Chinese Folk Health Tips

Speaking of coronary heart disease, people usually think of chest tightness, chest pain and other typical symptoms of angina, but the September 22 British “Daily Mail” to remind the public, but also guard against some from other parts of the body, appears to be associated with heart not related to early warning signals.

Excessive sweating. “This is likely to be hyperthyroidism, 5% -10% of hyperthyroidism occur in patients with cardiac enlargement, cardiac arrhythmia, and even heart failure.

“Jiangsu Provincial People’s Hospital of Cardiology, Professor Zhu Tiebing to the” Life Times “reporter, excessive thyroid hormone will be the role of the heart, so that myocardial metabolism to accelerate, thereby changing the heart structure, dynamics affect the blood, leading to high blood pressure, angina pain, myocardial infarction and other cardiovascular problems, many patients with hyperthyroidism due to failure to detect the damage of the heart. If the early diagnosis of hyperthyroidism can be well controlled, thereby avoiding cardiac damage.

White eye ring. Front of the mirror to see their eyes, if the whites of the eyes on the white circle of slightly darker color ring, you have to check the level of blood lipids. In the past it was felt that the cornea appears white circle (also known as corneal arc) is the performance of aging, but new studies suggest that the appearance of corneal arc blood “bad cholesterol,” increased symptoms. Regardless of age, corneal arc of the people there may exist high levels of bad cholesterol problems. Hypercholesterolemia is a “silent killer,” almost no early symptoms, and now the mirror can be a timely reminder of you. In addition, from north London GP Cornell? Dr. Fleming added that the lobe appears more than a few millimeters large white and small, is also the bad cholesterol is too high performance. In these cases, it should be to check blood lipids.

Constipation. Vegetables to eat more meat eating habits to make a lot of people became too awkward to constipation, but constipation is not only blocked the digestive tract. Professor Zhu Tiebing introduction, each of constipation induced by myocardial infarction, cerebral hemorrhage cases not uncommon. And eat more fruits and vegetables to prevent constipation, the most simple and easy method. Dietitian Drew? Price said that the fruits and vegetables rich in cellulose, a catharsis. He suggested that more than a day to eat 5 kinds of fruits and vegetables, help to reduce cardiovascular and cerebrovascular emergencies.

ED. Most middle-aged men are unable to obtain satisfactory erections because of the troubled, sometimes it also reflects a more serious problem. Professor Zhu Tiebing that atherosclerosis is not only harm the heart, brain blood vessels, but the systemic blood vessels, when the pelvic blood vessels, penile small arteries “poisoned”, it will cause erectile dysfunction. If you often erection difficulties, it is best to check blood pressure, blood lipids.

In general, patients with hypertension need to be adjusted in the winter of drugs, very troublesome. Because of the need for life to take antihypertensive drugs, so a lot of antihypertensive drugs in patients with adverse reactions to the existence of numerous concerns. Indeed, antihypertensive drugs on the human body may have different side effects, so patients with both medication according to doctor’s advice and pay attention to prevent the occurrence of adverse reactions.

■ how to deal with “first-dose medication,” a serious response?

Clinical findings with a small number of patients with special physical, in the use of certain antihypertensive drugs, it will happen first-dose reaction. Can cause first-dose response to α-blocker antihypertensive drug prazosin, terazosin, etc.; β-blockers propranolol, metoprolol, atenolol, timolol, etc.; calcium antagonist nifedipine (nifedipine), etc.. When the α-adrenergic receptor blockers and β-blockers or diuretics (eg hydrochlorothiazide, etc.) in combination more likely. Have seen patients with symptoms of dizziness, palpitations, sweating, weakness, nausea, blurred vision and other symptoms. Patients who have severe reactions can be rapid decline in blood pressure, loss of consciousness, bradycardia, heart failure and other symptoms. If the rescue is not timely, can cause death.

Prevention: the first dose of medication doses should be small, regular doses of 1/4-1/2 for the future according to needs and conditions and then gradually increasing doses. α-blockers or diuretics and β-blockers combination should pay special attention. The first time, best be applied under medical supervision. Upon the occurrence of first-dose reaction, the patient should be immediately discontinued and bed rest. If the patient’s symptoms are not serious, after a period of time can be gradually self-healing, if severe symptoms should be immediately sent to hospital for treatment.

■ how to respond to antihypertensive drugs on sexual function?

Long-term use, such as diuretic antihypertensive drugs such as hydrochlorothiazide can cause male erectile dysfunction, decreased libido, ejaculation disorder; β-blocker antihypertensive drug classes, such as propranolol (Inderal), metoprolol, atenolol , carvedilol and other major impact of sexual desire; calcium antagonist antihypertensive drug classes, such as felodipine, nifedipine, amlodipine to equal decrease was mainly caused by sexual desire, ejaculation disorder; angiotensin-converting enzyme inhibitor antihypertensive drugs such as captopril, enalapril, cilazapril, benazepril, etc. there is no significant effect on sexual function; α1-blocker antihypertensive drug classes, such as prazosin and other barriers to the contrary, an improvement of ejaculation, does not affect the erection and sexual desire; angiotensin receptor blocker (ARB), such as losartan, valsartan, irbesartan and so on, in the buck at the same time from the erection, sexual desire, ejaculation three pronged approach to improve sexual dysfunction.

Prevention: try to avoid an impact on sexual function of the antihypertensive drug combination. There have been sexual dysfunction in the elderly, in the absence of contraindications as far as choice of less impact on sexual function or to promote the role of angiotensin-converting enzyme inhibitors or angiotensin receptor antagonist.

■ how to deal with because of “over-step-down” and cause a stroke happen?

Excessive blood pressure can cause brain ischemic stroke, especially at night. Common causes of excessive blood pressure medication time, excessive or inappropriate medication.

Prevention: to adjust the dose of antihypertensive drugs should be under the guidance of a doctor and not an unauthorized amount. 9-10 am in vivo blood pressure in general when the first peak in the afternoon 6-8 pm for the second peak is usually the lowest around midnight. Generally sleep during the day than the decline in blood pressure after about 20%. Thus, hypertensive patients should be selected in the morning medication. If you take the short, medium and effective antihypertensive drugs, need to wear two or three times a day, pay attention to is not the best medicine before going to bed. Because the natural decline in blood pressure at night, coupled with the role of drugs will lead to blood pressure dropped significantly. Moreover, the night is slow blood flow, reduced blood flow, blood viscosity increased, cerebrovascular accident prone. However, there are individual patient’s blood pressure did not drop at night, or actually increased, so that patients can be at bedtime medication, or use long-acting antihypertensive drugs in order to avoid blood pressure fluctuations.

■ how to deal with the sudden withdrawal of blood pressure caused by “anti-jump”?

Long-term use in patients with hypertension in some antihypertensive drugs such as clonidine, propranolol, or methyl-dopa and so on, if a sudden withdrawal, blood pressure occurs, “anti-jump” phenomenon, the blood pressure may suddenly rise, or even lead to serious of hypertensive crisis.

Prevention: taking a long time or use of these drugs, even when the basic symptoms of sudden withdrawal can not be brought under control, the need to replace drug withdrawal when a gradual reduction under the guidance of a doctor.

■ how to deal with “orthostatic hypotension”?

Orthostatic hypotension is a sudden from a supine to upright position, or squatting, or prolonged standing occurs when low blood pressure, also known as orthostatic hypotension. Antihypertensive drugs guanethidine, excellent drop-ning, prazosin, or diuretics, can reduce vascular tone, blood vessels expand, blood pressure decreased, when patients are sudden changes in posture or standing for prolonged periods, it can occur dizziness or immediate hair black, or even syncope, fall to the ground and so on.

Prevention: Patients taking the above-mentioned antihypertensive drugs, we must pay attention to standing or getting up in the preparation of action should be slow, do more minor preparations, which helps to promote venous return to the heart or blood pressure, to avoid postural the occurrence of hypotension.

■ how to deal with the central nervous system adverse reactions?

Some patients with long-term use of some antihypertensive drugs such as reserpine, clonidine, methyl dopa, propranolol, there may have central nervous system adverse reactions can occur in some patients, sleepiness, weakness, fatigue, insomnia, multi – dream, can not concentrate, memory loss, slow performance and so on. At this time, if engaged in driving, high-altitude work or operation of the machine, it may lead to accidents.

Prevention: the impact of the daily symptoms of a serious medical workers should be under the guidance of the replacement of other antihypertensive drugs.

■ how to deal with the increased asthma symptoms antihypertensive drugs?

Existing asthma patients taking β-blocker propranolol, it can aggravate asthma, and even lead to status asthmaticus.

Prevention: There is a history of high blood pressure in patients with asthma disable propranolol, other selective β1 blocker preferably also be used with caution.

■ how to deal with antihypertensive drug-induced angina pectoris?

A long-time application, such as β-receptor blocker propranolol, atenolol and beauty more than peace of mind and so on, can diminish cardiac contractility, coronary perfusion pressure reduction, myocardial oxygen consumption reduced, if the sudden withdrawal can induce angina occurred.

Prevention: Do not abruptly discontinued. Such drugs should be used with caution in patients with coronary heart disease.

■ how to deal with hypokalemia caused by adverse reactions, etc.?

Diuretic Hydrochlorothiazide is commonly used today is still the basis of antihypertensive drugs, but the long-term use apt to cause hypokalemia, nausea, vomiting, abdominal distention, and muscle weakness can also cause high blood sugar, high blood lipids, high ammonia, high uric acid and hypercalcemia.

Prevention: with Paul potassium diuretic aldosterone combination of ammonia in order to avoid hypokalemia. If necessary, need potassium. Medication is best attention to regular monitoring of serum electrolytes. Accompanied by high blood lipids, diabetes, gout, kidney dysfunction, liver cirrhosis and hepatic coma with caution in hypertensive patients with Hydrochlorothiazide.

■ how to deal with dry cough caused by antihypertensive drugs?

Dry cough is the angiotensin-converting enzyme inhibitor captopril, etc. The most common adverse reactions, but generally less serious or persistent symptoms after medication gradually reduce.

Prevention: can tolerate those who do not have withdrawal. Can change the individual can not tolerate angiotensin-receptor antagonist service.

■ how to deal with leukopenia caused by antihypertensive drugs?

Because angiotensin-converting enzyme inhibitor enalapril many advantages such as antihypertensive drugs, side effects less often doctors as the preferred antihypertensive drugs. However, these drugs is one of the more rare side effect of causing neutropenia, time of occurrence after treatment more in a week to 3 months, multi-diagnosed by a routine blood checks. And severe leukopenia was rapid onset, severe systemic symptoms, followed by a serious infection, his condition deteriorated rapidly, developed sepsis, septicemia, and subsequent shock, coma and even death.

Prevention: Routine medication initially be reviewed on a regular basis to monitor changes in white blood cells. Once the diagnosis of leukopenia should be suspended immediately under the guidance of a doctor suspected of drugs, if necessary, oral lithium carbonate, vitamin B4, shark liver alcohol Leucogen, Leucomax l white blood cells such as drugs, there are signs of infection should be given anti – infection in symptomatic treatment.

Myocarditis is a relatively common disease, especially in young women is more prevalent, they are mostly partial eclipse, or to lose weight, once suffering from viral influenza, it is easy to develop into viral myocarditis.

Its duration is longer, more difficult in patients with treatment adherence. When the body with low immunity or re-invasion by viruses and other pathogenic factors, the heart will once again came under attack, over time, continue to persistent and repeated illness, myocardial pathological changes irreversible, can be transformed into cardiomyopathy. The prognosis of myocarditis and cardiomyopathy very different, generally speaking, myocarditis can be treated, but the pathological changes of cardiac cause is difficult to reverse, so preventing heart disease, myocarditis into a very important significance.

After a virus infection, such as patients with fatigue, palpitations, suffocation, pale and other symptoms should be fully mindful of the possible occurrence of viral myocarditis, it is timely given the necessary checks.

In addition to a comprehensive physical examination, there should be ECG, X ray chest, enzymes, echocardiography, Holter monitoring and other checks, so that a timely diagnosis. In addition, we must pay attention to the rest, many patients with myocarditis is because the rest do not pay attention after a cold caused by illness.

Expert: Qi Yin, live siltation detoxification

Currently, Western medicine treatment of viral myocarditis, there is no magic bullet, while the medicine is in the treatment of myocarditis has a good effect. For example, Astragalus, sexual sweet and warm, qi Shengxue for the “gas plasma” is the treatment of viral myocarditis, one of the main drugs on the myocardial cells have a certain protective effect, reducing the area of myocardial lesions and can be anti-arrhythmic improve the body’s immune and anti-virus capabilities. In addition, the Shengmaisan Yiqiyangyin has become the first choice for treatment of viral myocarditis prescriptions, their strong hearts, anti-shock effect is most evident on the immune status are also to some extent.

Angina is caused by an acute onset of coronary heart disease symptoms, due to coronary atherosclerosis to myocardial blood vessels become narrow, blood flow decreased at this time, if more experienced fatigue, exercise, emotional stress, forced defecation and other heavier burden on the heart circumstances, often can be induced angina.

Angina pectoris, the patient suddenly felt under the sternum sustained a crushing or suffocating pain. Patients Road, first the immediate cessation of all activities, calm mood, may in standing rest, no need to lie down, to avoid increasing the blood Rhodobryum roseum thereby increasing the burden on the heart. Immediately carry out first-aid medicines, such as nitroglycerin tablets a, chew, after including the hypoglossal, usually about two minutes can ease the pain. If the results are good, 10 minutes after a sublingual again in order to increase the dose. However, should pay attention to, regardless of whether or alleviate angina, or re-attack, are not more than three consecutive sublingual nitroglycerin tablets.

If the pain is severe or accompanied with amyl nitrite, it can be crumbled with a handkerchief bag, leaned his nostrils inhaled, usually 10-20 seconds after inhalation can bear fruit.

The two drugs are part of quick vasodilators. One effect of amyl nitrite faster, more potent, but maintain the efficacy of a short time, only 7-8 minutes; and pharmacodynamics of nitroglycerin tablets can be maintained up to 30 minutes. As the vasodilative amyl nitrite is stronger, so the drug may occur after the short-term hypotension. To prevent any eventuality, medication bear fruit, they should immediately find a place to sit down and rest. However, while there are glaucoma patients in the above-mentioned two kinds of drugs are not taken, otherwise a result of elevation of intraocular pressure caused by severe eye pain, headache, blurred vision and even blindness.

For the first sudden angina patients with coronary heart disease, it will because of sudden pain in the hidden heart into extreme panic. This is extremely detrimental to alleviate angina. Panic will significantly speed up the heartbeat frequency, thereby increasing the burden on the heart. Patients with newly diagnosed angina, often do not carry emergency medicine, in which case, there is no need to worry about too much danger, most of angina pectoris one seizure duration of less than 10 minutes, while the incidence of heart attack by more had a history of frequent attacks. In the absence of drugs, when to cease their activities in situ rest and calm state of mind, is the most effective first aid measures.

Late autumn early winter, it is high incidence of cardiovascular and cerebrovascular disease season, peaks and valleys in the low temperature is induced heart attack or recurrence of cerebrovascular disease of the main factors. So, in patients with cardiovascular disease should not cancel outdoor activities during this time in order to avoid hair does catch cold?

The answer is no. Experts believe that the premise of warmth in the cold, the heart in patients with cerebrovascular disease during this time or should do something reasonable and moderate exercise, and walking is one of the best sports. Here we introduce a health care walking exercise prescription, namely, “three, five, seven” campaign law.

“Three”: refers to the day to walk for more than 3,000 meters, and each insist on 30 minutes.

“Five”: refers to exercise five times per week or more.

“Seven”: refers to the post-exercise heart rate + age = 170, fast easy to overload cardiac function.

Are too light can only play the role of exercise comfort, can not improve cardiovascular function. Patients according to their age, sex, physical condition, such as the temperature that day properly adjusted in different situations exercise time and exercise intensity. Exercise first thing to note when the cold warm, exercise time from 15 minutes to a gradual increase in elderly patients with poor physical condition can be used intermittent exercise method, which sports 2 to 3 minutes rest 2 to 3 minutes, to be carried out step by step exercise, the weather too cold when appropriate reduction in exercise time and amount of exercise. Cardio-cerebral vascular diseases and reasonable movement is one aspect of rehabilitation, drug treatment is more important is, therefore, in patients with cardio-cerebral blood vessel in a reasonable diet, regular exercise, smoking cessation alcohol limit at the same time must adhere to the medication, in order to ensure that the heart and brain healthy, stable degree of over this period of high incidence of cardio-cerebral vascular disease season.

Medical studies have shown that ultrafine Tongxinluo capsule can not only lipid-lowering anticoagulation, reducing blood viscosity, but also anti-atherosclerosis, improve endothelial function, lifting vasospasm. Tongxinluo multi-target, multi-angle on the cardiovascular and cerebrovascular diseases the role of a comprehensive intervention can be effective treatment for coronary heart disease myocardial ischemia, angina pectoris, cerebral thrombosis hemiplegia, language disadvantage, limb numbness. High blood lipids, diabetes, high blood pressure and other cardiovascular and cerebrovascular diseases susceptible to the crowd long-term use, can prevent coronary heart disease, cerebral thrombosis occurring.

China is gradually entering an aging society, the elderly population, the proportion of the total population has risen to 12%. Health problems of the elderly wide concern.

November 19 this year, the Guangzhou Military General Hospital, the famous old medical expert Liu Jian, Wen Wei Po and Dayang invitation, in the sixth issue of “healthy head of the” network for readers and Internet users live in the life of the elderly health care to explain common sense. During this period, he repeatedly stressed that the protection of the elderly to prevent stroke, cardiovascular safety of the most important and calls for their families and the elderly should receive more attention and care for the community.

Liu Jian, head of current

The current president of the Guangzhou Military Region, Guangzhou General Hospital, professor, chief physician, professional and technical 5, the rank of colonel, the Guangdong branch chairman of the geriatrics. The clinic specializes in age-related diseases and management of health care, clinical experience, outstanding management ability, research and innovation capability. Won the second prize of scientific and technological progress army, awarded a third class twice, and professional papers published over 20 articles.

Reduce the risk of stroke, blood pressure stability in

Very cold this winter, Liu insisted that their body-conditioning capacity is weak, it is difficult to adapt to cold weather, is apt to cause stroke and other cardiovascular and cerebrovascular disease, but prevention.

“The so-called stroke refers to a brain haemorrhage or cerebral infarction these two types of disease, and the human body are directly related to fluctuations in blood pressure. As long as a good control of blood pressure, stroke, likely will be reduced significantly. At present, many families have blood pressure, the community health care institutions can measure blood pressure, high blood pressure measured once a day old is best. recommend a relatively fixed time in the daily blood pressure, for example, or get out of bed the morning after breakfast, by comparing the daily fluctuations in blood pressure control. “In addition, the elderly autumn and winter to keep warm, when temperatures plunged as much as possible to avoid outdoor activities.

The event of a stroke in the elderly people how to do? Liu insisted that there will be some signs before a stroke, such as headache, chest tightness, emotional irritability and so on, should go to hospital for treatment. If the elderly in the wind, in addition to a hospital as soon as possible, family should pay attention to patients who have vomiting, if vomiting is necessary to remove a timely manner so that the patient will vomit mistakenly sucked inside the trachea.

Vascular lesions can be caused by Alzheimer’s disease

Liu Jian believes that a considerable number of elderly people with vascular dementia are directly related. The gradual hardening of blood vessels of older persons, a number of small blood vessels prone to clogging, which is non-called “mini-stroke.” At this time the brain are affected and because of the blood supply of functional decline, affecting the normal thinking, there the performance of dementia.

“Mini-stroke” is sometimes difficult to detect, the elderly so lax inspections. Liu Jian remind each and every elderly should be to master the medical knowledge to protect blood vessels, and keep in touch with the medical staff.

Alzheimer’s medical research hotspot in recent years. Liu Jian introduced the most important manifestations of dementia response capacity, cognitive abilities and language function there are different degrees of decline, “If you find a sudden deterioration of memory at home for the elderly, and some have said, then quickly forgotten, probably the first performance of dementia . ”

At present the cause of Alzheimer’s has not yet thoroughly studied, but also no way, drugs or food has obvious preventive effect, only underscores the systemic health, in particular, to maintain cardiovascular stability, so that the chance of cerebral dementia less.

Immune system focuses on balance rather than improve the

Many health care products are known as can “enhance immunity,” to attract a lot of elderly people to buy. However, Liu Jian suggested that immunity is not in fact the higher the better, but in line with the needs of the body. For example, lupus and other autoimmune diseases is because of the high immunity and hurt themselves.

Liu Jian said that some elderly people with low immunity, do need to boost the immune system. There are drugs that can stimulate an increase in white blood cells to boost immunity, immune globulin injections also have the same effect, but the high cost of these measures, not every old person can afford, it only applies to frail ill persons.

Then eat the food nourishing the human body immune system work? Liu insisted, mushrooms, Ganoderma and other fungi on the body immune system there are certain advantages, but not absolute, there are sick people every day to eat Cordyceps sinensis.

Liu Jian stressed that the maintenance of immunity should promote a balanced diet. A variety of foods to be eaten, so the body can from a variety of food nutrition.

In addition, the elderly diet to comply with the physical characteristics of the elderly, should not be lavish meals, but should be an easily digested and absorbed the principle of soft, subdued suitable.

Protein powder currently on the market of health food claims to have a variety of health effects, Liu insisted that processed foods may contain unhealthy additives, is not recommended to take elderly people should eat natural foods as much as possible.

User Interaction

Do not advocate the elderly stocks

Ocean User: Many older cities are doing more lonely, how they should care and disease prevention? There are some elderly people are in stocks is worth advocating do?

Liu Jian: To improve this problem, we should as much as possible so that the elderly participate in social activities, such as on the old university, master some skills and hobbies, like photography, painting, calligraphy, and tourism. If the elderly do patterns of life, peace of mind will be able to reduce the opportunity for myocardial infarction and stroke. As for the old people keen on stocks, emotional ups and downs with the stock price is not worth promoting.

Ocean User: Some old people have a unpleasant smell, how is this going on?

Liu Jian: This is a decline in the elderly living skills, personal hygiene can not be guaranteed due. China is still family-based old-age, but after all, young people have their own work, more and more difficult for the elderly to take care of the future for the community to shoulder this task.

Ocean User: the elderly sexuality as before, eat traditional Chinese medicine or “Viagra” impotence may be desirable?

Liu Jian: Elderly sex life should be retained, impotence is also beyond reproach, but not be required to reach a certain height of sexuality. But more important than sexuality live in harmony with the wife, if blindly indulgence, then any errors harmony.

Facts have proved that high blood pressure if left untreated, can lead to serious cardiovascular diseases and kidney disease, mortality and disability will be greatly increased. This shows that China’s prevention and treatment of high blood pressure situation is very serious. To this end, experts on how to effectively prevent and control high blood pressure conducted in-depth study and have come to the following three important conclusions:

1, systolic blood pressure is more dangerous than elevated diastolic blood pressure

The last century 70’s, people think, with the systolic blood pressure increase were higher age, which is a “natural phenomenon”, thus the increase of systolic blood pressure for no special attention, and that the increase of diastolic blood pressure of the incidence of patients with cardio-cerebral vascular diseases have a greater impact. By the late 80s, through a large number of clinical studies, people come to believe that the increase of systolic and diastolic blood pressure the harm to the human body are similar.

Into the 21st century, a number of large-scale evidence-based medicine research changed the way people view the past that the systolic blood pressure can lead to cardio-cerebral vascular diseases more dangerous factor; systolic blood pressure rise, and could allow patients suffering from coronary heart disease 1.5 ~ 1.6-fold increased risk, can increase the risk of stroke in patients suffering from 1.8 to 2,6 times, can increase the risk of heart failure in patients suffering from 1.5 to 2 times that in patients suffering from peripheral vascular disease can increase the risk of 1.8 ~ 2.1 times: the higher the systolic blood pressure, heart and brain disease patients in the greater the risk. Because of this, people have elevated systolic blood pressure should attention.

2, combination therapy better than single medications

The earlier view, treatment of hypertension should focus on starting a drug used alone, when such a treatment is unsatisfactory, the first to consider increasing the dose of drugs rather than increasing the variety of drugs. Diagnosis and treatment of high blood pressure assessment committee of the United Nations has to diuretics, β blockers, angiotensin-converting enzyme inhibitors (ACEI), angiotensin receptor blockers (ARB) and α-blockers as a single used first-line antihypertensive drugs recommended to States for the public.

The latest view is that the majority of hypertensive patients should choose combination therapy. A number of studies showed that patients with a single medication than patients on combination therapy with low rates of hypertension control, adverse reactions and more, and easily so that patients give rise to dose-dependent. Single agent can only provide 40% or less blood pressure in hypertensive patients to achieve compliance, while the combination therapy in patients with hypertension the blood pressure can increase to 80% compliance rate of more than a single medication compliance rate should be twice as high. Combination therapy can be fully reflects the mechanism of the different types of anti-hypertensive drugs, the advantages of better play their role in blood pressure together, increase the stability of blood pressure and reducing adverse drug reactions, and can achieve good blood pressure lowering effect of .

In 2003 the United States a report on the prevention and treatment of high blood pressure (JNC7) made: In order to achieve the target blood pressure in patients with hypertension level (ie, 140/90 mm Hg), the majority of hypertensive patients need to take two or more of the antihypertensive drug treatment: If the patient’s actual blood pressure, high blood pressure than the standard 20/10 mm Hg, and its initial treatment should be used two kinds of antihypertensive drugs, one of which should be a thiazide diuretic. In 2003 Europe’s “high blood pressure Guide” points out: Diuretics fit and most other types of antihypertensive drugs used in combination. Small doses of thiazide diuretics can significantly enhance the angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, α blockers, β blockers and vasodilator antihypertensive effect. The use of low-dose hydrochlorothiazide in patients with hypertension will enable 50% of the decline in blood pressure, and do not cause patients with metabolic disorders.

3, angiotensin receptor blocker plus a small dose of diuretic to reduce systolic blood pressure had an obvious advantage

Studies have shown that in many antihypertensive drugs, the effect of losartan and other angiotensin receptor blockers on stroke prevention and treatment more effective. In the hypertension associated with left ventricular hypertrophy and atrial fibrillation in patients with a history of the use of losartan treatment can reduce their risk of stroke incidence of 45%, the risk of death can be reduced to 42%. Have occurred in patients with stroke, the use of losartan in patients treated with the use of other antihypertensive drugs than patients treated suffered nerve damage to be much lighter.

From the effects of antihypertensive drugs, adverse reaction, dependency on the disease control rate and other considerations, the antihypertensive effect of a good selection of the fixed compound preparations for treatment of high blood pressure have a greater advantage. In which angiotensin receptor blockers plus low-dose diuretics have been widely used in clinical, it can effectively reduce systolic blood pressure, the treatment of hypertensive patients with atrial fibrillation, left ventricular hypertrophy and stroke in patients with a unique advantage.

Jingle wrote: man is a Pentium 30, men 40 is Microsoft, Panasonic 50 men, 60 men, Lenovo … … Indeed, men are most afraid of sexual dysfunction occur, but do not know if this may be high blood pressure and other diseases symptoms may also be the treatment of hypertension and other disease complications. Man a “Microsoft”, “Panasonic”, “Lenovo”, it will feel “powerless to change things,” which is the erectile dysfunction, in addition to the factors of age, but requires close monitoring of blood pressure.

ED (sexual dysfunction) is a male-specific signals of early hypertension

Erectile dysfunction affects not only the “sex”, or high blood pressure, diabetes and other chronic diseases early signs and warning signals. A study shows: erectile dysfunction compared with ischemic heart disease symptoms as early as 53.4 months; 10 male hypertensive patients, there appeared five erectile dysfunction (ED), 10 male patients with depression have nine ED patients, 10 male patients with atherosclerosis 4 combined ED. Where, ED and high blood pressure closely related to high blood pressure is a special and accurate early warning signals. Survey data show that ED patients with hypertension associated with the proportion of more than 40%. 
 
Well-known public opinion survey by the U.S. company’s 1342 American men over the age of 35, doing a survey found that in 10 hypertensive patients, there are eight people do not know that Erectile Dysfunction (ED) and hypertension, hyperlipidemia, diabetes and other diseases closely related. 44% of men surveyed said that if they had known erectile dysfunction and high blood pressure, high cholesterol and other diseases, they would not be so anxious in the face when a partner has. And if they know that ED is hypertension, diabetes, one of the early symptoms, it will not eat and drink as it was before, let yourself go by. 
 
Male sexual arousal, the penile artery, a significant expansion of the blood flow into the penis is extremely increased, a large number of loose sponge congestion, with the attendant erections. If the penis is a small artery endothelial dysfunction, that congestion can not be complete, degree of erection will be weakened, and this is one of the pathological causes of ED.
 
Compared with normal and high blood pressure in patients with ED a high incidence of the reason, above all, the patient’s own high blood pressure, blood lipid health problems had higher anxiety; Secondly, atherosclerosis itself, and the side effects of some antihypertensive drugs the health of reproductive organs would be affected.

Control of blood pressure and prevention of ED go hand in hand

Erectile dysfunction (ED) since it is sick, they should seek medical treatment promptly to avoid delay in the treatment of other diseases. He said, to treat ED, first of all to find the original disease, high blood pressure Patients with ED, the first primary should be actively treated for high blood pressure, and oral ED treatments. It should also be combined with psychological treatment, if necessary, should be under the guidance of professional doctors to use hormone replacement therapy or other therapies.
 
ED is also one of the complications of hypertension, about 80% of patients with severe peripheral vascular disease, suffering from ED, 64% suffered from myocardial infarction in patients with ED, 57% coronary artery bypass surgery patients had ED. The reason is because high blood pressure can cause heart and great vessels sclerosis or stenosis, but also restrictions on the penis and other organs of small blood vessels, leading to the emergence of ED. In addition, some high blood pressure drugs themselves have side effects leading to ED.

Among the many treatment methods, experts suggest that treatment with oral drugs in the form of ED, apart from simple and convenient, easy to adhere to things, also in the price-performance advantage. PDE5 inhibitor drugs can be used as medication in patients with hypertension with ED, which allows smooth muscle relaxation, erection, and does not act on the nervous system, and thus will not lead to patients worried about side effects such as drug addiction. If the patient is the use of certain antihypertensive drugs emerged after ED, and may consult a doctor, where possible, adjust blood pressure drug. “In the treatment of ED, we must adhere to the treatment of primary disease; in ensuring the long-term effective treatment of ED drugs at the same time, should pay attention to good control of blood pressure. 
 
American Medical experts have warned, couples should be mutual understanding and exchange more emotional. As long as men could face up to the relationship between hypertension and ED, their sexuality ease of recovery would be more certain.

High blood pressure is stroke, myocardial infarction, heart failure and chronic kidney disease an important risk factor, 50% -60% of stroke, myocardial infarction, 40% -50% of the occurrence of elevated blood pressure. As the highest incidence of cardiovascular disease, hypertension and deaths each year worldwide more than seven million cases, and has become the dominant human death risk factors. According to epidemiological data estimated that China’s annual two million people a new stroke, new myocardial infarction issued 500,000 people who died from cardiovascular and cerebrovascular diseases were 3 million people. The major cardiovascular and cerebrovascular diseases each year in direct medical costs 1,300 billion, of which the medical expenses for high blood pressure reached 36.6 billion yuan. Based on the prevalence of hypertension, the community prevention and treatment of high blood pressure the city will be included in the “Eleventh Five-year” science and technology development planning major projects sub-item.

Chinese Hypertension League has told us by the Chinese Medical Doctor Association of cardiovascular physicians and the Chinese Hypertension League branch of the two authorities co-sponsored the “China Survey of blood pressure control (CHINA STATUS)” the results officially announced. It showed that: in 2009, in the top three hospitals for treatment of hypertension compliance rate was only 31.1%, nearly 7 into not reached because often forget to wear clothes antihypertensive drugs or omitted. Relevant experts in hypertensive patients through the newspaper this: a lot of medicine in the era is now over, the simplified treatment requires only one day to take a drug.

The latest survey to fill gaps in seven-year epidemiological survey

Survey of blood pressure control in China is China’s first trans-regional, inter-hospital, cross-sections of the large-scale hypertension treatment status. The survey covered 22 cities nationwide, 100 three hospitals, in the Cardiovascular Section, Department of Nephrology, Endocrinology, all subjects included a total of 5186 cases of hypertension.

“The last published census data of hypertension in China in 2002, when the compliance rate of patients with hypertension was 6.1%, have been treated for hypertension in patients with compliance rate of 25%,” the Chinese Hypertension League President Professor Liu Lisheng, told reporters: “The survey reflect the top three hospitals for treatment of hypertension in patients with compliance rates, the survey has filled seven years of my high blood pressure related to flow of the transfer of data gaps. “credits China, director of vascular medicine knowing a member of the Chinese Medical Association Section of Cardiology, Dr. Hu a Great professor said: “The survey in-depth analysis of the factors affecting the rate of blood pressure and compliance, for we seek to improve the compliance rate of blood pressure and effective strategies to minimize the risk of death and social burden of high blood pressure provides a useful hint.”

Leak medication compliance rates can reduce the 7 into a

“High blood pressure patients need lifelong treatment for patients with poor compliance, its effectiveness will be undermined.” Professor Hu Yida the treatment of hypertension in talking about compliance issues, told reporters that the survey found that: the current leak medication (one week ≥ 3 times the number of missing clothes) in hypertensive patients than in patients who never leak blood pressure medication compliance rate has dropped 72%. The more drugs, the greater the possibility of missing clothes, and a variety of drug side effects and economic factors that force the patient can not afford on their own reductions.

Survey results also showed: More than 50% of patients taking 2-5 kinds of antihypertensive drugs, more than 40% of patients had the phenomenon of missing clothing. Professor Hu Yida, said: “If a drug can have a multi-drug efficacy, safety and good at the same time, it will greatly improve patient compliance to treatment.”

This reporter learned from some of the hospitals in Chengdu City, learned of hypertensive patients, in order to step-down as quickly as possible, they often have to simultaneously take 3-5 kinds of drugs. Cardiovascular experts have also told reporters that, for some of the more severe patients, a single drug has been difficult to blood pressure under control, “this part of the patient, but to take joint treatment and compound preparation of means treatment.”

One day one can simplify the medication

“We need to take more effective treatment methods to achieve powerful buck.” Said Professor Hu Yida. So, is there a lot of medication may be reduced to eating from a drug, and can play a very good step-down effect? Hu told reporters that a major treatment of high blood pressure, strengthen, simplify and optimize the “three” will become new trends. “Patient compliance and drug efficacy is the impact of the survey revealed the rate of blood pressure and compliance are two key factors, which for us in clinical practice how to take effective treatment strategies provide a useful hint.” Said Professor Hu Yida “At the moment, the world’s new trends in the treatment of hypertension is also applied with a strengthened, simplified and optimization characteristics of monolithic compound preparation to meet the patient on drug efficacy, tolerability and safety of a variety of needs.” he told reporters, with the strengthen the characteristics of single compound preparation of blood pressure control rate can be greatly improved, research confirms that valsartan / amlodipine single compound preparation for single-drug treatment failure in patients treated for 16 weeks will enable 90% of patients with compliance; 2,000 patients were registered to participate in clinical research in China confirmed that such a single compound preparation for people with mild to moderate hypertension in Chinese patients can be realized more than 70% compliance rate. “The drug is only eat one a day, thereby reducing the leakage dose or forget to take the medication issue.”

From nitrendipine, to the nuns Fuda, to the present Norvasc, I and hypertension “battle” has already experienced the “three battles.”

Earlier I do not know how high blood pressure hazards, but has its own feel-good, but was found during a routine physical examination blood pressure actually broke the 140/90 mark, the doctor ordered, said: “hurry medication, blood pressure quickly, otherwise easily lead to troubles! ”

However, when there are still many errors in understanding. The doctor advised me to take nuns Fuda. But I think the doctor is an open high-priced medicines, secretly replaced by cheap nitrendipine. Although the drug money, cut down, but some strange phenomenon that has cropped up always feel that pain and fatigue the brain, and sometimes wake up early morning or Yanyanyushui. Zaiqu hospital, before we know these are side effects of drugs. Doctors said that although nitrendipine cheap, but more side effects, especially in the short duration of efficacy, after taking the morning to the afternoon we should discount the efficacy difficult to steady buck.

Follow the doctor’s suggestion, I replaced the nuns Fuda and began to pay attention to all kinds of medical information about high blood pressure. Just replace the nuns Fuda, the feeling is good in the morning to eat a drug, basically a day of blood pressure are normal. Available at night, efficacy will be weakened. So I at night have also added a drug, did not expect that evening from sitting to stand up Shique some dizziness. Go to the hospital consultation, the doctor said that the already low blood pressure at night, eat only blood pressure drugs can cause low blood pressure, but will also lead to stroke and other illnesses. At this time, I saw a call from the Internet Norvasc blood pressure lowering drugs, the biggest advantage is that long-lasting depressor effect. So I went to the hospital ask the doctor. The doctor said that Norvasc, of course with good results, but the seven drugs to 40 yuan, you can insist on taking? I said to the doctor, health is the greatest wealth in life, to health, should be willing to invest. After the frequent use of Norvasc blood pressure measurement. Antihypertensive effect is not only good, but relatively stable blood pressure, and self-feeling is not bad. More than 200 yuan a month in drug money, although some expensive, but I fully accept the deregulation.

Looking back at my buck “trilogy”, he explains the development of our society, people live in constant improvement is no longer invest in cash-strapped health; on the other hand also shows that the concept of their own consumption and health change. I am very convinced of a motto is: the best investment in life is to invest in health!

Zhao readers in the treatment of hypertension in the process took nitrendipine, nuns Fuda will not work, finally Norvasc used with good results. Despite the higher drug prices, he considered worth it, and after this “trilogy” reached the target blood pressure. Readers will recognize the best investment in life is that investment in health is welcome. But the reader’s view of drugs is not correct, or at least incomplete.

First of all should know that these three antihypertensive drugs are in fact “dihydropyridine” and “calcium channel blocker.” Because of its drug name (generic name) at the end have a “horizon” in a frivolous, it is also known as “Horizon Class” antihypertensive drugs. Nifedipine is the first generation of antihypertensive effect duration is short, about 6-8 hours, it must be taken 3-4 times a day. Nuns Fuda is “nifedipine,” the sustained-release tablets, nuns Fuda is a trade name, is a domestic pharmaceutical products.

Nitrendipine is a generic name (a drug no matter what a pharmaceutical production, all the same a common name), belong to the second generation. Antihypertensive effect is about 12 hours or so, is a medium efficiency, taking at least 2 times a day. If a pharmaceutical products, trade names is “off the MIPS.” Effect is not bad. However, relatively higher price per board 12. Take 15 per month, said raw materials are imported. Nitrendipine completely domestically produced low prices, a bottle 100, less than 5 yuan.

Norvasc is also a trade name, common name is “amlodipine.” Belong to the third generation, was invented by the U.S. Pfizer. After the expiry of patent protection in 2002 after many of our pharmaceutical companies have been copied successfully, but the products of all pharmaceutical products were different, as far as I know there are “peace inside true”, “pressure’s up” and “Randy” and so on. As is the imitation, it is much lower drug prices, or even only half of Norvasc less.

Applications are now advocating a long-term antihypertensive drug, as long as one pill a day, so some pharmaceutical companies regard the 20-30 mg of nifedipine into the special “slow-release or controlled release” tablets or capsules, so that slowly release drugs to achieve long-term aim. Efficacy of the good and bad, with the level of the pharmaceutical production. The best long-acting formulations of nifedipine, a German pharmaceutical firm Bayer’s controlled-release tablets, each content of nifedipine 30 mg tablets, trade names is “a new worship the same.”

These three “horizon” category antihypertensive drugs if the dose equivalent to the quality of medicines is also very good, step-down effect is the same. Therefore, the reader finds the “trilogy” is actually wrong. Difference is that the duration of antihypertensive effect is different. Nifedipine action time is too short, now with long-acting controlled release tablet, for example, the antihypertensive effect of Adalat and Norvasc similar. Inpro down 2 to 3 times a day, each one. Antihypertensive effect is comparable with Norvasc. Generally speaking, short-acting antihypertensive drugs are more number of adverse reactions, blood pressure fluctuations in a number of relatively large, long-acting antihypertensive drugs relatively small number of adverse reactions, blood pressure fluctuations in a relatively small number of.

As for the domestic and foreign original tablets generic pills difference depends on whether the quality of generic pills to achieve the quality level of the foreign original tablets. If quality levels are equal, then the antihypertensive effect should also be the same. Hypertensive patients need lifelong medication, and thus learn more about the point of knowledge of drugs in order to better control blood pressure.