may be deviated. If your blood pressure is low and you have dizziness and other uncomfortable symptoms, you need to do blood tests to find out the cause of the low blood pressure and to treat it. You can improve this situation by eating more protein-rich foods and exercising daily to strengthen your body.

8. What happens when my blood pressure exceeds 160/110?

Blood pressure of 160 and 110, systolic blood pressure of 160, and diastolic blood pressure of 110, basically belong to the second level of hypertension. The range standard for grade two hypertension is systolic blood pressure in 160 to 179 mm Hg, diastolic blood pressure in 100 to 109 mm Hg, basically belongs to is more serious, or to pay attention to. The diastolic blood pressure is already greater than or equal to 110, which is the diastolic blood pressure standard for grade 3 hypertension. Once hypertension is diagnosed, patients still need to take antihypertensive drugs regularly for a long time to control blood pressure smoothly, only to control blood pressure smoothly can reduce the occurrence of many complications. In addition to medication, adjustments should also be made in diet and life.

5 frequently asked questions about high blood pressure

1.What state is blood pressure when sleeping？

Blood pressure decreases during sleep, and in normal people or people with hypertension, blood pressure values change in an arytenoid pattern. Blood pressure is at a high level during the day, and at night, especially during sleep, it drops and is at a lower level. This is mainly related to the excitability of the human-plant nervous system. At night, the vagus nerve tone increases, the sympathetic excitability decreases, the blood vessels are in a more relaxed state, and the blood pressure drops, which is a normal situation.

Such patients need to pay attention to the reasonable choice of drugs because the blood pressure is lower at night during sleep and higher during the day, the drug with longer effect should be selected. Early morning meditation, just after the effect of the drug to play the daytime high blood pressure down. At night, the blood pressure can still be maintained at a more appropriate level because the medication has been used for a longer period and the effect of the medication gradually diminishes.

Try to reduce the medication in the evening, especially the faster effect of antihypertensive drugs, which will cause the patient's blood pressure to fall further during sleep at night, down to an inappropriate level, and even cause cerebral thrombosis, myocardial infarction, etc.

2.Does blood pressure drop when a person doesn't eat?

Not eating can cause low blood pressure, but it is usually only people who do not eat for a long time that cause low blood pressure. If you don't eat for a long time, your body will lose weight, and if you don't have enough energy for a long time, the pressure in your blood vessels will drop, which is why people who don't eat for a long time have low blood pressure.

Long-term non-eating, the body's energy sources will be insufficient, insufficient energy sources will cause the body a series of activities to reduce, will cause the body's metabolic rate to reduce, will cause the gastrointestinal tract function to reduce, but also affect the normal work of the brain nerve center, because not eating leads to no source of sugar, the body glucose content is reduced, the brain work will be inhibited. If one or two meals are not eaten occasionally, blood pressure will not decrease, mainly because blood pressure is controlled by the central brain.

3.Why hypertension cannot be completely cured？

Hypertension is the most common chronic disease, through clinical medical investigation found that hypertension can not be completely cured, of course, as long as good prevention, good control of their blood pressure, can effectively reduce the method of hypertension, and effectively reduce mortality.

There are many reasons why hypertension cannot be completely cured. First of all, the cause of hypertension is not clear at present. That is to say when the cause is not clear, it is impossible to treat the disease completely, and there are some limitations in the process of treatment. The cause of hypertension is not completely clear, from the medical point of view, often more understand the cause of hypertension, such as mental work, long-term mental stress, improper diet, often drinking, or obesity, and of course, there is a family history of hypertension and so on. These are the causes of high blood pressure, but they are not the primary cause of the disease.

In addition, patients with hypertension are also prone to atherosclerosis, which is one of the most important reasons why hypertension is particularly harmful. High blood pressure can lead to atherosclerosis, and atherosclerosis, in turn, can promote further damage from high blood pressure. Medication for hypertension did not significantly promote the improvement of atherosclerosis. Long-term hypertension will lead to the thinning of blood vessel walls in patients, resulting in a sudden and significant increase in blood pressure, which further aggravates the symptoms of hypertension in patients. And high blood pressure is also easy to cause patients to appear heart failure, cause patients to appear brain artery disease, even cause paralysis and other conditions. Hypertension can only aggravate the disease, but can not be completely cured.

For patients with high blood pressure, of course, don't worry too much about, through the clinical investigation found that patients with high blood pressure at ordinary times as long as to strengthen the prevention and timing of antihypertensive medications regularly, keep good habits of life, they will be able to maintain blood pressure at a healthy level, so to minimize the harm of patients with high blood pressure will be. For patients with hypertension, the cause of this chronic disease has not been completely clear, especially from the gene level has not been completely conquered, in the future, it is expected to be clear on this level of the cause, and then hypertension may be completely cured.

4. Can driving cause high blood pressure?

The pathogenesis of hypertension has many mechanisms, one of which is prolonged driving and sedentary driving. So here to remind the drivers who often drive, pay more attention to their precautions, if hypertension is on the road in driving the consequences are unthinkable.

When driving a person's attention is highly concentrated, especially on the highway, continuous tension will stimulate sympathetic excitation, resulting in a rise in blood pressure, vascular spasm contraction reduced blood flow, and intensify myocardial ischemia and hypoxia. When the road is congested, people's emotions are easily irritable, encounter overtaking, violations, inevitably anger from the heart, a large influx of blood to the heart, blood pressure rose sharply, at this time, I am afraid that the morning to eat antihypertensive drugs can not suppress the rising blood pressure. In addition, after the car, many people completely dependent on the car, and even go out to buy a bag of salt are to drive and walk every day even more than 500 steps. In the long run, the legs enter a "wasted" state, prone to leg aging, more serious is the lower extremity blood flow back to the heart lack of power, the heart needs to spend more effort to complete the lower extremity blood circulation. Driving is because always keep a posture, blood flow is slow especially easy to long thrombosis. If thrombosis occurs in the veins of the lower extremities, once the thrombus is dislodged, it may cause a fatal pulmonary embolism.

What should hypertensive patients pay attention to driving? 

• First, drive long distances, try to shorten the continuous driving time, rest at least 10-15 minutes every two or three hours, and have timely hydration.

• Second, in poor road conditions, road congestion to avoid fire, you can sing and listen to soothing music. Singing loudly can enhance gas exchange and provide more oxygen to the heart and lungs. In places with severe traffic jams and poor air circulation, open the windows less often, as the harmful gases emitted from a large amount of exhaust may stimulate the blood vessels, causing vascular spasms and inducing heart disease. 

In addition, control the number of times you drive, it is best to drive no more than 3 days a week. If you experience dizziness and chest tightness while driving, stop the car in a safe are

5.What is the maximum blood pressure that can be reached?

There is no maximum value for hypertension. 

Everyone's blood pressure level is different and each level of hypertension manifests itself differently. Normal blood pressure is 90-140mmHg for high pressure and 60-90mmHg for low pressure. High pressure and low pressure can be diagnosed as hypertension as long as they are above this level. It is common to have a predominantly elevated high pressure, which can be over 200mmHg, or a predominantly elevated low pressure, which can be over 110mmHg.

Each person's ability to tolerate hypertension is also different. 

Some patients with a blood pressure of 140-150 mmHg feel very strong headaches and headaches, while some patients with a blood pressure of 180-200 mmHg do not feel it. The blood pressure of hypertension is only the performance and measurement value, and its sensation and clinical manifestations are also different.

Patients with a systolic blood pressure of 200 mmHg are more dangerous. 

Whether the blood pressure rises gradually or suddenly to 200 mmHg, are more dangerous conditions. Once the systolic blood pressure is greater than 180 mmHg, it can indicate that the patient has entered a dangerous state. According to the clinical manifestations, hypertension can be divided into hypertensive emergencies or hypertensive non-emergencies, hypertensive sub-emergencies. When the systolic blood pressure of hypertensive emergencies is usually greater than 180 mmHg, the patient may experience damage to the heart, brain, kidney, and other parenchymal organs, and may suffer from impaired consciousness, cerebral hemorrhage, cerebral infarction, acute heart failure, angina pectoris, and other conditions. Acute oliguria or a sharp decline in kidney function may also occur, and patients need emergency antihypertensive treatment under supervision. In addition, if the blood pressure suddenly rises above 200 mmHg without discomfort, which may not cause heart, brain, or kidney organ damage temporarily, the blood pressure should also be actively lowered and the antihypertensive drugs should be adjusted.