Rumor: found that blood pressure is particularly high, can not immediately drop to normal? Doctor: According to the actual condition.

if the hypertension is above 18, can it be quickly reduced to normal? Is there any harm? We often meet patients with high blood pressure above 2/11, and the highest one is blood pressure that sphygmomanometer can't measure at all. How do we do it? Can you quickly lower your blood pressure? Sure, but it depends on the specific situation. If it is simple hypertension, it really needs to be slowly and steadily lowered, but if it is complicated with some critical diseases, it needs to be lowered quickly. Let's talk about simple hypertension, which is not complicated with any diseases, but hypertension. The blood pressure is higher than 18/11, which belongs to hypertension level 3. If high blood pressure causes some symptoms, such as dizziness, headache, etc., it is necessary to lower blood pressure a little faster at this time, but it should not be too low. Generally, according to age, the elderly will drop to about 15, and the adults will drop to about 14. Generally, we choose intravenous infusion to reduce blood pressure. If there are no symptoms, the patient has tolerated this relatively high blood pressure for a long time, so he is not in a hurry to lower his blood pressure. He can give the patient a small dose of oral medicine to lower his blood pressure slowly and gradually, which is safer. If the blood pressure is lowered too fast for patients who have tolerated hypertension for a long time, it will lead to patients' inadaptability, insufficient blood supply to the brain and even the risk of cerebral infarction. Therefore, simple hypertension should not be anxious to lower blood pressure. When you are complicated with other diseases, be quick! However, the hypertension often encountered in the hospital is not simply hypertension, because many hypertension are often complicated with acute left heart failure, angina pectoris, acute myocardial infarction, aortic dissection, acute cerebral hemorrhage, acute cerebral infarction and other diseases. For patients with acute heart failure, acute myocardial infarction, acute aortic dissection and severe angina pectoris, blood pressure must be lowered quickly, because high blood pressure at this time will accelerate the progress of the disease and is not conducive to disease control; It can even be said that controlling blood pressure at this time and controlling blood pressure quickly can bring greater benefits to patients and even save lives. For example, acute left heart failure is usually complicated with high blood pressure. When we rescue, we must reduce the blood pressure to less than 13/8 as quickly as possible to reduce the heart load and pressure, so as to relieve the symptoms of patients and save lives. For example, aortic dissection is the rupture of the largest arterial blood vessel in the human body. The main reason is that the pressure is too high. At this time, it is safer to quickly reduce the blood pressure below 12/6. For example, if the blood pressure of angina pectoris is not well controlled, it is difficult to effectively control angina pectoris, and it is necessary to quickly reduce blood pressure. Transfusion is the first choice for rapid blood pressure reduction! Why do you need infusion to reduce blood pressure? Commonly used infusion antihypertensive drugs include nitroglycerin, urapidil, sodium nitroprusside, etc. These drugs take effect quickly and fail quickly, which is easy to control. The blood pressure value is controlled according to the infusion speed. If it is oral medication, on the one hand, the speed is slow, and more importantly, once oral antihypertensive drugs are taken, the blood pressure is too low, and we are gone. Oral antihypertensive drugs will cause the risk of hypotension. But intravenous infusion is different. According to the drop of blood pressure, we can adjust the infusion speed and control the blood pressure. When the blood pressure is close to our target blood pressure, we will slow down the infusion speed to effectively control the blood pressure we want. After the blood pressure drops to a safe area, we should adjust the oral antihypertensive drugs, because long-term hypotension can only be maintained by oral antihypertensive drugs. Of course, it is simply high blood pressure, but it is not higher than 18/11, so there is no hurry to lower blood pressure. Generally speaking, oral antihypertensive drugs can be adjusted. Therefore, if a relatively high blood pressure is found, it is necessary to decide whether to reduce blood pressure quickly according to the specific blood pressure value and the diseases of the patient, instead of saying that it is not appropriate to reduce blood pressure quickly. All rights reserved by Dr. Cardiovascular King, pirated copies will be investigated! # Breeze Plan # Disclaimer: The above content comes from the Internet, and the copyright belongs to the original author. If there is any infringement of your original copyright, please let us know, and we will delete the relevant content as soon as possible.