Many people are normal in the daytime while die at night. Why? This is because they go to the bathroom too fast. They get out of bed suddenly and their blood pressure goes lower immediately. Therefore, some fall due to cerebral ischemia, some break their skulls and some experience cardiac arrest. In order to avoid such cases, we propose the three 30 seconds theory for the self-care of people with high blood pressure.
The three 30 seconds refer to that before people with high blood pressure go to the bathroom after they have woken up at night, or before they get up in the morning after they have woken up, they should continue to stay supine for half a minute and then rise up. After that, they should not get out of bed immediately, and instead, they should continue to sit on the bed for half a minute. Then, they should sit on the edge of the bed for half a minute, with their legs hanging downward. At last, they may leave the bed for activities.
Why should people with high blood pressure adhere to these principles? Studies have shown that the sudden cerebral thrombosis and cerebral hemorrhage, etc. in people with high blood pressure often occur at night. The 24 hour ambulatory ECG monitoring on people with high blood pressure shows that the heart beats of many people with high blood pressure in the daytime are very stable while fluctuate easily only at night, and these huge fluctuations are mostly caused by sudden changes in the positions of people with high blood pressure when they go to the bathroom at night. Especially for the elderly patients with hypertension, their neuromodulation is slow, and sudden changes in their positions are more likely to cause fainting. The three 30s can buffer the fluctuations in blood pressure of people with high blood pressure due to sudden changes in their body positions effectively, and such an approach is simple and feasible. Adherence to the three 30s can prevent at least 50% of people with high blood pressure from sudden deaths.
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