The problem is also very common, there are many people who have had high blood pressure for decades and suddenly their blood pressure is no longer high, normal, and they don't even need to take antihypertensive medication. What is going on here?

My observation: through the clinical observation of some of these types of patients, most of these patients have a mild cerebral infarction, and they don't have the feeling of having a cerebral infarction, which means that the part of the cerebral infarction doesn't affect the normal function of the patient's brain center, and there are no symptoms. When you go to do brain ct one day, ct will show that you have old brain infarction, these old brain infarction, mostly you don't know when you get brain infarction, because you don't have symptoms, that's it.

We have many patients who had a cerebral infarction and were hospitalized, but their blood pressure was normal instead. As long as we can observe carefully, we will find that these problems exist, just because doctors in hospitals nowadays are focusing on the results of all major examinations and ignoring the changes in blood pressure. This is because the patient's blood pressure was already normal when he was admitted to the hospital, and his blood pressure has been like this since he was admitted to the hospital.

It is difficult to say why this problem occurs. It may be that the patient's elevated blood pressure is caused by this cerebral blood vessel, and when an infarction occurs, the elevation of blood pressure is no longer meaningful, and the heart can no longer be stimulated to pressurize it, and so it becomes normal. Otherwise it is difficult to say why.

My mother is like this, when she was young, she always had high blood pressure, and she took antihypertensive drugs for decades, but then, she didn't know when her blood pressure was normal, and three years ago, she went to have a brain ct, and found out that there was an old brain infarction in her brain. I have found this in several patients. So I suggest you go for brain ct to see if there is an old cerebral infarction. Of course I am also observing that there are problems in this area and it does not mean that all the patients have it.

We can encounter similar patients in the hospital who were hypertensive, but suddenly their blood pressure normalized!

These cases also show us that while most high blood pressure may be a lifelong thing, there are very few cases of high blood pressure that are not lifelong high blood pressure.

As for the cause of the sudden normalization of high blood pressure, there are several possibilities:

I. Temperature changes

For some hypertensive friends, especially mild hypertension, usually just take a kind of antihypertensive drugs, blood pressure has been very ideal. When the temperature rises in summer, the blood pressure is suddenly measured to be low, so the antihypertensive drug is discontinued, and the blood pressure can be maintained at normal; however, in the fall and winter, the blood pressure will rise again, and the antihypertensive drug has to be taken in the fall and winter. This is a typical case of stable elevation, blood pressure drop, and stable lowering of blood pressure increase, which is more common for mild hypertension. But this does not mean that high blood pressure is good, but also need to measure blood pressure, especially the change of seasons, temperature changes, more should measure blood pressure to avoid delay.

II. Healthy living

Some patients with high blood pressure, initially found high blood pressure, began to take antihypertensive drugs, but at the same time adhere to a strict healthy life, eat more vegetables and fruits, control salt and oil, adhere to exercise, weight control, avoid staying up late, avoid sedentary and so on good habits. Gradually the blood pressure will get better and better with healthy living.

The high blood pressure that originally needs to be lowered by taking medication is getting lower and lower with healthy living, and even without medication blood pressure can be maintained in the normal range. This credit is fully attributed to the adherence to long-term healthy living, so it is not that once you take antihypertensive drugs, you have to take them for the rest of your life, especially these mild new-onset hypertension, if you can try your best to control it through healthy living, it is the best result, after all, the medicine is the way out of the situation.

III. Measurement issues

In addition to the two reasons mentioned above, a sudden normalization of blood pressure should really not be taken lightly. On the one hand, most people take long-acting antihypertensive drugs, that is, these drugs will remain in the body for a certain period of time, even if someone does not eat antihypertensive drugs for a few days in a row, there is a possibility that the blood pressure will be normal, but over time, as the body gradually metabolize the antihypertensive drugs completely, then the blood pressure will again rebound to high blood pressure, so long-term use of long-lasting antihypertensive drugs, can not be based on a few days not to eat antihypertensive drugs to determine that do not need to take antihypertensive drugs Blood pressure can be normalized, must be observed over a longer period of time.

There are also problems with incorrect blood pressure measurements, inaccurate sphygmomanometers, etc. In short, several consecutive measurements are needed to make a final judgment.

IV. Caused by disease

There is also a common cause, is caused by disease, itself is high blood pressure, taking antihypertensive drugs blood pressure is normal, but when some disease occurs, such as acute myocardial infarction, acute pulmonary embolism, various causes of shock, anemia, drinking and eating too little, sweating too much and other reasons may lead to low blood pressure. Especially myocardial infarction or pulmonary embolism may lead to low blood pressure is persistent, so some people with high blood pressure, after the occurrence of these diseases, do not need to take antihypertensive drugs, blood pressure may return to normal.

In short, we can only judge how high or low the blood pressure is if we know it first, so measurement is the key, and only by measuring diligently do we know how well the blood pressure is controlled and whether it is high or low.

If it is true that the blood pressure can return to normal without medication, then it is also recommended that it must be measured diligently for a period of time to determine whether the blood pressure is normal on the one hand, on the other hand, to rule out errors, and at the same time, for sudden low blood pressure, it must go to find out the cause, so as not to delay other diseases.

Hypertension is defined as systolic blood pressure ≥ 140mmHg (or) and diastolic blood pressure ≥ 90mmHg, with the change of living habits, hypertension has been a very common clinical disease, and is becoming increasingly younger and younger, if hypertension has been diagnosed without human intervention, allowing it to develop freely, it will lead to serious complications, like hypertensive heart disease, renal disease, causing strokes, etc., and severe life-threatening The most serious complications can be life-threatening. And already suffered from high blood pressure for more than ten years, do not take medication blood pressure normal, take medication blood pressure instead of lower is why?

• Prolonged high blood pressure has caused changes in the function of the heart, which is no longer strong enough to maintain ejection of blood, thus causing a decrease in blood pressure.
• Changes in dietary habits, high sodium diet plays a very important role in the development of hypertension, high sodium diet will cause water and sodium retention, the body in order to discharge the excess water and sodium, it will be through the regulation of systemic blood flow to make the vascular resistance and blood pressure rise, so as to achieve the discharge of excess water and sodium in the body, and many people were diagnosed with high blood pressure, began to focus on the health of the diet, low-sodium low-fat and low-sugar diets, so as to achieve the purpose of lowering blood pressure.
• Temperature changes, many patients with hypertension in self-testing blood pressure will find that the winter blood pressure will be relatively high, the summer will be relatively low, this is because the cold weather vasoconstriction, vascular resistance increases, causing blood pressure, while the summer is the opposite.
• The underlying disease is controlled and the blood pressure is divided into primary and secondary hypertension. For patients with secondary hypertension, when the primary disease is controlled, the blood pressure will drop or even return to normal.

In conclusion, if there is a change in blood pressure, it is best to go to the hospital for further examination to confirm the diagnosis, follow the doctor's advice and adjust the treatment program in time.

48 years old suffering from high blood pressure, has been using medication, the earliest to eat rutin, compound rooibos tablets, and then eat shoupishan half a day tablets, now 60 years old blood pressure is not high, after taking medication instead of low, stopping medication for a few months, has been the blood pressure is also normal, this situation is normal?

What is causing this? What do I need to do about it, adjust my medication or stop it?

Hypertension is a common disease, there are primary and secondary, can affect the kidneys, heart, cerebrovascular atherosclerosis, resulting in increased morbidity, and can cause headaches and dizziness and other symptoms, need to be actively treated, to prevent complications occurring in general, high blood pressure will not return to normal on its own.

You can do an electrocardiogram and cardiac ultrasound to see if there has been a myocardial infarction and other aspects of the problem, if the heart examination is normal, and since the drug has been discontinued, you can first do not use the drug, continue to observe, and if the late blood pressure rises again, you need to continue to use the drug

I am a geriatrician, usually treating most of the patients are elderly, some elderly patients have repeated hospitalization, and some elderly patients have long-term follow-up, in the clinical work over the years, did find that some of the elderly have this situation, more than 20 years of hypertension, there is a period of time not to take medication is not high, take antihypertensive medication blood pressure will be on the low side. I will commonly lead to this change in blood pressure reasons summarized in the following three, for the existence of this situation hypertension patients reference, to avoid being "false blood pressure normal" deceived, to hypertension damage to the body to take advantage of the opportunity.

First, blood pressure will drop as we move into spring and summer while taking other vasodilator medications.

The fluctuation of blood pressure exists seasonally, generally speaking spring and summer, the temperature is relatively high season, blood vessels will be dilated, some people with hypertension blood pressure will drop. If at the same time combined with other diseases such as coronary heart disease, and take nitrate drugs (such as: isosorbide nitrate, isosorbide mononitrate), these drugs have vasodilatation, resulting in lower blood pressure. At this time and then according to the original dose of antihypertensive drugs, there may be low blood pressure, and even do not take antihypertensive drugs blood pressure is normal. However, when entering the fall and winter seasons, the weather turns cold, blood vessel contraction, blood pressure will rise again.

Therefore, patients with high blood pressure need to increase or decrease the amount of antihypertensive medication according to the season, the medication they are taking at the same time, and the monitoring of their blood pressure level, and should not remain unchanged. You should also not assume that your hypertension is better because your blood pressure is temporarily normalized or lowered, and even if your blood pressure is temporarily normalized, you should still monitor your blood pressure.

Second, the wrong time to take blood pressure and the wrong arm to take blood pressure.

The 24-hour blood pressure of most normal human beings shows a circadian rhythm of "two peaks and one trough":

Blood pressure is at a higher level between 0600 and 1000 hours and between 1600 and 2000 hours, known as the bimodal peak;

A 10-20% drop in blood pressure during the night, usually during sleep from 0-3 hours, is called nocturnal trough.

Without measuring blood pressure during peak blood pressure hours, and after the peak blood pressure, the blood pressure will drop to a certain extent under the body's regulation, then the blood pressure measurement may be normal, but the blood pressure measurement at the peak may be high.

The blood pressure of the two upper limbs of a healthy person may not be equal, the difference between the left and right sides of the blood pressure is about 10 to 20mmHg, generally higher on the right side, lower on the left side. At present, the general recommendation to measure blood pressure selection to the right upper limb shall prevail, if the difference in blood pressure between the two upper limbs more than 20mmHg need to rule out the existence of other diseases caused by, if exclude other diseases caused by, to the high side of the blood pressure shall prevail. Don't think that one side of the arm blood pressure is normal, is normal blood pressure.

Third, it is common for blood pressure monitors to be inaccurate.

Do not look at this situation, this situation is the most common, there are a variety of sphygmomanometers on the market, the traditional mercury column sphygmomanometer, advanced electronic sphygmomanometers, but also divided into the upper limb or wrist and so on. However, the quality varies, so you should not be misled into a normal blood pressure by such a low-level error as an inaccurate sphygmomanometer. If you are hospitalized or at any other time, it is best to compare your blood pressure with that measured by a hospital sphygmomanometer.

Summarize: theoretically high blood pressure is controlled but incurable disease, need lifelong treatment. If there is no need to take antihypertensive drugs, blood pressure is also normal phenomenon, can not say that 100% does not exist in this case, but most will not exist in this case. Generally speaking, the blood pressure is temporarily lowered for some other reasons, and the blood pressure will still rise after the factors leading to the lowering of blood pressure are removed, so it is very important to monitor the blood pressure in a scientific and regular manner. The application of antihypertensive drugs is not set in stone, need to be based on the monitoring of blood pressure levels and patterns, under the guidance of the doctor to adjust the type of antihypertensive drugs, take the dose and time of medication.

History of hypertension for many years, long-term treatment with antihypertensive drugs, blood pressure control is good. At present, the blood pressure is still at normal level after stopping the antihypertensive drugs. The level of blood pressure is not only related to the application of medication, but also affected by the season and temperature, as well as by exercise and diet. At this point, you can stop taking antihypertensive drugs, continue to insist on physical exercise, limit sodium intake, and monitor your blood pressure.

(I'm Luo Min, chief physician of a Grade 3A hospital, with more than 30 years of clinical experience in the first line of work of the "old" doctors, my efforts only to harvest everyone's approval, if my answer can help you, I hope you can like, attention, if you have any questions, you can comment or private message me, I will try to help everyone!)

Blood pressure is supposed to fluctuate! It can be affected by many factors! It's been high for 10 years and suddenly it's normal? Have you been taking antihypertensive medication?

Changing your diet and lifestyle habits can have an effect on your blood pressure! Advice for you, keep measuring your blood pressure more often! Don't think that just because it's suddenly normal that it's better! If there are no factors influencing it, it's a sudden event!

Normal blood pressure for years after taking medication, normal after stopping medication, but have to measure blood pressure often for fear of elevation, if it is high then take medication ... This is not good for blood pressure to go down and up, it is better to take medication often and reduce the amount of medication when the blood pressure is normal.

I think this phenomenon is multi-faceted reasons, first look at the season, summer heat winter cold, according to the principle of thermal expansion and contraction, blood pressure may be normal in summer; look at the age, taking more than ten years, is not at the same time also taking other medicines, the basic function of the heart whether there is deterioration, in common parlance is the lack of pressure of the pump, this should be noted; look at the way of life, the years of eating a light diet, regular life, plus emotional control and other factors may also slowly return to normal. Plus emotional control and other factors may also blood pressure slowly return to normal.

Some people with high blood pressure can normalize their blood pressure by living a healthy life with standardized medication, exercising and losing weight.