2023-09-04 06:29:07
Physician Jiang Kunjun said that a small number of patients can reduce the dosage of high blood pressure medication following following the “S-ABCDE” principle, and even have the opportunity to stop the medication completely. (Schematic / Shutterstock)
According to the statistics of the National Health Administration, the population of hypertensive population in Taiwan is estimated to be as high as 5.29 million, which means that 1 out of every 4 people suffers from the disease, and the trend is increasing year by year. Many people will ask, can high blood pressure drugs be taken for a lifetime and cannot be stopped? In this regard, Jiang Kunjun, deputy director of Minsheng Hospital, said that most patients do need to take medicine for life, but a small number of patients, following following the “S-ABCDE” principle, reduce salt intake, limit alcohol, lose weight, and quit smoking , Diet adjustment, and more exercise can reduce the dosage of high blood pressure drugs, and even have the opportunity to stop the drugs completely.
Jiang Kunjun pointed out in “Jiang P Medical Affairs” that hypertension has multiple causes. If it is caused by internal medicine problems, there is a chance to stop taking high blood pressure drugs following the medication improves; if it is caused by obesity or genetics, most patients will have to take high blood pressure for life Only a very small number of patients have the opportunity to reverse high blood pressure by improving obesity and living habits.
Jiang Kunjun mentioned that many people are unwilling to take high blood pressure medicine, thinking that taking too much will damage the kidneys, which is actually a misconception. He explained that in clinical observation, patients who take the medicine on time, even if they take the medicine for 10 or 20 years, their kidney function is still normal; on the contrary, those patients who are unwilling to take the medicine for high blood pressure have impaired kidney function due to high blood pressure. .
In addition, Jiang Kunjun also said that taking high blood pressure drugs will not make the blood vessels lose their elasticity, but not controlling high blood pressure will make the blood vessels lose their elasticity. If the blood pressure is allowed to be too high, the blood vessel wall will be impacted for a long time, and the blood vessel wall will harden over time, which will only make the blood pressure become higher and higher, and even cause the blood vessel to rupture easily.
Jiang Kunjun said that if you want to reduce the dosage of high blood pressure drugs, or even have the opportunity to stop the drugs completely, you must follow the treatment guidelines of the American College of Cardiology and the Society of Hypertension, that is, grasp the “S-ABCDE” principle. He explained one by one:
●S (Salt) reduces salt intake: Studies have shown that reducing salt intake by 1 gram per day can reduce blood pressure by 2.5mmHg.
●A (Alcohol) limit the amount of alcohol: According to statistics, if the daily alcohol intake of men is less than 30 grams, and that of women is less than 20 grams, blood pressure can be reduced by 2-4 mmHg. 30 grams of alcohol is approximately equal to 2.5 easy-open cans; 20 grams of alcohol is approximately equal to 1.5 easy-open cans.
●B (Body Weight) Weight loss: Weight is the biggest enemy of blood pressure. For those with a BMI over 25, for every kilogram of weight lost, blood pressure can be reduced by 1mmHg. If a person weighing more than 100 kg loses more than 10 kg, blood pressure can be reduced by 10 mmHg.
●C (Cigarette) Smoking cessation: Smoking is very harmful to blood vessels. People with high blood pressure and smoking habits have a higher chance of heart disease. Therefore, people with high blood pressure must quit smoking.
●D (Diet) diet control: Eat more fruits and vegetables, and eat less refined food. According to research statistics, a good diet control can reduce blood pressure by 10mmHg.
●E (Exercise) Exercising more: According to the 333 principles of exercise recommended by the National Health Administration, that is, exercising 3 days a week, 30 minutes each time, with a heart rate of more than 130 beats per minute, blood pressure can be reduced by 3-6mmHg.
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