How to treat high blood pressure?

Written by Zhang Yue Mei
Cardiology
Updated on December 20, 2024
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Hypertension is a common and frequently occurring disease in clinical practice. Hypertension can cause certain damage to the body, especially long-term hypertension which can lead to cardiovascular and cerebrovascular diseases. It is necessary to adjust the dietary structure, paying attention to a low-fat and low-salt diet. Meanwhile, according to the severity of the blood pressure, effective antihypertensive drugs should be used under the guidance of a doctor to adjust the blood pressure within the normal range, avoiding serious damage to the cardiovascular and cerebrovascular systems, and also engaging in aerobic exercise. Mild hypertension patients can lower their blood pressure to the normal range through dietary adjustments and aerobic exercises.

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Written by Chen Tian Hua
Cardiology
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How to lower high blood pressure

Patients with hypertension need to adopt a comprehensive approach to reduce their blood pressure, primarily comprising two aspects: On one hand, they should regulate their lifestyle for treatment purposes, which includes maintaining a long-term low-salt and low-oil diet, consuming more vegetables and fruits, regularly engaging in physical exercises and labor, keeping a healthy weight level, avoiding fatigue, not staying up late at night, and maintaining a good emotional state. On the other hand, suitable antihypertensive medications should be chosen based on the specific conditions of the patients and used long-term. If necessary, a combination of antihypertensive drugs may be required. Effective control of blood pressure can only be achieved by combining lifestyle adjustments with medication.

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Written by Li Qiang
Intensive Care Unit
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Difference between hypertensive encephalopathy and malignant hypertension

The difference between hypertensive encephalopathy and malignant hypertension can be discerned from their names, indicating they are different conditions. Hypertensive encephalopathy refers to a condition where blood pressure rises sharply in a short period, with diastolic pressure exceeding 120 mmHg and systolic pressure exceeding 200 mmHg. This dramatic increase in blood pressure causes cerebral vasospasm and increased cerebral perfusion pressure, leading to various manifestations of cerebral edema, primarily severe headache, nausea, vomiting, seizures, and even brain herniation. The emphasis is on the rapid rise in blood pressure over a short term and its impact on the brain, specifically cerebral edema. Malignant hypertension also involves a rapid increase in blood pressure to extremely high levels over a short period. However, the focus of malignant hypertension is on the impact on multiple organs throughout the body, including the brain, but also severely affecting the heart, potentially causing acute left heart failure and pulmonary edema. In the kidneys, it can lead to acute renal failure, characterized by reduced urine output or anuria. Thus, malignant hypertension emphasizes the effects on multiple vital organs, whereas hypertensive encephalopathy focuses primarily on the impact on the brain and central nervous system. Hence, there are some distinctions between the two conditions.

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Written by Zhou Yan
Geriatrics
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Difference between hypertensive crisis and hypertensive encephalopathy

Hypertensive crisis, now referred to as hypertensive emergency, includes hypertensive encephalopathy. It mainly refers to cases where, under certain triggers, the blood pressure of patients with primary or secondary hypertension suddenly or significantly rises, typically exceeding 180/120 mmHg, accompanied by progressive failure of critical target organs such as the heart, brain, and kidneys. Hypertensive emergencies include hypertensive encephalopathy, cerebral hemorrhage, cerebral infarction, acute heart failure, acute coronary syndrome, aortic dissection, etc. Hypertensive encephalopathy is characterized by symptoms caused by hypertension, such as headache, blurred vision, nausea, vomiting, and severe edema of the head.

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Written by Zhang Yue Mei
Cardiology
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How to treat high blood pressure?

Hypertension is a common and frequently occurring disease in clinical practice. Hypertension can cause certain damage to the body, especially long-term hypertension which can lead to cardiovascular and cerebrovascular diseases. It is necessary to adjust the dietary structure, paying attention to a low-fat and low-salt diet. Meanwhile, according to the severity of the blood pressure, effective antihypertensive drugs should be used under the guidance of a doctor to adjust the blood pressure within the normal range, avoiding serious damage to the cardiovascular and cerebrovascular systems, and also engaging in aerobic exercise. Mild hypertension patients can lower their blood pressure to the normal range through dietary adjustments and aerobic exercises.

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Written by Li Hai Wen
Cardiology
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Is it called hypertension if the diastolic blood pressure is high?

High diastolic pressure, which is an increase in diastolic pressure, is also considered hypertension when the diastolic pressure exceeds 90mmHg. If you have hypertension, it is essential to have a formal medical examination at a hospital, such as blood tests for lipids and glucose to check for diabetes and hyperlipidemia. Blood tests are also done to evaluate liver and kidney functions, to see if there are any kidney diseases causing the increase in blood pressure. Additionally, under the guidance of a doctor, conduct ambulatory blood pressure monitoring to observe the overall situation of blood pressure increase within 24 hours. Based on the results of the blood tests and ambulatory blood pressure monitoring, determine whether antihypertensive medication is needed and which type of medication to use.