Do not think that the cold winter is the season of high incidence of hypertension, high blood pressure is also summer, "Chen Shi" another small peak. Although many people "to counter high blood pressure" is no longer strange, but because of a misunderstanding of many, many patients with hypertension is still difficult to cross the "minefield", encountered complications and target organ damage.

New version of "hypertension guidelines" that hypertension is the primary goal of maximizing the treatment of cardiovascular diseases to reduce the overall risk of long-term, the merger of the time on cardiovascular risk factors and target organ damage assessment and risk stratification based on active treatment.

News Background:

"World Hypertension League" 2008 "World Hypertension Day" as the theme of "family self-rated blood pressure." The purpose of self-rated family of blood pressure is called on the public especially the importance of self-blood pressure in patients with hypertension, timely understanding of their blood pressure, improve treatment compliance. In addition, certain types of self-blood pressure for hypertension diagnosis, assessment and efficacy of cardiovascular disease risk forecasts are important values. The current self-rated blood pressure to promote the use of international standards certified by the arm electronic device.

Self-rated blood pressure how to choose sphygmomanometer

Many patients with hypertension and even doctors in general misconception that the electronic device measurements inaccurate. City survey found that many patients with blood pressure in the family self-rated use mercury sphygmomanometer. At present, the national blood pressure measurement guidelines or recommendations unanimously recommended by electronic home blood pressure measurement device. But the problem is that many of the current commercial electronic device is not certified. States stressed that guidelines should be used by international standards certification of electronic device.

At present, the international authority of the electronic device certification standards are the United States, Britain and the European three kinds of standards, certification of the electronic device through the pressure and high accuracy. Electronic device that arm-and-Wan Shi and Zhitao 3. States unanimously recommended guide to international standards certified by the upper arm electronic device. Of course, Wanshi device use, easy to carry, the more welcomed by patients, can also be optional, but its pressure by the wrist position and results of the heart whether they are consistent with the position of influence. Therefore, should use the certification by international standards, have prompted cardiac function in Wanshi electronic device.

Blood pressure measurement principles of self-rated family

Use electronic device for measuring blood pressure and the attention of the same mercury sphygmomanometer, such as the use of seat pressure, pressure before the break at least five minutes, sphygmomanometer cuff and the heart to maintain the same level, according to choose the right upper arm cuff size, and so on.

China's current promotion of the family of blood pressure measurements, is to raise the awareness of hypertension and high blood pressure in patients with medication compliance. Therefore, in formulating China's family blood pressure measurement options, as far as possible, simple, with operable, for pressure to uphold for a long time.

It should be stressed that the family of blood pressure measurements must be conducted under the guidance of doctors, patients must not be based on results of unauthorized changes pressure treatment. Whether to white coat hypertension, not only can be self-rated family as the result of prompt blood pressure, it will be based on a 24-hour ambulatory blood pressure testing results to be confirmed. Therefore, family pressure, blood pressure should be carefully recorded each time the measurement of results and time will be a written record of integrity, and unmistakably to the doctor, a doctor based on reliable and accurate report on the results of blood pressure, make the right diagnosis and to formulate effective Treatment programmes. In order to prevent and reduce domestic reports on the results of blood pressure measurement errors, to promote the use of a memory or printing of electronic device.

The family of blood pressure self-rated six tips

In order to assess the effectiveness of antihypertensive drugs, the need in a day of measuring blood pressure at different times. So, why is the first time found a small blood pressure changes » Home blood pressure measurement is a simple and effective way.

The director of the Institute of Shanghai hypertension Professor Zhu Dingliang pointed out that most people's blood pressure sooner or later have two peak periods, and this period is often out-patient and day-to-day stagger. If only on the basis of blood pressure clinics judgement, likely to cause misdiagnosis. These hidden in patients with hypertension can only rely on self-rated family blood pressure or ambulatory blood pressure monitoring to detect. Suggested the public to remember the following:

■ concealed hypertension prevalence rate of about 10% -20%, these patients in the risk of cardiovascular events with the same sustained hypertension. This shows that the use of blood pressure self-rated family found concealed hypertension, has important clinical significance.

■ about 20% of patients with hypertension as white coat hypertension. At the clinic, when health care workers for their blood pressure, because of tension caused by high blood pressure 1, was diagnosed with high blood pressure, but at home self-testing blood pressure, their blood pressure completely normal.

■ current white coat hypertension risk of cardiovascular events awareness of inconsistencies, some with normal blood pressure that the prognosis of non-discriminatory, it was also suggested that white coat hypertension for the development of the possibility of sustained hypertension, the need to strengthen follow-up. No matter what knowledge, academics agreed that the use of blood pressure self-rated family can be found white coat hypertension, to avoid over-medication.

■ in the white coat hypertension in the follow-up, the family of blood pressure measurement is the most convenient means of pressure. Some studies also show that the family of blood pressure and hypertension-related target organ of the clinic is better than blood pressure. Most prospective study results show that, over the forecast the risk of cardiovascular events in sexual and family is better than blood pressure clinic blood pressure.

■ home blood pressure measurements, not only in the diagnosis of hypertension is the value in the treatment of hypertension has important significance. Studies have shown that the use of the family of blood pressure measurements in patients with hypertension, their medication compliance, and compliance rate high blood pressure. Can white coat hypertension patients to avoid over-medication, found concealed in patients with hypertension, timely treatment.

■ promote family self-rated blood pressure, can also greatly enhance the awareness of hypertension.

As the family of blood pressure measurements are more of these clinics have the advantage of no pressure, the developed countries in the family blood pressure measurements have been very common. Japanese patients with hypertension, 70% -80% of patients with blood pressure self-rated family. In China, this ratio is very low, the 2005 Shanghai A survey shows that the factory in the community and in patients with hypertension, a family of self-blood pressure less than 20 percent.

Experts:

Professor Zhu Dingliang, chief physician, doctoral tutor, hypertension, director of the Institute of Shanghai, China's executive vice president of Hypertension League, the Chinese Medical knowing Disease Branch, deputy head of group of high blood pressure, hypertension, Shanghai, head of school. Mainly engaged in genetic studies of hypertension and vascular remodeling of the cell and molecular mechanism, good at Refractory hypertension in the differential diagnosis.