China News Service, May 17 (Reporter Chen Jing) High blood pressure is just an increase in blood pressure, a little dizziness and headache?
There are a large number of hypertensive patients in China, but many patients have little knowledge about the deep damage of hypertension to the body and the heart, brain, and kidney diseases caused by hypertension.
In an interview on the 17th, many experts unanimously called for the treatment of hypertension to shift from pure blood pressure reduction to full management, taking into account the organ protection of the heart, brain, kidney and blood vessels, and reducing the risk of cardiovascular and cerebrovascular events.
On the occasion of "World Hypertension Day", the reporter learned that the current hypertension management faces many challenges: the low compliance rate and the high proportion of comorbidities have aggravated the damage to the heart, brain, kidney and other organs; Damage to other organs has significantly increased the risk of cardiovascular death; complications of hypertension, such as stroke, coronary heart disease, and heart failure, have a high incidence.
The theme of this year's World Hypertension Day is "Accurate Measurement, Effective Control, Healthy and Longevity".
Professor Sun Ningling, chief physician of the Department of Cardiology, Peking University People’s Hospital, said in an interview that high blood pressure not only causes symptoms such as headaches, dizziness, and tinnitus, but more serious damages to the heart, brain, kidneys and blood vessels throughout the body, thereby increasing the incidence of heart disease. The risk of cerebrovascular disease.
It is reported that the proportion of Chinese hypertensive patients with heart, brain and kidney disease is as high as half, and one third of cardiovascular deaths can be attributed to hypertension.
How does high blood pressure harm the heart?
Professor Mu Jianjun, deputy dean of the Cardiovascular Hospital of the First Affiliated Hospital of Xi’an Jiaotong University, told reporters: “The long-term failure to effectively control hypertension will cause the blood vessels of the whole body to be in a state of high pressure for a long time. Failure.” He explained vividly that long-term high blood pressure can cause substances like millet porridge to deposit in the blood vessel walls and form plaques.
However, vulnerable plaques may rupture under the stimulation of intense exercise, mood swings and other incentives.
Mou Jianjun explained that plaque rupture stimulates the self-repair function of blood vessels. At this time, a large number of platelets and thrombin will gather at the place where the plaque ruptures. Just like a traffic accident, the traffic police and fire brigade rushed over to deal with the accident. A thrombus will be formed when it accumulates, blood vessels will be blocked, blood will not flow through, and atherosclerosis will be formed.
It is reported that long-term atherosclerosis is a high-risk factor such as chronic heart disease, myocardial infarction, coronary heart disease, and these diseases can cause ventricular remodeling.
Mou Jianjun said that afterwards, all cardiovascular-related diseases will lead to heart failure in the terminal stage. If they are not well controlled, the quality of life of patients will be very poor, and they may even face life threats.
The harm of high blood pressure to the kidneys should not be underestimated.
Professor Liu Bicheng, Dean of Southeast University School of Medicine, pointed out that if perennial hypertension is not effectively controlled, protein components will appear in the urine, which is called "proteinuria."
If a patient with high blood pressure finds proteinuria, it means that the kidneys have been damaged.
Liu Bicheng vividly compared the glomerulus to a sieve for human health.
If the perennial high blood pressure is not effectively controlled, the sieve will be broken.
Long-term proteinuria will cause renal fibrosis, and the aggravation of renal fibrosis will make the kidney function worse and worse, and eventually progress to end-stage renal disease.
Professor Liu Bicheng explained that end-stage renal disease requires renal replacement therapy, including hemodialysis, peritoneal dialysis and kidney transplantation.
In addition to damage to the heart and kidneys, high blood pressure can also cause strokes (strokes).
Professor Song Haiqing, director of the Department of Neurology, Xuanwu Hospital of Capital Medical University, introduced: “Hypertension is the number one risk factor for stroke. The increase in stroke morbidity and mortality is closely related to the increase in blood pressure. Long-term hypertension will cause atherosclerosis. When the blood supply channel is blocked by atherosclerotic plaque, it can cause cerebral infarction."
Faced with the "serial pits" caused by high blood pressure, how to manage blood pressure scientifically?
Professor Sun Ningling said that based on the current clinical evidence, Saranangiotensin Receptor Enkephalinase Inhibitor (ARNI), which can effectively reduce blood pressure, continuously control blood pressure and protect organs, will be expected to become an innovative drug type for the treatment of hypertension.
In addition to drug treatment, in daily life, hypertensive patients should also pay attention to develop a healthy diet and good living habits, as well as maintain emotional balance.
Professor Sun Ningling reminded: “Once symptoms such as frequent headaches, dizziness, vertigo, tinnitus, chest tightness, insomnia, sleep snoring, foamy urine, etc. are found, one should consciously consider whether it is possible for high blood pressure, and go to a regular hospital for diagnosis and treatment as soon as possible. Step into the'serial pit' of high blood pressure."
She pointed out that whether it is a high-risk group of hypertension or patients with hypertension, the treatment strategy for hypertension should pay more attention to prevention, change from passive to active, not only focus on lowering blood pressure, but also consider long-term prevention of cardiovascular and cerebrovascular events.
In order to distribute health science services throughout Shanghai, and enhance the people's sense of health, security, and happiness.
The reporter learned on the 17th that the theme activity of "I Do Practical Things for the Masses" co-sponsored by the Shanghai Municipal Health Commission and the Office of the Shanghai Municipal Health Promotion Commission-the Shanghai National Health Literacy Improvement Science Popularization Service Delivery Project was officially launched.
During the year, the city organized 2,150 health science lectures in ten major fields, which were distributed to 107 streets, 106 towns, and 2 townships in 16 districts of the city.
The first batch of popular science lectures focused on ten thematic areas, including prevention and treatment of infectious diseases, prevention and treatment of common chronic diseases, bone health, mental health of the elderly, and mental health of the professional population. At the same time, the organizer will organize to invite Shanghai and even the country's authoritative experts to lead a team to conduct popular science lecture curriculum design and lecture team training. (Finish)