Patient's question:
Male, 31 years old. At 19, during a high school health check, his blood pressure was found to be 130/80. At 23, another health check also showed a blood pressure of 130/80. From 26 to 31, annual unit health checks consistently recorded a blood pressure of 148/90. All other health check items were normal, and he had no obvious discomfort. His self-measured blood pressure at home is usually around 130/80, but he is unsure whether it is accurate. Because he is young, he hasn’t dared to take medication. He would like to consult experts—is this primary hypertension? What methods can be used?Doctor's answer:
I am 31 years old this year. At the age of 19, my blood pressure was carefully checked at 138. From the age of 26, I have been carefully monitoring my high blood pressure. If the blood pressure measured at home is 138, it should be normal. Therefore, the first thing to rule out in the current situation is whether it is due to white coat hypertension. It is also best to implement ambulatory blood pressure monitoring to confirm whether the blood pressure is normal.