What to do with mild hypertension

Mild hypertension is a manifestation of hypertension. So what should we do about mild hypertension? This is a question that many hypertensive patients care about. Hypertension is a common disease that many people will be infected with, and especially in the past two years, the number of people infected with hypertension is increasing. This should be related to the patients' lifestyle and diet. Of course, there are many other reasons for hypertension.

There are many treatments for hypertension, and the most common one is drug therapy. However, general drug therapy has certain side effects for the human body, which many patients also know. In addition to drug treatment, diet therapy can also treat hypertension, and mild hypertension is the least serious type of hypertension. Let’s talk about what to do with mild high blood pressure.

Most people with mild hypertension have symptoms such as dizziness, headache, vertigo, and limb numbness. If not treated actively, it is easy to develop complications of arterial, heart, brain, and kidney diseases. Experts recommend that non-drug therapies can be used first for this mild hypertension, such as weight loss, salt restriction, potassium supplementation, exercise therapy (qigong, tai chi, etc.) and improved dietary structure. If after 3-6 months of non-drug measures, the systolic blood pressure is still between 27-30 kpa and the diastolic blood pressure is above 18.67 kpa or the diastolic blood pressure exceeds 13.3 kpa, antihypertensive drugs should be given. If there are risk factors such as smoking, obesity, diabetes, hyperlipidemia, left ventricular hypertrophy, and family history of hypertension, drug treatment should be given even if the systolic blood pressure is 25-27kpa and the diastolic blood pressure is 18-18.67kpa.

Generally speaking, the blood pressure of elderly patients with mild hypertension should be controlled below 25/18kpa, and that of young patients should be controlled at 22/17kpa.

Contemporary treatment of hypertension has tended towards individualized medication. Experience shows that calcium channel blockers (such as nifedipine, nitrendipine, nimodipine, diltiazem, etc.) are often used for elderly patients with hypertension or coronary heart disease; those with diabetes are often first treated with angiotensin-converting enzyme (ACE) inhibitors (such as captopril, enalapril, etc.); middle-aged patients with hypertension or tachycardia can choose beta-blockers (metoprolol, atenolol, etc.). For isolated systolic hypertension in the elderly, calcitonin antagonists, diuretics (indapamide), etc. can be used. People with asthma, chronic obstructive pulmonary disease, and type 1 diabetes should not use beta-blockers. In short, the selection of antihypertensive drugs should maintain good blood perfusion of organs, reduce abnormalities in sugar, lipid, and uric acid metabolism, and improve the patient's quality of life.

In recent years, the use of 24-hour dynamic blood pressure monitoring has found that the blood pressure changes in hypertensive patients are consistent with the circadian rhythm of blood pressure changes in normal people. For most patients with hypertension, blood pressure is highest between 8 and 9 a.m. and between 4 and 6 p.m., while blood pressure drops after lunch and at 6 p.m. The previous method of taking antihypertensive drugs three times a day was inappropriate. Experts recommend taking antihypertensive drugs once in the morning, such as captopril 12.5-25 mg or nitrendipine 20 mg, which can effectively control the peak period of hypertension. If the effect is not satisfactory, you can take another antihypertensive drug at around 2 pm or consider dual therapy (β-blocker plus calcium antagonist, calcium antagonist plus ACE inhibitor, etc.). It is generally not recommended to take antihypertensive drugs at night, nor is it advisable to take antihypertensive drugs immediately after lunch. Antihypertensive drugs must be taken consistently. Once blood pressure drops to the ideal level, small doses of antihypertensive drugs can be used to maintain and consolidate treatment. It should be noted that non-drug therapies are still needed when taking antihypertensive drugs. In addition, patients with hyperlipidemia need to take lipid-lowering drugs (such as Lezhiping, Meprobamate, etc.), and patients with hyperviscosity syndrome need to add anticoagulants (small doses of enteric-coated aspirin, etc.).

So, after the detailed introduction above, most people should have understood the treatment methods for mild hypertension. There are many treatments or ways to deal with mild hypertension, which is probably related to the fact that mild hypertension is not a serious condition. If you have mild hypertension, don't be anxious, afraid or panic, and be sure to take correct treatment in time.