Male, 22 years old, present with systolic blood pressure 150-160 and diastolic blood pressure 80-90. Three years ago, blood pressure was normal and six months ago, high blood pressure was found by chance.Now, after two weeks of continuous consultation, the doctor diagnosed primary hypertension.The heartbeat is normal due to nervousness, but the rest is normal.He eats normally and does not touch alcohol or tobacco.On average, he sleeps at 12:30 and gets up at 7:30 at school, and sleeps at 1 and gets up at 9 at home.I have been working out for 3 years, mainly 4 times a week for an hour of moderate intensity strength training, occasional aerobic running, one multivitamin tablet a day, and 30g of whey protein powder daily on training days, and now I am fit and healthy, without much fat.Psychologically, he is slightly prone to nervousness, anxiety and excitement, and he loves to be more serious, but he can control his external emotions.In the past three years, I have been under high academic pressure, and my classmates have been having more fun, so I need to continue to overcome the bad environment to study.My blood pressure did not improve too much when I came home for two months during the holidays.My parents have no symptoms of hypertension.How should I choose antihypertensive medication without affecting exercise performance and with low side effects?
Condition Analysis:
According to your description of the condition, general hypertension is divided into primary, hypertension and secondary hypertension, according to your age, considered to be caused by primary hypertension, you can take oral temisartan, if a drug control is not obvious, you can take two drugs orally at the same time, you can add amlodipine benzoate, etc. It is recommended to control blood pressure, reduce stress, pay more attention to rest, do not stay up late.
Condition Analysis:
Hello, through the description, the relevant blood pressure for a mild level of hypertension, the symptoms are not serious, but in clinical, once caused by hypertension will need long-term medication to maintain regulation, in this case, you rest, and lifestyle habits are very good, if there is usually no dizziness symptoms, you can consider nifedipine, amlodipine, etc. can regulate blood pressure, small doses can be taken.
Condition Analysis:
For young people with hypertension, we still recommend further examination to clarify whether there are secondary factors causing hypertension, if there are no secondary factors to consider primary hypertension, in this case to first control the diet exercise weight loss, light diet to regulate blood pressure, if blood pressure is still high, you need to take antihypertensive drugs, you can choose calcium antagonists
