Thiazide is usually the treatment of hypertension drugs, especially when costs and obedience, which is very important. They isolated systolic hypertension in the elderly is also effective. In the control of severe hypertension, when the maximum dose of drugs could not satisfied with the control, still need to diuretics. Loop diuretics to renal failure, congestive heart failure and other major symptoms of edema for patients is effective.

Typically, approximately 50 percent of the early patients with hypertension can be completely without any symptoms, but no more than symptoms of patients with hypertension suggested that the slow and sustained high blood pressure, patients with high blood pressure are not sensitive, vulnerable to negligence. Therefore dangerous. So if diagnosed with hypertension, should be treated seriously.

Common treatment of non-drug therapy and drug treatment two. Non-drug therapy including salt restriction, diet, exercise and relaxation therapy. On the medication, some patients believe that drug side-effects, toxicity, we can persist long-term medication, in fact, this perception is wrong.

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 …

Echocardiography for non-invasive examination of patients with hypertension can provide useful information as follows:

(1) grasp the extent of hypertension and left ventricular hypertrophy dissipated situation.

(2) found that the left ventricular wall motion abnormalities have.

(3) understanding of left ventricular diastolic function and compliance situation.

(4) cases of cardiac contractile function.

(5) the choice of medication information, such as high dynamic left ventricular hypertrophy in patients with hypertension or use calcium antagonists such as Β receptor blocker.

Echocardiographic left ventricular hypertrophy in hypertension is to check the sensitivity of indicators, the detection rate is about 50 percent and the electrocardiogram, or X-ray examination of the detection rate of only 1% 1 5%. Echocardiography can very accurately measure the thickness of the left ventricle, ventricular septal thickness and left ventricular …

Ⅰ Phase Ⅱ or hypertension patients, drug therapy should be started on the single drug dose, the best one day. In order to better control blood pressure titration can be used to monitor drug concentration. If a drug use 1 to 2 months after the blood pressure is 140/90 mmHg above, plus a variety of drugs (especially diuretics). If the triple is still beyond the control of blood pressure medication, can be hypertension expert consultation and carefully examined the reasons for the persistence of hypertension. A day because of the easy method of administration insisted buck stable, long-term control of blood pressure effects, and low cost and with a recommendation.

Hypertension is the main culprit of coronary heart disease, we must check back early discovery, early prevention, early treatment.

1. Obesity in adults and children, particularly young people who have family history of hypertension, with or without hypertension symptoms, a blood pressure measurement at least once a year. Not normal systolic blood pressure over 140 mm Hg and diastolic pressure of less than 90 mm Hg.

2. Identify patients with hypertension, should be under the guidance of doctors to identify their own risk factors, such as smoking, alcohol, high-fat, high-salt diet, family history, obesity, and less physical activity. And for its prevention, such as smoking cessation wine, such as weight control.

3. Light hypertension, can be preceded by non-drug therapy, including restricting sodium intake, sports or qigong therapy.

4. Invalid …

Antihypertensive treatment invalid for a number of reasons. Not adhere to treatment is one of these, and this is asymptomatic chronic diseases of the reasons for the poor. So that patients understand the condition and use of a day, patients can afford the simple medication programme would help improve the obedience of the patients. Water and salt intake is excessive blood pressure control in patients with chronic renal failure a common cause of poor, we need to have correct diuretic therapy. There are other reasons for inadequate dose of antihypertensive drugs, at the same time taking other drugs such as non-steroidal anti-inflammatory drugs and medicine to be sympathetic, obesity, and sleep apnea syndrome, such as excessive drinking.

Blood pressure of the units generally have mm Hg (mmHg) and kPa (kpa), can be converted between the two is, the ratio between them is about 7.5:1, the conversion can be simple by using mm Hg 4 divided by 30, to get blood pressure kPa value, the contrary can be.

Normal blood pressure range is 90-140 mmHg in systolic blood pressure (12.0-18.7kpa) between 60-90 mmHg in diastolic blood pressure (8.0-12.0kpa) and, above this range may be borderline hypertension, or high blood pressure, below this scope may be hypotension.

Measuring blood pressure in children, the cuff should not be too small, should be in line with the forearm children, taking into account the decline in auscultation voice to the sound pulse of Rattling completely changed nausea that diastolic DBP fourth tone for the identification, rather than adult the beat is the sound disappear diastolic Fifth tone for the determination of diastolic pressure, because the disappearance of children auscultation voices can not emerge. Measurement of children’s blood pressure and the corresponding value of the age, gender and size of the blood pressure data to compare standards, to determine whether suffering from hypertension.

Hypertension Patients in the non-drug therapy and anti-hypertension drug treatment often require a series of inspections, the main purpose of these inspections is:

(1) identified as essential hypertension or secondary hypertension.

(2) understanding of heart, brain, kidney and other vital organs is subject to hypertension damage.

(3) whether the understanding of patients with hypertension also associated with other risk factors, such as coronary heart disease, left ventricular hypertrophy, stroke, diabetes and high blood lipid.