If high blood pressure is not controlled, the kidneys will collapse 10 times faster? Medical warning: Kidney dialysis will be possible in 5 or 6 years at the earliest
If high blood pressure is not well controlled, the speed of kidney dialysis may be accelerated by 10 times?
Chronic kidney disease is closely related to the control of hypertension and may even accelerate the progression of kidney dialysis. Dr. Zheng Haomin, director of the Evidence-Based Medicine Center of the Teaching Department of Taipei Veterans General Hospital, said that high blood pressure will affect the decline rate of glomerular filtration rate. Generally, the decline rate of normal people is about 1cc per year. When the blood pressure is greater than 140 mm/Hg, the decline rate will be 5cc per year. When it exceeds 180 mm/Hg, the decline rate is as high as 10cc per year.
“If the renal glomerular filtration rate is only 60 and the blood pressure is not well controlled, there is a chance that the patient will need dialysis in 5 or 6 years!”
Dr. Zheng Haomin emphasized that high blood pressure control has a significant impact on kidney function. The “SPRINT” study of the US National Institutes of Health (NIH) and the National Heart, Lung, and Blood Institute (NHLBI) is the research project that included the largest number of patients with kidney disease. The results showed that blood pressure control Between 120 mm/Hg and 140 mm/Hg, those with blood pressure lower than 120 mm/Hg have a reduced risk of myocardial infarction, stroke, and heart failure in the future by more than 25%.
6 Tips for Lowering Blood Pressure SABCDE Improve Lifestyle
Dr. Zheng Haomin pointed out that once chronic kidney disease occurs, it will become more difficult to control blood pressure. High blood pressure affects kidney function, and abnormal kidney function can lead to increased blood pressure. The two diseases are like a vicious cycle. Therefore, if you have kidney disease or high blood pressure, you must discuss it with your doctor and cooperate with treatment and medication adjustments. You must also avoid high-salt diet to reduce the burden on your kidneys.
Lifestyle changes are the most important part of non-drug treatment. You should master the six tips “SABCDE” for lowering blood pressure - S Salt restriction, A Alcohol limitation, B Body weight reduction), C Cessation of smoke, D Diet adaptation, E sufficient exercise (Exercise adaptation), to help blood pressure drop to a healthy range through lifestyle adjustments.
The new high blood pressure control standard 130/80 focuses on home blood pressure
Increasing evidence shows that controlling blood pressure below 130/80 mm/Hg can help reduce stroke, cardiovascular disease and protect kidney function. Dr. Zheng Haomin said that Taiwan’s new hypertension treatment guidelines will adjust the target blood pressure control value to below 130/80 mm/Hg, which is expected to be officially released in May, and will include home blood pressure as an important reference for diagnosis and treatment.
Dr. Zheng Haomin explained that studies such as “STEP” have discovered the importance of “home blood pressure” values as treatment control targets. In addition to adopting the “722” principle when measuring blood pressure - measuring twice a day and twice before going to bed, seven days a week, using the weekly average as the standard, it also changes the past practice of using hospital blood pressure as diagnostic data. Taiwan is expected to be the first country to incorporate home blood pressure measurement into hypertension treatment guidelines.
As you get older, you need to control your blood pressure to avoid high perfusion from damaging the brain, heart, and kidneys.
People have many myths about the control of high blood pressure. The most common one is that “blood pressure will naturally rise as you get older and does not require strict control.” In this regard, Dr. Zheng Haomin pointed out that blood pressure may indeed increase with age, but it “should” not be allowed to increase. Keep getting higher. Many studies have found that controlling blood pressure in older adults provides the same cardiovascular risk reduction benefits as younger people. Do not simply believe in Internet rumors such as “Wu’s Blood Pressure Method” and neglect blood pressure control.
In addition, it is also a common myth that taking too many blood pressure medicines will lead to kidney dialysis. Dr. Zheng Haomin reminded that poor blood pressure control requires medication. Taking blood pressure medication does not cause high blood pressure. If you have multiple chronic diseases, you can discuss adjusting your medications with your doctor. Now there are compound dosage forms that combine up to three ingredients into one pill, which can help reduce blood pressure and increase medication compliance.
“Many people think that high blood pressure is only related to cardiovascular disease. In fact, the brain, heart, and kidneys can all be easily damaged by high blood pressure!”
Dr. Zheng Haomin pointed out that the brain, heart, and kidneys have common characteristics, and they are all important organs with “high perfusion and low impedance.” In order to cope with various physiological functions, blood will continue to perfuse these organs. High perfusion can easily cause high damage, especially high blood pressure. Taiwanese are reminded to keep their blood pressure under control to avoid irreversible damage to the brain, heart, and kidneys.
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