Must patients with high blood pressure take medicine for life? Of course not. Under four conditions, you should stop medicine immediately.
1. Secondary hypertension does not require lifelong medication after the cause is removed.
Hypertension is classified into primary and secondary, of which more than 90% belongs to primary hypertension, and secondary hypertension is caused by kidney disease, endocrine metabolic disease, mental tension, only accounting for 5%~10% of hypertension. The primary disease should be treated actively. Once the cause is removed, high blood pressure will come down, and then patients do not need a lifetime medication.
2. When complications such as severe cardiac insufficiency, myocardial infarction, or stroke occur in hypertensive patients, their blood pressure may drop to normal without the need for antihypertensive drugs.
There was a patient who had hypertension for more than 20 years and took medication all year round, but his blood pressure was not well controlled, ranging from 145-160/80-95 mmHg. Acute myocardial infarction broke out two years ago. After drug treatment, the heart condition was relatively stable without obvious angina, but the blood pressure decreased. After the withdrawal of all antihypertensive drugs, the blood pressure fluctuated in 110-125/60-70 mmHg.
This condition may be related to the patient's decreased myocardial contraction, and although the heart condition has recovered, the blood pressure remains low and does not require antihypertensive therapy. This is rare.
3. Because age increases further, partial senile hypertension patients have reduced myocardial contractility, and blood pressure is reduced to normal. Or when there is cerebrovascular stricture and obvious dizziness, there is no need to reduce blood pressure.
There was an elderly patient whose blood pressure was controlled at about 140/60 at ordinary times. Later, due to dizziness, he went to see the doctor and detected bilateral carotid artery stenosis. After gradually reducing the dosage of antihypertensive drugs, his blood pressure fluctuated in 140/160/65-80 mmHg, and his dizziness was relieved. This condition is associated with blood shortage to the brain caused by systemic arteriosclerosis and carotid artery stenosis. At this moment, the requirement to blood pressure can not be too low.
4. After lifestyle intervention, blood pressure returns to normal, and then antihypertensive drugs can be reduced until drug withdrawal.
Eat less, move more, do not gain weight, eat less salt, drink less alcohol, live a regular life, mentally relaxing. All of them can help reduce blood pressure to a certain extent. Some patients with slight hypertension can not use medicine temporarily.
Of course, for most people with high blood pressure, lifelong medication is needed. There are many antihypertensive drugs. As far as possible to choose long-acting preparations, and it is important to lower blood pressure steadily. No matter you are the above 4 kinds of types or not, you should follow the doctor’s advice. Do not reduce or stop medicine at will.
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