Selection of anti-hypertensive drugs should take into account other systemic conditions

  Most hypertension requires medication, and the current first-line drugs include B-blockers, calcium antagonists, angiotensin-converting enzyme inhibitors (ACEIs), angiotensin receptor blockers (ARBs), and diuretics. Although lowering blood pressure is the “hard truth” and the benefits of blood pressure control come from lowering blood pressure itself, many patients often have other comorbidities that need to be considered in a comprehensive manner when choosing medications. For example, patients with diabetes combined with hypertension prefer ACEI or ARB drugs, which can protect the patient’s kidney function and delay the progression of diabetic nephropathy; if hypertension is combined with coronary heart disease or cardiac insufficiency, B-blocking thorns are the first consideration; patients with previous stroke are recommended to apply calcium flickers; if the patient consumes too much salt, a moderate amount of diuretics may be more effective. In addition, community physicians should have the idea that for the treatment of hypertension, lifestyle change is the foundation! Be sure to emphasize to your patients the importance of a low-salt diet, which is even more important for northern patients.