For hypertensive patients, stable and standard blood pressure can help reduce damage to the heart, brain, kidneys and other vital organs. However, some patients have irregular life, such as staying up late, eating too much, drinking too much, etc., and may have severe blood pressure fluctuations in some special cases, which is a sudden increase or decrease in blood pressure, resulting in a series of symptoms, including Headache, dizziness, tinnitus, palpitations, sweating, nausea,
Heart-threatening, myocardial infarction, cerebral hemorrhage and other life-threatening malignant events. The following are some common causes of blood pressure fluctuations. If the following conditions exist in patients with hypertension, blood pressure should be measured in time to avoid cardiovascular and cerebrovascular accidents.
1. Sleep is interrupted. Some people have abnormal working hours due to work, and continuous overtime may cause a sudden increase in blood pressure. If you can’t avoid overtime, you should measure your blood pressure in time. I have encountered a typical case in clinical practice: Xiao Zhou, 35, is a software engineer. He often stays up late to work overtime. On this day, he worked overtime to finish the procedure all night. After waking up, he slept for a while, feeling dizzy, his ears creaking, and quickly called his wife to help him measure his blood pressure and found that the high pressure had soared to 180.
2. Smoking and drinking. High concentrations of smoking, drinking strong tea or espresso can also lead to high blood pressure. This is because substances such as nicotine, theophylline and caffeine can stimulate the sympathetic nervous system and increase heart rate and blood pressure. Alcohol consumption also has a significant effect on blood pressure. There have been cases like this, and Xu’s career success is usually more entertaining, and blood pressure is not very good. One day, he was late to drink home. He complained to his wife that he was dizzy. She thinks his blood pressure is high again, so she asked him to take antihypertensive drugs. After examination, it was found that Lao Xu had low blood pressure after drinking alcohol, and the blood pressure even decreased after taking antihypertensive drugs, which was almost dangerous. A large amount of alcohol can dilate blood vessels, diuretics, short-term blood pressure will suddenly drop, but the blood vessels will not grow long but strong, blood pressure will rise again, even more than usual levels. Therefore, blood pressure must be measured in time after drinking, without taking antihypertensive drugs without authorization.
Mood swings. Emotional fluctuations, such as extreme excitement, sadness or anxiety, depression and other unpleasant mental conditions, can directly lead to elevated blood pressure. If a major event affects your mood, be aware of the possibility of a sudden increase in blood pressure. In addition, some patients who require surgery for other diseases often experience a sudden increase in blood pressure on the operating table or on the operating table due to stress.
4. Sudden temperature changes. Blood pressure monitoring should be strengthened when changing seasons or temperature changes. Some hypertensive patients will have a sudden increase in blood pressure when the weather is cold in winter, and they will sweat more and drink less when the weather is hot in summer. There are also some hypertensive patients with hot weather caused by sleep disorders, irritability, and blood pressure will rise.
5. Accompanying other diseases. If the patient has pain, difficulty in defecation (such as acute urinary retention, constipation), blood pressure tends to rise suddenly, and acute heart failure, acute myocardial infarction, massive blood loss, severe vomiting, diarrhea and other diseases will suddenly cause blood pressure to drop. In addition, if hypertension is caused by diseases such as primary aldosteronism, pheochromocytoma, chronic kidney disease, and sleep apnea syndrome, it is called “secondary hypertension”. Very fluctuating. If high blood pressure patients find their blood pressure fluctuations, medication is difficult to control, should consider the possibility of secondary hypertension, and seek medical advice.