What should I do if my systolic blood pressure is 170 mmHg and diastolic blood pressure is 90 mmHg?
Feb 04, 2024
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
A blood pressure reading of 170 mmHg systolic and 90 mmHg diastolic generally refers to a systolic pressure of 170 mmHg and a diastolic pressure of 90 mmHg, indicating elevated blood pressure. This condition may be caused by factors such as intense physical activity, emotional excitement, hypertension, glomerulonephritis, or coronary atherosclerotic heart disease. Patients should promptly visit a正规 medical institution to determine the underlying cause and receive appropriate treatment accordingly.
A systolic pressure of 170 mmHg and diastolic pressure of 90 mmHg generally refers to a blood pressure reading of 170/90 mmHg, which indicates elevated blood pressure. This condition may be caused by intense physical exercise, emotional excitement, hypertension, glomerulonephritis, or coronary atherosclerotic heart disease. Patients should promptly visit a正规 medical institution to identify the underlying cause and receive appropriate treatment. Specific analyses are as follows:
1. Intense Physical Exercise
Intense exercise or physical activity can lead to temporary increases in blood pressure. During exercise, the body requires more oxygen and nutrients, prompting the heart to increase its contractility and heart rate to meet this demand, thereby raising blood pressure. It is recommended that patients rest appropriately, which usually helps alleviate the symptoms.
2. Emotional Excitement
Emotional states such as excitement, anxiety, or stress can activate the sympathetic nervous system, causing increased heart rate and vasoconstriction, which in turn elevates blood pressure. Patients are advised to maintain an optimistic and positive mindset, avoid emotional fluctuations, and may also benefit from psychological intervention techniques.
3. Hypertension
Hypertension refers to persistently elevated blood pressure and may result from various factors including genetic predisposition, obesity, and chronic alcohol consumption. Symptoms may include headache, arrhythmia, and palpitations. Under medical supervision, patients can take medications such as nifedipine sustained-release tablets, amlodipine besylate tablets, or spironolactone tablets for treatment.
4. Glomerulonephritis
Glomerulonephritis is primarily caused by streptococcal infection, which impairs the kidney's filtration function, leading to sodium and water retention, increased blood volume, and consequently elevated blood pressure. Some patients may also experience fatigue, fever, and weight loss. Treatment should follow medical advice and may include medications such as enalapril maleate tablets, benazepril hydrochloride tablets, or compound captopril tablets.
5. Coronary Atherosclerotic Heart Disease
Coronary atherosclerotic heart disease involves atherosclerosis of the coronary arteries, resulting in restricted blood flow or insufficient blood supply, leading to myocardial ischemia. Myocardial ischemia can stimulate the sympathetic nervous system, causing elevated blood pressure along with symptoms such as angina, chest tightness, and shortness of breath. Under medical guidance, patients may use medications such as enteric-coated aspirin tablets, clopidogrel hydrogen sulfate tablets, or rosuvastatin calcium tablets. When necessary, percutaneous coronary intervention (PCI) at a正规 hospital may also be required.
During treatment, patients are advised to maintain a light, easily digestible, and nutritionally balanced diet, avoiding spicy, raw, cold, greasy, or otherwise irritating foods to prevent worsening of symptoms.
