Treatment FAQ

what is the initial treatment for stage 1 hypertension

by Dr. Daphnee Koepp Published 3 years ago Updated 2 years ago
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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.May 7, 2018

Mayoclinic.org

Feb 14, 2018 · The initial agent can be selected from one of four drug classes: angiotensin-converting–enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), calcium-channel blockers, and thiazide-type...

Top10homeremedies.com

Jun 18, 2021 · Hypertension is just another name for high blood pressure. Stage 1 hypertension is sort of the first big red flag that’s telling you that changes are needed to get your blood pressure back within normal ranges. There are several different ways to reduce hypertension depending on the mechanism.

Medicalnewstoday.com

Jul 29, 2012 · Stage-1 hypertension medicinal treatment If you are at low risk of stage-1 hypertension, it is enough to follow just lifestyle modification as a sole therapy. If you have any target organ damage (e.g. left ventricular hypertrophy), follow lifestyle modification as well as take... If you have chronic ...

How to manage Stage 1 hypertension or mild hypertension?

Mar 23, 2018 · Hypertension, or high blood pressure, comes in stages that correspond with your blood reading number. Stage 1, or mild hypertension, is defined as a blood pressure reading of 130–139 over 80 ...

What are the guidelines for Stage 1 hypertension?

Initial Treatment of Hypertension. ... Stage 1 hypertension should be confirmed within two months. ... An instrument was designed to measure the …

What are the main causes of Stage 1 hypertension?

Oct 08, 2018 · Because of the lack of evidence, the 2017 Hypertension Canada guidelines still recommend that antihypertensive therapy should be recommended for only stage-1 hypertension with evidence of macrovascular target organ damage. 2 In the recently published 2017 American Heart Association/American College of Cardiology/American Society of Hypertension …

What is the best first line of treatment for hypertension?

What is the first initial management in a patient with prehypertension or stage 1 hypertension? Lifestyle changes such as losing weight, exercising more, reducing salt in the diet, quitting smoking, and cutting back on stress and alcohol intake

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Do you need medication for stage 1 hypertension?

130/80 to 139/89 (stage 1 hypertension): You might need medication. These numbers qualify as high blood pressure and you need to take action. But your doctor will probably suggest that you try out lifestyle changes first before adding drugs -- unless you have other health problems.May 7, 2021

What is the first step in the treatment of hypertension?

Diuretics are the first step in the treatment of most patients with hypertension and the new clinical trials should focus on drugs to be added to them as the second step in the management of hypertension.Sep 25, 2001

What medication is used for stage 1 hypertension?

“Blood pressure lowering therapy is likely to prevent stroke and death in patients with uncomplicated grade 1 hypertension.” Most drugs to lower blood pressure fall into one of three classes: angiotensin-converting enzyme (ACE) inhibitors, calcium-channel blockers, or diuretics.Jan 2, 2015

Is stage 1 hypertension serious?

A person at stage 1 is in danger of a variety of health complications due to moderate hypertension. At this point, a person would be expected to try medication to reduce their blood pressure and risk of heart disease and/or stroke.Dec 26, 2019

How is blood pressure controlled during initial stage?

Here's what you can do:Eat healthy foods. Eat a heart-healthy diet. ... Decrease the salt in your diet. Aim to limit sodium to less than 2,300 milligrams (mg) a day or less. ... Maintain a healthy weight. ... Increase physical activity. ... Limit alcohol. ... Don't smoke. ... Manage stress. ... Monitor your blood pressure at home.More items...•Jul 1, 2021

What is hypertension stage1?

In stage 1 hypertension, also known as prehypertension, the systolic (top number) reading is 120 mmHg-139 mmHg, or the diastolic (bottom number) reading is 80 mmHg-89 mmHg. Prehypertension is a warning sign that you may get high blood pressure in the future.Feb 4, 2021

When is blood pressure medication needed?

Your doctor may advise you to take medicine for high blood pressure if: Your blood pressure is more than a little high. You have organ damage or other health problems such as heart failure, coronary artery disease, diabetes, or kidney disease. You have one or more risk factors for heart attack or stroke.

What is stroke level blood pressure?

Blood pressure readings above 180/120 mmHg are considered stroke-level, dangerously high, and require immediate medical attention.

How do doctors treat 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.Sep 20, 2021

How do you treat high blood pressure at home in emergency?

AdvertisementLose extra pounds and watch your waistline. Blood pressure often increases as weight increases. ... Exercise regularly. ... Eat a healthy diet. ... Reduce sodium in your diet. ... Limit the amount of alcohol you drink. ... Quit smoking. ... Cut back on caffeine. ... Reduce your stress.More items...

What Is Hypertension?

Blood pressure is one health metric that tends to slowly increase with age, but it is also highly correlated with heart disease when it reaches the hypertension stage, i.e. high blood pressure.

Stress and Hypertension

There are several different mechanisms that can cause hypertension. One way is through emotional or physical stress. When you are stressed your sympathetic nervous system floods your bloodstream with a hormone made by your adrenal glands called cortisol.

Metabolic and Cardiovascular Health

One other important mechanism for hypertension is rooted in coronary calcium build up. If you have high blood pressure you should consider determining your CAC ( coronary artery calcium) score to see if you are at risk of having a myocardial infarction (heart attack) or other related incident in the coming years.

Key Takeaways

Hypertension is just another name for high blood pressure. Stage 1 hypertension is sort of the first big red flag that’s telling you that changes are needed to get your blood pressure back within normal ranges. There are several different ways to reduce hypertension depending on the mechanism.

What is the best medicine for high blood pressure?

Diuretics. Diuretics , sometimes called water pills, are medications that help your kidneys eliminate sodium and water from the body. These drugs are often the first medications tried to treat high blood pressure. There are different classes of diuretics , including thiazide, loop and potassium sparing.

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.

Why do doctors take blood pressure readings?

Because blood pressure normally varies during the day and may increase during a doctor visit (white coat hypertension), your doctor will likely take several blood pressure readings at three or more separate appointments before diagnosing you with 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 is the systolic pressure of a person over 65?

Isolated systolic hypertension is a condition in which the diastolic pressure is normal (less than 80 mm Hg) but systolic pressure is high (greater than or equal to 130 mm Hg). This is a common type of high blood pressure among people older than 65.

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.

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 is the first stage of hypertension?

The first stage of hypertension is called stage 1 hypertension. Stage 1 hypertension is a mildly elevated systolic pressure ranging from 140 to 159 mm Hg and the diastolic pressure ranging from 90 to 99 mm Hg. It is an early form of high blood pressure consider mild and need medical treatment with blood pressure monitoring on every doctor’s visit ...

What is the target blood pressure for diabetics?

If you have hypertension & diabetes – Target BP should be less than 130/80 mmHg. If you have hypertension & chronic kidney disease – Target should be less than 140/90. However, if possible then it is always better to manage your blood pressure around 110/70 mmHg without or with limited number or dosage of medication.

What to do if you have kidney disease?

If you have chronic kidney disease, you require following lifestyle change as well as medication treatment.

What is stage 1 blood pressure?

Stage 1, or mild hypertension, is defined as a blood pressure reading of 130–139 over 80–89. If your blood pressure measures between this range, your doctor may express some concern and suggest lifestyle changes and medications to reduce your blood pressure. To obtain an accurate blood pressure reading, your doctor will use an inflatable arm cuff ...

What is the best diet for hypertension?

The DASH (dietary approaches to stop hypertension) diet is the best dietary intervention to reduce hypertension at any level. The diet focuses on a lifelong approach to eating healthily to maintain healthy blood pressure readings. The diet focuses on reducing sodium intake along with consuming a variety of foods that further work to reduce your blood pressure.

Can hypertension be reduced?

Individuals with more severe forms of hypertension may be able to reduce the number or dosages of their BP medications under the guidance of their doctor.”. As you can see, there is much research to support natural remedies and dietary interventions as a means of reducing blood pressure.

What is the difference between systolic and diastolic blood pressure?

Your reading will be measured in millimeters of mercury (mmHg) and consists of a systolic number (the top one) and a diastolic number (the bottom one). Systolic blood pressure refers to the pressure at which blood is hitting your arteries as the blood is pumped from your heart. Diastolic is the pressure of the blood returning to the heart.

Is 120/80 a good blood pressure?

Generally, a reading of 120/80 mm/Hg is considered healthy. You may think the lower the numbers, the healthier you are, but this is wrong. Even low blood pressure can lead to health complications. One blood pressure reading does offer insight into your health but isn’t enough to determine your heart disease risk.

What foods are included in the Dash diet?

In the DASH diet, the consumption of grains, vegetables, fruits, dairy, lean meats like poultry and fish, nuts, seeds, legumes, and fats and oils are encouraged.

Does acupuncture help with blood pressure?

Exercise makes the cardiovascular system stronger and work more efficiently and is also a natural stress reliever, which is an important aspect of reducing blood pressure. One study also uncovered the benefits of acupuncture in reducing blood pressure.

What is medication history?

Medication history was defined using the prescription database, which consisted of the patient prescription code, types of medication, date of prescription, number of days of prescription, dosage, and cost.

What is the NHIS database?

This study used the entire NHIS–National health examinee database, which is a database of all individuals who underwent National Health examinations sponsored by the NHIS in South Korea. The universal NHIS provides free biennial health examinations to eligible NHIS members aged ≥40 years. The data include qualification data, medical services claim data, and pharmacy claim data. Details of the database were previously described. 7 We selected patients who had received a diagnosis of hypertension (Korean Classification of Disease [KCD] codes I10–I13) in 2005 to 2006 with a baseline systolic BP (SBP) 140 to 159 mm Hg or baseline diastolic BP (DBP) 90 to 99 mm Hg for inclusion in the study population. Patients were not taking antihypertensive medication at baseline and were subsequently prescribed antihypertensive medications for at least 1 year during the follow-up. We defined clinical risk factors as smoking, dyslipidemia (total cholesterol level >190 mg/dL), fasting plasma glucose level ≥100 mg/dL, and obesity (body mass index ≥30 kg/m 2) according to the European Society of Cardiology/European Society of Hypertension guidelines for arterial hypertension. 1 We could not assess the levels of LDL (low-density lipoprotein) cholesterol, HDL (high-density lipoprotein) cholesterol, or triglycerides; glucose tolerance; or family history of premature cardiovascular disease, as these factors are unavailable in the database. We defined low-risk, stage-1 hypertension as untreated stage-1 hypertension with ≤2 risk factors and no cardiovascular disease, diabetes mellitus, or chronic kidney disease at baseline. Patients who had received a diagnosis of heart failure (KCD code I50); ischemic heart disease, including myocardial infarction (MI), unstable angina, or stable angina (KCD codes I20–I25 and Z95–Z959); stroke (KCD codes I60–I65, I69); chronic kidney disease or end-stage renal disease (ESRD; KCD codes N18–N19, Z49); diabetes mellitus (KCD codes E11–E14); or malignancy (KCD codes C00–C99) in 2002 to 2006 were excluded. We also excluded (1) patients with missing values in the health examination database, (2) patients with hypertension and ≥3 risk factors or ≥stage-2 hypertension, (3) patients who received antihypertensive medication for <1 year, and (4) patients with a urinary glucose level ≥2+ or urinary protein level ≥2+. We searched for patients in the database who were untreated at the baseline index period between 2005 and 2006 and subsequently underwent treatment during the follow-up. Of 402 407 patients with hypertension, 148 761 were eligible for further analysis (Figure S1 in the online-only Data Supplement ). We defined treated patients as those who had prescription data for antihypertensive agents for at least 1 year during the follow-up period.

Who funded the Korea Health Technology R&D project?

This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health and Welfare, Republic of Korea (grant number HI13C0715).

Does stage 1 hypertension improve clinical outcome?

Perspectives. There has been no evidence that the treatment of hypertension in low-risk, stage-1 hypertension improves clinical outcome. This is especially true in young aged hypertensives below the age of 50.

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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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