The diagnosis and detection of hypertension should not only be based on blood pressure. The diagnosis of blood pressure is only a link in the diagnosis of hypertension. In order to avoid misdiagnosis or missed diagnosis, detailed examination is needed, so as to make a more scientific diagnosis of hypertension.
For hypertension, many friends think that as long as the blood pressure can be measured, in fact, it is not so, blood pressure can only reflect a person's situation at that time, it can not be said that once or twice as a basis for the diagnosis of hypertension. Which steps should hypertension be diagnosed according to?
Multiple blood pressure measurements
High blood pressure is not only the symptoms of patients with hypertension, many normal people occasionally have high blood pressure, so the diagnosis of high blood pressure can not only be based on blood pressure. First of all, the blood pressure (Ge; 140 / 90mmHg) measured after sitting or lying on one's back can be considered as an increase in blood pressure, but the diagnosis of hypertension can not be made based on the single blood pressure reading, and sometimes several times of increase in blood pressure reading can not be diagnosed as hypertension.
Therefore, we should pay attention to multiple measurements of blood pressure in the diagnosis of hypertension. Some experts suggest that at least two more measurements should be made at different times in the next two days to prove that the increase of blood pressure really persists. In addition, we must eliminate psychological tension, such as' white coat hypertension ', which is normal at ordinary times. When we see doctors wearing white coats, their blood pressure rises.
Distinguish the type of hypertension
About 90% of patients with hypertension have no definite cause. This kind of hypertension is called 'primary hypertension'. The occurrence of essential hypertension may be the result of many factors. A variety of changes in heart and blood vessels exist at the same time, which may increase blood pressure; hypertension with known etiology is called 'secondary hypertension'. 5% ～ 10% of hypertension patients are caused by kidney disease, 1% ～ 2% of hypertension patients may be caused by abnormal hormones or taking some drugs.
Other risk factors were analyzed
Through multiple blood pressure measurements, we can not only determine the existence of hypertension, but also judge the severity of hypertension. For people with hyperlipidemia, hyperglycemia, obesity, smoking, drinking and family history, we should pay more attention to hypertension.
Check whether hypertension has damage to important organs
After the diagnosis of hypertension, we need to check the important organs, especially the heart, brain, kidney and fundus. In addition, the detection of urine is the early evidence of renal damage caused by hypertension. For example, the detection of red blood cells and albumin in urine may indicate the existence of renal damage. Although only about 10% of hypertensive patients may find the cause, doctors usually try their best to find it, especially for young hypertensive patients.
The above is the steps of the diagnosis of hypertension, the diagnosis of blood pressure is only a link in the diagnosis of hypertension, in order to avoid misdiagnosis or missed diagnosis, we need detailed examination, so as to make a more scientific diagnosis of hypertension.