Postural hypertension?

summary

Postural hypertension refers to the increase of systolic blood pressure at least more than 20 mmHg after standing. The incidence of postural hypertension in various studies ranged from 8.7% to 16.3%. The characteristic of this disease is that it does not have the characteristics of hypertension, most of which are found in physical examination or accidental cases. Its blood pressure is mainly increased diastolic blood pressure, and the fluctuation range is large. A few serious cases may be accompanied by palpitations, easy to get tired and fall asleep quickly. The activity of plasma renin was higher than that of normal people, even higher than that of patients with hypertension.

Postural hypertension?

Patients with orthostatic hypertension have no symptoms of hypertension, and their blood pressure is mildly or critically elevated, which is often found in physical examination or by accident. Severe cases may be accompanied by palpitations, fatigue, drowsiness, etc. the plasma renin level is higher.

At present, there is no damage to target organs caused by postural hypertension. After the application of diuretics in this kind of patients, the blood pressure will rise instead, and the symptoms will aggravate. Strengthen sports, improve muscle strength, blood pressure can gradually recover. Patients with severe symptoms can take piracetam, inosine, vitamin B, oryzanol, etc. Postural hypertension generally has a better prognosis without adverse consequences.

Postural hypertension is characterized by the elevation of systolic and / or diastolic blood pressure more than 20 mmHg, often accompanied by tachycardia. Usually diastolic blood pressure is increased, and the fluctuation of blood pressure is large, but the blood pressure is normal in supine position. It accounts for about 4.2% of the patients with hypertension in China and 10% in foreign countries.

matters needing attention

Do not stand or sit for a long time. Posture and posture will cause excessive blood in the venous pool, reduce the blood flow back to the heart, reduce the cardiac blood output, and lead to increased blood pressure. Should work after a period of time to lie on the sofa to rest for a while, this is conducive to lower limb blood return.