What does hypertension eat depressurize fastest? Doctor: blood pressure drops too fast. It hurts the brain and kidney

Many newly diagnosed patients with high blood pressure are very anxious, eager to take medicine immediately after their blood pressure down. Recently, a friend asked such a question: “got high blood pressure, which drug to take to reduce blood pressure fastest?” In clinical practice, rapid blood pressure reduction is not recommended unless there is a hypertension emergency and the patient may be in danger at any time. < / P > < p > for most patients with essential hypertension, if their blood pressure does not exceed 150 / 100 mmHg, they should first receive non drug antihypertensive treatment, such as weight loss, exercise and diet adjustment. If the blood pressure can reach the standard within 3 months, and adhere to these effective non drug treatment, there is no need to take medicine to reduce blood pressure. < / P > < p > if the effect of non drug antihypertensive therapy is not ideal, we will consider taking antihypertensive drugs. Taking antihypertensive drugs also starts with single drug, low dose and long-term antihypertensive drugs. As long as the patient’s blood pressure can reach the ideal level within 3 months after taking medicine, there is no need to adjust the original medication scheme. Stable blood pressure reduction is the first principle of hypertension treatment, the purpose is to protect the important “target organ” of hypertension. Hypertension mainly damages the heart, brain and kidney and other internal organs. If blood pressure drops too fast in a short time, these organs will also be affected due to insufficient blood perfusion. Patients with mild illness may have angina pectoris, cerebral insufficiency or renal insufficiency, while patients with severe disease may have myocardial infarction, cerebral infarction or acute renal failure. < / P > < p > in order to make these “target organs” adapt to the decrease of blood pressure, slow blood pressure reduction is the safer choice. For patients with hypertension, in order to better protect the “target organ” safety, we should also clearly know their target value of blood pressure reduction. The diagnostic standard of hypertension is 140 / 90 mmHg, but for most patients with hypertension, it is better to reduce it to 120 / 80 mmHg. For patients with diabetes or proteinuria, blood pressure should be reduced to at least 130 / 80 mmHg in order to better protect renal function. If the patient is over 65 years old, it is acceptable to keep the blood pressure below 150 / 90 mmHg in order to avoid insufficient blood supply to the “target organ”. < / P > < p > to protect “target organs”, it is also very important to understand the type of blood pressure fluctuations. Generally speaking, people’s blood pressure is high during the day and low at night, which is called spoon blood pressure; but there are also some patients with blood pressure on the contrary, showing the characteristics of high at night and low during the day. For the former type of hypertension patients, the early morning blood pressure is the real standard; for the latter, the blood pressure at night can be considered as qualified. For patients with dipper blood pressure, morning is a dangerous time for hypertension, so antihypertensive drugs should be taken after getting up in the morning; for patients with reverse spoon blood pressure, midnight is a dangerous time for hypertension, so antihypertensive drugs should be taken 1-2 hours before going to bed. < / P > < p > a person’s blood pressure increases, most of them have gone through a long process of several years or even decades. Sudden decrease of blood pressure will also lead to serious cardiovascular and cerebrovascular accidents, so antihypertensive treatment can not be achieved overnight. Only by keeping the blood pressure stable for a long time can we protect the “target organs” such as good heart, brain and kidney, and realize the ultimate goal of antihypertensive treatment. Focus