When the blood pressure goes to 140/100mmHg, there are two aspects to be taken care of, i.e., lifestyle improvement and whether the party needs to take treatment. Below, the details are elaborated.

I. Improvement of lifestyle. Whether you are a healthy person or a hypertensive patient, especially the latter, you need to ensure a healthy lifestyle. This includes diet, exercise and weight.

Diet

Dietary interventions are aimed at lowering LDL cholesterol, lowering saturated and trans fatty acids, and lowering total energy.

1. Control saturated fatty acids and meat foods, such as fatty meats and cream. Try to eliminate trans fatty acids, such as fried foods.

2. Increase the intake of unsaturated fatty acids. Try to choose corn oil, olive oil, etc. for cooking.

3. Low cholesterol diet.

4. <6g of salt per day.

5. Increase potassium in moderation. Eat plenty of fresh vegetables and fruits.

6. Consume adequate amount of dietary fiber, 25-30g per day, from vegetables and fruits, suggesting 400-500g of vegetables and 200-400g of fruits per day. including leafy greens, cruciferous vegetables, legumes, etc.

7. Control the amount of alcohol. Drinking alcohol for health care is not recommended. It is recommended that men should not exceed 50 g of liquor (50°), 250 ml of wine and 750 ml of beer per day, and women should halve this amount.

8. Eat small meals, avoid overfilling, avoid smoking and strong tea.

Sports

It is recommended that patients with hypertension engage in appropriate physical activity. Of course, provided that the blood pressure control is stable people. It is generally recommended that aerobic exercise be performed for at least half an hour a day, guaranteed for at least five days a week.

body weight (usu. one's own)

It is recommended to keep your weight within a reasonable range. This is because obesity can significantly increase the incidence of cardiovascular disease.

II. Treatment with medication

Not all patients with high blood pressure need to take medication; a blood pressure of 140/100mmHg is the "threshold" for medication. If there is no damage to the body organs, there is no urgency to take medication.

For example, if the person is before the age of 45, has no risk factors for cardiovascular disease other than hypertension, and has no damage to target organs such as the heart, brain, kidneys, eyes, or blood vessels, and if the blood pressure is less than 160/100 mmhg, he or she may be able to control the blood pressure through dietary therapies in the first place. On the contrary, if it exceeds this blood pressure, active medication may be needed.

found a blood pressure of 140/100 mmHg.The first thing you need to do is continue to monitor your blood pressure, because one elevated blood pressure does not diagnose hypertension. If all three measurements of blood pressure on a non-same day are around 140/100 mmHg, then hypertension is diagnosed.

After a diagnosis of high blood pressure, lifestyle improvements are necessary and very importantIn addition, it is possible to reduce blood pressure to normal without the need for antihypertensive drugs. The most effective measures to improve lifestyle include: controlling the intake of sodium, 3-5g per day; reducing weight in a scientific way, and practicing appropriate exercise. In addition, if you have a habit of smoking and alcoholism, you should quit smoking and limit alcohol consumption, and avoid prolonged late nights and mental stress, which will also help to lower blood pressure and reduce the risk of heart attack, cerebral infarction and other diseases in the future. You also need to pay attention to keep your mind calm and avoid emotional excitement, which can cause a sudden rise in blood pressure and lead to accidents.

In addition to improving your lifestyle, you need to go to the hospital for some testsThe most important tests are: blood tests for lipids and homocysteine; microalbuminuria; cardiac ultrasound; and carotid ultrasound. These tests include: blood tests for lipids, glucose, liver and kidney function, and homocysteine; microalbuminuria; electrocardiogram, cardiac ultrasound, and carotid ultrasound. Then see a cardiovascular doctor for evaluation to see if you need to start taking antihypertensive drugs immediately. If so, choose the right antihypertensive drug for you under the guidance of your doctor, and don't listen to the introduction of antihypertensive drugs by your relatives and friends around you.

As a side note, in very young patients with hypertension, screening for secondary causes of hypertension is also needed.

Having high blood pressure and needing long-term blood pressure monitoring in the backgroundThis is also very important in order to see if your blood pressure is up to standard, and early achievement of blood pressure can significantly improve your prognosis. The blood pressure target for the general population is <140/90mmHg, and if it can be tolerated without discomfort, it is best to drop below 130/80mmHg for more benefit, but preferably not below 120/70mmHg.

Focus on health, focus on cardiovascular Dr. Xu!

Hello, I'm Dr. Knowles Blue.

In daily life, many people have to measure blood pressure, appear similar to the subject said blood pressure changes are very common, we will learn from the following aspects of such a state of blood pressure in the end what level and also how to treat, the precautions in life.

Diagnosis and Classification of Hypertension

• First, let's analyze what level such a blood pressure is at.Normal adult blood pressure is less than 120/80 mmHg, and blood pressure between 120 and 139/80 and 89 is called high normal, which means that although it is less than the diagnostic criteria for hypertension, it is in the pre-hypertensive stage.According to the diagnostic criteria of hypertension, three measurements of blood pressure higher than 140/90 mmHg on a non-same day are diagnostic of hypertension. Therefore, the subject's blood pressure value has reached the diagnostic criteria for hypertension.

• Graded according to the degree of elevated blood pressure, blood pressure 140-159/90-99 counts as hypertension grade 1, so 160-159/100-109 counts as grade 2, and blood pressure higher than 180/110 counts as grade 3.So 140/100 is basically considered grade 1 hypertension (diastolic just reaching grade 2).

Non-pharmacologic treatment of hypertension

The onset of hypertension is multifactorial, and in addition to genetic factors, much of it is due to poor lifestyle, so improving lifestyle is helpful in controlling blood pressure. Each person's specific situation is different, and the measures for it are also different.

• Low-salt, high-potassium diet：A low-salt diet is important for hypertensive patients, with a recommended intake of less than 6 g of sodium chloride per day.In fact, we live in the daily intake of sodium chloride more than 10g, or even 15g, 18g a large number of people, this must be noted, reduce the intake of sodium chloride is very good for blood pressure control.The other thing is high potassium, and a high intake of foods high in potassium is good for blood pressure control, such as fresh vegetables and fruits.

• balanced meal: Control total daily energy intake, more coarse grains and less rice and noodles, more vegetable oils and less animal oils, more unsaturated fatty acids and less saturated fatty acids, more fish, shrimp and meat and less pork, beef and sheep, and less animal offal.

• give up smoking and limit alcohol consumption: Cigarettes are meant to be quit with all the harms and none of the benefits, such as increased atherosclerosis, increased tumorigenesis, and lung disease.Limit alcohol consumption, preferably refrain from drinking; long-term alcohol consumption, especially in large quantities, tends to raise and fluctuate blood pressure, making it difficult to control.

• Reduce mental stress:Every day stressful life, work, in a high pressure a bit, mental tension, sympathetic nerve activation, blood pressure is easy to rise.Just relax and be happy about everything and maybe your blood pressure will improve.

• More exercise: such blood pressure is not too high, and proper physical activity helps to control it.Jogging, brisk walking, swimming are all good ways to exercise, not too strenuous, expensive to insist on.Exercise it for 30 to 60 minutes a day, three or five days a week for you, preferably more than five days.

• The body is important to watch out for:Use the body mass index formula to figure out what your body mass index is, preferably less than 24kg/m, greater than 24 is considered overweight, greater than 28 is considered obese. Some people's blood pressure is normalized as long as they lose weight.Especially those "big belly", male abdominal circumference of more than 90cm or female abdominal circumference of more than 85cm is considered obese.

Medication should be used.

• For most people with hypertension whose blood pressure is around 140/100, it is able to be controlled after a period of time, say 3 months, through positive lifestyle improvements.But there are still a few people do not have the means to adhere to a healthy lifestyle, such as heavy tastes accustomed to, a moment can not be reduced, the weight is there, drink water are fat. Then this situation can only consider drug treatment, can not be observed indefinitely.After all, chronic high blood pressure can cause damage to organs, such as the heart, brain, kidneys, and blood vessels.

• Choice of antihypertensive drugs:Theoretically, the five major classes of antihypertensive drugs most commonly used in clinical practice are all optional, such as diuretics (zinclorothiazide, etc.), betablockers (metoprolol, etc.), calcium blockers (amlodipine, etc.), angiotensin-converting enzyme inhibitors (Benadryl, etc.), and angiotensin receptor antagonists (valsartan, etc.).But for those who have a little more pronounced increase in diastolic blood pressure, usually young and middle-aged people, the choice of Prilosec/sartan is a little more, such as over a faster heart rate, "Lor" is good. Don't worry about this, just let your doctor choose for you.

In short, do not be too nervous about the first discovery of a blood pressure of 140/100, it is not too high. Improve your lifestyle first, after all, no one wants to take medication, but never empty words, to be put in place, will receive unexpected results. If the non-pharmacological treatment is ineffective, the medication or have to take medication, blood pressure down is the basic goal, and do not worry too much about the side effects of the drug, after all, only a few people occur, and the drug can be adjusted, blood pressure control, the benefits outweigh the disadvantages.

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Dr. Fung, a doctor in our department, is a hypertensive doctor himself, but he still has high blood pressure and still has to take antihypertensive medication!

There are a lot of people for high blood pressure feel very mysterious, in fact, we doctors also have a lot of people are hypertensive, there is no way to end up having to control blood pressure, doctors know more about the dangers of long-term high blood pressure is not controlled, so pay more attention to control blood pressure.

I am a cardiovascular doctor, that is, a doctor who sees high blood pressure, and quite a few doctors in our department have high blood pressure, especially those who are overweight, smoke and drink, often stay up late for surgery, and have a subject for an experiment. Some people ask: you doctors still smoke and drink, of course! Doctors are also ordinary people!

Likewise, doctors who take offense to high blood pressure get high blood pressure.

If you are asking what to look for in a blood pressure of 140/100, we present a cardiovascular doctor with a blood pressure of 140/100 and what he did that you can use as a reference.

I. How doctors themselves recognize high blood pressure

The patients we come into contact with the most are hypertensive patients, we certainly know the dangers of hypertension, we will not only introduce the dangers of hypertension to the patients, but we also know that hypertension can really harm people, because we can see every day a lot of hypertensive people, did not actively control hypertension, as a result of cerebral hemorrhage, cerebral infarction, myocardial infarction, heart failure, renal failure of the patients. Therefore, we cardiovascular doctors often measure their own blood pressure, once found that hypertension must be taken seriously immediately, to start a blood pressure control program, as far as possible, the blood pressure in a certain period of time down to normal.

II. How Doctors Lower Blood Pressure

We not only give hypertensive patients two ways to lower their blood pressure, but also know how to lower their own blood pressure. For 140/100 blood pressure, although theoretically belongs to grade 2 high blood pressure, but that is, low pressure just over grade 2 high blood pressure, because higher than 160/100 blood pressure is called grade 2 high blood pressure. But in fact, a blood pressure of 140/100 can also be approximated as class 1 hypertension.

For newly discovered grade 1 hypertension, if there are no symptoms and no heart, brain, kidney or other diseases, then you can start by just lowering your blood pressure solely through a healthy life, starting with quitting smoking and drinking, controlling your weight, adhering to exercise, reducing staying up late, and eating a low-salt, low-oil, low-sugar diet. This is the foundation of controlling high blood pressure, a part of grade 1 hypertension patients, through these methods, blood pressure can return to normal.

Especially young people, mainly with elevated low pressure, it is more important to do a good job of healthy living, healthy living is more effective in reducing low pressure. However, our Dr. Feng can't control himself, smokes and drinks, and often gets up in the middle of the night to rescue patients, and has recently been applying for a project, so he doesn't live a healthy life, and naturally, his blood pressure doesn't come down to normal through a healthy life, and he has to take antihypertensive medication at the end of the day.

III. Choice of antihypertensive drugs

For class 1 hypertension, generally a kind of antihypertensive drugs most can reduce blood pressure to normal, we in the choice of individual antihypertensive drugs, generally can choose diphenhydramine, Puli class, sartan class, diuretics and so on; of course, for purely low-pressure elevation generally can be Puli after the sartan, and so on the main.

If you can lower your blood pressure to normal with one antihypertensive drug, it is naturally easier, but if your blood pressure is still not normal after one antihypertensive drug, then you need to use a combination of antihypertensive drugs, that is, it seems to be a kind of antihypertensive drug, in fact, two antihypertensive drugs have already been compounded together at the time of shipment, for example, what is diphenhydramine, what is diphosgene sartan, what is diphenhydramine, what is diphosgene hydrochlorothiazide, what is diphosgene hydrochlorothiazide, what is sartan hydrochlorothiazide And so on.

Fourth, it's not all right to take antihypertensive drugs

Our healthy life and antihypertensive drugs have only one purpose and goal, that is, blood pressure standard, that is, our long-term healthy life, and long-term use of antihypertensive drugs is to normalize blood pressure, blood pressure is normal in order to reduce the risk of heart, brain, kidney and other diseases.

Always remember that healthy living is the foundation, antihypertensive medication is the means, and the goal is to achieve blood pressure. Blood pressure is naughty, it is not normal forever, it often fluctuates, so we also need to measure blood pressure frequently and make further adjustments if it fluctuates.

Dr. Feng still got high blood pressure even though he was a doctor of hypertension himself because he smoked and drank and stayed up late with a lot of stress; this is not something that everyone should refer to and learn from. However, Dr. Feng took his blood pressure seriously and lowered it to normal through antihypertensive medication; this attitude towards hypertension is worth learning from.

In short, even if you have a PhD in high blood pressure and don't live a healthy life, you can still get high blood pressure, and even if you have a PhD in high blood pressure, you have to take antihypertensive of last resort because the only thing that matters is a normal blood pressure!

This is a particularly good question. It calls for a greater awareness of hypertension. Because many people's blood pressure is in such a mildly elevated state, what to do or not to do? Whether to take medication or not need to be further evaluated. So, Dr. Zhang will talk about this topic today.

Two points should be noted in the treatment of these patients with newly elevated blood pressure:

1. Lifestyle changes

Many people occur high blood pressure, the main reason is because of the usual bad lifestyle, such as dietary intemperance, smoking, alcoholism, stay up late, obesity, lack of exercise and so on. Therefore, in the face of this kind of patients, the first place to pay attention to smoking, alcoholism, stay up all night to quit the bad habits, and at the same time pay attention to increase exercise, weight control, scientific diet, psychological balance, these bad lifestyle changes, are very conducive to the control of high blood pressure condition.

A lot of people have their blood pressure under control since then because they have improved their lifestyle, and then they don't need to take antihypertensive medication anymore. For some people who still can't get their blood pressure under control because of lifestyle improvements, it is likely that they will need to go to the next step, which is medication.

2. Drug treatment

Once high blood pressure is detected and lifestyle improvements are ineffective, many people may require a combination of antihypertensive medication regimens under the direction of a physician. Different hypertensive patients with different specific conditions may use different antihypertensive drugs. 5 major classes of antihypertensive drugs can be used, but specific to each person, or depends on the patient's specific condition. And in addition to a few examples, for example, for men who have high blood pressure during the day, high stress, smoking, fast heart rate, you can consider using beta blockers like Betalucil. And for patients who eat more salt, consider diuretics. For patients who also have diabetes as well as kidney damage can consider sartans and prilosec antihypertensives. And for many people with vascular sclerosis, diphenhydramine antihypertensive drugs have a good effect on lowering blood pressure, and are often even used in combination with several of the above antihypertensive drugs to lower blood pressure. In addition to the above 5 categories of antihypertensive drugs, there is a class of antihypertensive drugs can be used, that is, a receptor blocker, for some older men with prostate enlargement problem of hypertension, if there is nocturnal hypertension and hypertension in the morning, this time you can try to add terazosin before bedtime this kind of a receptor blocker. So, the above 6 categories of antihypertensive drugs can be used, but specific to each person, but also under the guidance of the doctor to see the specific circumstances, can not be generalized.

In short, blood pressure 140/90mmHg is relatively common, we do not need to be overly panicked, first change your lifestyle, if it is really not possible to use antihypertensive drugs under the guidance of a doctor, in most cases you can get your blood pressure under control.

According to the diagnostic criteria for hypertension, your blood pressure has reached the diagnostic criteria for hypertension, especially the high low pressure, which mostly occurs in younger people and in the early stages of hypertension. This should be treated with active intervention, otherwise it will soon manifest as classic hypertension with high pressure and low pressure.

The main causes of this higher low-pressure situation are over-salted food, too little exercise and excessive work pressure, resulting in insufficient blood supply to the brain and insufficient oxygen supply to brain cells. The human body will then activate the self-protection mechanism, through a series of pathways to make the sympathetic nerves excited, so that the vasoconstriction, the first manifestation of diastolic blood pressure increased.

In this regard, it is important to check for the presence of the factors mentioned above and make changes where possible, while at the same time doing the following details to be able to reduce blood pressure through lifestyle interventions.

• eat a light dietLimit salt and oil, eat more fresh vegetables and fruits, and maintain a normal weight. Salt has a very strong effect on blood pressure, studies have shown that for every 2 grams of salt less eaten, blood pressure will drop by 2-4 mmHg, and strive to keep daily salt consumption below 6 grams.

• Intensification of the campaignAdhere to more than 30 minutes of aerobic exercise every day, on the one hand, helps to maintain normal blood glucose, blood lipid levels, on the other hand, can effectively reduce the degree of sympathetic nerve excitability, to achieve the purpose of relaxation of blood vessels to reduce blood pressure.

• regular pattern of lifeWork and rest on time, don't stay up late, relax, and don't be in a hurry when things go wrong.

Hypertension is a lifelong disease that requires lifelong treatment once it occurs, especially in the early stages of its occurrence. Intervention treatment that focuses on the details of life will play a positive role in lowering blood pressure and maintaining a normal blood pressure level, and even more critically, the good habits thus developed will lay a good foundation for future blood pressure control.

I hope this answer can help you, click on the attention of the daily listening to health, together to learn and exchange more health knowledge].

This blood pressure needs attention, over time will also damage the cardiovascular and kidney. Exercise to lose weight, weight control will receive good results, in short, is to control the mouth and legs. I weight 88kg a few years ago, good appetite does not pay attention to exercise, blood pressure critical 90-140, and then resolved to lose weight, eat less dinner every day, fast walking exercise, now weighing 83kg, blood pressure down to 80-120 below. It took one year, and the results were immediate.

According to the description of your blood pressure should be blood pressure 140/100, that is, systolic blood pressure 140, diastolic blood pressure 100, hypertension has primary and secondary two kinds, but no matter primary and secondary should pay attention to the usual diet.

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High blood pressure diets pay attention to the following

(1) less salt and oil diet: we now know that high blood pressure to eat less salt, generally no more than 6g appropriate, that is, a small spoon, pay attention to light diet, eat less fat-rich foods, such as fat meat should be eaten as little as possible, fruits and vegetables can account for the proportion of diets more.

(2) Less cholesterol diet: animal offal should be banned, containing high cholesterol.

(3) prohibit smoking and alcohol: hypertensive patients must quit smoking and alcohol, tobacco and alcohol for hypertension is very unfavorable, too much stimulation of the cardiovascular system.

(4) Actively treat the primary disease: if secondary hypertension to the primary disease to be actively treated, so as to facilitate good control of blood pressure.

Now our country is a high incidence of cardiovascular and cerebrovascular diseases, to do a good job of primary prevention, the usual diet to pay more attention to, good control of body weight, maximize the prevention of hypertension has a history of only active treatment, regular monitoring of blood pressure, timely medical care.

A high blood pressure of 140 mmhg and a low pressure of 100 mmhg, if the diagnosed values are measured in the clinic, is already a case of hypertension, especially the diastolic blood pressure, and the value of 100 mmhg exceeds the hypertensive limit of 90 mmhg, which should be paid extra attention to.

For this situation, the first thing should be considered is to live on some of the regulatory intervention, if the original meal tastes heavy, then should try to reduce salt intake, if the body has obesity problems, it is best to lose weight to control the weight, especially the waistline to control, the general control of the waistline of women within 85cm, men's waistline control within the best 90cm, if the original do not like sports, should be strengthened exercise exercise, perseverance, if mood long-term tension, anxiety, depression, should learn to calm the mind, quit anxiety, if often smoking, drinking a lot, should quit smoking and alcohol. If the original do not like sports, should strengthen the exercise exercise, perseverance, if the mood of long-term tension, anxiety, depression, should learn to calm the mind, quit anxiety, if often smoking, drinking a lot of alcohol, should quit smoking and limiting alcohol, if often insomnia, sleep is not regular, but also as much as possible to regulate their own rest and leisure time, to ensure a good night's sleep. If you can do the above points, then adhere to a period of time, and then check your blood pressure value, there will often be some improvement, even if it has not reached 140/90 below the situation, at least it is also a steady decline.

In addition to life interventions to regulate blood pressure, it is also best to pay more attention to the daily monitoring of blood pressure in life, usually this condition of hypertension, if not controlled, tends to develop further, and blood pressure tends to have a further increase, jeopardizing the health of the cardiovascular system, therefore, at the same time as life regulation, pay attention to the daily monitoring of blood pressure, helps to understand the situation of their own blood pressure, and timely high blood pressure to intervention and treatment to reduce the risk of cardiovascular disease.

For through lifestyle intervention still can not effectively reduce blood pressure to 140/90mmhg below friends, can consider choosing a reasonable drug antihypertensive, Prilosec, sartans and other drugs, in general, can be over the effective reduction of blood pressure, and there is a certain amount of renal, cardiac and other target organs of the protective effect of the primary hypertension patients can choose the drug, the specific type of medication, please combine with their own Please consult with your clinician to determine the specific type of medication to be used.

Blood pressure is related to the age of the play, there is a congenital base pressure is high or low, as long as through the regular doctor at the same time even side three to four times can be diagnosed with high and low blood pressure results, if high in life must pay attention to eat less muddy, eat more vegetarian, strengthen their physical exercise, mood to be calm, emotions do not often excitement and stimulation, resulting in a sharp rise in blood pressure. Hypertension itself in Chinese medicine theory and liver, kidney, heart, Yin deficiency, so still dietary regulation is the best choice, or to check blood sugar, blood lipids, liver and kidney function of the situation, easy to grasp the body's condition, so that accurate symptomatic discretionary treatment, to avoid the emergence of its Zongzhongzhizi blindly, to do the best not to drink alcohol, do not smoke, do not often late at night to eat greasy food, such as hot pot, barbecue, skewers, etc., often seek medical conditioning of the intestinal tract. Often seek medical care to regulate the smooth flow of the intestinal tract, less likely to produce obesity and other syndromes, and heart, brain, blood and Kan lesions, and learn to self-care. Chinese medicine should be the first choice!