Diastolic blood pressure rises

Introduction Simple diastolic blood pressure is an early stage of hypertension. Simple diastolic hypertension can not be ignored, because with the prolongation of the disease, simple diastolic hypertension can be converted into classic hypertension. Even to the development of simple systolic hypertension. If left untreated, the prognosis will be worse with ageing. Hypertension is the most common chronic disease and the most important risk factor for cardiovascular and cerebrovascular diseases. Stroke, myocardial infarction, heart failure and chronic kidney disease are the main complications. Practices at home and abroad have proven that hypertension is a disease that can be prevented and controlled, lowering the blood pressure level of patients with hypertension, significantly reducing stroke and heart disease events, significantly improving the quality of life of patients, and effectively reducing the burden of disease.

Cause

It is related to eating habits, living habits, mood factors, work stress, and climate. This cluster of patients is generally caused by personal habits, life is not regular, diet is not scientific, work is not time, rest is not normal, entertainment is not reasonable.

an examination

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Blood pressure blood test

Under normal circumstances, the ideal blood pressure is 120/80mmHg, the normal blood pressure is below 130/85mmHg, 130-139/85-89mmHg is the critical hypertension, which is the normal high limit; 140-159/90-99mmHg is the hypertension stage I. At this time, the body does not have any organic lesions, just pure hypertension; 160-179/100-109mmHg for hypertension II, at this time there are left ventricular hypertrophy, heart and brain damage and other organic lesions, but the function is still Compensation status; 180/110mmHg or more for hypertension III, at this time there are cerebral hemorrhage, heart failure, renal failure and other diseases, has entered the decompensation period, may be life-threatening at any time.

1, mild hypertension: diastolic blood pressure between 12.6 ~ 13.8kPa (95 ~ 104mmHg), and no target organ damage.

2, moderate hypertension: diastolic blood pressure between 13.9 ~ 15.2kPa (105 ~ 114mmHg).

3. Severe hypertension: diastolic blood pressure 15.3 kPa (115 mmHg).

4. Critical hypertension: refers to the standard that blood pressure level exceeds the normal range, but does not reach high blood pressure, that is, diastolic blood pressure 12.1 ~ 12.5kPa (91 ~ 94mmHg), systolic blood pressure between 18.9 ~ 21.2kPa (141 ~ 159mmHg) .

Differential diagnosis

Differential diagnosis of diastolic blood pressure:

1, acute nephritis: acute glomerulonephritis (acute glomerulonephritis) often referred to as acute nephritis. Broadly refers to a group of etiology and pathogenesis, but clinical manifestations of acute onset, glomerular disease characterized by hematuria, proteinuria, edema, hypertension and decreased glomerular filtration rate, therefore Often referred to as acute nephritic syndrome. The vast majority of clinically belong to acute poststreptococcal glomerulonephritis. This disease is the most common kidney disease in childhood. The age is more common in 3 to 8 years old, and rare under 2 years old. The ratio of male to female is about 2:1.

2, chronic nephritis: chronic glomerulonephritis (chronic glomerulonephritis), referred to as chronic nephritis, refers to proteinuria, hematuria, hypertension, edema as the basic clinical manifestations, the onset of the disease is different, the disease is prolonged, the disease slowly progresses, There may be varying degrees of renal dysfunction, which will eventually develop into a group of glomerular diseases of chronic renal failure. Due to the different pathological types and different stages of the disease, the main clinical manifestations are different, and the disease manifestations are diversified.

3, chronic pyelonephritis: chronic pyelonephritis is a chronic inflammation caused by bacterial infection of the kidney, the lesion mainly invades the renal interstitial and renal pelvis, renal pelvis tissue. As the inflammation continues or recurs, the renal interstitial, renal pelvis, and renal pelvis are damaged, and scars are formed, and the kidneys are atrophied and dysfunctional. Usually, the patient may only have backache and/or low fever, but there is no obvious urinary pain, urinary frequency and urgency symptoms. The main manifestations are increased nocturia and a small amount of white blood cells and protein in the urine. The patient has a history of long-term or recurrent urinary tract infections, and uremia can occur in the advanced stage.

4. Pheochromocytoma: Pheochromocytoma originates from chromaffin cells. During the embryonic period, the distribution of chromaffin cells is related to the sympathetic ganglia of the body. As the embryo matures, most of the chromaffin cells degenerate and the remainder forms the adrenal medulla. Therefore, the vast majority of pheochromocytoma occurs in the adrenal medulla. Extra-adrenal pheochromocytoma can occur from the carotid body to any part of the pelvis, but is mainly found in the paraspinal sympathetic ganglia (mainly after mediastinum) and the aorta in the abdomen (Zuckerkandl organ) ).

5, primary aldosteronism: primary aldosteronism (original aldosteronism), is due to adrenal cortical tumor or hyperplasia, increased aldosterone secretion. Primary aldosteronism is a secondary hypertension, accounting for 0.4 to 2% of hypertension. The peak age of onset is 30 to 50 years old, and women are more common than men. The most common cause of this disease is aldosteronoma, which accounts for 60% to 80% of the original aldosteronism. Most of them are single adenomas, which are more common on the left side. Secondly, there is bilateral adrenal hyperplasia, also known as idiopathic aldosteronism, accounting for about 20% to 30%. Rare causes include dexamethasone-induced aldosteronism, aldosterone cancer, and ectopic aldosterone-secreting tumors.

6, renal vascular hypertension: There are many reasons for high blood pressure, caused by kidney disease called renal hypertension. Renal hypertension can be divided into two categories: one is renal parenchymal disease and the other is renal vascular disease.

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