Treatment FAQ

what is the initial treatment for hypertension

by Ashtyn Leffler V Published 2 years ago Updated 2 years ago
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The initial antihypertensive agent should generally be selected from one of four drug classes shown to reduce cardiovascular events: ACE inhibitors, angiotensin-receptor blockers, calcium-channel blockers, and thiazide-type diuretics. Repeat visits are required to ensure ongoing hypertension control.Feb 15, 2018

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1. Lose extra pounds and watch your waistline...

2. Exercise regularly...

3. Eat a healthy diet...

4. Reduce sodium in your diet...

5. Limit the amount of alcohol you drink...

6. Quit smoking...

7. Cut back on caffeine...

8. Reduce your stress...

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2. Watermelon seeds...helps widen the blood capillaries...

3. Garlic...helps relax blood vessels by stimulating the production of nitric oxide and hydrogen sulfide...

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1. Walk and exercise regularly...

2. Reduce your sodium intake...

3. Drink less alcohol...

4. Eat more potassium-rich foods...

5. Cut back on caffeine...

6. Learn to manage stress...

7. Eat dark chocolate or cocoa...

8. Lose weight...

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What is the best first line of treatment for hypertension?

  • Principles of drug therapy: Chlorthalidone (12.5-25 mg) is the preferred diuretic because of long half-life and proven reduction of CVD risk. ...
  • Initial first-line therapy for stage 1 hypertension includes thiazide diuretics, CCBs, and ACE inhibitors or ARBs. ...
  • CKD: BP goal should be <130/80 mm Hg. ...

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How to manage Stage 1 hypertension or mild hypertension?

Try to:

  • Change your expectations. For example, plan your day and focus on your priorities. ...
  • Focus on issues you can control and make plans to solve them. If you are having an issue at work, try talking to your manager. ...
  • Avoid stress triggers. Try to avoid triggers when you can. ...
  • Make time to relax and to do activities you enjoy. ...
  • Practice gratitude. ...

What is the immediate treatment of hypertension?

  • Wait: Wait five minutes.
  • Monitor: Take your blood pressure reading again.
  • Check for symptoms: Ask yourself if you're showing any symptoms of hypertensive emergency, including chest pain, shortness of breath, nausea, back pain, or difficulty speaking.

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What is first line treatment hypertension?

Initial first-line therapy for stage 1 hypertension includes thiazide diuretics, CCBs, and ACE inhibitors or ARBs. Two first-line drugs of different classes are recommended with stage 2 hypertension and average BP of 20/10 mm Hg above the BP target.

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What is the first treatment for hypertension?

There are three main classes of medication that are usually in the first line of treatment for hypertension: 1. Calcium Channel Blockers (CCB) 2. Angiotensin Converting Enzyme inhibitors (ACE inhibitors or ACE-I) and Angiotensin Receptor Blockers (ARBs) 3. Diuretics.

What is the initial treatment for uncomplicated hypertension?

However, for most patients with uncomplicated hypertension low-dose thiazide-type diuretics should be first-line therapy. The choice of add-on therapy, which may be required later in up to two-thirds of patients, is not as clearly defined. Beta blocking drugs and ACE inhibitors are effective when used with a diuretic.

Is beta blocker first-line hypertension?

Abstract. National and international guidelines still recommend β-blockers (BBs) as first-line agents in uncomplicated prevention of hypertension. However, it has been shown that BBs reduce blood pressure less than other drugs, specifically with regard to central aortic pressure.

How do you select the initial medication for a patient with hypertension?

The choice should be made on the basis of sound scientific data and from the patient's perspective and needs. The drug should be taken once a day, should have proven efficacy in hypertension control and cardiovascular morbidity and mortality reduction, and should have as few side effects as possible.

How to stop high blood pressure?

Try the Dietary Approaches to Stop Hypertension (DASH) diet, which emphasizes fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and trans fat. Decrease the salt in your diet.

What tests are done to confirm if you have high blood pressure?

Ambulatory monitoring. This 24-hour blood pressure monitoring test is used to confirm if you have high blood pressure.

What is elevated blood pressure?

Elevated blood pressure is a systolic pressure ranging from 120 to 129 mm Hg and a diastolic pressure below (not above) 80 mm Hg. Elevated blood pressure tends to get worse over time unless steps are taken to control blood pressure. Elevated blood pressure may also be called prehypertension. Stage 1 hypertension.

What to do if you have chest pain?

If you also have chest pain, vision problems, numbness or weakness, breathing difficulty, or any other signs and symptoms of a stroke or heart attack, call 911 or your local emergency medical number. Both numbers in a blood pressure reading are important. But after age 50, the systolic reading is even more important.

What are Alpha blockers?

Alpha blockers include doxazosin (Cardura), prazosin (Minipress) and others. Alpha-beta blockers. Alpha-beta blockers block nerve signals to blood vessels and slow the heartbeat to reduce the amount of blood that must be pumped through the vessels.

What does blood pressure measure?

A blood pressure reading, as shown in the blood pressure monitor in the image, measures the pressure in your arteries when your heart beats (systolic pressure) in the first number, and the pressure in your arteries between heartbeats (diastolic pressure) in the second number.

What happens if your blood pressure is high?

If your blood pressure remains stubbornly high despite taking at least three different types of high blood pressure drugs, one of which usually should be a diuretic, you may have resistant hypertension.

When to take thigh blood pressure?

A thigh blood-pressure measurement is recommended for adults younger than 30 years of age to exclude aortic coarctation, and blood-pressure measurement while the patient is standing is recommended for older adults to assess orthostatic blood-pressure changes.

What is the classification of blood pressure?

Classification of Blood Pressure in Adults. Hypertension, the elevation of systolic blood pressure, diastolic blood pressure, or both above normal levels, is common in developed and developing countries and increases in prevalence with age.

What are the factors that increase the risk of hypertension?

Lifestyle factors that are associated with an increased risk of hypertension and greater severity include high sodium intake, 5 weight gain and obesity, 6 excess alcohol intake, 7 and the use of certain medications, particularly nonsteroidal antiinflammatory drugs (NSAIDs), stimulants, and decongestants.

What is the first line of therapy for high blood pressure?

Diuretics are often recommended as the first line of therapy for most people who have high blood pressure. However, your doctor may start a medicine other than a diuretic as the first line of therapy if you have certain medical problems. For example, ACE inhibitors are often a choice for people with diabetes.

What to do if blood pressure is 20/10?

If your blood pressure is more than 20/10 points higher than it should be, your doctor may consider starting you on two drugs or placing you on a combination drug.

How to reduce blood pressure with alcohol?

Getting regular aerobic exercise (such as brisk walking at least 30 minutes a day, several days a week) Limiting alcohol to two drinks a day for men, one drink a day for women. In addition to lowering blood pressure, these measures enhance the effectiveness of high blood pressure drugs.

What is considered high blood pressure?

High blood pressure is now classified as a systolic blood pressure greater than 130 and diastolic over 80. To prevent high blood pressure, everyone should be encouraged to make lifestyle modifications, such as eating a healthier diet, quitting smoking, and getting more exercise. Treatment with medication is recommended to lower blood pressure ...

Why is high blood pressure dangerous?

Hypertension, or high blood pressure, is dangerous because it can lead to strokes, heart attacks, heart failure, or kidney disease. The goal of hypertension treatment is to lower high blood pressure and protect important organs, like the brain, heart, and kidneys from damage. Treatment for hypertension has been associated with reductions in stroke ...

What is the best medication for low blood pressure?

Calcium Channel Blockers. Calcium channel blockers are drugs used to lower blood pressure. They work by slowing the movement of calcium into the cells of the heart and blood vessel walls, which makes it easier for the heart to pump and widens blood vessels. ACE Inhibitors.

What is a beta blocker?

Beta-blockers are drugs used to treat high blood pressure. They block the effects of the sympathetic nervous system on the heart. Alternative Treatmens for Hypertension. There are many types of complementary and alternative treatments believed to be effective for treating hypertension. Get the facts on your options.

What is an ACE inhibitor?

Angiotensin converting enzyme (ACE) inhibitors are high blood pressure drugs that widen or dilate your blood vessels to improve the amount of blood your heart pumps and lower blood pressure. Angiotensin II Receptor Blockers (ARBs)

Is fish oil good for high blood pressure?

Get the facts on your options. Dietary fish and fish oil supplements have benefits for healthy people and people with high blood pressure and heart disease alike. People who smoke are more likely to develop problems like high blood pressure and heart disease. Learn more and get tips on quitting and avoiding relapses.

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Diagnosis

Treatment

  • Changing your lifestyle can help control and manage high blood pressure. Your doctor may recommend that you make lifestyle changes including: 1. Eating a heart-healthy diet with less salt 2. Getting regular physical activity 3. Maintaining a healthy weight or losing weight if you're overweight or obese 4. Limiting the amount of alcohol you drink Bu...
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Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
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Lifestyle and Home Remedies

  • Lifestyle changes can help you control and prevent high blood pressure, even if you're taking blood pressure medication. Here's what you can do: 1. Eat healthy foods.Eat a heart-healthy diet. Try the Dietary Approaches to Stop Hypertension (DASH) diet, which emphasizes fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Get plenty of potassium, which ca…
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Alternative Medicine

  • Although diet and exercise are the most appropriate tactics to lower your blood pressure, some supplements also may help lower it. However, more research is needed to determine the potential benefits. These supplements include: 1. Fiber, such as blond psyllium and wheat bran 2. Minerals, such as magnesium, calcium and potassium 3. Folic acid 4. Supplements or products that incre…
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Coping and Support

  • High blood pressure isn't a problem that you can treat and then ignore. It's a condition you need to manage for the rest of your life. To keep your blood pressure under control: 1. Take your medications properly.If side effects or costs pose problems, don't stop taking your medications. Ask your doctor about other options. 2. Schedule regular doctor visits.It takes a team effort to tr…
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Preparing For Your Appointment

  • If you think you may have high blood pressure, make an appointment with your doctor to have your blood pressure checked. No special preparations are necessary to have your blood pressure checked. You might want to wear a short-sleeved shirt to your appointment so that the blood pressure cuff can fit around your arm properly. Avoid eating, drinking caffeinated beverages an…
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