Elderly people with diastolic blood pressure of 95mmHg already belong to grade 1 hypertension, but the use of antihypertensive drugs still need to be decided according to the condition.
1. If the elderly patient is the first diagnosis found simple hypertension, generally do not need medication first, but use life intervention to reduce blood pressure. For example, reducing weight, reducing sodium and fat intake, quitting smoking and limiting alcohol consumption, exercising in moderation, and reducing mental stress and maintaining an optimistic mindset.
2. If elderly patients still have high blood pressure after improving their lifestyles, or if they have a combination of diabetes mellitus, cardiovascular, cerebral, or renal target organ damage, and are assessed to be high-risk or very high-risk, they will need medication.
3. Commonly used antihypertensive drugs include diuretics such as hydrochlorothiazide, beta receptor antagonists such as propranolol, calcium channel blockers such as nifedipine, and ACEI/ARB drugs such as captopril and valsartan.
The pathogenesis, clinical manifestations, treatment and prognosis of hypertension in the elderly are special, and once diagnosed, treatment should be carried out in a timely manner under the guidance of specialized physicians.