5 important rules for the treatment of hypertension



Rule one – With high blood pressure, do not waste time with self-medication, consult a doctor

Why is this important?

High blood pressure can lead to myocardial infarction, cerebrovascular disease (stroke), kidney failure, heart failure and cardiac arrhythmia, especially in elderly patients with high blood pressure, in addition to a number of other problems.

Hypertension is a steady increase in systolic (upper) pressure of 140 and higher and / or diastolic (lower limit) pressure at 90 and higher.

Rule two – Take regular hypotensive medication, make sure you do not miss any intake

Why is this important?

The use of anti-hypertensive drugs not only lowers blood pressure, but also prevents it from rising. If you stop taking your medication when the pressure is normal, you have been deprived of their protection.

For the same reason, you should not take a drug "depending on how I feel" because 80% of people do not experience the increase in blood pressure. No wonder they called hypertension the silent killer. You should not change the doses of your prescribed hypotensive preparations and stop the treatment.

Rule three – Do not suddenly reduce the pressure!

Why is this important?

As we age, our arteries become stiffer. As a result, the upper (systolic) pressure increases and the diastolic (lower limits) decrease. Therefore, in adults, it is possible to increase systolic blood pressure only with normal (less than 90 mm Hg) diastolic blood pressure. This situation is called "isolated systolic hypertension" where it is not recommended to lower blood pressure below 130 mm Hg. A strong reduction in blood pressure in these patients can be dangerous. According to current guidelines, the target blood pressure in patients over 60 years of age should be 140-150 mm Hg.

Rule four – Avoid irrational drug combinations!

Why is this important?

As a rule, different mechanisms meet the pressure increase and a large proportion of patients require two or more drugs to achieve stable pressure control. To reduce the amount of tablets and to ensure the most effective and safe combination of the drugs, combined formulations are made that combine different tablets in one tablet. Such medications are very useful in use. But they can only be appointed by a doctor.

Experts now identify five classes of antihypertensive drugs that effectively reduce the risk of cardiovascular disease and mortality: thiazide diuretics, calcium channel blockers, angiotensin converting enzyme inhibitors, angiotensin II receptor antagonists, beta-blockers.

Rule five – Control your blood pressure!

Why is this important?

Arterial pressure is constantly changing, depending on the level of activity, mood, nutrition and other factors. Measuring the pressure at home provides important information for both the doctor and the patient. This is important both for the diagnosis of hypertension and for evaluating the effectiveness of the treatment.

Three measurements are recommended at intervals of one minute. In this case the first measurement is not counted and for the second and third the average is calculated. Such series of measurements are performed in the morning (before you use drugs that lower blood pressure) and & # 39; in the evening, before bedtime. If the differences between the measurements are very significant (> 15 mm Hg), take another two measurements after 2-3 minutes and estimate their average value.

Development factors

• Excessive use of salt

• Inactive lifestyle

• Excessive body weight (obesity)

• Smoking and drinking excessively

Target organs
• In 20% of cases – kidney failure

• Cause of 67% of the strokes

• 50% of heart failure cases

• 25% of myocardial infarction

source: health.to


Source link