Obese youth hypertension: 1. Losing weight is the premise, 2. Aerobic exercise 1 hour a day, step by step. 3. Eat a low-salt and low-fat diet and eat 7 points full. Try to eat less red meat with four legs, eat meat with two legs or no legs (chicken, duck and fish), have enough rest and relieve stress. 4. Check the kidney, renal artery, adrenal ct or renal ultrasound, urine routine, electrolyte, renal function and other tests to rule out secondary hypertension. If the basic treatment (diet, weight loss and exercise) is effective and the blood pressure control is satisfactory, the observation of antihypertensive drugs can be gradually stopped. If not, take antihypertensive drugs systematically. Generally diagnosed essential hypertension requires lifelong medication in theory. Of course, there may be another possibility that your blood pressure is high, that is, outpatient hypertension or white coat hypertension, that is, your blood pressure itself is not too high, and your blood pressure will be high when you are nervous after going to the clinic. In addition, the electronic sphygmomanometer used at home is generally different from the mercury sphygmomanometer in the hospital, and the one in the general hospital is more accurate. You can calibrate your sphygmomanometer in the hospital to see how big the reading error is.

Xianyang Central Hospital-Cardiovascular Medicine-Deputy Chief Physician Qin Liming