Why does my blood pressure remain unstable? What causes blood pressure instability?

What causes unstable blood pressure?

Q Inner Mongolia Xu Yanhui: I am a hypertensive patient, 58 years old this year, in order to grasp and control the disease, I often measure my blood pressure, but recently I found that the blood pressure is not very stable, I don't know if it is related to the condition, what should I pay attention to in life?

aYour condition is very common in people with high blood pressure. When it is found that blood pressure fluctuates greatly, it is first necessary to carefully find out the possible causes, so as to prevent and treat them in a targeted manner, and satisfactory results can be achieved.

The common causes of large increases in blood pressure and countermeasures are as follows:

1.There is an error in self-measuring blood pressure. If this is the case, you should consult a doctor for guidance and correction. In addition, those who self-measure their blood pressure should go to the hospital every 3 months to 6 months to have their blood pressure measured.

1 2 times blood pressure.

2.Irregular life. For example, excessive smoking, drinking, staying up late, consuming too much sodium, or being overweight can all lead to unstable blood pressure.

3.Mood swings. Blood pressure is related to mood. Therefore, patients should maintain a peaceful mind.

4.Inappropriate drug selection. Some mild and moderate antihypertensive drugs, such as heartache and Nidal, are easy to make blood pressure rise and fall due to the short time of maintaining effective blood pressure. If it is suspected that the drug is caused by the drug, drugs such as Luohuoxi, Lotinsin, Xinran, and Kesuya can be used to stabilize blood pressure.

5.Medication is not standardized. If you do not take the medicine on time and in the right amount, stop taking it when you take it, or stop taking it when your blood pressure drops.

The correct approach is to take the medication at regular intervals and doses, and after the blood pressure has dropped to a satisfactory level, change to a maintenance dose and continue** (note: it will not cause an unlimited drop in blood pressure).

6.Ignoring synthesis**. Some patients pursue "antihypertensive drugs" alone, or rely solely on antihypertensive drugs, without paying attention to the importance of comprehensive measures such as exercise and diet.

7.Target organ damage. Long-term uncontrolled hypertension can cause damage to the heart, brain and kidneys, especially renal arteriosclerosis and renal ischemia.

Therefore, regular testing of kidney function and protection of the kidneys from damage are also important factors in stabilizing blood pressure. The specific prevention and treatment method is to reduce blood pressure in a lasting and serious manner**, and pay attention to the adverse effects of drugs on the kidneys.

8.Secondary hypertension. Some secondary hypertension, such as nephritis, renal vascular disease, benign and malignant tumors of the adrenal cortex or medulla, can lead to difficult control and ups and downs in blood pressure, especially in young and middle-aged patients, once it is found that the antihypertensive effect is not satisfactory, blood pressure is high and low or not up or down, further detailed examination should be done in time to find the primary lesion, in order to achieve the purpose of high blood pressure.

Yu Guangming. Chief Physician of the General Outpatient Department of Peking University Hospital.

He is a member of the Medical Science Writers Association of the Chinese Medical Association. He is a leading practitioner of cardiac pacing and defibrillation, and has installed pacemakers more than 100 times. He has deep attainments in the diagnosis and treatment of hypertension, coronary heart disease, cardiomyopathy, heart failure, arrhythmia and difficult internal medicine diseases.

First, whether to take antihypertensive drugs on time and in accordance with the amount, doctors advocate that patients with high blood pressure should take antihypertensive drugs before breakfast after washing up in the morning, rather than taking antihypertensive drugs after eating breakfast.

The first apple is because there are more than 10 kinds of nutrients such as malic acid and vitamin ABC in apples. Second, bananas, which contain starch, pectin, vitamins, ABCE and other nutrients. Third, persimmons, persimmon varieties contain more than 10 nutrients.

These are 5 common factors that can lead to unstable blood pressure.

In patients we have observed, poor blood pressure control or instability can be caused by the following reasons:

1. The choice of drugs is not appropriate.

Many patients go to the pharmacy to buy some blood pressure medication after they are found to have high blood pressure in the hospital or outside the hospital. I don't care about how to choose the drug, some choose which one is cheaper, some listen to friends or neighbors, and some ask the pharmacy salesman to recommend it. Some people even choose to take traditional Chinese medicine such as Panax notoginseng powder and other traditional Chinese medicines with unclear efficacy.

In fact, there are many types of antihypertensive drugs, each type of antihypertensive drugs has different indications and contraindications, and each patient's condition and physical condition are also different, so according to the situation of different patients, different drugs need to be selected. Antihypertensive drugs are not fine after taking them, and it is necessary to observe how effective they are for a period of time, and if they are not suitable, they may need to be adjusted or replaced.

2. Improper use of drugs.

Many patients may still be taking captopril tablets, nifedipine tablets, compound reserpine and other drugs that are now relatively less used because they continue the old habits. Most of these drugs have a short duration of action, and they need to be taken 3 times a day, not only is blood pressure more likely to fluctuate, but many patients do not read the instructions, take the medicine once a day, or take the medicine according to their own feelings, so it is also impossible to control blood pressure well.

Most doctors now recommend long-acting blood pressure medications that only need to be taken once a day. It has the advantage of being able to stabilize blood pressure for 24 hours. It is only used once a day, which is simple to use, and also reduces the possibility of patients missing doses and improves the compliance of **.

3. Secondary hypertension.

Secondary hypertension refers to the ability to find a clear ** high blood pressure. When detected** and effectively removed or controlled**, hypertension can be relieved or significantly relieved. For example, coarctation of the aorta, renal artery stenosis, renal parenchymal lesions, adrenal cortical tumors, pheochromocytoma, primary aldosteronism, obstructive sleep apnea syndrome, etc., these diseases may cause increased blood pressure.

Secondary hypertension may be stubborn, and antihypertensive drugs may not work well. Screening for secondary hypertension is recommended for young hypertensive patients, patients with very high initial blood pressure, and patients with resistant hypertension.

4. Influence of living habits or environment.

Excessive alcohol consumption, smoking, a high-salt diet, obesity, sedentary lifestyle, etc., are all factors that cause blood pressure to rise. Chronic pain or long-term anxiety and stress can also cause blood pressure to rise.

Tiredness, staying up late, catching a cold, or certain medical conditions can raise blood pressure. Blood pressure may also rise significantly higher than usual in weather that cools suddenly, or in cold winter environments.

5. The effects of taking other drugs.

For example, non-steroidal anti-inflammatory drugs, adrenal steroids, sympathomimetic drugs, birth control pills, common cold medicines, erythropoietin, and traditional Chinese medicine licorice and ephedra can also cause blood pressure to rise.

First, whether to take antihypertensive drugs on time and in accordance with the amount, doctors advocate that patients with high blood pressure should take antihypertensive drugs before breakfast after washing up in the morning, rather than taking antihypertensive drugs after eating breakfast.

What you said above Your mother's high blood pressure may have been for a long time, but seeing the above It seems that there is no stable taking effective antihypertensive drugs The latter is not regularly used, and the current fluctuation should be that there is no very good ** result, and it is found in the hospital that there is coronary heart disease and mild cerebral infarction (should be lacunar cerebral infarction, micro-capillary infarction) These two diseases are **largely ** due to hypertension, long-term blood pressure is at a high level (coronary artery) The elasticity of the blood vessel wall of the large artery is weakened, and the atheromorphic metamorphosis It has evolved into the so-called coronary heart disease, so the current stable blood pressure reduction should first be the first of the best. The other two diseases can be delayed or controlled.

Hope it works for you.

High blood pressure is actually a minor disease, but if it is not controlled for a long time, it can develop into a major disease. For high blood pressure, you must insist on taking medicine every day, and you must do what the doctor says, and you must consult the doctor every once in a while to adjust the medication. Your mom is in an adaptation phase, 120 90 is pretty good!

Is she dizzy at this blood pressure? As long as you don't get dizzy.

What happens when a person with high blood pressure suddenly drops his blood pressure? The doctor confessed: or 5 reasons.