What's wrong with high blood pressure not decreasing

The inability to lower blood pressure due to high blood pressure may be the result of a combination of genetic, environmental, physiological, pathological, and other factors. By adjusting lifestyle, medication treatment, and regular monitoring, blood pressure can be effectively controlled.

1. Genetic factors: People with a family history of hypertension have a higher risk of developing hypertension. Genetic factors may reduce the sensitivity of blood vessels to blood pressure regulation, leading to an increase in blood pressure. It is recommended that individuals with a family history regularly monitor their blood pressure and take preventive measures in advance.

2. Environmental factors: Long term exposure to high-pressure environments, excessive salt intake in the diet, lack of exercise, etc. can all lead to elevated blood pressure. A high salt diet can increase the concentration of sodium ions in the body, leading to an increase in blood volume and ultimately hypertension. Reducing salt intake, increasing physical activity, and maintaining a good sleep schedule are effective ways to improve blood pressure.

3. Physiological factors: As age increases, the elasticity of blood vessels decreases, the ability to regulate blood pressure weakens, and it is easy to lead to an increase in blood pressure. Obesity, lack of sleep, and emotional fluctuations can also affect blood pressure. Controlling weight, ensuring adequate sleep, and maintaining emotional stability can help maintain normal blood pressure.

4. Pathological factors: Certain diseases such as kidney disease, endocrine disease, cardiovascular disease, etc. can lead to elevated blood pressure. For example, renal artery stenosis can affect the blood supply to the kidneys, leading to an increase in blood pressure. Timely treatment of the primary disease and control of blood pressure are key.

5. Medication therapy: For cases where blood pressure does not decrease continuously, doctors may prescribe antihypertensive drugs. Common antihypertensive drugs include diuretics such as hydrochlorothiazide, calcium channel blockers such as amlodipine, and angiotensin-converting enzyme inhibitors such as enalapril. These drugs lower blood pressure through different mechanisms and should be used under the guidance of a doctor.

6. Lifestyle adjustment: It is recommended to adopt a low salt, low-fat, and high fiber diet, eat more fresh vegetables and fruits, and reduce the intake of processed foods. In terms of exercise, it is recommended to engage in at least 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, cycling, etc. Smoking cessation, alcohol restriction, and maintaining psychological balance are also important measures for controlling blood pressure. A comprehensive analysis of multiple factors, including genetics, environment, physiology, and pathology, is needed to determine whether blood pressure remains high or not. Through medication treatment, lifestyle adjustments, and regular monitoring, blood pressure can be effectively controlled and the risk of cardiovascular disease can be reduced. Regular physical examinations to promptly detect and address blood pressure issues are important steps in maintaining health.