Experts call on hypertensive patients to pay attention to heart rate through "three highs" co management
2023-05-19
Currently, the population of hypertensive patients in China is constantly increasing. Professor Sun Ningling, Chairman of the Hypertension Branch of the China Association for the Promotion of International Exchange in Healthcare and a renowned cardiovascular expert, stated in an interview here on the 18th that for hypertensive patients, managing blood pressure and blood lipids while managing blood pressure and heart rate levels is of great value; Patients who have suffered from diabetes and dyslipidemia are also high-risk groups of hypertension. This expert pointed out that co management of the "three highs" (high blood pressure, high blood sugar, and high blood lipids) will produce a "1+1+1 gt; 3" synergistic effect, significantly reducing the incidence and mortality rate of cardiovascular and cerebrovascular events, as well as chronic kidney disease. It is understood that due to the lack of obvious symptoms in the early stages of hypertension, patients often neglect long-term management of blood pressure, resulting in the current "three highs and three lows" characteristics of Chinese people's blood pressure, namely "high incidence, high mortality rate, high disability rate", "low awareness rate, low medication rate, and low effective control rate". Professor Sun Ningling admits that hypertension is not far from us. Unhealthy diet, long-term mental stress, obesity, etc. can all lead to excessive activation of the sympathetic nervous system. Once the sympathetic nervous system is activated, blood pressure will significantly increase. As one of the most important risk factors for cardiovascular disease, hypertension can cause damage to target organs such as the heart, brain, and kidneys, leading to diseases such as coronary heart disease, heart failure, cerebral hemorrhage, and renal failure. Professor Sun Ningling bluntly stated that the fundamental goal of hypertension treatment is to reduce the overall risk of cardiovascular, cerebrovascular, and vascular complications and death. By lowering blood pressure, it can effectively prevent or delay the occurrence of complications such as stroke, myocardial infarction, heart failure, and renal insufficiency. Hypertensive patients need to regularly monitor their blood pressure levels, and the heart rate values on the blood pressure monitor also need to be monitored, "said Professor Sun Ningling, When a person's heart rate increases, their blood pressure will increase. The increase in heart rate shows the activation of the sympathetic nervous system. If the sympathetic nervous system is activated for a long time, it can lead to arteriosclerosis, endothelial dysfunction, arrhythmia, myocardial hypertrophy, and increased heart rate. Therefore, in addition to self testing at home, doctors should also pay attention to the heart rate value, especially whether the resting heart rate is greater than 80 times per minute For patients with hypertension accompanied by a fast heart rate, it is necessary to first investigate the causes and causes of the increase in heart rate in hypertension patients. Patients should do a good job in lifestyle management, such as reasonable diet, reducing salt and salt, quitting smoking and limiting alcohol, exercising regularly, controlling weight, maintaining a calm mindset, reducing stress and psychological stress. She said that if the improvement of lifestyle still fails to effectively reduce heart rate, timely medication intervention can be carried out, Under the guidance of a doctor, choose medication that simultaneously controls blood pressure and lowers heart rate. The first choice for treatment is to use antihypertensive drugs that have the effects of slowing heart rate and reducing sympathetic nerve excitability. Once treatment begins, it is important to persist for a long time and do not stop medication at will. The treatment plan should be changed under the guidance of a professional doctor. It is reported that data shows that many patients in China suffer from hypertension, diabetes and dyslipidemia at the same time. Hypertension combined with dyslipidemia increases the risk of cardiovascular and cerebrovascular events by 3-4 times; Hypertension combined with diabetes will
Edit：qihang Responsible editor：xinglan
Source：CNS.cn
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