How should one take medicine for high blood pressure?

Written by Zhang Yue Mei
Cardiology
Updated on September 08, 2024
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Patients with hypertension must use effective medications to keep their blood pressure within the normal range to prevent damage to the cardiovascular and cerebrovascular systems. During medication use, patients should not arbitrarily stop taking their medication or switch to different types. It is necessary to regularly monitor blood pressure and adjust the medication dosage or switch types under the guidance of a doctor as blood pressure fluctuates. Randomly stopping medication and discontinuing antihypertensive drugs can cause blood pressure fluctuations and pose greater risks to the body, especially causing ischemia in the heart and brain.

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Written by Zhou Qi
Nephrology
1min 27sec home-news-image

The difference between hypertensive nephropathy and renal hypertension

Hypertensive nephropathy and hypertension due to kidney disease need to be differentiated, as this affects the treatment approach and prognosis assessment differently. Hypertensive nephropathy refers to patients with long-term high blood pressure, which causes arteriosclerosis of small vessels leading to renal pathology. Often, there is also arteriosclerosis in other organs, such as the retinal arteries, which can be confirmed through funduscopic examination. On the other hand, hypertension due to kidney disease occurs when a patient has kidney disease first followed by hypertension, where the causes and types of kidney diseases vary and can frequently lead to hypertension. The difference between the two lies in the sequence of occurrence. Hypertensive nephropathy is characterized by initial high blood pressure and commonly associated with arteriosclerosis in other vessels, which can be preliminarily identified through funduscopic examination. In cases of hypertension due to kidney disease, the patient has other kidney disorders first, followed by hypertension. If a patient's 24-hour urine protein quantification exceeds 2g, it is likely due to kidney disease rather than hypertensive nephropathy. If differentiation remains challenging, kidney biopsy can be performed for further differentiation.

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Written by Zhang Yue Mei
Cardiology
42sec home-news-image

How should one take medicine for high blood pressure?

Patients with hypertension must use effective medications to keep their blood pressure within the normal range to prevent damage to the cardiovascular and cerebrovascular systems. During medication use, patients should not arbitrarily stop taking their medication or switch to different types. It is necessary to regularly monitor blood pressure and adjust the medication dosage or switch types under the guidance of a doctor as blood pressure fluctuates. Randomly stopping medication and discontinuing antihypertensive drugs can cause blood pressure fluctuations and pose greater risks to the body, especially causing ischemia in the heart and brain.

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Written by Liu Ying
Cardiology
1min 4sec home-news-image

How to lower high blood pressure?

Hypertension is divided into primary hypertension and secondary hypertension. If it is secondary hypertension, removing the factors that cause high blood pressure can cure it. For example, if the hypertension is caused by an adrenal tumor, removing the tumor can normalize blood pressure. However, if diagnosed with primary hypertension, lifelong medication is required. There are many types of medications available, which need to be specifically analyzed based on the individual situation. If the patient primarily has high systolic pressure, it is recommended to use some calcium channel blockers, which are commonly used for elderly patients who primarily exhibit high systolic pressure. If it is primarily high diastolic pressure, some ACE inhibitors or ARBs are suggested. If sympathetic excitement is predominant, some β-blockers can be used. (Medication should be taken under the guidance of a professional doctor.)

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Written by Zhang Lu
Obstetrics
1min 1sec home-news-image

What is the blood pressure for gestational hypertension?

Pregnancy-induced hypertension refers to a series of pathophysiological changes caused by elevated blood pressure in women during pregnancy. It is a severe complication of pregnancy that can have serious effects on both the mother and the fetus. The diagnostic standard for hypertension during pregnancy is the same as in non-pregnant periods, that is, a blood pressure greater than 140/90mmHg can be diagnosed as pregnancy-induced hypertension. However, pregnancy-induced hypertension can be classified based on whether it is combined with other conditions, as well as the severity of the condition. Depending on the severity, pregnancy-induced hypertension can be divided into categories such as gestational hypertension, pre-eclampsia, eclampsia, chronic hypertension, and chronic hypertension with superimposed pre-eclampsia. These classifications are mainly based on the severity of the condition, and it is essential to treat pregnancy-induced hypertension with standardized care.

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Written by Zhou Yan
Geriatrics
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Difference between hypertensive crisis and hypertensive encephalopathy

Hypertensive crisis, now referred to as hypertensive emergency, includes hypertensive encephalopathy. It mainly refers to cases where, under certain triggers, the blood pressure of patients with primary or secondary hypertension suddenly or significantly rises, typically exceeding 180/120 mmHg, accompanied by progressive failure of critical target organs such as the heart, brain, and kidneys. Hypertensive emergencies include hypertensive encephalopathy, cerebral hemorrhage, cerebral infarction, acute heart failure, acute coronary syndrome, aortic dissection, etc. Hypertensive encephalopathy is characterized by symptoms caused by hypertension, such as headache, blurred vision, nausea, vomiting, and severe edema of the head.