2, Hypertension grade 1, if treated with lifestyle intervention and generally observed for 3 to 6 months, those who are still not normal are to initiate antihypertensive drug therapy.

Currently our hypertension is categorized into three levels: the

This table shows at a glance that a blood pressure >140/90 requires consideration of hypertension.

140-159/90-99, which is classified as Grade 1 hypertension;

160-179/100-109, which is classified as hypertension II;

Anything above 180/110 is classified as Grade 3 hypertension.

The higher the blood pressure, the greater the danger and the greater the damage to the body's heart, brain, kidneys and blood vessels.

The higher the blood pressure the more likely you are to have a brain hemorrhage cerebral infarction, heart failure, kidney failure and so on.

This is our and Europe's Hypertension Level 2, and Americans have a standard that is 10 mmHg lower than ours, which means that our Hypertension Level 1 is Americans' Hypertension Level 2.

The higher the blood pressure the more dangerous, yes, but attitude determines outcome :)

It was mentioned above that Hypertension Level 3 is more dangerous than Hypertension Level 1, but if the person with Hypertension Level 3 is actively controlled and their blood pressure is normalized; and the person with Hypertension Level 1 is unconcerned, feels fine, and doesn't control it. The result is that Hypertension level 1 is worse than Hypertension level 3.

High blood pressure is not the only criterion for determining the risk of hypertension:...

While higher blood pressure is more dangerous, the more risk factors that are combined, or that have already caused heart, brain and kidney damage, then the danger is even greater.

Risk Factors:

1. Age > 55 years for men and > 65 years for women;

2. Smoking;

3. Dyslipidemia;

4. Family history of early onset cardiovascular disease;

5. Obesity and lack of physical activity;

6. Hyperhomocysteinemia.

Target organ damage:

1. Left ventricular hypertrophy;

2. Intima-media thickening and plaque in the carotid artery wall;

3. Impaired kidney function.

Clinical Disease:

1. Cerebrovascular disease;

2. Heart disease;

3. Kidney disease;

4. Peripheral vascular disease;

5. Retinopathy;

6. Diabetes.

The specific evaluation is the responsibility of the specialist, and we do not need to keep detailed records, but we need to understand that the higher the blood pressure, the greater the risk; the greater the risk of complications, the greater the risk; the greater the risk of combining other risk factors.

In short, a blood pressure between 160-179/100-109 is hypertension class 2, but low risk, high risk, very high risk, and depending on co-morbidities!

[Dr. Cardiovascular Wang formally authorized original protection, such as theft must be held legally responsible.]

What is high blood pressure?

Hypertension is a common chronic disease and one of the greatest threats to human health. Hypertension is an important risk factor for cardiovascular and cerebrovascular diseases, which are characterized by high morbidity, mortality, disability and recurrence rates, and can cause many complications.

Most people with high blood pressure have no specific symptoms and fewer signs other than higher blood pressure, and are usually discovered during health checkups or visits for other illnesses.

Diagnostic criteria for hypertension: systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg at 3 measurements on non-simultaneous days without the use of antihypertensive medications. systolic blood pressure ≥140 mmHg and diastolic blood pressure <90 mmHg are diagnosed as simple systolic hypertension.

The patient had a history of hypertension and was currently on antihypertensive medication and was diagnosed with hypertension even though his blood pressure was below 140/90 mmHg. According to the level of elevated blood pressure, hypertension was further categorized into grade 1, grade 2 and grade 3.

The dangers of chronic hypertension:

High blood pressure can damage blood vessels causing atherosclerosis

High blood pressure can damage the heart with left ventricular hypertrophy, myocardial strain, and in severe cases, heart failure.

High blood pressure will cause some damage to the kidneys, leading to renal insufficiency, and renal insufficiency will prompt the blood pressure to increase, forming a vicious circle. The damage to the kidneys caused by hypertension can be severe enough to cause uremia.

High blood pressure damages the blood vessels in the brain, leading to strokes.

High blood pressure can cause lesions in the retina, leading to vision loss.

Hypertension and blood pressure levels are independent risk factors for the occurrence and prognosis of cardiovascular events, but are not the only determinants.

Prevention and treatment of hypertension

A healthy lifestyle, especially a reasonable dietary structure, plays an important role in the prevention of hypertension and even in the recovery from the disease. After being diagnosed with hypertension, first of all, you should use medication correctly under the guidance of your doctor to lower your blood pressure smoothly, and do not change or stop medication suddenly, as large fluctuations in blood pressure can be harmful to your body. At the same time, intervene in the lifestyle, such as:

1. Reduce sodium intake. Control the use of salt for cooking, and keep the daily salt consumption within 5g; reduce sodium-containing condiments such as monosodium glutamate (MSG), soy sauce, etc.; eat less or no processed food with high sodium content, such as salted vegetables, ham, sausage, etc.; those with good renal function can choose low-sodium balanced salt containing potassium.

2. Weight control: Gradual and progressive weight loss for those who are overweight, with a general loss of 10% as the treatment goal.

3. Dietary habits: Control total daily energy intake, eat less fatty, deep-fried, fried and grilled foods, correct bad eating habits, and eat more fresh vegetables and fruits.

4. Adequate physical exercise: the form and amount of exercise should be based on individual interest and physical condition.

5. Cessation of smoking and limitation of alcohol consumption are not advocated for hypertensive patients, and if alcohol is consumed, it should be limited to a small amount: less than 50 ml of liquor, 100 ml of wine (rice wine) and 300 ml of beer.

6. Reduce mental stress, maintain a good psychological state and try to avoid unnecessary mental tension and emotional fluctuations.

7. Regular self-monitoring of blood pressure.

References:

Chinese Guidelines for the Prevention and Treatment of Hypertension, 2010 Revision

Primary hypertension is a cardiovascular syndrome characterized by elevated arterial pressure in the body circulation, often referred to simply as hypertension.The diagnosis of hypertension is based primarily on office measurements of blood pressure at the brachial artery site of the upper arm at quiet rest, using an approved mercury column or electronic sphygmomanometer, and generally requires three measurements on non-simultaneous days.systolic blood pressure are greater than or equal to 140 mm Hg.and/orDiastolic blood pressure greater than or equal to 90 mmHg; a history of hypertension, currently using anti-hypertensive medication, and a current blood pressure that does not reach the above levels should also be diagnosed as hypertension. The United States has recently revised the criteria for hypertension, defining hypertension as a condition in which the systolic blood pressure≥130/80 mmHg.

Hypertension class II, is defined as, systolic blood pressure 160 to 179mmHg and/or diastolic blood pressure90 to 99 mmHg, Hypertension II is also equivalent to moderate hypertension.

Hypertension develops to the second level, at this time there is generally left ventricular hypertrophy, general or local narrowing of the skull base artery, proteinuria is mildly elevated, such as cardiac, cerebral, renal damage organic lesions, but the function is still in a compensatory state, should be strengthened hypertension treatment, so as to avoid the development of the third level, the principle of drug therapy, should be a combination of medications, two or more medications are used in conjunction with the use of medications such as risperidone, hydralazine and diuretic drugs used in conjunction with the use of drugs, or then choose to add an enzyme inhibitor, Postganglionic sympathetic inhibitors, ganglionic blockers, or adrenergic receptor blockers, etc., starting from a small dose, until effective, if no effect to the tertiary treatment.

Hypertension treatment in addition to drug therapy, diet and exercise is also very important, low-sodium (less salt) diet, control dietary fat, eat more food rich in vitamin C, quit smoking, exercise, in the treatment of hypertension, rational nutrition is very important, and its effect is sometimes no less important than antihypertensive drugs, through the dietary mediation control of blood pressure, can significantly reduce the mortality rate of cerebrovascular accidents and coronary heart disease. Hypertension level 2 already has a certain degree of heart, brain, kidney and other vital organs of the human body organic damage, further development of the function of these vital organs will be in a state of failure to compensate for the state, resulting in more serious consequences, therefore, the treatment of drugs coupled with diet and other comprehensive treatment is more important.

In addition, after the latest definition of hypertension in the United States, it is also a matter of concern whether our country will make adjustments to the corresponding standards. If adjustments are made, then the diagnostic criteria for hypertension will be greatly simplified, and there will no longer be a grading of hypertension.

Hypertension is also categorized as mild to moderate, which corresponds to levels one, two and three. Grade II hypertension is defined as moderate hypertension. So how is mild to moderate hypertension divided? I will give you an introduction.

Our blood pressure measurements are divided into two parts, a systolic and a diastolic. The systolic blood pressure is the larger number and the diastolic blood pressure is the smaller number. Systolic blood pressure is the pressure inside the blood vessels when the heart is contracting and diastolic blood pressure is the pressure inside the blood vessels when the heart is diastolic.

A normal person's blood pressure is systolic blood pressure less than 140 mmHg and diastolic blood pressure less than 90 mmHg

Mild (grade 1) hypertension is defined as hypertension with a systolic blood pressure of 140-159 mmHg and a diastolic blood pressure of 90-99 mmHg

Moderate (grade 2) hypertension is defined as hypertension with a systolic blood pressure of 160-179 mmHg and a diastolic blood pressure of 100-109 mmHg

Severe (Grade 3) hypertension is defined as hypertensive patients with systolic blood pressure greater than 180 mmHg and diastolic blood pressure greater than 110 mmHg.

For example, if a person's blood pressure is 164mmHg/90mmHg, according to the grading above, looking at the systolic blood pressure belongs to second-degree hypertension, and looking at the diastolic blood pressure belongs to first-degree hypertension, and at this time the higher one is dominant, this patient is second-degree hypertension.

Grade 2 hypertension is moderate high blood pressure.

This is one of the classification methods of hypertension according to the patient's blood pressure level. The scope of this classification is for male and female adults over 18 years of age [1]. Clinically, hypertension is categorized into the slowly progressive type and the rapidly progressive type according to the urgency of the onset and progression of the disease. Rapidly progressive hypertension is also known as malignant hypertension because of the rapid progression of the disease and the significant increase in blood pressure. Slowly progressive hypertension can be categorized into mild, moderate, and severe hypertension according to the value of the blood pressure range.

First, it is necessary to determine that the patient is hypertensive, i.e., without the use of antihypertensive drugs, not measured on the same day (3 days) with a blood pressure value of: systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg; if the systolic blood pressure ≥140 mmHg and the diastolic blood pressure <90 mmHg, it is defined as simple systolic hypertension, which is generally characteristic of hypertension in the elderly; if the patient has a high blood pressure history and is currently on blood pressure-lowering medication, hypertension was diagnosed even if the blood pressure level was less than 140/90 mmHg [1]. After the diagnosis of hypertension, patients are classified as having Grade 1, Grade 2, or Grade 3 hypertension based on the level of elevated blood pressure, and, for patients over 18 years of age, based on the value of the blood pressure range [1].

Grade 1 hypertension (mild hypertension), which has a range of blood pressure values: systolic blood pressure in the range of 140-159 mmHg and/or diastolic blood pressure in the range of 90-99 mmHg;

Grade II hypertension (moderate hypertension), which has a range of blood pressure values: systolic blood pressure in the range of 160-179 mmHg and/or diastolic blood pressure in the range of 100-109 mmHg;

Grade 3 hypertension (severe hypertension), with a range of blood pressure values: systolic blood pressure ≥180 mmHg and/or diastolic blood pressure ≥110 mmHg; when systolic and diastolic blood pressure belong to different grades, the higher grading shall prevail.

[References][1] Liu Lisheng. Guidelines for the prevention and treatment of hypertension in China 2010[J]. Chinese Journal of Hypertension,2011,19(08):701-743.

Author: Wang YuMember, Department of Pharmacy, Pharmacy Network, No. 477 Hospital, PLA

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

I. How is hypertension graded?

Hypertension is graded according to the level of blood pressure. Blood pressure is graded according to not only the systolic blood pressure, but also the diastolic blood pressure, and the higher of the systolic or diastolic blood pressure is used as the reference standard for grading. For example, if a patient's systolic blood pressure is in the high blood pressure class 1 and his diastolic blood pressure is in the high blood pressure class 2 range, then the patient's classification is high blood pressure class 2.

(b) How is hypertension class II differentiated?

Grade 2 hypertension is defined as a patient's systolic blood pressure that is greater than or equal to 160 mm Hg and less than or equal to 180 mm Hg, and a diastolic blood pressure that is greater than or equal to 100 mm Hg and less than or equal to 110 mm Hg, which is referred to as grade 2 hypertension. As long as one of the blood pressure criteria, either systolic or diastolic, is within the range of Grade 2 hypertension, then the patient's hypertension is graded as Grade 2 hypertension.

Third, the higher the grading, the higher its risk?

All things being equal, the higher the patient's blood pressure rating means that the higher the patient's blood pressure, the greater his or her risk in relative terms! However, this does not mean that the higher the grading, the greater their risk. The risk stratification of hypertension is also related to other factors, such as the presence or absence of diabetes mellitus, smoking and alcohol abuse, and other risk factors such as target organ damage. The more risk factors a patient has in combination, the more comorbidities, and the more complications he or she has, the higher his or her risk stratification and the greater his or her risk.

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Hypertension is measured by two values, one is systolic and the other is diastolic, hypertension is mainly categorized into grade 1, grade 2, and grade 3 hypertension, while grade 2 hypertension means systolic blood pressure between 160-179mmHg or diastolic blood pressure between 100-109mmHg, the specific criteria are as follows.

If you are already in the second level of hypertension must be taken very seriously, because the clinical judgment of whether there is high blood pressure values are systolic blood pressure of 140 or diastolic blood pressure of 90, while the normal blood pressure is lower than 120/80mmHg, respectively, in fact, the 120-140 blood pressure has been abnormal, is not a little strange? Is this interval of blood pressure is not worth attention? Once in the second level of hypertension can be appropriate to take a little bit of antihypertensive drugs, but absolutely can not rely on, if you rely on antihypertensive drugs for many years, the subsequent complications of hypertension is also the inevitable result, such as: atherosclerosis, coronary heart disease, etc., hypertension is a chronic disease to deal with of course, dietary modification + nutritional interventions in order to really control or even cut off the root.

What is blood pressure? Blood pressure aids in the circulation of the blood to transport nutrients to the tissues and cells of the body. Without blood pressure, the blood would not be able to flow and people would not be able to survive! The generation of high blood pressure is also a slow process, the reasons are: high blood viscosity, due to the accumulation of trans fat in the blood vessel wall leading to narrowing of the blood vessels, or blood vessel elasticity is too poor, which is like a highway, once the traffic jam, then the driver will be driving the driver will be irritable, behind the car will become more and more congested, we envisioned that if the highway on both sides of the elasticity, elasticity is poor, so the car naturally Go slow, just like the human blood flow slows down, human nutrition can not be transported in time to the distant cell tissues are forced to raise blood pressure, the car blocked the road is very narrow, the same reason.

Therefore, in order to manage high blood pressure, you must improve the above 3 causes in order to truly reverse the blood pressure problem.

1. Improve blood vessel elasticity: blood vessels will age this is a natural process, we do everything we can to listen to God's will, as long as we do the right thing then the aging of the natural slow, improve blood vessel elasticity essential nutrients are proteins, vitamins ACE, calcium, magnesium and minerals, supplementation of the balance of these nutrients, you can effectively improve and alleviate the problem of blood vessel elasticity.

2. Reduce blood viscosity, this requires patients to eat more vegetables and fruits every day, more to the blood detoxification, we can squeeze some fresh vegetable and fruit juice to drink, 5-6 cups a day, a cup of about 200ml, such as cucumber juice, carrot juice, celery juice, etc. can be similar to a river, waste toxins deal with clean, the river is naturally clear, the human body blood is also the same.

3. Expand the vascular pathway, this is about trans fats, trans fats will accumulate in the blood vessel wall, resulting in blood vessels become narrower than before, so clean up these bad fats in order to expand the vascular pathway, the obese people should lose weight to lose weight, the dietary control of dietary control, a light diet every day is a necessary nutritional lifestyle, improve the above 3 points, blood pressure problems will also be solved, nutritional intervention prescriptions The prescription for nutritional intervention is as follows for your reference.
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The grading of hypertension is mainly based on the specific level of blood pressure (systolic and diastolic) values. The higher the blood pressure value, the higher the corresponding grading, and the more harmful it is to the human body. Hypertension grade 1: systolic blood pressure of 140-159mmHg and/or diastolic blood pressure of 90-99mmHg; Hypertension grade 2: systolic blood pressure of 160-179mmHg and/or diastolic blood pressure of 100-109mmHg; Hypertension grade 3: systolic blood pressure of ≥180mmHg and/or diastolic blood pressure of ≥110mmHg.

Hypertension grade 2 refers to a blood pressure status of 160 to 179 mmHg systolic and/or 100 to 109 mmHg diastolic.

Currently, it is estimated that the number of people suffering from hypertension in China has reached 270 million. Hypertension can lead to serious complications including stroke, coronary heart disease, heart failure, and kidney disease, with high rates of disability and death. In order to assess the risk of these serious complications and to determine the treatment strategy for hypertension, clinicians will use this grading of hypertension, combined with target organ damage and coexisting clinical conditions, to categorize hypertension into low-risk, intermediate-risk, high-risk, and very high-risk groups, which correspond to a 10-year risk of major cardiovascular events of less than 15%, 15% to 20%, 20% to 30%, and more than 30%.

These serious complications can only be effectively slowed or avoided by keeping blood pressure strictly within the target range. , the risk of stroke can be reduced by 35% to 40%, the risk of myocardial infarction by 20% to 25%, and the risk of heart failure by more than 50% with effective antihypertensive therapy.

Hypertension is a very common chronic disease, is the flow of blood in the body for the blood vessel wall pressure value to be higher than the normal value, the normal range of high blood pressure in: diastolic blood pressure is normal between 60mmHg-89mmHg, systolic blood pressure is normal between 90mmHg-139mmHg, then, more than how much is high blood pressure, high blood pressure is divided into a few levels?

There are three levels of hypertension:

1. Grade 1 hypertension: diastolic blood pressure between 90mmHg and 99mmHg, systolic blood pressure between 140mmHg and 159mmHg. Hypertension in this grade can be controlled by diet and lifestyle, eating more green vegetables and fruits, such as celery, broccoli, apples, soy products, and so on.

2. Grade II hypertension: diastolic blood pressure between 100mmHg-109mmHg and systolic blood pressure between 160mmHg-179mmHg. This level of hypertension requires medication to stabilize the blood pressure normally, not just attention from life and food.

3. Third-degree hypertension: when the blood pressure has reached greater than or equal to 180/110mmHg, it is already the third-degree hypertension, this level of high blood pressure must be actively to control, because this degree of high blood pressure has been very serious, but also cause some complications.

A high pressure of 150 and a low pressure of 110, as we said above, would be grade 3 hypertension and would definitely require medication, as far as harm is concerned.

The dangers of high blood pressure:

1. Harm to the heart, long-term elevated blood pressure will affect the heart, resulting in changes in the structure and function of the heart, hypertrophy of the ventricles, and, in serious cases, arrhythmia, heart failure and other symptoms.

2. Lead to cerebral hemorrhage, high blood pressure will make the arterial blood vessels affected, in the case of long-term high blood pressure, will make the blood vessels in the brain ischemia or degeneration, will cause cerebral aneurysm, cerebral hemorrhage symptoms. If the symptoms of cerebral hemorrhage occurs, it will be life-threatening, even if the rescue will have sequelae, so, in normal times, we must actively control the blood pressure, to maintain the blood pressure in the normal range.

3. Atherosclerosis, high blood pressure can lead to atherosclerosis in the brain, which can lead to cerebral thrombosis. Cerebrovascular disease, the consequences will be very serious, and high blood pressure will trigger the emergence of cerebrovascular disease, so when high blood pressure, must not be taken lightly, to avoid the occurrence of more serious consequences.

4. Make kidney disease, high blood pressure formation and maintenance of the kidneys are involved, so when the blood pressure problem, then the kidneys will also be affected, long-term high blood pressure, will make the kidneys appear renal arteriosclerosis symptoms, there will be a lot of urine in the evening, urine and protein, long-term, then the renal parenchyma will accelerate the necrosis, serious will lead to renal failure, uremia and other diseases.

Therefore, although patients with Grade 2 hypertension cannot be said to be terminally ill, it is by no means a minor disease either. If patients do not take timely and effective therapeutic interventions, then as time goes by, the blood pressure will continue to climb, which will ultimately lead to damage of the target organs and induce related diseases.

I hope my answer helps you!

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