A few insights into the treatment of hypertension

  At present, the number of patients with hypertension is increasing, and there are several insights into the treatment of hypertension: a. A small number of hypertension can be found in the cause of hypertension there are primary and secondary hypertension. What we mean by hypertension is primary hypertension, that is, the cause of the disease is not very clear. Secondary hypertension, on the other hand, is defined as a disease with a clear cause, and hypertension is one of the manifestations of the disease, which can be controlled or normalized by treating the cause. Most patients with hypertension (more than 90%) have primary hypertension. Therefore, patients with hypertension whose blood pressure is not well controlled and whose symptoms are not significantly relieved by the application of antihypertensive drugs alone should pay attention to whether your hypertension is secondary to other diseases.  Second, patients with hypertension should self-manage My personal view is that hypertension is mostly acquired, which means that hypertension is related to life behavior, living environment, eating habits and mental psychology. The acquisition and reestablishment of healthy lifestyle behaviors, dietary habits, and psychological status are particularly important for the intervention and treatment of hypertension. Awareness of the dangers of hypertension, self-management beliefs and health protection are another important part of the treatment of hypertension.  Third, antihypertensive treatment and blood pressure standard antihypertensive drugs are a useful supplement and treatment for patients with hypertension to obtain ideal blood pressure and relieve symptoms, and ideal blood pressure is beneficial to health and necessary for life. However, the ideal blood pressure for treatment varies for each individual, from low basal blood pressure in some patients to other diseases (requiring higher blood pressure to meet organ perfusion), as far as the standard of 13 0/80 mmHg is concerned. It is the expected value of our treatment, at the same time, we must care about the patient’s feelings, such as tolerated, can be lowered some more; can not tolerate to be higher. The standard of blood pressure should still follow the level of 90-140/60-90mmHg, and the systolic blood pressure of the elderly can be relaxed to 150mmHg. and slow antihypertensive treatment is an important guarantee for blood pressure to reach the standard.  Fourth, antihypertensive treatment is the beginning of comprehensive intervention to treat cardiovascular disease risk factors Hypertension is an independent risk factor of cardiovascular disease, antihypertensive treatment can not only improve the patient’s symptoms and improve the quality of life; but also can significantly reduce the prevalence of cardiovascular disease, mortality. Hypertension disease is associated with acquired poor lifestyle behaviors, and acquired poor lifestyle behaviors can also breed other risk factors for cardiovascular and cerebrovascular diseases. Therefore, it is important to evaluate patients with hypertension for other risk factors such as obesity, abnormal lipid metabolism, abnormal glucose tolerance or diabetes mellitus, and hyperuricemia. If hypertension is combined with these risk factors, it will greatly increase the risk of cardiovascular disease. Therefore, a comprehensive evaluation and intervention of other risk factors along with antihypertensive treatment is aimed at reducing the overall risk of cardiovascular disease.  Fifth, antihypertensive treatment should take into account the improvement of organ function The longer the duration of hypertension, the more likely it is to cause cardiac, cerebral, renal and vascular pathologies. Therefore, when choosing antihypertensive drugs, it is important to evaluate heart, brain, kidney and vascular lesions and functional impairment. The ultimate goal is to improve the function of these organs and prolong the patient’s survival time by reasonably selecting drugs with evidence-based medical evidence to treat the patient to achieve the optimal blood pressure level that the patient can tolerate, while improving other beneficial therapeutic measures.