Arterial hypertension is one of the most common chronic diseases of our time. Currently, in the world, 40% of the population suffer from arterial hypertension. In many patients, arterial hypertension can be asymptomatic for a long time without affecting overall well-being. With the long-term course of this disease, the body gradually adapts to high pressure, and a person’s well-being can remain relatively good. At the same time, high blood pressure has an adverse effect on blood vessels and internal organs: the brain, heart, kidneys. This often leads to such serious complications as stroke, ischemic heart disease (angina pectoris), myocardial infarction, heart and kidney failure.
Remember! Arterial hypertension is a chronic disease that constantly and steadily progresses without treatment. However, this disease can be controlled! To effectively lower blood pressure and the risk of cardiovascular complications, it is important to take regular medications and maintain a healthy lifestyle.
how to lower your blood pressure and be healthy
Time needed: 30 minutes.
Some simple tips on how to lower your blood pressure and be healthy
- What should be done if high blood pressure is detected?
If an increase in blood pressure is detected, it is necessary to immediately consult a doctor to identify the cause of the disease and determine the tactics of treatment.
Remember! In no case should you self-medicate?
You can not listen to the advice of friends and relatives suffering from arterial hypertension and use the same medications for treatment that they are taking.
Since the cause and course of the disease in each person is different, then treatment for some can be useful, and for others useless or even harmful.
Only a doctor can determine the necessary treatment tactics for each patient.
- How to start treatment for high blood pressure?
In order to prevent the onset or progression of existing arterial hypertension, it is necessary to reduce body weight, give up some bad habits, such as smoking, alcohol abuse, excessive salt intake.
- Proper nutrition and exercise is the basis of treatment, but nevertheless, in some patients, the pressure decreases, but remains above safe limits, what should be done in this case?
Take antihypertensive drugs – drugs that lower blood pressure.
- When should you start taking the pill regularly?
If arterial hypertension is stable (that is, it does not decrease on its own) for 2-3 weeks, despite the restriction of salt, proper nutrition, exercise, the decrease in blood pressure remains above the safe level of 140/90 mm Hg.
it is necessary to start a constant intake of antihypertensive drugs selected by the doctor.
- At what pressure do you need to constantly take pills?
If your blood pressure is mostly above 140/90, even if it is 150/95, and especially if there are periodic crises, the pills must already be taken.
The principle of treating arterial hypertension is that while taking medications, the level of blood pressure does not go beyond normal values, it creates conditions for the normal functioning of all vital organs and systems of the body.
- What is the purpose of the constant intake of antihypertensives?
Always have safe pressure levels and no crises.
The constant intake of antihypertensives is the only effective prevention of crises.
Arterial hypertension is a chronic disease and, like all chronic diseases, requires constant and continuous treatment.
Discontinuation of medication will inevitably lead to a relapse of high blood pressure and the development of complications.
You need to be treated not just to be treated, but in order to have pressure at a safe level – 140/90.
- What drug is needed?
This question should only be answered with a doctor.
Currently, for the treatment of hypertension, there is a large arsenal of drugs, lunch in 5 groups of drugs.
Each of these groups has its own contraindications, prescription features depending on concomitant diseases, age, etc.
Groups of antihypertensive drugs
Group I – Beta-blockers
atenolol, metoprolol, bisoprolol, betaxolol
Group II – Calcium antagonists
Nifedipine, amlodipine, lercanidipine, felodipine, nitrendipine
Group III – ACE inhibitors
Captopril, enalapril, perindopril, lisinopril, fosinopril
Group IV – AT receptor blockers
Losartan, Valsartan, Eprosartan, Telmisartan, Olmesartan, Azilsartan
Group V – Diuretics
Only a doctor can prescribe medicines and determine their dosages.
- What do these drugs work for?
On the factors on which the level of blood pressure depends, the main ones are already well known to you: spasm (narrowing) of blood vessels, increased work of the heart, fluid retention.
Let’s talk about this in more detail.
- What determines the level of blood pressure?
Conventionally, the cardiovascular system can be represented as a closed system consisting of a tap, a cistern and connecting pipes.
Imagine that the tap is the heart, the tube is the arteries, and the cistern is the entire body supplied with blood.
- What factors stand out and how to influence them?
– if the liquid comes from the tap under pressure, then the pressure in the pipe will increase;
here beta blockers are needed.
– if you reduce the lumen of the pipe, then the pressure will also increase;
the lumen of the tube is increased by calcium antagonists, ACE inhibitors, AT-receptor blockers.
– if you increase the amount of liquid in the tank, then the pressure in the system will also increase;
diuretics can affect this factor.
- Who decides on the drug group?
The doctor, taking into account the characteristics of your body and other factors, decides with which group of drugs to start treatment.
- How does he solve the dosage question?
Usually, treatment is started with the lowest dose.
(You take it for 5-7 days and control the blood pressure in the diary, you should measure it at least 2 times a day, preferably at the same hours).
It usually decreases slightly.
After 5 days the dose is increased and again within 5 days, you continue to control the pressure.
It will decrease a little more.
If the blood pressure has not become 140/90, then the dose continues to be gradually increased until the blood pressure reaches safe limits.
- But what to do if the pressure still does not reach safe limits?
If the dose of the drug is increased to the maximum allowable, and the pressure has not reached 140/90 mm Hg, then the doctor has 2 options.
The first is to cancel this drug and prescribe another from the same group or a different group.
The second is to reduce the dose of this drug and add a drug from another group.
- How long does the selection of the scheme take?
It depends on the reaction of your body to antihypertensives.
Sometimes very quickly.
Sometimes you have to try different and different options until the main result is achieved – 140/90 mm Hg.
- What is required of you when choosing a dose?
Understanding the goals of this joint work with the doctor is to achieve a pressure not higher than 140/90 mm Hg.
and a normal life without vascular complications.
Regular blood pressure measurement and keeping a diary.
Without this, the job of selecting a dose turns into self-deception.
- Can a doctor choose the right scheme without your participation?
He makes any decision only, focusing on the reaction from the blood pressure.
This reaction can only be seen from the diaries.
Without knowing your daily pressure readings, you cannot make the right decision.
- Do I need to quickly lower blood pressure?
If we are talking about the systematic selection of treatment, then no.
Many patients have lived with elevated blood pressure for years.
Its rapid decrease can lead, on the contrary, to a deterioration in well-being.
- What to do after you have achieved a safe pressure of 140/90?
Continue the same lifestyle (proper nutrition and exercise) and take the selected antihypertensive regimen.
- What happens if you stop taking pills?
The pressure will start to rise again, sometimes even in the form of a crisis.
- What prevents you from taking pills regularly?
One of the most common reasons is forgetting to take pills.
To do this, there is a toothbrush rule – put the tablets next to the toothbrush, brush your teeth and take the tablets.
- What are the side effects of antihypertensive drugs?
Each of the antihypertensive medications may have side effects.
The likelihood of the appearance and severity of a side effect depends on the dose: the higher it is, the more likely the risk of developing side effects – which is why the doctor strives to prescribe the optimal doses of drugs.
The incidence of side effects and their severity may differ for different groups of drugs.
If you experience any new symptoms or discomfort while taking medication, you should consult your doctor.
- Can you tell the doctor your wishes about antihypertensive drugs that will be recommended for you?
You can and should.
- What are these wishes?
First, the frequency of reception. There are pills that need to be taken 1 or 2 times a day, and there are those that need to be taken 3 or 4.
Secondly, there are no side effects. If you have already taken any pills and did not tolerate them well, tell your doctor.
Third, the cost. There are effective drugs that are easy to take with minimal side effects. But their cost is higher than that of similar drugs, which are inferior to them on certain points. There is no point in starting treatment with expensive pills if you cannot use them later. Although you should always remember that there is nothing more valuable than health.
Fourth, the effectiveness of control. You can pick up several schemes, calculate the cost of one day of treatment, compare which one is more effective and choose a solution that you prefer.
- What can best reduce the cost of treatment?
Proper nutrition and exercise. These factors can reduce blood pressure by 10-20 mm. If you don’t stick to them, then you will have to pay for the extra pills.
Remember that the most precious thing is health. It is better to spend money on blood pressure control now when you have no complications and have the opportunity to earn them than a much larger amount later when they appear and deprive you of the opportunity to work.
Remember! Treatment is a process, its success depends on both the doctor and the patient himself, as well as the characteristics of the drug, its tolerance and side effects. Therefore, knowledge of the essence of the disease, its main causes, factors affecting its development and course is a necessary component of the treatment complex. This is an important step towards staying healthy.