With high blood pressure above 180, can it be quickly reduced to normal? Is there any harm? We often encounter patients with high blood pressure of 200/110 or above. The highest blood pressure we have encountered is a blood pressure that cannot be measured by a sphygmomanometer. How do we do it? Can the blood pressure be lowered quickly? Of course you can, but it depends on the situation. If it is simple high blood pressure, it does need to be lowered slowly and steadily, but if it is combined with some critical diseases, then it needs to be lowered quickly. Let’s talk about simple high blood pressure first. It is not complicated by any disease. It is just high blood pressure. The blood pressure is higher than 180/110. This is high blood pressure level 3. If high blood pressure causes some symptoms, such as dizziness, bloating, headaches, etc., then you need to lower your blood pressure a little faster, but not too low. Generally, depending on age, it should be lowered to around 150 for the elderly and around 140 for adults. That’s it. Generally, we choose intravenous infusion to reduce blood pressure. If there are no symptoms and the patient has tolerated the relatively high blood pressure for a long time, there is no need to rush to lower the blood pressure. Instead, the patient can be given small doses of oral medicine to slowly lower the blood pressure and gradually lower the blood pressure, which is safer. If the blood pressure is lowered too quickly for patients who have tolerated long-term high blood pressure, it will cause the patient to become uncomfortable, cause insufficient blood supply to the brain, and even cause the risk of cerebral infarction. Therefore, people with simple high blood pressure should not rush to lower their blood pressure. When combined with other diseases, be quick! But the high blood pressure often encountered in hospitals is not simply high blood pressure, because many high blood pressures are often combined with acute left heart failure, angina pectoris, acute myocardial infarction, aortic dissection, acute cerebral hemorrhage, acute cerebral infarction, etc. and other diseases. For patients with acute heart failure, acute myocardial infarction, acute aortic dissection, and severe angina pectoris, blood pressure must be lowered quickly, because too high blood pressure at this time will accelerate the progression of the disease and is not conducive to disease control; it can even be said that controlling blood pressure at this time will Rapid control of blood pressure can bring greater benefits to patients and can even save lives. For example, acute left heart failure is usually accompanied by hypertension. During rescue, we must lower the blood pressure to less than 130/80 as quickly as possible to reduce the load and pressure on the heart, relieve the patient's symptoms, and save lives. For example, aortic dissection is the rupture of the largest artery in the human body. The main reason is that the pressure is too high. At this time, it is safer to quickly lower the blood pressure to below 120/60. For example, if the blood pressure of angina pectoris is not well controlled, it will be difficult to effectively control angina pectoris, and blood pressure must be lowered quickly. The preferred infusion for rapid blood pressure reduction! Why do we need infusion to reduce blood pressure? Commonly used infusion antihypertensive drugs include nitroglycerin, urapidil, sodium nitroprusside, etc. These drugs take effect quickly and expire quickly. They are easy to control. The blood pressure value can be controlled according to the speed of infusion. If it is oral medicine, on the one hand, the speed is slow, and more importantly, once the oral antihypertensive medicine is taken, the blood pressure will be too low, and we will be in trouble. Oral antihypertensive medicine will cause the risk of hypotension. But intravenous infusion is different. According to the drop in blood pressure, the infusion speed can be adjusted to control the blood pressure. When the blood pressure is close to our target blood pressure, we will slow down the infusion speed to effectively control the blood pressure value we want. After the blood pressure drops to a safe zone, we need to adjust oral antihypertensive drugs, because long-term blood pressure reduction can only be maintained by oral antihypertensive drugs. Of course, it is simply high blood pressure, but it is not higher than 180/110, so there is no need to rush to lower blood pressure. Generally speaking, oral antihypertensive drugs can be adjusted. Therefore, if you find relatively high blood pressure, you should decide whether to lower blood pressure quickly based on the specific blood pressure value and the patient's comorbid diseases, rather than saying that it is not appropriate to lower blood pressure quickly. All rights reserved by Cardiovascular Dr. Wang, any plagiarism will be investigated! #Qingfengplan# Disclaimer: The above content comes from the Internet, and the copyright belongs to the original author. If there is any infringement of your original copyright, please inform us and we will delete the relevant content as soon as possible.