According to the diagnostic criteria of hypertension, it is required to monitor the blood pressure for three times at different times to reach 140/90 mmhg. In the case of exercise and emotional excitement, blood pressure may temporarily rise. I suggest you make sure that your blood pressure really rises first to avoid misdiagnosis.

If your diagnosis of hypertension is clear and you are so young, it is suggested to further rule out secondary hypertension. The most common cause is renal parenchyma or renal vascular hypertension, followed by endocrine hypertension (such as Cushing syndrome, pheochromocytoma, primary aldosteronism, hyperthyroidism, etc.). In addition, long-term use of some drugs can also see an abnormal increase in blood pressure. It is recommended that you go to see a doctor further and improve the examination in this area, such as kidney B-ultrasound, urine test and endocrine hormone test.

If the above reasons can be ruled out, most people consider essential hypertension and decide whether to choose drugs according to your long-term blood pressure follow-up. If your blood pressure has been below 160/ 100, and there is no obvious target organ damage, you can first improve lifestyle treatment, such as quitting smoking, drinking alcohol, low-salt diet, exercise and losing weight. If your blood pressure rises significantly, it is recommended to consider using ACEI or ARB first.