General treatment and prevention of hypertension

  Dear friends, today I’ll tell you – the general treatment and prevention of hypertension.  I. General treatment 1. Improving lifestyle applies to all patients with hypertension, including those using antihypertensive drugs.  (1) Reduce weight, try to control the body mass index (BMI) below 25; (2) Reduce sodium intake: about 80% of the sodium in the diet comes from cooking call salt and various pickled products, so the cooking call salt should be reduced, the amount of salt per person per day to not more than 6g is appropriate; (3) Supplement calcium and potassium salt: each person daily eat 400-500g of fresh vegetables, drink 500ml of milk, can (4) Reduce fat intake: the amount of fat in the diet should be controlled at less than 25% of the total calories; (5) Quit smoking and limit alcohol consumption: the amount of alcohol consumption should not exceed the equivalent of 50g of ethanol per day; (6) Increase exercise: exercise is good for reducing weight and improving insulin resistance, improving cardiovascular adaptability and stabilizing blood pressure levels; the higher form of exercise is low or moderate intensity isotonic exercise. Isotonic exercise of low or moderate intensity, jogging or walking can be chosen according to age and physical condition, generally 3-5 times a week, 20-60 minutes each time.  Various cardiovascular risk factors are associated with each other, and 80%-90% of hypertensive patients have risk factors other than elevated blood pressure. After antihypertensive treatment, as much as possible to control the normal range, multiple risk factors other than elevated blood pressure still have an important impact on the prognosis. Of the many factors other than elevated blood pressure, gender, age, smoking, blood cholesterol levels, blood creatinine levels, diabetes mellitus, and coronary heart disease have the most significant impact on cardiovascular risk. Therefore, antihypertensive therapy must be implemented under the new concept of cardiovascular risk control, and care should be taken to control one risk factor while improving or at least not exacerbating other cardiovascular risk factors as much as possible. In addition to effective blood pressure control and compliance with treatment, antihypertensive treatment programs should also take into account the possible effects on glucose metabolism, lipid metabolism, uric acid metabolism, etc.  The primary prevention of hypertension should be enhanced by disseminating knowledge about the development of primary hypertension and by early intervention, such as avoiding mental stress, reducing salt intake, reducing body weight, exercising in moderation and quitting smoking and alcohol; the secondary prevention of hypertension should be enhanced by disseminating information about the seriousness of target organ damage caused by hypertension. Due to the long-term nature of hypertension treatment, it is important to improve patients’ compliance with treatment, not only to control blood pressure, but also to control its associated risk factors, to reduce complications and morbidity and mortality of hypertension, and to improve prognosis.