“Hidden” hypertension in young people, do you have it?

2022-07-20 0 By

As soon as you go to work, you feel dizzy, weak and depressed. You think that you are tired of working. Perhaps it is the work volume to the soaring blood pressure.And now more and more young people inadvertently entered the ranks of hypertension.According to health statistics in 2021, the number of hypertensive patients under the age of 35 in China has exceeded 70 million.In addition, according to the data survey of The Lancet, the detection rate of hypertension was 37.2%, and the awareness rate of hypertension among patients diagnosed with hypertension was 36%.That’s 36 out of 100 people diagnosed with high blood pressure, and 24 of those with hypertension don’t know they have it.Nearly 70% of young people don’t know they have high blood pressure!Illness without knowing it, this may be a common disease of young people, just like a popular saying in young people “as long as I do not have a physical examination, I am not sick”, often think that just too tired, rest and rest.As everyone knows, the red light of hypertension has been lit up. While we are running about for KPI, we should also press the pause button appropriately, go to the physical examination center or follow Dr. Sahashi to see whether our blood pressure alarm has been sounded.01 How to recognize symptoms?1) Hypertensive emergency is a manifestation of severe elevated blood pressure, which can lead to stroke in serious cases.Systolic blood pressure greater than 180 mm hg or diastolic blood pressure greater than 120 mm Hg can damage blood vessels [1], causing inflammation of blood vessels and the possibility of leaking fluid or blood, so that the heart may not be able to pump blood effectively, causing damage to organs (especially the brain, eyes, heart, aorta, or kidneys).The signs and symptoms of potentially life-threatening hypertensive crises may include: severe chest pain, severe headache, accompanied by blurred consciousness and vision, nausea and vomiting, severe anxiety, shortness of breath, seizures, unresponsive, etc. [1].2) Ask the patient if the patient usually has a history of hypertension and takes antihypertensive drugs for a long time, and suddenly feels severe discomfort such as chest pain, nausea and shortness of breath, it is considered as the symptoms of hypertension.1) Rest In a hypertensive emergency, keep the patient calm and rest on their side in a comfortable position to secure the surrounding area and loosen tight clothing.If the patient feels cold, cover him with a blanket or coat.If the patient has vomiting symptoms, help him clean up vomit in time to avoid choking caused by vomit.2) Monitoring patients if possible, patients’ blood pressure can be regularly tested to see whether it reaches the level of hypertension emergency.If the patient is unconscious, close attention should be paid to the patient’s breathing and pulse. Once respiratory pulse is found to have stopped, CPR should be performed immediately.3) Timely medical treatment When the symptoms of hypertension emergency need to immediately call 120, to provide as much information as possible to the emergency staff.How to prevent hypertension?1) Causes of hypertensive emergencies include: when forgetting to take blood pressure medication, stroke, heart attack, heart failure, renal failure, rupture of the body’s major artery (aorta), drug interactions, convulsions during pregnancy (eclampsia) [2].Therefore, it is necessary to take antihypertensive drugs on time and monitor blood pressure regularly as prescribed by the doctor, pay attention to the prevention and treatment of cardiovascular and kidney diseases, take a variety of drugs under the guidance of the doctor or pharmacist, and pay attention to the timely delivery check-up during pregnancy.2) Lifestyle factors that may increase the risk of hypertension include a salty diet, insufficient fruit and vegetable intake, lack of exercise, excessive alcohol consumption, consumption of coffee or other caffeinated beverages, smoking, too little sleep and poor quality of sleep, and these unhealthy lifestyle factors should be avoided as much as possible.04 Special tips!In daily life, hypertension emergency is very rare, usually high blood pressure untreated, such as patients do not take blood pressure medication, or take over-the-counter drugs that aggravate high blood pressure.So to diagnose a hypertensive emergency, doctors ask patients a few questions to better understand their history.It is often necessary to know all medications the patient is taking, including over-the-counter medicines, health supplements and traditional Chinese medicine.It is important to note here that hypertensive emergencies in pregnant patients, which may be secondary to preeclampsia or eclampsia, are defined as blood pressure exceeding 160 mmHg systolic or 110 mmHg diastolic [4].[1] Thomas L (October 2011). “Managing tensive emergencies in the ED”. Canadian Family Physician. 57 (10):[2] Patel R, Et al. Blood pressure management during hospitalization. Hospital Medicine Clinics. 2016;5:529.[3] Taylor D. Hypertensive crisis: A review of pathophysiology and treatment. Critical Care Nursing Clinics of North America. 2015;27:439.[4] Walls, Ron; Hockberger, Robert; Gausche-Hill, Marianne (2017-03-09). Rosen’s emergency medicine : concepts and clinical practice. Walls, Ron M.,, Hockberger, Robert S.,, Gausche-Hill, Marianne (Ninth ed.). Philadelphia, PA. ISBN 9780323390163.Original title: “Hidden” hypertension in young people, do you…?”