Comprehensive management of hypertension in the elderly

  The following misconceptions should also be avoided in the process of hypertension medication, because misconceptions about hypertension can interfere with the proper treatment of individual hypertensive patients.  1. Stop taking antihypertensive medication when you reach your blood pressure reduction goal Antihypertensive medication can only control blood pressure when it does not completely eradicate hypertension, and when your blood pressure is well controlled, it does not mean that you can stop taking antihypertensive medication. Therefore, to keep your blood pressure at a normal level, you should insist on taking antihypertensive drugs.  2, others recommended a good antihypertensive drugs to use antihypertensive drugs, there are many kinds of elderly hypertensive patients often in daily life will be based on friends, colleagues, relatives recommended and use antihypertensive drugs. In fact, because the specific situation of each person varies, the degree of risk, as well as the combination of different diseases, so in the choice of antihypertensive drugs are very different, must be under the guidance of experienced specialist medication.  3, elevated diastolic blood pressure is more frightening than elevated systolic blood pressure The concept that elevated diastolic blood pressure levels are more important than systolic blood pressure as a risk factor for cardiac events and strokes was previously widely taught in medical schools and has had a great impact in patients with hypertension. Through extensive research, it is now abundantly clear that the correct concept is precisely the opposite, and that lowering systolic blood pressure levels is a decisive measure for the prevention of cardiovascular events and strokes.  4. Judging blood pressure levels based on experience rather than measurement Older patients with hypertension often have extensive experience with changes in their own condition because of the long duration of the disease, and are sometimes often able to make correct judgments about changes in blood pressure. However, fluctuations in blood pressure have a higher risk for elderly patients with hypertension, often leading to cardiac and cerebral events, and because of aging, the increase in other ailments can also interfere with self-judgment, so be sure not to judge blood pressure according to experience, but carefully measured with a blood pressure table, and keep records.  5, systolic blood pressure equal to age + 100 is normal It is often said that the systolic blood pressure of elderly patients with hypertension is equal to age + 100 is normal, blood pressure can better maintain the right amount of blood supply to organs and tissues, which is also the previous concept. Now a large number of studies have shown that the systolic blood pressure level is a decisive factor affecting cardiovascular events and strokes, and the damage to target organs is more common in elderly people with simple systolic hypertension (ISH), so the goal of reducing blood pressure in elderly patients with hypertension is blood pressure <140/90mmHg. 6, first from the "offset" drugs used by many people Many people believe that they have hypertension, to start with the "offset" drugs, if the disease develops in the future before there are drugs available. This is a misconception. There is no "high-grade" or "resistive" antihypertensive drugs, but the difference is between new and old drugs and the price, and drug treatment for hypertension should be based on the level of blood pressure, the number of risk factors, the degree of target organ damage, and the patient's clinical situation and financial ability to choose a drug. The choice of medication should be based on the level of blood pressure, the number of risk factors, the degree of target organ damage, and the patient's clinical situation and financial ability.  Non-pharmacological treatment (lifestyle modification) is the basic therapy for all hypertensive patients, but it is not the preferred treatment for all hypertensive patients, and elderly hypertensive patients should pay particular attention to it. The type of treatment plan to be taken requires a thorough assessment of the patient by the physician and prognostic risk stratification. Patients with hypertension in the high-risk and very high-risk groups should begin drug therapy immediately.