The fact is true, for primary hypertension, usually do not talk about “cure” this problem, some friends, through strengthening exercise, diet control, weight loss and fat reduction, maintain a peaceful state of mind and other ways to control blood pressure, this is also very good, some friends, life intervention alone can not be controlled, they need long-term medication control. If we can control hypertension to a reasonable and stable range through rational medication, of course, it is also possible.
Since there is no cure for hypertension, what is the goal of hypertension treatment? For this question, we will interpret it from two directions. What is the purpose of
hypertension control?
The goal of hypertension treatment is to lower blood pressure, which is of course an important aspect, but now for the control and treatment of hypertension, it is not just a simple matter to see the blood pressure value fall. Usually for hypertensive patients, but also need to assess their blood lipids, blood sugar, renal function and other aspects of cardiovascular disease risk, control hypertension at the same time, but also to control other cardiovascular disease risk, only to achieve a comprehensive assessment, according to the risk, reasonable comprehensive control, in order to truly benefit the overall health of the body. Especially the health of cardiovascular and cerebrovascular systems and kidneys.
There is a very bad idea, that is, since high blood pressure can not be cured, there is no feeling, do not care. It is such a misunderstanding that many people suffer from sudden myocardial infarction, cerebral infarction and other major diseases due to long-term uncontrolled hypertension, and even sudden death. Hypertension is also gradually known as the “silent killer”. Whether there is feeling or not, hypertension should be controlled. The goal of controlling hypertension is to reduce the cardiovascular and cerebrovascular health hazards caused by hypertension. Although hypertension is not felt, your blood vessels are working under high load for a long time. The result of long-term uncontrolled blood pressure is the accelerated loss of vascular elasticity and the accelerated progress of vascular sclerosis. Eventually, cardiovascular and cerebrovascular diseases caused by hypertension, including myocardial infarction, infarctional stroke, hemorrhagic stroke and other problems also follow. Therefore, what is the goal of controlling hypertension? The goal of controlling hypertension is to control blood pressure and reduce the morbidity risk of cardiovascular and cerebrovascular diseases.
Next, let’s talk about the target value of hypertension control.
Many times, people will confuse the diagnostic value of hypertension with the target value of hypertension control. In fact, the diagnostic value of hypertension, no matter what age stage, is 140/90. Two or more clinic measurements exceed this value. It can be diagnosed as hypertension, but the target of hypertension control is not as simple as reaching the target level below 140/90. Different
age stages, different physical conditions, blood pressure conditions vary greatly, most young and middle-aged people have hypertension, there will be high low pressure, while systolic pressure has not exceeded the standard, low pressure difference, and many elderly people, especially the elderly, appear simple high systolic pressure, while low pressure is normal or low, low pressure difference. Of course, the target value of hypertension control is different for different situations.
Usually for hypertensive patients under 65 years old, the primary goal of blood pressure control is to control blood pressure to the standard, at least to the level below 140/90, and if the body tolerates, it is better to further control blood pressure below 130/80. The incidence of stroke is lower.
If older people, such as elderly hypertensive patients over 65 years of age, have low diastolic blood pressure for a long time, even up to about 60, we can consider controlling systolic blood pressure as the standard, if the body tolerates, it is good to control the level below 140/90, but if the body does not tolerate it. It is also possible to control the high pressure below 150.
Age rises again, to the elderly over 80 years old, at this time, the degree of physical aging is often more serious, the human body’s ability to regulate blood pressure and sensitivity to response has also decreased, more prone to abnormal fluctuations in blood pressure, the risk of night hypotension, postprandial hypotension is also greater, the risk of blood pressure fluctuation is higher. Usually, the blood pressure value of starting medication is adjusted upward, and when the systolic blood pressure exceeds 150 or even 160, it is also possible to consider taking medication to lower blood pressure. During the period of taking medicine to regulate blood pressure, while controlling the systolic blood pressure not to be too high, we should also pay attention to the diastolic blood pressure. If the low pressure is too low in order to control the high pressure, it is not conducive to the blood perfusion of various organs of the body, causing greater risk
of health damage.
