Optimal treatment of postural hypertension

The best treatment for postural hypertension is to figure out the cause and treat it accordingly. Patients with autonomic nerve damage and postural hypotension tend to have supine hypertension, and about 50% have elevated blood pressure when lying down, exactly 150 mmHg systolic or 90 mmHg diastolic, which are associated with sensor damage. Seventy percent of patients with primary autonomic failure have hypertension in the supine position, and treatment options include telling the patient to avoid over-the-counter medications that have a blood pressure-raising effect, to avoid drinking water before bedtime, to avoid wearing compression stockings while supine, and to eat a small meal before bedtime. Sleeping with the head elevated 15-23 cm and resting in the semirecumbent position during the day is better than the supine position. Pharmacological measures include nitrates, short-acting calcium antagonists, minoxidil, hydrazinopyridazine, colistin, and so on, as well as the fact that patients with hypertension in the supine position are not suitable for sodium drainage therapy, so diuretics are not suitable for application.