My blood pressure was originally normal, but a physical examination suddenly revealed high blood pressure. The high blood pressure reached 150, and the low blood pressure was more than 90. Is this a serious problem? Do I need to take medication to control it?

First of all, if the blood pressure is found to be 150/90 during the physical examination, there is no need to be too nervous. Many times, nervous emotions affect the sympathetic nerves and cause vasoconstriction, which in turn leads to the emergence of a "false" high blood pressure problem. Usually, for some cases where the blood pressure rises when measured in the clinic, but is fine when self-measured at home, we call it "white coat hypertension". For friends who are suspected of this situation, you may wish to do a 24-hour blood pressure monitoring, which can Clearly rule out whether there is really a problem with high blood pressure.

If it is not caused by emotional stress, and the blood pressure measured in multiple clinics exceeds 140/90, and the self-measured blood pressure at home also exceeds 135/85, it can usually be diagnosed as hypertension. But if the high pressure is over 150 and the low pressure is over 90, is this considered serious? In terms of blood pressure value, this blood pressure value still belongs to the first-level hypertension, that is, primary hypertension. It is not serious, but it is enough to attract attention.

For such a blood pressure value, is it necessary to take medication to control it? It still needs to be determined on a case-by-case basis. If you have high blood pressure, there are also cardiovascular disease risks such as hyperlipidemia and diabetes, or there are already targeted organ damage problems caused by high blood pressure, such as hypertensive nephropathy, coronary heart disease, etc., In this case, it is recommended that once hypertension is diagnosed, even if it is a primary hypertension problem, drug intervention should be provided immediately. Through life adjustment intervention, coupled with reasonable drug control, controlling blood pressure below 140/90 is regarded as reaching the standard. If the body tolerates it, especially for hypertensive patients with diabetes, it would be better if the blood pressure can be controlled below 130/80.

But if it is a simple first-level hypertension problem, you can consider not taking medication first, and adopt a low-salt diet, improve your diet structure, increase exercise, quit smoking and limit alcohol, maintain a calm mind, control obesity, and avoid staying up late. Blood pressure will usually be reduced and improved to a certain extent through various aspects of life adjustment. Normally, if the blood pressure can return to the standard after 3 months of life adjustment, you should continue to maintain a healthy lifestyle and adjust and control blood pressure. However, if your blood pressure remains high after three months of lifestyle intervention, you should still choose drugs to control your blood pressure.

Whether high blood pressure is serious should not just look at the blood pressure value, but also consider other cardiovascular disease risks, and whether high blood pressure has caused targeted organ damage. For people with high risk of cardiovascular disease In risky situations, even grade one hypertension should be controlled as soon as possible. But it needs to be pointed out that while taking medicine to control blood pressure, the strict self-discipline in life must not be relaxed. If you do not control your life, just relying on taking medicine to control blood pressure is equivalent to walking on one leg, and it is difficult to truly control blood pressure stably. .

In terms of drug selection, usually for primary hypertension, it is recommended to take a single drug to control it, such as the sartan drugs, prici drugs, dipine drugs, and thiamine drugs that we often talk about. Azine diuretics, etc., can be used as the first choice drug for the control of first-level hypertension depending on the body's different conditions and drug tolerance. However, in this case, especially first-level hypertension, it is also accompanied by a high risk of cardiovascular disease. In this case, the combination of two low-dose antihypertensive drugs to control blood pressure can also be considered and recommended as a way to lower blood pressure. Regardless of whether you take one drug or two drugs, the ultimate goal is to tolerate it, control blood pressure to the target, and reduce the risk of cardiovascular disease.