Summer easy heart disease recurrence

Coronary Heart Disease is the most common and frequently-occurring disease elderly, and many people think that winter is the season of high incidence of coronary heart disease, to the neglect of the summer the risk of coronary heart disease recurrence. In fact, the sweltering heat of midsummer, coronary heart disease and myocardial infarction angina attack led to the not uncommon. Every summer, especially the hot weather, increased humidity in the air, can often see reports of sudden death in patients with coronary heart disease.
According to 304, deputy director of the hospital wards Jiayunfeng cadres, every summer when temperatures exceed 33 ℃, especially when wet weather continued nausea, heart and brain disease wards people will have markedly increased.

Hypertension in children with acute nephritis

Captopril acid (CPT) is the angiotensin-converting enzyme inhibitor, congestive heart failure, severe hypertension significantly, I applied in recent years by CPT treatment of hypertension in 32 cases of acute glomerulonephritis, and achieved good effect, it is reported as follows.
1 Materials and Methods
1.1 All patients with “practical paediatrics,” the acute nephritis and children hypertension diagnostic criteria. CPT treatment group of 32 cases, 17 cases male, female 15 cases, 12 cases of pre-school children, school-age children in 20 cases, systolic blood pressure before treatment in the 128 to 135 mmHg and diastolic pressure 82.5 to 97.5 mmHg in the control group 30 cases, 16 cases male, female 14 cases, 11 cases of pre-school children, school-age children in 19 cases, systolic blood pressure before treatment in the 120 to 135 mmHg and diastolic blood pressure in the 82.5 to 90.0 mmHg. There were no hypertensive encephalopathy, heart failure, renal failure. Case two groups in age, condition, blood pressure similar to the basic.
1.2 Methods in the application of conventional treatment, such as penicillin, on the basis of CPT CPT first group of 0.5 mg kg-1 * each subsequent * 1 ~ 5 mg kg-1, three times a day or q # 8 h oral, reducing blood pressure to normal gradually stop. The control group by reserpine, No. 1 * d 0.07 mg kg-1 were injected, if necessary, with a 12 h later, the next day after the routine of 0.02 ~ 0.03 mg kg-1 * * d - 1 2 ~ 3 oral administration.
GM Cuff width of a long arm in children 2 / 3 mercury sphygmomanometer, supine position of the right upper arm blood pressure, supine before manometry over 15 min, followed by measurement medication, medication after 30 min, 4 h, 72 h compared blood pressure .

Attention should be paid to elderly hypertensive

Over the age of 60 elderly people suffering from hypertension in elderly hypertensive said. At present the prevention and treatment of elderly hypertensive people should pay attention to the following types of bias to overcome.
① “diagnostic criteria for hypertension in the elderly than in young people is higher.” This is not correct. The elderly and young people in the Diagnosis of hypertension is the same. Any age over 18-year-old adult male and female, should be in accordance with systolic blood pressure ≥ 140 mm Hg or (and) ≥ 90 mm Hg diastolic diagnosis of hypertension as a standard. But elderly hypertensive often a special type, that is, systolic blood pressure significantly greater than 140 mm Hg, diastolic blood pressure was normal but that is less than 90 mm Hg. This hypertension please everyone should pay close attention to, not because of high systolic blood pressure and diastolic blood pressure normal to think that is not serious, this simply higher systolic blood pressure can lead to stroke, and other equally serious life-threatening complications and the same should be positive treatment. The World Health Organization (WHO) and the Union of hypertension all of this in order to raise sufficient awareness of hypertension specifically for such abnormal blood pressure has - names, called isolated systolic hypertension, also known as senile systolic hypertension.
② “elderly patients without treatment because their prognosis poor, as young people do not like.” The actual situation is not the case. Recent studies show that ,65-74-year-old age group blood pressure ≥ 160/90 mm Hg mortality of cardiovascular complications, blood pressure than eight times higher than normal, and isolated systolic hypertension and diastolic hypertension almost the same as the risk of .
③ “generally do not have elderly hypertensive treatment, but after treatment will be an important organ perfusion deficiency caused the harm.” This view is incorrect. Long-term hypertension patients suddenly over lower blood pressure, it can cause increased mortality, mainly with the major decline in cerebral blood flow. But as long as the proper relief to lower blood pressure slowly but steadily, not only enable the cerebral blood flow automatic adjustment mechanism has been gradually resumed, and myocardial oxygen consumption can be reduced, so that angina has been eased. Will not cause heavy organ perfusion deficiency hazards.
④ “older persons to the tolerance of antihypertensive drugs than young people.” This is a sheer bias. According to the United States a five-year observation reports indicate that: the age group of patients with hypertension and found that due to side effects of withdrawal are 60-69-year-old group only 24.8% minimum, 50 to 59 age group was 38%, 40-49-year-old Group 36.8% between 30-39-year-old group was 34%.
⑤ “elderly, as young people can not adhere to medication.” This bias is the reason why many elderly people have mental disorders, such as forgetful. But as proven by practice, the majority of elderly people of their health care inferior to young people. Surveys show that the 60-69 age group 80% of patients with hypertension to adhere to medication, and 50-59 years of age group 30-39 age group and only 75% can insist medication.

Green tea can prevent elderly hypertensive

Green tea in control of hypertension cases of hypertension index, which will give hypertension index vascular system, a series of peacekeeping burden, which led to atherosclerosis.

Arteriosclerosis is the acceleration of change for heart disease, stroke and other cardiovascular diseases. Cause hypertension reasons still not clear, but it is clear that a ANGIOTENSIN2 called by the chemical composition of essential hypertension and aortic stenosis hypertension caused by the formation of very great impact. Blood contains a substance called ANGIOTENSINOGEN, this kind of material in renal hypertension protein inside the transmission of the role of ANGIOTENSIN1. Another enzyme called ACE will ANGIOTENSIN1 then ANGIOTENSIN2 change, it will strongly rely on compression of blood vessels and muscle shrinkage, and by relying on such muscle shrinkage caused by the contraction of the vascular wall is a cause of hypertension.
Dr. HARA has confirmed CATECHIN in green tea can prevent the occurrence of ACE inhibition and ANGIOTENSIN2 generation. He used rats to do simulation experiments, the mice in the experiment initially only five weeks, blood pressure was only 130-140 mm Hg, after normal feeding, probably in their 10 weeks old, blood pressure immediately rose to more than 200 millimeters of mercury column, and joined U5Y5 CATECHIN CATECHIN and 0.5% of the feed fed rats while maintaining blood pressure less than 200 mm Hg. This proves that green tea can prevent hypertension.

All this is very good recommendations, drink green tea every day can prevent hypertension.

Hypertension treatment guidelines

Six ways to help you better smooth buck: 1, quit smoking; 2, slimming, lighter weight women should limit daily alcohol consumption; 3, reduce sodium intake (daily salt perturbation to not more than six grams of salt), 4, increasing exercise (walking and other daily activities 30 - 40 minutes); 5, and more fresh fruits and vegetables; 6, a day more fresh food potassium (potassium intake recommendations 3.5 g daily for about three daily fresh bananas, drinking three glasses of Jushi);

Antihypertensive points

Weight control
Obese people have more hypertension, especially in the accumulation of abdominal fat (Dunan), “Apple obesity,” caused more hypertension. Suffering from hypertension obesity, it is necessary to actively lose weight helps improve blood pressure. But by how much? General can be reduced from 5 to 10 percent, it is hypotensive effect. For example, a 200-pound man, the standard weight is about 160 pounds, he can be for the six months period, the first by 10-20 pounds, as weight loss goals.
Apple obesity
Waist-hip ratio = Waist (inches) / hip (inches)
Standards: M <0.95 F <0.85
It is higher than the standard Apple obesity
Reduced sodium alcohol
Reduce dietary sodium intake on blood pressure control some help. Reduce sodium intake is to eat quality fresh food, eat high-salt processed foods such as pickles, marinated meats, sauces, canned, and so on. MSG also contain sodium, high blood pressure are advised to reduce eating out.
Do not place the large number of weekday cooking salt, soy sauce and so on, the use of garlic, ginger , lemon juice, so as to boost the flavor of dishes apart without an increase in salinity.
Hypertensive patients should not be drinking because alcohol or hypertension, alcohol with high-calorie, and also affect weight control.
Regular exercise
Regular exercise helps control blood pressure, also effectively reduce weight. However, patients with hypertension should carefully choose the safe movement, best to consult their doctors for advice. May wish to start by walking, not only security, and without special skills or equipment, can be implemented at any time, it is ideal for hypertensive persons.

Etiology of hypertension new discovery

To middle-aged people, the increased blood pressure often, and even lead to heart and circulatory system diseases. However, what causes hypertension, or people so far only superficial knowledge. For example, we all know that, in most cases of hypertension are due to hardening of the blood vessels, vascular cross-sectional area decreases caused. However, why would vascular sclerosis this issue, it does not seem clear. Recently, German Technical University of Munich Drug Institute’s scientists have been made to answer, and their research results published in the March issue of “Nature” magazine.

They found the body in the name of IRAG discovered a protein, this protein can make vascular softened, thus increasing vascular cross-sectional area to reduce blood pressure. However, once the IRAG disrupts the function of vascular not be its role, has begun to harden. To the University Hoffman (Hofman) headed by Professor researchers found that protein can hinder IRAG vascular muscle cells in the release of calcium, and calcium content reduced, it will cause the blood vessels to soften. They also found that, in addition to renal arteries as a result of tightening of hypertension, the other causes of hypertension are thus formed. Therefore, they believe that this discovery will contribute to the future development of new prevention and treatment of hypertension drugs.

However, you should not have this new found that the treatment of hypertension can be easily handled, Professor Professor Hoffman said, usually from a new discovery really started to research into new drugs, need at least 10 hours, so, for us, or attention should be paid to physical activity and health is being strokes.

Renovascular hypertension pathology

Renovascular hypertension due to ischemia caused renin - angiotensin - aldosterone axis and the activation. The renal perfusion due to a decrease in the release of renin, renin angiotensin reasons prompted into angiotensin Ⅰ, angiotensin Ⅰ the conversion of angiotensin-converting-enzyme angiotensin Ⅱ. Angiotensin Ⅱ is a strong Vasoconstrictor, angiotensin Ⅱ (A Ⅱ) can also stimulate the adrenal gland secretion of aldosterone, which have sodium retention.
Renal artery occlusive disease incidence can be unilateral or bilateral, or occurred in patients with kidney alone, because different types of renal vascular hypertension pathophysiology not the same. In the renal mode (renal, a clamp-type kidney), renal ischemia Shuinazhuliu lead to the release of renin, but normal contralateral kidney will pressure sodium row of the diuretic, so that patients actually negative sodium balance, has further increased the renin release. Kidney in a single mode (single kidney, renal clamp-type), not the impact of the contralateral kidney, thereby preventing the loss of sodium, extracellular fluid volume increase in the number of blood renin inhibition activity, such patients with high blood pressure main is caused by excessive fluid. Patients with renal artery stenosis with a similar situation.

Pathophysiological mechanism of hypertension

Essential hypertension is a kind of interaction of multiple factors leading to disease, including such factors as changes in gene structure and the function of the mechanism of change and the environment, and other factors. Most of the studies show that hypertension is a multi-gene genetic diseases, there are many candidate genes in the study.
From the point of view of physiology, and pathogenesis of essential hypertension in the final mechanism of peripheral blood would lead to increased tension. These include the pathogenesis of sympathetic activity increased renin - angiotensin system changes, nitric oxide and endothelin-such as the imbalance of vasoactive cells cationic changes, and so on, these are the current research. Many environmental factors, such as salt intake, depression and obesity and hypertension are also relevant.

Correct blood pressure measurement?

We now are widely used blood pressure measurement method is the application of vascular compression sleeve bring pressure methods. Inflatable, once the cuff pressure over artery systolic pressure, pressure vessel was closed, blood flow was blocked, the distal vascular artery pulsatility heard on the sound. Deflated later, when the cuff pressure within the artery systolic pressure below Vascular open, restore blood flow, arterial pulse generated sound, the sound heard artery pulsatility (auscultation audio), which is the pressure within the cuff pressure. Continue to deflated when the cuff pressure lower than diastolic blood pressure, blood vessels completely unobstructed, blood flow was no longer blocked artery pulsatility sound disappeared, at the cuff, which is the diastolic pressure. DBP to children artery pulsatility tone suddenly changed hours to determine more accurately the pressure. Because blood pressure measurement by many external factors, so the correct blood pressure measurement to perform the following tasks:

(1) choose a suitable device: general is the most commonly used mercury sphygmomanometer, the barometer of the device and electronic sphygmomanometer also commonly used. Sphygmomanometer cuff width of the upper arm should be able to cover the length of 2 / 3, the length of the cuff at the same time the need to arm circumference of the 2 / 3. If it is too narrow cuff blood pressure measured at the high cuff too long, measured blood pressure was lower.

(2) choose a suitable pressure environment: Patients should be in a quiet, temperature appropriate environment rest 5-10 minutes, with the sleeves of the arms should not be unduly fettered avoid under stress such as bladder filling or smoking, Daohan, a cup of coffee after manometry.

(3) the pressure to choose the correct steps: Patients admitted seat, the arm should be measured exposed, palms upward Horizontal, in the heart of the elbow, arm and upper torso was 45. Kok, with the lower edge of the cuff before elbow gap spacing of 2-3 cm, inflatable to disappear after torsion arterial pulse with 4.0 kPa (30 mm Hg), this was the largest inflatable level. If high pressure will be the result of high systolic blood pressure. If inflation reached 40.0 kPa (300 mm Hg) level, which will lead to “Airbag Inflators hypertension.” Then gradually deflated and a speed of 0.27 kPa (2 mm Hg) / sec, for the first auscultation audio systolic blood pressure, pulse tone for the disappearance of diastolic blood pressure (the old system units blood pressure reading should be accurate to 2 mm Hg). Inflatable oppression time not too long, it could easily lead to the false impression of elevated blood pressure.