This article is from "Nankai Sun Pharmacist", which is used for medical science popularization for reference. Low blood pressure is also called diastolic blood pressure, high low blood pressure in patients with high blood pressure, also known as simple diastolic hypertension in clinical practice, this type of hypertension is characterized by normal systolic blood pressure, diastolic blood pressure rises more than 90mmHg, research statistics show that the prevalence of simple diastolic hypertension in China is 44%, mostly in young and middle-aged patients, is a common type of hypertension in white-collar workers, the incidence in the north is higher than in the south, and the increase in diastolic blood pressure can significantly increase the risk of coronary heart disease and cardiovascular events, therefore, young people should not ignore their blood pressure, check blood pressure at least once a year, early detection and early intervention. Simple diastolic hypertension is related to factors such as smoking, drinking, unhealthy diet, sitting and sympathetic overexcitation, and has a higher incidence in people with high blood lipids, high uric acid, high blood sugar and obesity.
Most patients with simple diastolic hypertension are overweight or obese, and should take the initiative to lose weight, which is conducive to controlling blood pressure, salt restriction is the basis of high blood pressure, ensure a low-salt diet, daily salt intake does not exceed 5 grams, potassium can promote sodium excretion, help control blood pressure, increase fresh green leafy vegetables in moderation, The intake of foods such as fruits and soy products, supplementation of potassium and soluble dietary fiber, drinking alcohol and smoking can increase blood pressure, increase the risk of cardiovascular and cerebrovascular events, quitting smoking and alcohol can also reduce diastolic blood pressure, insisting on at least 30 minutes of aerobic endurance exercise every day, insisting on 5 days a week, can lower blood pressure, reduce the risk of death in hypertensive patients, work and rest on time, improve sleep quality, and reduce work pressure all help to reduce diastolic blood pressure.
If diastolic blood pressure is still not up to standard through lifestyle intervention, drugs should be initiated, the formation mechanism of diastolic blood pressure is related to increased peripheral vascular resistance and increased heart rate, reducing peripheral vascular resistance, slowing down heart rate, diastolic blood pressure can be reduced, for patients with normal heart rate, long-acting calcium channel antagonists, such as amlodipine, nifedipine controlled-release tablets, Felodipine sustained-release tablets, etc., such drugs can dilate peripheral arterioles, reduce peripheral vascular resistance, reduce diastolic blood pressure, for patients with increased heart rate, can be combined with metoprolol sustained-release tablets, bisoprolol and other receptor blocking drugs, slow down the heart rate, reduce diastolic blood pressure effect is more obvious.
Hypertension is a polygenic hereditary disease, at present, it is not very clear, it may be related to genetics, age, bad mood, bad lifestyle habits and other factors, with age, our blood vessels will gradually lose their elasticity, arteriosclerosis is inevitable, blood pressure will also rise, especially in patients with hypertension, therefore, although simple diastolic hypertension is more common in young people, but if there is no intervention, with age, blood pressure will gradually rise, can not return to normal on its own.