High blood pressure 160 low 80 need to take medicine? What should I do?

In this friend's case, the high pressure is 160 and the low pressure is 80. There are two problems if the measurement factors are excluded. One is secondary hypertension, and the other is high pressure difference. For such a blood pressure situation, it is necessary to take it to control blood pressure.

When measuring blood pressure, there are usually two values: systolic pressure and diastolic pressure, one is higher and the other is lower. Although the blood pressure of 160/80 does not exceed the standard from the perspective of low pressure, the high pressure has far exceeded the judgment standard of 140. In general, the judgment of hypertension, whether systolic blood pressure or diastolic blood pressure, both exceed the standard or one of them exceeds the standard.

Should this blood pressure value be controlled by drugs? Take medicine, of course. Usually, for the first-degree hypertension problem that is judged as hypertension, but the blood pressure does not exceed 159/99, if there are no other problems such as hyperlipidemia, diabetes or target organ damage, we can consider not taking medicine first and improving blood pressure by strengthening life conditioning. If you control your blood pressure for more than 3 months through life intervention, it is still not ideal, and you still need to take medicine. However, when the high pressure reaches 160, it is suggested to start life conditioning and drug control at the same time.

For patients with secondary hypertension, it is usually an ideal choice to choose drugs reasonably and control their blood pressure within 140/90. It is also good to control the blood pressure within 130/85 if the body is tolerant. If you are over 80 years old, it is also ideal to control your blood pressure within 150. Taking medicine to control blood pressure, if you can control blood pressure as soon as possible, is very good, but if you can't control blood pressure with drugs alone, you should consider combining drugs to control blood pressure, preferably within 12 weeks.

After taking medicine, let's talk about the problem of large pressure difference. Usually this happens to the elderly. If the pressure difference between systolic blood pressure and diastolic blood pressure exceeds 60, it is a problem of large pressure difference. Why is the pressure difference large? In many cases, this condition indicates arteriosclerosis. If the arterial blood vessels are severe, it is easy to have the problem of large pressure difference. In addition, hypertension is not controlled for a long time, which leads to the problems of incomplete aortic bleeding and large pressure difference; Other organic diseases, such as congenital heart disease, rheumatic heart disease, severe anemia, hyperthyroidism and other diseases, may lead to the problem of large blood pressure difference.

Pay attention to the pressure difference. If the pressure difference caused by the disease is large, arteriosclerosis is caused by many factors for elderly hypertensive patients. Chronic metabolic diseases, such as hypertension, hyperlipidemia, diabetes and hyperuricemia, will accelerate vascular sclerosis, and vascular sclerosis is irreversible. Therefore, it is most important to find such problems, control related diseases and slow down the further hardening of blood vessels. Taking controlling hypertension as an example, the blood pressure value is 160/80. Don't worry that high and low blood pressure will drop after taking antihypertensive drugs. Generally speaking, taking antihypertensive drugs has a greater effect on the high pressure of 160 than on the low pressure. It is very important to control blood pressure and make it as high as possible, which will reduce the risk of arteriosclerosis caused by high blood pressure.

Hypertension is a common cardiovascular disease in middle-aged and elderly people. After the diagnosis of hypertension, a reasonable antihypertensive plan should be made according to the blood pressure level and complications to reduce the risk of myocardial infarction and stroke in the future. So, do you need to take antihypertensive drugs for blood pressure 160/80mmHg? Next, medical science will analyze it for you.

The most serious complication of long-term hypertension is stroke, especially hemorrhagic stroke, with high mortality. Even if the life is saved, the disability rate is high, which seriously affects the quality of life in the later period. Therefore, it is important to prevent, actively reduce blood pressure and reduce the damage of hypertension to blood vessels. Patients with mild hypertension can first lower their blood pressure by changing their lifestyle; If the blood pressure reaches 160/ 100mmHg, drugs should be given to reduce blood pressure. Then, when the high pressure reaches 160mmHg and the low pressure is only 80mmHg, do you still need drugs to lower blood pressure? Of course, 160/80mmHg is a special type of hypertension: isolated systolic hypertension. The typical feature of this kind of hypertension is that the high pressure exceeds 140mmHg, but the low pressure is lower than 90mmHg. The most common disease is atherosclerosis, which is common in the elderly, so it is also called senile hypertension.

Simple systolic hypertension has the characteristics of large blood pressure fluctuation and easy hypotension. Compared with common hypertension, we should pay more attention to the choice of drugs, try to choose long-acting antihypertensive drugs, such as Horizon, Pulitzer or Sartan, and use beta blockers with caution. Drugs can be combined, and the initial dose should not be too fast. Young patients can control their blood pressure within the target range in about 4 weeks, but if they are elderly, the time can be extended to 12 weeks, so as to slowly lower their blood pressure and avoid the occurrence of hypoperfusion in important organs. The elderly should control their systolic blood pressure below 150mmHg, or below 140mmHg if they can tolerate it.

In addition to drug treatment, we should also adhere to a good lifestyle, try to eat a low-salt diet, eat more fresh vegetables and fruits, control the intake of high cholesterol, high fat and other foods, exercise properly, insist on moderate-intensity aerobic exercise for half an hour every day, quit smoking and limit alcohol, which is more conducive to blood pressure control and prevention of cardiovascular and cerebrovascular complications.

To sum up, isolated systolic hypertension should be considered in the diagnosis of blood pressure 160/80mmHg. Under the guidance of specialists, antihypertensive drugs are given, long-acting preparations are optimized, and small doses of combined drugs are given, so as to slowly reduce blood pressure, avoid hypotension and blood pressure fluctuation, and change lifestyle at the same time.

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Hypertension 160, hypotension 80 is the second stage of hypertension, which is very dangerous. Must take antihypertensive drugs to control.

The following "Ask the doctor" will give you a detailed introduction to what causes this blood pressure and what medicine you should take.

Why is high pressure and low pressure normal?

With the increase of age, lipid substances and necrotic tissues are deposited on the arterial wall, and the intima loses its original smoothness, which leads to the decrease of arterial elasticity and narrowing of lumen. This problem is called atherosclerosis in medicine.

Hypertension, normal or low pressure (increased pulse pressure difference) is also called isolated systolic hypertension, and atherosclerosis is the main cause of isolated systolic hypertension. Physiologically speaking, systolic blood pressure is the pressure generated on the inner wall of blood vessels when the heart contracts and ejects blood, and diastolic blood pressure is the pressure generated when arterial blood vessels contract elastically. If atherosclerosis and elasticity decrease, blood vessels will be more difficult to deform under the action of external force, and their expansibility and compliance will be reduced, which will directly affect high pressure and low pressure.

What medicine should I take in this case?

Calcium channel blocker (horizon), angiotensin converting enzyme inhibitor (Puli), angiotensin Ⅱ receptor blocker (sartans), β receptor blocker (Lore) and diuretic (thiazides) can all be used to treat isolated systolic hypertension. But need to consider the specific situation:

(1) Choose reasonable antihypertensive drugs according to the complicated diseases, and gradually and steadily reduce the blood pressure to the standard on the premise that patients can tolerate it.

(2) If the target organ damage occurs at the same time, the treatment strategy should not be determined solely according to the blood pressure level, but should pay attention to comprehensive evaluation and reasonably choose antihypertensive drugs according to different complications.

Paracetamol and beta blockers (Lore) are the first choice for patients with hypertension complicated with coronary heart disease. When hypertension is complicated with renal damage, micronization and sartan are superior to dipine, diuretics and β -blockers in reducing urinary albumin excretion rate, and should be the first choice for controlling blood pressure.

(3) Encourage the use of long-acting and stable antihypertensive drugs to avoid excessive drop and fluctuation of blood pressure.

(4) The combined therapy has good antihypertensive effect, small drug dosage and few adverse reactions, which is beneficial to protecting target organs and improving patients' compliance and cost performance.

When a single drug can't make the systolic blood pressure reach the standard, multiple drugs should be used for combined treatment. Long-acting calcium channel blockers combined with low-dose diuretics have good antihypertensive effect and are commonly used antihypertensive drugs for the elderly. People with excessive capacity load or unsatisfactory blood pressure control often need to use diuretics in combination.

Remember! According to the doctor's advice, do not take medicine or a higher drug plan without authorization. Everyone's situation is different, and taking antihypertensive drugs needs to be carried out under the guidance of a doctor.

When do hypertensive patients need to start taking antihypertensive drugs? Dr. Xu told you that whether to take antihypertensive drugs depends on the specific situation.

First of all, you need to go to the hospital for examination, including related cardiovascular risk factors; Whether there is target organ damage; Whether there is cardiovascular disease. According to these examination results, cardiovascular risk assessment is carried out.

According to China 20 18 hypertension guideline:

If it is a low-risk population, it is necessary to observe risk factors such as blood pressure 1-3 months. If your blood pressure reaches the standard through non-drug treatment (diet and exercise), you don't need to take medicine and continue to monitor your blood pressure. Blood pressure is not up to standard, start taking medicine.

If you are a medium risk group, observe your blood pressure and other risk factors for several weeks. If your blood pressure reaches the standard through non-drug treatment (diet and exercise), continue to observe your blood pressure without taking medicine. Blood pressure is not up to standard, start taking medicine.

If you are a high-risk or extremely high-risk group, start medication immediately.

Your current blood pressure is 160/80. If you simply look at the blood pressure level, it belongs to secondary hypertension. If it is not accompanied by any risk factors and target organ damage, it is a medium risk. It can be observed for several weeks. After eating and exercising, blood pressure is normal. You can continue to observe blood pressure without taking medicine. Otherwise, you will start taking antihypertensive drugs.

Pay attention to health and "Xu Cardiovascular Doctor"

Blood pressure 160/80mmHg. If the measurement is accurate and standardized, hypertension can be diagnosed completely. At present, it belongs to the second grade of hypertension. It is necessary to actively seek medical advice, evaluate cardiovascular risk factors, and find out whether there is target organ damage to determine the specific grouping of hypertension. As far as the current blood pressure level is concerned, it is necessary to take antihypertensive drugs to achieve the goal of stable blood pressure control.

Hypertension is very common in our life, and its diagnostic standard is that we measure systolic blood pressure 140mmHg and/or diastolic blood pressure 90mmHg three times on the same day without taking antihypertensive drugs. When our blood pressure level does not exceed 160/ 100mmHg, it is the first grade of hypertension; When the blood pressure exceeds180/110mmhg, it is the third grade of hypertension; Between grade I and grade II, it is grade II hypertension.

In general, once hypertension is diagnosed, it is recommended to start using antihypertensive drugs. However, for newly diagnosed patients with essential hypertension, if their blood pressure level does not exceed 160/ 100mmHg, and there are no basic diseases such as diabetes and other cardiovascular risk factors, they can temporarily stop using antihypertensive drugs and only carry out lifestyle intervention for three months at most. If their blood pressure reaches the standard, they can continue lifestyle intervention.

I hope everyone can correctly realize that hypertension is not terrible, it is preventable and controllable, and the focus is on regular diagnosis and treatment. Patients with hypertension should pay attention to reasonable diet, proper exercise, weight control, smoking cessation and alcohol restriction, regular work and rest, and maintain a good attitude in daily life, rationally use antihypertensive drugs under the guidance of doctors, and pay attention to monitoring and regular review.

High systolic blood pressure (high pressure) and low diastolic blood pressure (low pressure) are the blood pressure characteristics of many elderly hypertensive patients with long course of disease. Like this patient, high pressure 160 mm Hg, low pressure 80 mm Hg, that may be the case. This situation also belongs to the category of hypertension, which is hypertension with excessive pulse pressure difference and also needs antihypertensive treatment.

In addition to the problem of increasing pulse pressure difference, elderly hypertensive patients often suffer from a variety of chronic diseases at the same time, and the functions of various organs of the body have also declined. Therefore, when carrying out antihypertensive treatment, we should determine the antihypertensive goal according to everyone's own characteristics. The goal of lowering blood pressure in elderly patients with hypertension should not be too strict. Just control the high pressure at140-150mmhg, and be careful not to drop the low pressure too low.

Unfortunately, we don't have any antihypertensive drugs that can only lower systolic blood pressure (high pressure) but not diastolic blood pressure (low pressure). Therefore, for hypertensive patients with high blood pressure, low blood pressure and large pulse pressure difference, the difficulty of antihypertensive treatment will increase. Hypertensive patients with hypertension, hypotension and large pulse pressure difference are more likely to have cardiovascular and cerebrovascular accidents. Control the high pressure, ensure that the low pressure does not drop too low, and reduce the pulse pressure difference, which needs special attention when taking antihypertensive drugs.

At this time, when we choose antihypertensive drugs, we must tell the doctor about the characteristics of our blood pressure, so that the doctor can help us choose antihypertensive drugs with mild effect and antihypertensive effect lasting more than 24 hours. While taking antihypertensive drugs, it is necessary to increase the frequency of blood pressure measurement. Once the low pressure is lower than 60 mm Hg, it is also harmful to health. Pay special attention to this point. If the low pressure is lower than this level, you must go back to the hospital to adjust the antihypertensive plan.

The blood pressure of elderly hypertensive patients is more sensitive to sodium salt, so we should pay special attention to providing low-sodium diet for elderly hypertensive patients, and we must provide them with light, low-salt and digestible food. At the same time, tell them to avoid physical fatigue, take part in physical exercise within their power, and avoid excessive blood pressure fluctuation.

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Cardiology department who loves fitness.

To what extent do hypertensive patients need to take medicine?

According to your current blood pressure, you are around 160/80mmHg, so I think you may need to take medicine.

What medicine do I need to take?

Generally speaking, we suggest that you choose ACEI drugs or CCB drugs first.

What medicine can CCB take?

For example, Shihuida and Levamlodipine tablets, if you take one tablet every morning, 2.5mg can achieve therapeutic effect.

ACEI drugs, I can choose those drugs.

The most common drug is enalapril tablets. If you have high folic acid, you can take enalapril folic acid tablets.

Why do some people drink half a catty of liquor under high pressure 180? I don't know why. I saw what i saw.