Hey guys! All good? Today I want to talk to you about the main mistakes made by patients with high blood pressure.
What are the main mistakes they make that could end up harming, disrupting the treatment? The patient who is not treated properly, we know that the cardiovascular risk increases, so there is a need for him to strictly follow all the guidelines of the cardiologist so that he can live as long as a person who does not have high blood pressure and manage to have the same quality of life. So, if you are hypertensive, you may be making one or more of these mistakes.
So, stay with me until the end of the video and you will now learn how you are going to take care of your health even though you are hypertensive. So, without further ado, run the vignette! Doctor Roberto Yano, Cardiologist.
Hello heart friends! All good? I am Doctor Roberto Yano, Cardiologist, Pacemaker Specialist.
I'm taking the opportunity to record here at home, today, the weekend, I don't know if when you're watching, of course, it's going to be the weekend, but anyway. . .
Taking advantage of this start of the day here, the weather is good, and recording another video for you! So, we know that high blood pressure is the risk factor that most leads to cardiovascular disease. For you to have an idea, arterial hypertension is responsible for 400,000 deaths, more or less, per year in Brazil alone!
And why does high blood pressure kill so many people? Because high blood pressure is the main risk factor for atherosclerosis. What is atherosclerosis?
Atherosclerosis is the accumulation of fat in our arteries. Since we were born, there has been an accumulation of fat in all the arteries of our body, including the arteries of the heart. Arterial hypertension is capable of accelerating this process of fat accumulation in all our arteries; therefore, it is the main risk factor for acute myocardial infarction.
We know that acute myocardial infarction is when occlusion occurs, complete clogging of the heart arteries. So, if you have sustained and elevated levels above 140 mm of mercury in the systolic blood pressure or sustained and elevated levels above 90 mm of mercury in the diastolic blood pressure, I want you to logically seek a good cardiologist to make the diagnosis of hypertension and if necessary start medications. But what does the office patient.
. . What are the main mistakes they make?
I'm going to quote some of them here for you, things that happen routinely in my office. The first mistake, folks, is for the patient to check his blood pressure and if he sees that his blood pressure is normal, he stops taking the medication! This conduct is totally wrong!
So, for example, 8:00 am is the time for him to take his blood pressure medication; he checked the pressure and his pressure is 11x7. On that day, he says: "I'm not going to take the blood pressure medicine! My blood pressure is absolutely normal!
I don't need to take the medicine. " Then, he stops taking the medication, the medication from the day before stops taking effect, then three or four hours later, his blood pressure is 16x9! Then, he does not check, does not find out, leaves to take the medication only on the other day; but, as the effect of the previous day's medication ended, he has high blood pressure the whole next day.
So, it's time for you to take your medication, 8:00 in the morning, your blood pressure is 11x7, take your medication the same way, take your medication as instructed by your doctor! Because we want you to take the blood pressure medicine precisely so that your blood pressure does not rise! We are not going to wait for your blood pressure to rise to 16x10 for you to take the medicine and lower it to 12x8.
Are you going to go up to 16x10 again and then take the medicine? No! It's 11x7, it's time to take the medication, the medication from the day before is wearing off, you take the next medication, and your pressure remains well controlled!
So, no measuring the pressure to decide whether to take medicine or not! This is by far the main mistake that hypertensive people make. I get tired of seeing in the office: "Oh, doctor!
" This, I speak! Despite what I say. .
. Do not suspend the medication, regardless of the pressure value! Anything, you get in touch with us, but it happens directly in the office, the patient says: "Ah, doctor, my pressure was good, 11x7, 10x7, then I stopped taking the medicine!
I didn't see the need anymore. " Then, the time we measure the pressure in the office is 18x10, because he stopped taking the medication! So this is the first mistake.
Second mistake, folks. . .
There are patients who have a heart attack and are not necessarily hypertensive; it happens that patients who have already had an infarction, not infrequently, have to take drugs that are antihypertensive drugs. The patient who has a heart attack often has to take medication from the ACEI class, ARBs. .
. Beta-blockers, which are also drugs for high blood pressure. So, he sees the leaflet, he has a heart attack, he's taking the medication, then when he returns he says: "I stopped taking the medication because I don't have high blood pressure!
" Then, I say: "I didn't prescribe this medicine because of high blood pressure. I prescribe this medicine, because this medicine helps to protect your heart muscles, from the moment you have a heart attack. " So, there are medications, the same classes of medications, which serve both for high blood pressure and for patients who have already had a heart attack!
So, if you've already had a heart attack, even if you're not hypertensive, your doctor may prescribe you some medication that works for high blood pressure as well, if you read the package leaflet it says: antihypertensive medication. But, it's the same drugs, sometimes, so that we can protect your heart, prevent your heart from suffering a new infarction, prevent your heart from evolving into heart failure. This is a very common mistake.
Now, an error that I get tired of seeing, I don't know why this happens, because we doctors never teach this to the patient, but occasionally it happens, usually in the first consultation. . .
There comes that patient who doesn't even have the diagnosis of high blood pressure and says: "Oh, doctor, I was very stressed, with a headache and when I went to check the pressure, my pressure was 18x10. Then, I already started taking my mother's medicine, and my mother's medicine mother controlled the pressure. " Should you do this if your blood pressure is 18x10?
You should not do this! Pressure 18x10, you must go to the emergency room, be evaluated by the doctor. Often, apart from the headache, the pressure can already lower a little.
At the time, the doctor will check your pressure again and analyze the need to start an antihypertensive, already in the first evaluation. Pressure above 18, we really tend to give the medicine, already in the first consultation. But, taking the mother's medication, the father's medication, the neighbor's medication, is a completely wrong conduct, people!
Sometimes, you think you're doing well taking your medication. There are people who come to my office: "I've been taking my mother's medication for four months now! My blood pressure is fine now.
It's very well controlled. " Turns out, the same medicine that works for your mother won't work for you! For example, I'll give you some examples.
. . There are classes of drugs, enalapril, captopril, which are ACE inhibitors, if you have high potassium, for example, or if you have high creatinine, that is, insufficiency kidney, and you take the medicine, your potassium may increase.
Your potassium increases, you can start cardiac arrhythmias due to hyperkalemia, due to the increase in potassium. Look at the despair, the disaster that an antihypertensive drug can cause! Then you don't even know it, but your kidneys are weak!
The ACE inhibitor, even used for those with mild to moderate kidney failure, but if you already have advanced stage kidney failure and take the drug, you will lose your kidney at once! So be very careful with this issue. .
. I get tired of seeing patients taking captopril without knowing the potassium, without knowing the creatinine value. Sometimes he says, "Oh, I started taking my dad's hydrochlorothiazide.
" Hydrochlorothiazide, we know it's a thiazide diuretic. So, when you have this diuresis, you're going to throw out a lot of important electrolytes, sodium, potassium, chlorine and so on. You won't just lose fluid and lower your blood pressure, you'll lose a lot of important stuff.
We know that hydrochlorothiazide, for example, can make glucose worse. So, you start taking the antihypertensive and you are already pre-diabetic; you will become diabetic because you started hydrochlorothiazide without medical advice. We know that hydrochlorothiazide can make uric acid worse.
Then, you who already like meat, beer, beans, your uric acid is 9, then you start taking hydrochlorothiazide, your uric acid increases and you start to have a gout crisis! You may even get crystal deposition and start getting kidney stones because you're taking an antihypertensive that you shouldn't! Another example, there are people who take drugs from the beta-blockers class, atenolol, propranolol, bisoprolol; these are drugs that we leave for the end, to use as antihypertensive, because it lowers blood pressure very little and it is one of those drugs that, if not used correctly, can lead to a decrease in sexual appetite.
Then people have low blood pressure, taking it for six months, but they are no longer able to have sexual intercourse with their partner because they are taking the wrong medication. Look, how many examples of errors in this issue of self-medication! You must never self-medicate!
Always seek help from an expert. If you notice that your pressure is getting, it's not even 14x9, but if you notice that it's getting above 130x85, look for a good cardiologist to make the diagnosis, analyze the need to take some medication or not, and that's how you'll be doing your treatment correctly, as it should be. All right, guys!
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Don't forget that Clínica Yano is now here in Indaiatuba. So, if you're from Indaiatuba, Campinas, São Paulo (capital), sometimes it's easier for you to come here from São Paulo, which takes an hour, than to cross the whole city to be seen. I am serving many people from São Paulo as well.
You from Salto, Itu, Sorocaba, Americana, Limeira, this whole region, Clínica Yano is available to serve you! Also don't forget to follow me on Instagram! My Instagram is @dr.
yano Alright guys! So, you who are hypertensive, stop making these mistakes! Follow the next videos, I'll give you more tips for those with high blood pressure, for those with high cholesterol, for those with diabetes, for those with risk factors for heart disease.
It's ok, guys! So I'm staying here! A big hug and until next time!
