Hello, I am Jessica. Welcome back to my Hypertension Medicine Course. The "Four Highs" series—covering hypertension, hyperlipidemia, hyperglycemia, and hyperuricemia—has reached its conclusion. This is a special chapter on "Joint Management of the Four Highs," presented at the end of the Hyperuricemia Medicine Course. If you are interested, you are welcome to join the Hyperuricemia Medicine Course as well. In the previous lecture, we explored the basis of comorbidity among the "Four Highs." In this session, we will discuss their joint management. You might wonder: Is this necessary? Haven't we already covered how to eat, exercise, and treat each condition in the four courses? Can't we just combine them? 1.However, when discussing hyperglycemia, we recommended a low-carb, high-protein diet, but for hyperuricemia, a high-protein diet is not advised. 2.For hypertension, the best exercise is static stretching—a form of strength training—but for...

Hello, I am Jessica. Welcome back to my "Hypertension Medical Course". We have covered most of the knowledge about the "Four Highs," but there is one unavoidable question: What is the relationship among the "Four Highs"? The Basis of Comorbidity in the Four Highs According to the 2021 "China Cardiovascular Health and Disease Report," there are currently 245 million people with hypertension, 400 million with hyperlipidemia, 670 million with hyperglycemia, and 200 million with hyperuricemia in China. Globally, 70% of annual deaths are related to these four conditions. The "Four Highs" are the greatest obstacles on our path to longevity. What do these numbers mean? On the surface, many Chinese adults have two or more of these conditions. More importantly, consider ourselves. Statistically, we are likely to develop one of these conditions in a few years, then another in two or three years, and then another, like Thanos collecting Inf...

Hello, welcome back to the "Hypertension Medical Course." I'm Jessica. Before this lecture, we talked about the present of hypertension medicine. In the final lecture of the course, I want to take you to look at the future of hypertension medicine. Let's see what we can change and achieve in the face of hypertension in the future, and what is unimaginable for humans. When it comes to the future, I know you immediately think—with the development of medicine, will humans completely conquer hypertension? Will hypertension disappear completely? In fact, such questions are too distant, even like science fiction, and discussing them is not very meaningful. What we need to do is to stand on the current level of human understanding of hypertension and see what changes will occur in hypertension medicine in the next two to three decades. In 1913, essential hypertension was formally defined for the first time. In the more than 100 years since then, medical scientists have d...

Hello, welcome back to the "Hypertension Medical Course." I'm Jessica. In the last lecture, we reviewed the main drugs for treating hypertension. Logically, choosing an antihypertensive drug is not difficult, and they are very effective, so taking the right medication should be a matter of course. But what is the reality? In China, how many people know they have high blood pressure but are not taking their medication correctly? According to the "2019 China Cardiovascular Disease Report," this figure exceeds 90%. Shocking, isn't it? Although on the surface, the ways people take antihypertensive drugs incorrectly are varied—some don't understand why they must take them, some find it troublesome and don't want to, some are afraid of side effects and dare not, and some stop taking them on their own after their blood pressure has been stable for a few years, and so on. But in fact, all these mistakes stem from one problem—people don't understand th...

Hello, welcome back to the "Hypertension Medical Course." I'm Jessica. For treating hypertension, although lifestyle adjustments are effective, they are demanding, and many people find them difficult to maintain. Additionally, many people discover their hypertension when it is already irreversible. However, this is not a major concern, as we have the most effective weapon against high blood pressure—medication. Antihypertensive drugs are currently the most numerous and best-selling drugs for a single disease, with about 13 major categories and more than 70 types. Combined with different brand names and dosages, there are more than 300 on the Chinese market alone. Can doctors understand every single one? Frankly, no. So the question arises, if even doctors can't keep track, how should we choose? How can we take them with confidence? In this lecture, I will guide you through the principles of drug selection by unraveling the mechanisms of antihypertensive drugs. As ...

Hello, welcome back to the "Hypertension Medicine Course." I am Jessica. After discussing dietary and exercise prescriptions, in this lecture, we will talk about the third lifestyle intervention for lowering blood pressure—relaxation. I know that when you hear the term "relaxation" (or "entering tranquility"), which has a religious connotation, most people immediately think of two questions: First, does it really work to lower blood pressure? Second, there are so many methods—meditation, mindfulness, muscle relaxation, biofeedback, yoga, sitting quietly, zoning out, etc.—which ones are actually effective? This lecture will answer these two questions in detail. Can Relaxation Lower Blood Pressure? Relaxation sounds mysterious, as if I am about to guide you through spiritual practice or Zen meditation. To be honest, even six or seven years ago, this was a fringe topic in hypertension treatment, and no doctor would pay attention to it. But in recent year...

Hello, welcome back to the "Hypertension Medicine Course." I am Jessica. In the previous lecture , we discussed how to lower blood pressure through dietary adjustments. In this lecture, we begin the second prescription for lifestyle therapy—exercise prescription. Many people commonly believe that exercise raises blood pressure. When you go for a run or climb stairs, your blood pressure goes up. Doctors often advise hypertensive patients not to engage in vigorous exercise to avoid excessively high blood pressure or even stroke. This is indeed true. During exercise, your limbs require more blood flow, so your heart beats faster and stronger, and blood pressure naturally rises. So, the question arises: if that's the case, how can exercise lower blood pressure? Should hypertensive patients avoid exercise and rest instead? Actually, no. The blood pressure-lowering effect of exercise does not rely on immediate results, but rather on the long-term effects during and after exe...