2026/09/29 14:39
If your blood pressure is still not up to standard despite multiple medications, you should check the measurement method, whether you have actually taken the medication, and the underlying cause; the picture is a situational photo, and the person in the picture has nothing to do with this article. (Picture taken from shutterstock)
[Reporter Luo Bi/Taipei Report] A 62-year-old man took two types of antihypertensive drugs with different mechanisms, and his blood pressure still exceeded the standard in the clinic and at home. After improving his medication and adding more drugs, his blood pressure still failed to reach the control target. Doctors remind that when encountering this kind of situation, you should not just add medication blindly, but also check the method of measuring blood pressure, medication taking and living habits, and evaluate whether there are other reasons for the continued increase in blood pressure.
Li Yiheng, a cardiologist at Chengdu University Hospital, said that the old man had multiple cardiovascular risk factors, including proteinuria and left ventricular hypertrophy, indicating that long-term poor blood pressure control may have affected his organs. In addition to re-examining treatment, the medical team must also be aware of potential factors such as aldosterone overdose.
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Lin Yiheng, attending physician at the Department of Cardiology at National Cheng Kung University, reminds Chinese people to adopt the correct posture when measuring blood pressure to avoid inaccurate blood pressure. (Provided by Li Yiheng)
Cheng Hao-min, a cardiologist at Taipei Wing General Hospital, pointed out that excessive aldosterone may accelerate cardiovascular and renal damage in patients with hypertension. For high-risk patients whose blood pressure has not reached the standard for a long time, the reasons should be further found out.
Li Yiheng suggested that patients record their blood pressure at home according to the "722" principle: measure it once every morning and evening for 7 days, twice each time, and bring the record back to the clinic to help doctors understand blood pressure changes and evaluate subsequent treatment.
Xie Yizhang, chairman of the Heart Society of the Republic of China, pointed out that more than 70% of patients with hypertension in Taiwan know that they have the disease, but the blood pressure control rate is only about 21%. The challenge in care is not just getting patients to receive treatment, but also how to keep blood pressure stable and up to standard. For patients who have taken more than two antihypertensive drugs and whose blood pressure is still higher than 130/80 mmHg in the clinic or at home, continuous evaluation and tracking are needed.
In order to improve the effectiveness of hypertension control, the Heart Society of the Republic of China, the Taiwan Hypertension Society and Taiwan's AstraZeneca Corporation (AZ) signed a memorandum of cooperation on the hypertension care quality program today, planning to promote cooperation in four directions: implementation of clinical guidelines, patient self-management, improvement of care quality, and accumulation of evidence data, and will focus on patients with uncontrolled blood pressure.
Experts such as Lin Yanhong (2nd from left), chairman of the Hypertension Society, and Xie Yizhang (3rd from left), chairman of the Heart Society, called on Chinese people to control blood pressure below 130/80mmHg. (Photo by reporter Luo Bi)
Lin Yanhong, chairman of the Taiwan Hypertension Society, said that in the future, he hopes to transform treatment guidelines into a sustainable care process and launch the first Taiwan Hypertension Annual Report based on the data accumulated in the cooperation project.
Lin Liru, deputy director of the National Health Service, reminded that high blood pressure often has no obvious symptoms, and patients must continue to track, adjust their living habits and receive appropriate treatment to reduce the risk of heart disease, stroke and kidney disease.
