A person has high blood pressure and has not controlled it for 5 years. What was found during his physical examination?

A 50-year-old hypertensive patient said that he had suffered from high blood pressure for 5 years, but had never controlled it. He recently had a physical examination and found a lot of problems. He asked Huazi what he would do in the future. Usually, many people ask Huazi, what will happen if high blood pressure has no symptoms and is not treated?

Huazi thinks that this patient with high blood pressure is a typical "negative example", which just answers everyone's questions. Huazi hides his name and only uses his experience to see what effects 5 years of uncontrolled high blood pressure will have on the body.

1. Hypertension has a great impact on him

This 55-year-old hypertensive patient had high blood pressure since he was 50, with a blood pressure of around 160/100 mmHg, but he never took medication. During his most recent physical examination, he was found to have problems with his blood vessels, heart, kidneys, and eyes, which made him panic.

Blood vessels: Several soft plaques were found in the carotid arteries. What everyone should understand is that the carotid arteries are located on the surface of the body and are easy to observe. They are a "window" reflecting the whole body's arterial system. The presence of plaques in the carotid arteries means that atherosclerosis may occur in the cerebral arteries and coronary arteries, and the probability of cerebral infarction and myocardial infarction increases significantly.

Heart: Color Doppler ultrasound of the heart showed that the ejection fraction of the heart was reduced, and there were signs of hypertensive heart disease; the electrocardiogram showed frequent premature beats. This means that his heart function has declined, and if it continues to decline, it may develop into heart failure. And the 5-year survival rate of severe heart failure is only 50%.

Kidney: Color Doppler ultrasound of the kidneys showed that both kidneys were atrophied, and protein was also found in the urine routine test. This means that high blood pressure has caused kidney damage, glomeruli have degenerated, and precious proteins in the human body have leaked into the urine.

Eyes: Fundus examination showed sclerosis of the retinal arteries, edema and exudation. This patient had blurred vision for a long time and he always thought he had presbyopia, but in fact it was high blood pressure that damaged his vision.

2. Even without symptoms, there is harm. During the consultation, he kept emphasizing that his high blood pressure had no symptoms. Was it not serious? Huazi told him that the harm caused by high blood pressure to the human body is a slow process. Once the harm occurs, it is difficult to reverse. Generally speaking, you can only try to stabilize the current state.

In the minds of many people, you must have symptoms to be considered "sick", and if you don't have symptoms, you are healthy. However, the human body has a good tolerance for high blood pressure, and most people with high blood pressure will not have any symptoms. But the damage happens unconsciously.

Hypertension can damage the endothelium of blood vessels and cause atherosclerosis, which is the prerequisite for diseases such as cerebral infarction, myocardial infarction, coronary heart disease, and renal artery stenosis. Hypertension increases the fragility of blood vessels and causes tiny aneurysms in cerebral arteries. When blood pressure rises suddenly, the aneurysm may rupture and cause cerebral hemorrhage. Hypertension can also damage the eyes and kidneys, and in severe cases can cause blindness and uremia.

All the above symptoms are a process from quantitative change to qualitative change. When the body's compensatory ability can bear it, there will be no symptoms. But once symptoms appear, it means that the damage is irreversible. Therefore, for high blood pressure, it is necessary to detect and control it early, and not regret it until complications occur.

3. Regular medication is very important to control blood pressure. Huazi told the patient that he must take medication regularly and strictly control blood pressure in the future. Keep blood pressure around 130/80 mmHg, and it would be ideal if it could be reduced to 120/70 mmHg. His heart function may be partially restored, but kidney function is difficult to reverse, and maintaining the current state is the best result.

In addition, statins are needed to stabilize atherosclerotic plaques and reduce the probability of plaque rupture and thrombosis. Generally speaking, uncontrolled hypertension will cause serious complications and even life-threatening conditions after 5 to 10 years. It is fortunate that he did not suffer more serious consequences.

To sum up, I hope this "negative example" can help everyone understand the harm of high blood pressure. If you find high blood pressure, you must control it as soon as possible. Don't be lucky because there are no symptoms. Antihypertensive drugs need to be used under the guidance of a doctor. If you have any questions about the use of drugs, please consult a doctor or pharmacist. I am pharmacist Huazi, welcome to follow me and share more health knowledge.