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April 6, 2008
Almost all reasonable people can be active through the antihypertensive treatment benefit. However, since different groups of people have different physiological and pathological basis, the goal of antihypertensive therapy also slightly different. Therefore, in clinical practice, patients should be fully taken into account by the merger of other diseases and other factors, determine the ideal target buck.
(A) stroke
Stroke is a major complication of hypertension, more than 60% of the stroke patients had a history of hypertension. Research found that the recurrence rate of stroke as much as 3-5%, and arterial blood pressure was a positive correlation between the close. On the other hand, positive antihypertensive therapy can significantly reduce the risk of recurrent stroke. Evidence shows that the antihypertensive treatment of stroke patients will be satisfied with the …
Non-drug therapy, including improvements to eliminate not conducive to mental and physical health behaviour and habits, hypertension, as well as to reduce the incidence of other cardiovascular disease risk, the specific contents include:
1. Weight loss recommendations body mass index (BMI, kg/M2) should be controlled to below 24. On the one hand, the weight loss method is to reduce total calorie intake, that less fat and limiting excessive carbohydrate intake, on the other hand required to increase physical activity. Weight loss rate can vary from person to person, but the first to achieve the best weight loss reduce weight 5 kg to enhance confidence in the light of subsequent symptoms and the indicators consciously decided to further the speed and weight loss …
Under the new guidelines spirit, young and middle-aged patients with hypertension blood pressure should be reduced to below 130/85 mmHg. Associated with target organ damage and (or) diabetes, blood pressure should be reduced to below 130/80 mmHg; hypertensive patients with renal insufficiency, urine protein more than 1 g / 24 hours, blood pressure should be reduced to at least 130/80 mmHg, and even 125/75 Following mmHg. Elderly hypertensive patients in the control of blood pressure should be below 140/90 mmHg, and particular attention should be reduced systolic blood pressure. Over the years people have always thought that the antihypertensive treatment for the elderly should be more relaxed some, this view has been a large number Evidence totally denies. Research shows that strict control of blood pressure can also elderly benefit …
In the treatment of hypertension should focus on the principle of individual treatment, the patients with cardiovascular risk factors different from the target organ damage and other cardiovascular diseases vary, naturally have other drug treatment, it advocates the principle of individual treatment.
1, elderly patients with hypertension
Syst-Eur, Syst-China antihypertensive therapy clinical trials that can reduce cardiovascular complications such patients especially with the occurrence of stroke mortality. Long-acting calcium antagonist nitrendipine preferred. Syst-Eur test data show that calcium antagonist treatment can reduce elderly patients with isolated systolic hypertension and the risk of dementia. STOP-2 comparative study of the b-receptor blockers, diuretics, and the long-term ACEI pyridine calcium antagonist treatment dihydrochloride 70-84-year-old patients with hypertension, with 4-6 years of follow-up, no in between them reduce cardiovascular mortality and the differences between …
1, medication principles:
1) Since the minimum effective dose, in order to reduce the occurrence of adverse reactions. But as antihypertensive effective blood pressure control is not ideal, visualization gradually increase the volume to get the best effect;
2) strongly recommend the use of a daily, 24-hour effective long-term preparation, 24 hours a day in order to ensure stability within the buck, this helps prevent target organ damage, and to prevent blood pressure from night to early morning low blood pressure suddenly escalate. Sudden death caused by stroke and heart attack. Such agents can greatly increase the compliance of treatment, patients adhere to the laws to facilitate medication;
3) effects of a single drug, not too many poor single increase in drug dose, but should be used as soon as …
Filed hypertension, a lot of people it will be and dizziness, headache, neck of the draw straight flu, vertigo, tinnitus, insomnia, and other symptoms linked. Therefore, many patients were dizziness, vertigo symptoms only to blood pressure, it reminds me medication. Once the symptoms disappear, stop on their own. This misunderstanding is mainly because people on hypertension awareness of the harms not comprehensive. If long-term patients to act in accordance with this understanding, there will be life-threatening!
Yes. Hypertension will indeed lead to the above symptoms, but it must not only harm here. Sustained hypertension will be quietly affect many vital organs of the human body, thus producing irreversible damage, and many of them are fatal. Since hypertension is the harm to the …
In recent years, the incidence of hypertension with the new changes, such as the increase in young patients in rural areas than in urban, manual laborers than mental work, and so on. The following points should be treated cautiously in patients with hypertension.
1. Hypertension is to ascertain whether: This is the first issue. High blood pressure and hypertension are not equal. Normal in strenuous exercise, agitation, a large number of certain drugs or smoking, blood pressure (systolic blood pressure especially) may be increased. Therefore, occasionally found a blood pressure is not necessarily hypertension. In addition, the blood pressure is not constant in the day, whether healthy people or patients with hypertension, blood pressure have volatility. It should be in a …
Many tried first non-invasive treatment of hypertension:
(1) limit sodium diet and supplemental calcium or potassium;
(2) quit smoking or alcohol;
(3) obese patients increasing physical activity and reduce weight;
(4) reducing dietary saturated fat and cholesterol.
In most cases the need for drug treatment.
Treatment of elderly patients with congestive heart failure is mainly to prevent the occurrence of cerebral vascular accident. Treatment of hypertension in the elderly main purpose is to reduce peripheral vascular resistance, improve cardiac output, renal function, while avoiding postural hypotension and Drug hypotension, and dangerous, to quality of life, the importance of non-drug treatments. The elderly liver and kidney function relatively low, could easily lead to the accumulation of drug, the blood volume reduction at the same time sympathetic and sensitive to the inhibition. Baroreflex sensitivity often lower-prone hypotension response, the elderly cardiac reserve capacity to reduce heart failure-prone and therefore the use of anti-hypertensive drugs the elderly to small doses, gradually increasing doses, making blood pressure decreased more slowly, steadily . In the process of relief, we should …
Blood pressure in patients with long-term increase would make the heart, brain and kidney structure and function of the many changes, there a variety of complications of hypertension. Heart, brain and kidney organ such as hypertension target organ. The higher the blood pressure, heart, brain and kidney damage more serious, this is the medical staff and patients consensus.
Because patients with hypertension there will be a series of organ damage, and therefore the treatment of hypertension purpose is to protect patients heart, brain and kidney. Hypertensive patients heart, brain and kidney damage is the physician treatment decisions based on the importance of the programme.
According to the World Health Organization classification of blood pressure is associated with cardiovascular …
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