The main harm of hypertension (high blood pressure) are the damage to the vessel wall by elevated blood pressure, especially the damage to the blood vessels of the heart, brain and kidney, which lead to a series of complications, such as stroke, myocardial infarction, coronary heart disease, renal failure, etc. The higher the blood pressure is, the greater the vascular injury will be caused by it, the higher the risk of cardiovascular events, so maintain the blood pressure to a reasonable range is very important for achieving a smooth reduction of blood pressure for 24 hours. The basis of high blood pressure management is the lifestyle intervention, which runs through the entire course of treatment of high blood pressure. The goal of prevention and treatment of high blood pressure is to avoid premature death.
The development of high blood pressureis mainly associated with undesirable living, dietary habits and some mental factors, such as elderly people; Excessive drinking and smoking, obesity and overweight; Eating too much sugar, sweet food, fat, salt, fast food, processed food, don't like vegetables and fruits; Lack of Exercises, often stay up late, sleep debt, chronic insomnia, nervousness, irascibility, etc. read more...
Most people would present “dipper” blood pressure characterized by two peaks during 8:00-10:00 am and 4:00-6:00 pm, respectively, and the blood pressure remaining low during the night and reaching the trough during 2:00-4:00 am, followed by gradual rise read more...
The treatment of hypertension largely depends on blood pressure measurement, which is closely related to time: as blood pressure measurement would vary at different time throughout a day, multiple measurements throughout a day are required to identify the pattern of blood pressure fluctuation and the highest value of blood pressure.
At least one blood pressure measurement weekly is required for a high blood pressure patient, preferably at the time when the blood pressure is at its highest, as control of the peak blood pressure would be sufficient to keep the blood pressure within the normal range throughout the day. read more...
The basis of high blood pressure management is the lifestyle intervention, which runs through the entire course of treatment of high blood pressure.read more...
You can understand the type of your blood pressure fluctuation by monitoring and management of blood pressure, and then you can choose the medication time according to the type of your blood pressure. The basic principle is that you should take medicine two hours before the highest point of your blood pressure because the maximum drug efficacy is two hours after you take medicine. In this way, the peak value of drug efficacy corresponds to that of your blood pressure, whereby a better hypotensive effect is achieved. read more...
Patients with high blood pressure should keep their blood pressure below the blood pressure goal all day long (SBP < 140 mmHg, DBP < 90 mmHg) so that their blood pressure can meet the standard during the whole day. Our study found that the blood pressure of about 60% of people measured in the clinic after treatment met the standard, while the blood pressure of these people failed to meet the standard using the ambulatory blood pressure measurement (their blood pressure control is not ideal). During a period of time, their blood pressure exceeded the target blood pressure value. Blood pressure exceeding the target blood pressure value for as short as an hour will cause damage to the blood vessels. read more...
Too often, hypertensive patients only pay attention to the comprehensive management of blood pressure from such aspects as blood glucose and blood pressure, but neglect the monitoring of their heart rate. A patient’s heart rate is closely associated with the incidence of cardiovascular events, and the faster a patient’s heart beats, the higher their risk of death will be, starting from the heart rate of 60 beats/min. The mortality of patients with a heart rate at 55-70 beats/min is the lowest. Therefore, when patients control their blood pressure, their heart rate should also meet the standards. read more...
Ideal resting heart rate:
For the people over 60 years old, normal systolic blood pressure can be extended to 150 mmHg. Diastolic blood pressure is still 90 mmHg. Blood pressure goals is 150/90 mmHg.
Blood pressure goals for elderly without diabetes or CKD:
130/70 mmHg < blood pressure < 150/90 mmHg, Pulse pressur (SBP-DBP) < 70 mmHg
Treatment plan for elderly patients with hypertension
140 - 160, 90 - 99
Lifestyle interventions, Medication
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