With the improvement of living standards and the increase of work pressure, hypertension has become a common chronic disease. To control high blood pressure, many patients choose to take antihypertensive medications. However, some patients find that their blood pressure does not stabilize despite their long-term use of antihypertensive medications. Why is that?
First of all, we need to understand the high blood pressure. Hypertension is a disease characterized by persistently elevated arterial blood pressure, which is usually divided into primary and secondary.
Essential hypertension refers to unspecified hypertension, accounting for more than 90% of all patients with hypertension. Secondary hypertension is high blood pressure caused by other diseases or medications. In the case of high blood pressure, it is first necessary to clarify the high blood pressure in order to choose the appropriate method.
Antihypertensive drugs are one of the main means of hypertension. Commonly used antihypertensive drugs include diuretics, receptor blockers, calcium channel blockers, ACE inhibitors, and ARBs.
These drugs can lower blood pressure through different mechanisms, such as dilating blood vessels, reducing the workload of the heart, reducing fluid retention, etc. However, even with long-term use of these antihypertensive medications, some patients still do not have stable blood pressure. This may be related to the following aspects:
First of all, there is the improper selection and use of drugs. Different types of people with high blood pressure need to choose different types of antihypertensive drugs. If the patient's high blood pressure is caused by too much adrenaline, then receptor blockers may be more effective; If it is caused by vasoconstriction, then a calcium channel blocker may be more appropriate.
In addition, some patients may have drug tolerance or adverse drug reactions that result in poor drug efficacy. Therefore, the choice of antihypertensive agents should be individualized on a patient-by-patient basis**.
Secondly, it is the patient's unhealthy lifestyle and eating habits. Bad lifestyle habits such as a high-salt diet, high-fat diet, and lack of exercise can all lead to the occurrence and development of hypertension.
Even with antihypertensive medications, it is difficult to effectively control blood pressure if the patient's lifestyle and eating habits are not changed. Therefore, in the process of high blood pressure, patients should actively adjust their lifestyle and maintain healthy eating habits and exercise habits.
In addition, it is the patient's psychological state and mood swings. Mood swings cause sympathetic nerve excitation, which causes an increase in blood pressure. Some patients may have psychological problems such as anxiety and depression that prevent blood pressure from stabilizing. Therefore, in the process of high blood pressure, patients should maintain a good attitude, face the challenges of life positively, and avoid excessive tension and anxiety.
Finally, there are the genetic factors and age factors of the patient. Some patients may have a family history of high blood pressure, and genetic factors can affect blood pressure control. In addition, as we age, the elasticity of blood vessels decreases and blood pressure gradually increases.