Primary hypertension with a systolic blood pressure of 190 mm Hg and a diastolic blood pressure of 110 mm Hg can be treated with calcium antagonists (amlodipine) and ACEIs (captopril) as prescribed by the doctor. If the blood pressure cannot be lowered by oral medication, it can be treated with intravenous drip (uradil).
1. Blood pressure of 190/110 mmHg without risk factors is considered high risk; with 1-2 risk factors (smoking, dyslipidemia, etc.) is very high risk; with ≥3 risk factors or target organ damage is very high risk; with clinical complications or diabetes mellitus is also considered very high risk.
2. For Grade 3 hypertension, the combination of drugs can be taken under the guidance of the physician, oral levamlodipine benzenesulfonate tablets, captopril tablets and other antihypertensive drugs to treat the application of drugs need to choose a long-acting antihypertensive drugs, the duration of a longer period of time, is conducive to the stabilization of blood pressure, and can be chosen to compound the preparation of the treatment.
3. If the blood pressure can not be lowered by oral medication, you can go to the hospital, intravenous drip uradil and other antihypertensive drugs, intravenous drip drugs have a fast onset of action, and the effect of lowering blood pressure is good.
Lowering blood pressure needs to follow the smooth and slow lowering of blood pressure, if the pressure is lowered too quickly, it is easy to cause insufficient perfusion of the heart and cerebral blood vessels. It is necessary to choose the combination of drugs under the guidance of a physician, and you can not use drugs randomly.