How to choose antihypertensive drugs for hypertensive patients?

  There are many kinds of anti-hypertensive drugs, and hypertensive patients should pay attention to the following in treatment: 1. Commonly used antihypertensive drugs include calcium antagonists, angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists, diuretics, beta-blockers, etc. The long duration of action (long-acting agents) and few side effects are preferred. Most patients need a combination of 2 or more drugs. At present, there are many compound antihypertensive preparations on the market, such as the choice should be used under the guidance of cardiovascular doctors.  2, must adhere to treatment, improve compliance with treatment is the key to successful treatment. The vast majority of patients need long-term or lifelong medication.  3. Strive to achieve the “standard” of treatment. The ultimate goal is to reduce stroke, myocardial infarction and kidney damage, and to minimize mortality. In patients with diabetes mellitus and chronic kidney disease, blood pressure should be strictly controlled, with the goal of lowering blood pressure to <130/80mmHg. 4. Take into account the prevention and treatment of complications and comorbidities, such as heart failure, stroke, renal insufficiency, coronary heart disease, diabetes mellitus, dyslipidemia, etc., to delay and reverse the organ damage caused by hypertension, and not to simply lower blood pressure as the only treatment purpose.  5, pay attention to the "individualized" principle, that is, according to each patient's age, gender, blood pressure level, cardiovascular risk factors and other circumstances to choose and adjust the medication. Closely observe the relationship between drug dosage and antihypertensive efficacy as well as the side effects of drugs, and adjust the drug type and dosage as appropriate.  6. Do not blindly listen to drug advertisements and abuse treatment. All hypertensive patients should undergo regular diagnosis and systematic treatment under the guidance of a cardiovascular doctor.  7, Finally, it should be noted that lifestyle changes as the basic treatment must be carried out throughout, such as control of diet, exercise, quit smoking and alcohol, maintain the ideal weight and waist circumference.