High blood pressure medical examination

The need to take medicine after physical examination should be determined according to blood pressure level, cardiovascular disease risk factors, target organ damage and other diseases. Consult a doctor to develop an individualized treatment plan. Whether hypertension patients need to take medicine after physical examination should be determined according to specific circumstances. The following factors need to be considered: Blood pressure level:

If blood pressure is elevated during physical examination

(systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg), but to a lesser extent

(e.g. systolic blood pressure between 140 and 159 mmHg or diastolic blood pressure between 90 and 99 mmHg) and no other risk factors for cardiovascular disease

(such as smoking, hyperlipidemia, diabetes, obesity, family history of cardiovascular disease, etc.), doctors may recommend lifestyle improvements to control blood pressure first, such as low-salt diet, moderate exercise, weight loss, smoking cessation and alcohol restriction, maintaining psychological balance, etc. Generally, after 3 - 6 months of lifestyle intervention, blood pressure is still not controlled within the normal range, and then antihypertensive drug treatment will be considered. Cardiovascular disease risk factors: If elevated blood pressure is detected during the physical examination and is accompanied by other cardiovascular risk factors, such as smoking, hyperlipidemia, diabetes, obesity, family history of cardiovascular disease, etc., the doctor will assess the risk of cardiovascular disease on a case-by-case basis and decide whether to immediately start antihypertensive drug therapy. Target organ damage: If target organ damage is found during physical examination, such as left ventricular hypertrophy, carotid atherosclerosis, proteinuria, etc., the doctor will decide whether to start antihypertensive drug treatment immediately according to the degree of target organ damage. Other diseases: If other diseases are found during the physical examination, such as kidney disease, adrenal disease, sleep apnea syndrome, etc., these diseases may also cause high blood pressure, the doctor will decide on a case-by-case basis. In short, whether patients with hypertension need to take medicine after the physical examination should be decided on an individual basis. It is recommended that patients consult their doctor after the physical examination, and the doctor will evaluate the patient's specific situation and formulate an individualized treatment plan.