Patients with high blood pressure in their 40s should adhere to a healthy lifestyle in their treatment. Patients with unstable blood pressure control or multiple risk factors should take oral plus medication under the guidance of a physician.
Patients with middle-aged hypertension, regardless of the level of blood pressure, should control the level of blood pressure through a healthy lifestyle, such as a low-salt diet, increase the intake of vegetables, reduce the intake of high-fat and mold-proof food, have a regular life, and adhere to physical exercise.
Patients with middle-aged hypertension should be assessed for risk factors. For patients with blood pressure level 1 and low to medium risk of cardiovascular risk, they can first control their blood pressure level through lifestyle, and patients with poor control after 3 months can be given antihypertensive drug therapy, such as oral amlodipine, metoprolol, valsartan and other drugs, and when a single drug reaches the maximum dosage, if the blood pressure level is not controlled satisfactorily, the drug may be added other such drugs with different mechanisms of action in combination therapy.
Patients with any level of hypertension who are at high risk of cardiovascular risk should be given antihypertensive medications even if they should be given to control their blood pressure levels to below 140/90 mmHg.
Patients with middle-aged hypertension should be evaluated for risk of morbidity under the guidance of a physician and treated with antihypertensive drugs in a rational manner.