National Hypertension Day: Do you know your blood pressure?

Wen/journalist He Shehua correspondent Zhang Danna, Sari

Medical Guidance/Doctor of Cardiology Department of the People's Hospital of Guangdong Province, Luyuan, director of Hypertension Research Laboratory

Everyone knows about high blood pressure, but you know what? Our country each year new hypertension patient 10 million, mostly from normal high value "positive" come, and these patients had never detected blood pressure, never know their blood pressure value. In stark contrast to this, thanks to more than 70% of the population at home to monitor blood pressure, so the European and American region of high blood pressure control rate is very good.

Yesterday is "National Hypertension Day", this year's theme is "Know Your blood pressure." Guangdong Province People's Hospital Department of Cardiology physician, Hypertension Research director Professor Luyuan said, and blood pressure related to the four aspects of knowledge of their own must know.

Know 1:

"White coat effect" can be avoided by measuring blood pressure at home

There is a patient, every time in the outpatient measurement of blood pressure is high, and later found that he saw the doctor is nervous, doctors guide him to measure blood pressure will be transferred to the eyes of the doctor's office curtains, the result of the contraction pressure dropped 30mmHg suddenly. Luyuan said the patient was a typical case of the "white coat effect" of blood pressure in the consulting room.

It is taking into account the doctor's blood pressure is difficult to reflect the normal life of the patient's blood pressure, "China's education guide for hypertensive patients," specifically pointed out that the diagnostic criteria for hypertension is the consulting room to measure blood pressure 140/90mmhg, but to combine patients with self-rated blood pressure, self-rated hypertension diagnostic criteria for 135/85mmhg, the The ideal blood pressure in the consulting room was lower than that of 120/80mmhg, while the ideal blood pressure was lower than 115/75mmhg.

Chen Lu to worry about is that our country every year to add 10 million people with hypertension, most of them are from the normal high value of 130~139/80~90mmhg "positive", before these "new forces", Hypertension "reserve team" even most of them did not self-monitoring blood pressure.

In Europe and the United States, high blood pressure control rate is good, thanks to 70% of people at home to monitor blood pressure, and our country, the rate of hypertension awareness, treatment and control rates are lower than 50%, 40% and 10%, even hypertensive patients, adhere to the self-rated blood pressure is only 30%.

A study of 30 medical institutions, 194 doctors and 1985 patients in Beijing, Shanghai and Hangzhou showed that only 32.7% of doctors and about 10% of patients knew that 135/85MMHG was the standard for diagnosing high blood pressure at home. Only half of doctors think the blood pressure measurement in the consulting room is as important as the family blood pressure measurement.

Know 2:

High risk should be measured every six months blood pressure

Do not have high blood pressure also want to insist self-test blood pressure? Luyuan answered "yes" and stressed that the frequency of self-rated blood pressure varies from person to person.

Normal adults, without high blood pressure, should be monitored at least once every two years; 35 years old, once go to the hospital, regardless of the first diagnosis is which branch, must measure blood pressure; 130~139/80~90mmhg high blood pressure, obesity, diabetes, kidney disease and more than 60-year-old elderly people are high risk of hypertension, Need to test every six months, "U.S. surveillance found that more than 55 years old, even before the high blood pressure, and then 70% suffering from high blood pressure".

Hypertension patients are the most should adhere to the group of self test blood pressure, but not every day. If the blood pressure is stable, only need to monitor once a week; to winter, winter and spring, spring and summer seasons alternate season, or travel, overtime and other circumstances, need daily monitoring, continuous testing for 7 days. In patients diagnosed with hypertension or unstable blood pressure, the monitoring record is to be provided to the physician, who will take the average of 6 days to monitor the results, thus instructing patients whether they need to add or subtract drugs and reduce the improper treatment caused by only one blood pressure test in the consulting room.

Special need to remind is, too sensitive or belong to neurotic crowd, do not recommend self-rated blood pressure, Luyuan said, the midnight up to measure blood pressure, a look high on the disorderly medicine, such patients will only get worse.

Original title: Monitoring Hypertension Home measurement more important

Know 3:

Measurement of blood pressure should take sitting posture, back with dependent

In addition to knowing how often to measure blood pressure, Luyuan says, it is also important to measure the correct home.

The first is the self-test time, every morning and evening each monitoring, to the closest to the quiet state. After getting up in the morning, first defecate, sit 5 minutes after the test, the night to measure blood pressure, you have to avoid after the 60 minutes after the shower, 30 minutes after the bath two time period.

The second is to monitor the number of attention, can not simply test once, each time the blood pressure, need 3 times, discard the 1th pass after the average.

Again is the measurement posture, must take the posture, the back has the dependence, the bare upper arm and puts the upper arm lightly on the desk, the elbow does not leave the table and the upper arm and the heart level. This posture, shoulder, waist did not force, is the most accurate. In special cases, you can take a recumbent position or station. The elderly, diabetic patients and postural hypotension, should be measured by standing position of blood pressure.

Know 4:

Self-test does not recommend the use of Mercury-column Sphygmomanometer

What Sphygmomanometer is best for family self test blood pressure? Experts recommend automatic electronic sphygmomanometer, which is often considered the most accurate mercury-column sphygmomanometer, but not applicable.

Luyuan explained that although the accuracy and stability of the Mercury-column sphygmomanometer are higher, the technical requirements of the users are higher because they need to be monitored with a stethoscope to monitor the sound (Corleone tone). For environmental reasons, the Mercury-column sphygmomanometer will be eliminated globally in 2020, with only a small amount of the hospital being used for calibration and not for clinical use.

Electronic Sphygmomanometer design lightweight, easy to operate, showing clear, heart rate, blood pressure measurement once completed, if the correct use, can be as accurate as the traditional Mercury-column sphygmomanometer, more suitable for the general family. When you measure blood pressure, don't talk, don't move your arms or body. The electronic sphygmomanometer shall be sent to the specialized agencies for calibration every six months to one year.

Need to be particularly reminded that the current market on the sale of "finger-type Sphygmomanometer", "wrist-type Sphygmomanometer", although simple and smart, but the measured "blood pressure" is only the point of the pulse pressure value, and the real blood pressure there is a certain gap, can only be used for reference.

(Guangzhou daily Cho Junwei)