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Hypertension is known as the "silent killer", and it is the culprit of many serious complications, such as cardiovascular and cerebrovascular diseases, kidney failure, etc. Among them, cerebral hemorrhage is one of the most terrible complications of hypertension.
Once it happens, it often brings severe disability to the patient, even life-threatening.
So, how high does high blood pressure have to be to cause cerebral hemorrhage? In response to this problem, the author interviewed Dr. Zhang, a cardiologist from a tertiary hospital in Beijing. Let's take a look at what Dr. Zhang has to say.
"First of all, we need to understand the concept of blood pressure grading."
"According to the latest Chinese guidelines for the prevention and treatment of hypertension, blood pressure can be divided into 6 levels: appropriate blood pressure, high normal value, normal blood pressure, and hypertension level 1, 2, and 3. "
"Stage 1 hypertension refers to systolic blood pressure of 140-159 mm Hg or diastolic blood pressure of 90-99 mm Hg;
Stage 2 hypertension is defined as a systolic blood pressure of 160-179 mmHg or a diastolic blood pressure of 100-109 mmHg
Stage 3 hypertension is defined as systolic blood pressure ≥ 180 mm Hg or diastolic blood pressure ≥ 110 mm Hg. "
Dr Cheung continued, "For the risk of intracerebral hemorrhage, we can divide hypertension into three 'warning lines'."
"The first warning line is a systolic blood pressure ≥ 180 mm Hg. Once this threshold is exceeded, patients are at higher risk of haemorrhagic stroke. We usually recommend that if you occasionally see such a high blood pressure measurement, you should seek medical attention as soon as possible. "
"The second warning line is a sustained systolic blood pressure of 160-179 mm Hg. Although it is not as dangerous as 180, the risk of cerebral hemorrhage continues to increase if you stay in this blood pressure range for a long time. "
"The last warning line is diastolic blood pressure ≥ 105 mm Hg. It has been found that high diastolic blood pressure is the most associated with the risk of intracerebral hemorrhage of all blood pressure components. Therefore, once the diastolic blood pressure is found to be more than 105, it should also be paid great attention to. "
So, what advice does Dr. Zhang have for high-risk groups who have reached any of the above "warning lines"?
"In cases where systolic blood pressure ≥ 180 mm Hg, we usually need to give immediate antihypertensive therapy in emergency settings to prevent hemorrhagic stroke." Dr. Zhang said.
"If you have a systolic blood pressure of 160-179 or a diastolic blood pressure of ≥ 105, you need to control your blood pressure to a normal level within 1 month, with a combination of lifestyle intervention or medication."
"Anytime you find that your blood pressure exceeds the warning line, you should see a doctor in time, follow the doctor's guidance, and take your medication strictly on time. In addition, improving lifestyle habits is also the key to lowering blood pressure, such as quitting smoking and limiting alcohol, controlling weight, and increasing exercise. "
After listening to Dr. Zhang's explanation, I believe everyone has a clearer understanding of the "red line" of blood pressure. We need to monitor our blood pressure levels at all times, and once the warning value is exceeded, we must take measures as soon as possible to correct it in time. After all, prevention is always more important and cost-effective than cure.
In addition to controlling blood pressure, Dr. Zhang also reminds us to pay attention to other risk factors, such as diabetes, hyperlipidemia, lack of exercise, etc., which can also increase the probability of intracerebral hemorrhage. Only by starting from all aspects can we truly stay away from the threat of stroke.
In short, taking care of our bodies requires us to pay more attention in our lives. Controlling blood pressure is the foundation, and developing good lifestyle habits is the key. Let's work together to create a worry-free and healthy life for ourselves and our families!
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Disclaimer: The content of the article is for reference only, the storyline is purely fictional, intended to popularize health knowledge, if you feel unwell, please seek medical attention offline.