What tests for high blood pressure are most effective?

As for whether all patients with hypertension should take aspirin, the guidelines clearly stipulate that the expert consensus on the standardized use of aspirin in China recommends taking aspirin in the following situations to prevent cardiovascular disease.

The purpose of taking aspirin for patients with high blood pressure is indeed for the prevention of cardiovascular and cerebrovascular diseases. In order to achieve a better preventive effect, it is necessary to take not only aspirin, but also the dosage.

Low-dose aspirin can be used to prevent thrombosis after ischemic attack, transient ischemia, myocardial infarction, arterial fistula, or other surgery. Low-dose aspirin has been shown to reduce not only fatal and non-fatal myocardial infarction, but also stroke and other cardiovascular mortality.

Who can't take aspirin.

1.Patients with gastric and duodenal ulcers, cirrhosis and cerebral hemorrhage should not take aspirin.

2.Those who have had a history of surgery in the near future, especially those who have undergone ophthalmic, visceral, and cranial surgeries, are prohibited from taking it.

3.Those who usually have a tendency to bleed, such as gums or ** bleeding, should not take it.

4.People with a history of asthma and an allergy to aspirin should not take it.

Elderly patients over the age of 10 often have coagulation dysfunction and are prone to bleeding, so they should not take it.

A word reminder: from the actual situation, most hypertensive patients need to take aspirin prophylactically, but in order to prevent the occurrence of cardiovascular and cerebrovascular events, every hypertensive patient should focus on controlling blood pressure, blood lipids or blood sugar, taking antihypertensive drugs, lipid-lowering drugs, hypoglycemic drugs, and improving unhealthy lifestyles, which are much more important than taking aspirin, and the effect is much better.

<> effective way to prevent malignant hypertension.

1. Reasonable diet.

1) To limit sodium salt intake, first of all, reduce the use of cooking salt, and it is advisable to consume no more than 6g of salt per person per day.

2) Reduce dietary fat, supplement an appropriate amount of protein, eat more vegetarian vegetables and fruits, and consume sufficient amounts of potassium, magnesium and calcium.

3) Drinking tea in moderation can clear away heat and detoxify, reduce inflammation and antibacterial, soften blood vessels, and improve the function of cardiovascular and cerebrovascular systems. Like Robuma and Cassia Seed, they can prevent and regulate the discomfort caused by high blood pressure.

4) Limiting alcohol intake is linearly related to blood pressure levels and the prevalence of hypertension, and patients with hypertension should abstain from alcohol or strictly limit it.

2. Lose weight.

Weight gain is closely related to hypertension, and weight loss in hypertensive patients is beneficial for improving insulin resistance, diabetes, hyperlipidemia, and left ventricular hypertrophy. This can be achieved by reducing daily calorie and salt intake, and by increasing physical activity.

3. Exercise. Exercise not only lowers systolic and diastolic blood pressure (about 6-7 mmHg), but is also beneficial for weight loss, physical strength, and insulin resistance. Depending on your age and physical condition, you can choose different ways such as jogging, brisk walking, and tai chi.

The frequency of exercise is generally 3-5 times a week, and each exercise lasts 20-60 minutes.

1. Blood pressure check.

Blood pressure examination is the most basic examination method for patients with hypertension, if it is more severe hypertension patients generally need to have 1 or 2 blood pressure examinations a day, so as to effectively observe the patient's blood pressure fluctuations and understand the degree of disease control. If blood pressure control is not ideal, you can also choose ambulatory blood pressure monitor for 24 hours, which is more conducive to judging the degree of disease progression.

2. Physical sign examination.

Patients with high blood pressure generally need to have physical tests, which are mainly based on different issues such as height, weight, and lifestyle. This kind of examination can evaluate the ** of hypertension according to the patient's condition, and after understanding, it can help the patient adjust the cause of the disease, which is more conducive to blood pressure control.

3. Blood biochemical examination.

Blood biochemical tests are mainly tests for different values of blood potassium, fasting blood glucose, and blood lipids. Because high blood pressure is prone to different complications, such as diabetes, hyperlipidemia and hyperuricemia. Therefore, checking fasting blood glucose, blood lipids and uric acid can effectively identify whether various complications have occurred, because these complications are metabolic diseases and will directly affect the control of blood pressure, so early examination is very necessary.

1. Urinalysis. In the early stage, when the urine routine is normal, the urine concentration function is impaired, the urine specific gravity gradually decreases, and there may be a small amount of urine protein, and red blood cells may occasionally be cast. As renal disease progresses, the amount of protein in the urine increases, and in patients with benign nephrosclerosis, such as 24-hour urine protein above 1 g, indicates a poor prognosis.

Red blood cells and casts may also increase, and casts are mainly hyaline and granular.

2. Chest X-ray examination. It can be seen that the aorta, especially the ascending and descending arches, is tortuous and elongated, and its ascending or descending arches can be dilated. Left ventricular enlargement is present in hypertensive heart disease, and left ventricular enlargement is more pronounced in left heart failure, and left and right ventricles may be enlarged in the case of total heart failure, and pulmonary congestion may be present.

In pulmonary edema, there is obvious congestion between the lungs, and there are butterfly-shaped blurred shadows. Radiographs should be routinely taken to allow comparison between before and after examinations.

3. Determine whether there is hypertension: The blood pressure should be measured for several consecutive days to measure the blood pressure elevated, and the blood pressure should be increased more than twice before it can be described as hypertension.

What tests are needed for high blood pressure? Patients with high blood pressure need to do a lot of physical examinations, common examinations include electrocardiogram, echocardiogram** or chest X-ray, these examination methods can help patients with high blood pressure to understand the heart function of patients with high blood pressure, whether there is cardiac hypertrophy, or myocardial damage, whether they suffer from coronary heart disease, etc. Secondly, blood biochemical tests are also required, such as urea nitrogen, blood lipids, blood uric acid, muscle electrolytes, blood glucose, etc., which can help patients with high blood pressure to determine whether the high blood pressure is caused by kidney disease, and the severity of high blood pressure affecting the kidneys.

Finally, a fundus examination and urinalysis are required. Fundus examination can help patients understand the lesions of arterioles so that patients with high blood pressure can be graded for severity of disease. If a patient with high blood pressure is found to have a large number of red blood cells, casts, urine protein, and white blood cells in the urine, it is necessary to consider whether the patient is a secondary hypertensive disease caused by chronic nephritis or pyelonephritis.

If there are only a small number of red blood cells and protein in the urine, it is likely that the kidney damage is caused by essential hypertension.

It is recommended that you go to the outpatient clinic of the Department of Cardiology and have your blood pressure measured. You can take a blood draw and do a full set of biochemical tests to see liver function, kidney function, electrolytes and blood lipids. Then you can do an electrocardiogram, adrenal ultrasound, cardiac ultrasound, and so on.

Taken together, it is necessary to determine whether there is target organ damage and whether there are cardiovascular problems.

For patients with high blood pressure, we need to measure blood pressure, which is the most routine test, and we can also do chest X-ray test, cardiac electrocardiogram, and brain CT

High blood pressure generally requires ambulatory blood pressure monitoring, electrocardiogram examination, cardiac ultrasound, and target organ related examinations.

Conditional physical examination once a year. 1. The journey of life, the mountains are high and the sea is wide, and the end of the world is far away; And we are always easy to get lost, so that we make wrong choices, but no matter what kind of mistakes, as long as we have the courage to bear and correct, it is not too bad. Buddhism has clouds:

The bitter sea is boundless, and the shore is turned back. "No matter how far we go or how wrong we are, as long as we are willing to turn back, there will always be a better way out.2 Moreover, making mistakes is indispensable for a long life; Life needs to make mistakes, because there are mistakes, will be self-introspective, self-awakening, self-realization; So as to be better treated with life. Don't doubt your own ability because of a momentary mistake, and don't deny other people's lives because of a momentary mistake, people live a lifetime, not because of a mistake can be changed.

Don't be easily discouraged and compromised, because all the mistakes today are indispensable tests in life, and they are also for that more wonderful tomorrow. 3. Life in the world is always half good and bad, right and wrong; There is no need to be sad about some things and mistakes, and there is no need to panic when some roads and mistakes are taken. The journey of life is long, there will always be some ups and downs on the road, and there will always be some mistakes and regrets.

We should be glad that on the journey ahead, every mistake is another growth in life, and we can only find our own right direction by constantly exploring and making mistakes.

During the physical examination of hypertensive patients, the main examination items that should be perfected are as follows:

1. Blood pressure measurement: It is recommended to measure the blood pressure of the left arm and the blood pressure of the right arm respectively;

2. Imaging examination: including electrocardiogram, cardiac ultrasound, etc., general hypertensive diseases are susceptible to the heart, and left ventricular hypertrophy or heart enlargement occurs, and the structure and function of the heart and the thickness of the ventricular wall can be judged by cardiac ultrasound. The electrocardiogram examination can quickly and intuitively observe whether there is left ventricular hypervoltage caused by hypertension or with strain;

3. Urinary system examination: including urine routine, renal function test, etc., the target organs involved in hypertension include the kidneys in addition to the heart, so it is necessary to judge the kidney function. Early hypertension and renal damage can be detected by urinalysis, especially urine microalbumin measurement;

4. Vascular-related examination: carotid artery ultrasound can be used to determine whether there is severe atherosclerosis or vascular plaque formation. In addition, intracranial Doppler ultrasonography may be performed for intracranial arteries.

Initial physical examination of patients with high blood pressure.

1. Blood pressure. The blood pressure on both sides is compared and verified, and the value of the higher side is taken. If the difference in blood pressure between the two sides is greater than 20 mm Hg, the lower side may be narrowed by the large blood vessels above the brachial artery, especially the subclavian artery, and the most common cause of stenosis is atherosclerosis and obstruction.

2. Height, weight and waist circumference. Obesity, especially central obesity, is an important risk factor for hypertension.

3. Observe retinopathy with an ophthalmoscope. Changes in the retinal arteries can reflect the degree of lesions in the peripheral arterioles of hypertension, and the greater the degree of peripheral arteriolar sclerosis, the heavier the workload on the heart.

4. Whether there is a neck vascular bruit, jugular venous distension or goiter, abdominal vascular bruit and mass, peripheral arterial pulse, etc., to rule out secondary hypertension. Secondary hypertension is suspected, and targeted further testing is warranted.

5. Cardiopulmonary examination and nervous system examination to understand whether there are cardiovascular and cerebrovascular complications caused by hypertension.

1. Hematuria routine. If anemia, hematuria, protein, etc., renal hypertension should be considered, or if hypertensive disorder has caused severe renal impairment. Blood pressure fluctuates widely and is pronounced at night and should be suspected of being caused by adrenal gland disease.

2. Blood biochemistry. Such as blood potassium, blood sodium, liver and kidney function, blood sugar, blood lipids, etc. Low serum potassium may lead to secondary hypertension.

The examination of liver and kidney function is conducive to the doctor to choose antihypertensive drugs according to the patient's condition, and the detection of blood glucose and lipids can understand whether there are other risk factors for cardiovascular and cerebrovascular diseases.

3. Electrocardiogram. It is useful to understand whether hypertensive patients have myocardial hypertrophy, arrhythmia, or myocardial ischemia caused by hypertension.

Patients with conditional hypertension can be further selected for the following examinations:

1. Ambulatory blood pressure monitoring 24 hours a day. This test can not only truly reflect the blood pressure status at each time point, but also reveal the characteristics of blood pressure fluctuations and diurnal changes in hypertensive patients.

2. Echocardiology** examination. This test helps us understand the structure and function of the heart.

Once high blood pressure is detected, a diagnostic evaluation is done. The diagnostic evaluation of hypertension includes the following three aspects: 1. Measurement of blood pressure and other cardiovascular risk factors; 2. Hypertension, whether there is secondary hypertension; 3. Target organ damage and related clinical conditions.

The examination for hypertension is as follows: 1. Physical examination, measuring blood pressure in both upper limbs, blood pressure in lower limbs if necessary, body mass index, waist circumference, fundus examination, and checking cardiopulmonary function, arterial pulsation of limbs, and nervous system examination. 2. Ancillary examinations, including routine examination of blood biochemistry, such as renal function, blood lipids, blood potassium, fasting blood glucose, uric acid, homocysteine, as well as urine routine, blood routine, urine microalbumin, electrocardiogram.

Further tests include 24-hour ambulatory blood pressure monitoring, echocardiology**, carotid ultrasonography, and postprandial blood glucose or glucose tolerance tests, C-reactive protein, and chest x-ray as needed. When secondary hypertension is suspected, the following tests may be done, depending on the situation: plasma renin activity, serum aldosterone in the urine, catecholamines in the urine, large arteriography, ultrasound of the kidneys and adrenal glands, computed tomography (CT), or MRI.

Hello, for patients with high blood pressure, the following tests can be done when high blood pressure is found:

Clause. 1. Physical examination. Blood pressure needs to be measured correctly and averaged three times in a row.

Clause. Second, the examination of the arterial pulse of the limbs also needs to be carried out on the nervous system, and the carotid artery, thoracic aorta, abdominal aorta and femoral artery are also examined.

Clause. 3. The endocrine aspects of the patient need to be examined, such as whether there is Cushing's syndrome face, hyperthyroidism, thick neck face and edema in both lower limbs.

Clause. 4. Laboratory examination. It can check blood routine, urine routine, liver and kidney function, electrolytes, blood glucose, blood lipids, electrocardiogram, full chest orthoposterior radiograph, echocardiogram, ambulatory blood pressure monitoring and other examinations.

Learn about blood pressure fluctuations, as well as blood pressure circadian rhythms.