High blood pressure in a 60 year old man, how to treat

Hypertension treatment for 60-year-olds generally includes non-pharmacological treatment (lifestyle improvement) and pharmacological treatment (diuretics, calcium channel blockers, etc.). 1. Non-pharmacological treatment: It is a basic measure to maintain a good lifestyle, such as quitting smoking, eating less salt, eating less fatty foods such as fatty meat and fried foods, and exercising properly. 2. Pharmacological treatment: diuretics, calcium channel blockers, angiotensin-converting enzyme inhibitors or angiotensin II receptor antagonists (ARBs) are recommended to be applied to elderly patients with hypertension, either as a single or combined medication. (1) Diuretics: applicable to elderly hypertensive patients with combined heart failure and edema, commonly used in small doses of thiazide diuretics (e.g. hydrochlorothiazide, indapamide, etc.). (2) Calcium channel blockers: long-acting dihydropyridines (e.g. amlodipine, nifedipine, etc.) are suitable for elderly patients with simple systolic hypertension. (3) Angiotensin-converting enzyme inhibitors (e.g., captopril, enalapril, etc.) or angiotensin II receptor antagonists (e.g., chlorosartan, valsartan, etc.) are recommended for elderly patients with hypertension who have a combination of coronary artery disease, heart failure, diabetes mellitus, and chronic kidney disease. (4) β-blockers: such as bisoprolol, metoprolol, etc. are recommended for hypertensive patients with combined coronary artery disease, chronic heart failure, and tachyarrhythmia. (5) α-blockers: such as terazosin, prazosin, etc., not as the drug of choice, can be used for patients with combined prostate hyperplasia. It is recommended that 60-year-olds suffering from hypertension should go to the cardiology department of the hospital and follow the doctor’s instructions for treatment.