Blood pressure medication is not all taken in the morning, the time to take medication should be based on the pattern of change of blood pressure day and night. According to the different fluctuations in blood pressure day and night, medical blood pressure is divided into four types:
Arylid blood pressure: normal adult blood pressure is mostly high during the day and low at night, from the morning blood pressure began to rise gradually, in the morning 7 ~ 9 a.m. to present a day in the highest peak value, then a slight decline, in the afternoon around 5 p.m. and a smaller peak blood pressure, then slowly decline until midnight, and then the blood pressure will be reduced, and the blood pressure of the day, the blood pressure of the day, the blood pressure is not as high as that of the day. After that, the blood pressure slowly decreases until midnight to 2~3 a.m., when the blood pressure falls to the lowest valley of the day, and the blood pressure is 10%~20% lower at night than during the day. Because the dynamic curve of blood pressure during day and night is similar to the ladle, it is called ladle-type blood pressure. Some hypertensive patients' blood pressure is elevated, but still have the above law, so it is called "aryepiglottic hypertension", and it is advisable to take antihypertensive drugs in the morning for patients with constructive hypertension.
Non aryepiglottic blood pressure: Some patients do not have a significant drop in blood pressure at night, i.e., the drop in blood pressure at night is less than 10%, which is called non aryepiglottic blood pressure. Non aryepiglottic blood pressure rhythms are more common in hypertension and in the elderly population, and may be considered to be taken at night, which is more effective in controlling nocturnal blood pressure elevation, and which allows for the conversion of non aryepiglottic to aryepiglottic blood pressure rhythms and reduces cardiovascular and cerebrovascular damage.
Anti-pryoidal blood pressure: Some patients have a 5% higher blood pressure at night than during the day, which is known as anti-pryoidal. Antihypertensive medications are also recommended to be taken at night to better control nighttime blood pressure in these patients.
Hyperpyramidal blood pressure: A significant decrease in blood pressure at night, more than 20% lower than during the day, is called hyperpyramidal blood pressure. This type of patients should use the morning medication, not at night, so as not to excessive lowering of blood pressure at night induced cardiovascular and cerebrovascular diseases.
Is it possible to prevent cerebrovascular disease by taking antihypertensive drugs on time?People with normal blood pressure may also have the possibility of stroke, even if the medication is taken on time, there can be cerebral atherosclerosis lesions, under certain conditions, the lesion site can form a thrombus, resulting in blood vessels corresponding to the area of cerebral ischemia and even the occurrence of cerebral infarction. There are many causes of non-hypertensive cerebral hemorrhage, including the familiar cerebrovascular malformations, brain tumors, and hemorrhages occurring in blood disorders, as well as some rarely heard of, such as cerebral amyloid angiopathy, alcoholism, and the abuse of addictive medications, anticoagulants, and thrombolytics.
The bleeding mechanism of these diseases is that some specific lesions of the cerebral blood vessels lead to the destruction of the blood vessel wall, and even if the blood pressure is not high, the blood vessel wall breakage can cause cerebral hemorrhage. Here should pay particular attention to the cerebral amyloid angiopathy, alcoholism and abuse of addictive drugs, anticoagulants, thrombolytic drugs. These are mostly caused by bad habits. So don't think that if you don't have high blood pressure, you won't have a brain hemorrhage. Especially those who have bad habits for their own health and family happiness, should live a regular life, ban smoking and alcohol, do not mess with drugs.
What should I pay attention to when taking antihypertensive drugs for patients with cerebrovascular disease who suffer from high blood pressure? How much blood pressure should be controlled?Cerebrovascular disease patients taking anti-hypertensive drugs should pay attention to monitoring blood pressure, "treatment without monitoring" can not achieve the therapeutic purpose, is not desirable. Cerebrovascular disease patients taking anti-hypertensive drugs should pay attention to the following aspects:
①The blood pressure should not be lowered too fast, too low, in order to avoid the aggravation of the insufficiency of blood supply to the heart and brain, if it is not an emergency, it should be gradually lowered in a few days, weeks, or months is good. Especially if the ultrasound results have found that the carotid artery has serious stenosis, lowering the blood pressure should be more cautious and prudent, and should not be rapidly lowered in a short period of time, otherwise it will easily lead to the occurrence of cerebrovascular disease.
②Don't just change, add or suddenly stop drugs.
③Adhereby taking the medication to maintain stable blood pressure.
④Avoid the influence of other factors (e.g., drinking a lot of alcohol, etc.) to improve the therapeutic effect.
Long-term observation and research have shown that the incidence of cardiovascular and cerebrovascular diseases is lowest when blood pressure is controlled below 140/90 mmHg. Hypertensive patients with diabetes mellitus should have their blood pressure controlled even lower (<130/85 mm Hg). In patients with hypertensive renal impairment, blood pressure should be controlled below 125-130/75-80 mm Hg to slow the progression of renal impairment.