Sunday, August 24, 2008
How can cause the blood pressure entire day maintains steady
How can maintain entire day's blood pressure is steady? This is each patients with elevated blood pressure very issue of concern; Is also clinician must achieve diligently. Monitors 24 hour dynamic blood pressure, at present penetrated into the achievement to patients with elevated blood pressure's diagnosis and the treatment result determination target. After the observation discovery, in the light moderate primary patients with elevated blood pressure 24 hours have 2 blood pressure peaks and 2 troughs, namely 1-2:00 am are the entire day bottoms every day, then the blood pressure rises gradually; Gets up early 6-8 spots for the first blood pressure peak, after 8 o'clock, starts to drop; 12-13:00 pm for the second trough, then the blood pressure start to rise; 18-20 spots for the second peak, when is the entire day is highest, then the blood pressure gradually drops. We know hypertension's harm, its complication: To the heart, the brain, kidney's harm, the blood pressure is higher, the complication is more serious. In recent years, the medical experts have noted at night blood pressure and the complication relations. The patients with elevated blood pressure the blood pressure drops at night is bigger than 10% for the scoop blood pressure, is smaller than 10% for the non-scoop blood pressure. Many research proved that the scoop blood pressure heart blood vessel of brain complication formation rate must lower a lot compared to the non-scoop. This in fact indicated that at night the blood pressure and hypertension complication are closely related. we often see this kind of phenomenon, although some patients take medicine earnestly, but still sent entertains feelings the blood vessel of brain acute disease. Presents these phenomena the reason; first, applies the short effect blood pressure medicine; second, not according to blood pressure fluctuation rule medication. The short effect blood pressure medicine can only maintain for several hours, when to the next morning, the blood medicine density is very low does not even have, in addition is not prompt applies drugs, gets up early when the first peak blood pressure is unable to be under the control. to cause 24 hour blood pressure to be steady, certainly must defer to the blood pressure fluctuation rule and the voltage dropping medicine applies drugs reasonably in vivo response time, stressed that one day-long first medication time needs to get out of bed in 6:00 am time. If is the effect medicine, in the 5-6:00 pm clothing second time; If is the short effect voltage dropping medicine, these are only restricted in daytime blood pressure elevation should in 12:00 pm, a 5-6:00 pm each Canada clothing medicine; At night blood pressure elevation, best application persistent effect or effect voltage dropping medicine. In blood pressure wave efficiency or the movement surveys the patient blood pressure, is the best inspection and appraises the anti-hypertension to treat whether one of effective methods. When clinical occasionally measured after the blood pressure obtains the satisfactory result, should better appraise the blood pressure through 24 hour dynamic blood pressure monitor to be whether steady.
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