Treatment FAQ

what is the treatment of moderate hypertension

by Prof. Enid Jaskolski I Published 2 years ago Updated 2 years ago
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To address moderate hypertension and cholesterol issues, the statement recommends a minimum of 150 minutes each week of moderate intensity aerobic exercise — such as brisk walking, running, bicycling, jumping rope, and swimming — or 75 minutes each week of vigorous intensity aerobic activity.Jun 7, 2021

Medication

7 Home Remedies for Managing High Blood Pressure

  1. Get moving. Exercising 30 to 60 minutes a day is an important part of healthy living. ...
  2. Follow the DASH diet. Following the Dietary Approaches to Stop Hypertension (DASH) diet can lower your blood pressure by as much as 11 mm Hg systolic.
  3. Put down the saltshaker. ...
  4. Lose excess weight. ...
  5. Nix your nicotine addiction. ...
  6. Limit alcohol. ...
  7. Stress less. ...

Nutrition

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 best way to treat hypertension naturally?

  • 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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How to manage Stage 1 hypertension or mild 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. ...

More items...

What is the immediate treatment of hypertension?

What treatment is suggested for hypertension?

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Which drug is used for management of moderate hypertension?

Diuretics. There are three classes of diuretic drugs that are used to treat hypertension. Most commonly used are thiazide diuretics such as hydrochlorothiazide or chlorthalidone. There is not usually an increased urine flow after the first one or two days of taking these medications.

How serious is moderate hypertension?

An increase of 20 mm Hg in systolic pressure or 10 mm Hg in diastolic pressure above 115/75 mm Hg doubles the risk of death from cardiovascular disease (Evidence Grade 1). The increase is independent of other risk factors for cardiovascular disease, and it is similar for women and men (Evidence Grade 1).

What is the most effective treatment for hypertension?

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 is the level of moderate hypertension?

What is high blood pressure (hypertension)?CategoryBlood PressureCategoryBlood PressureStage I Hypertension (mild)Blood Pressure130-139/OR diastolic between 80-89 mmHgStage 2 Hypertension (moderate)Blood Pressure140/90 mmHg or higherHypertensive Crisis (get emergency care)Blood Pressure180/120 mmHg or higher1 more row•Sep 21, 2021

What are the symptoms of moderate hypertension?

Moderate or severe headaches, anxiety, shortness of breath, nosebleeds, palpitations, or feeling of pulsations in the neck are some signs of high blood pressure. Often, these are late signs that high blood pressure has existed for some time, therefore annual checks are recommended for all adults.

What does moderate hypertension mean?

The paper defines moderate hypertension as a systolic blood pressure level of 120–139 millimeters of mercury (mm Hg) or a diastolic reading of 80–89 mm Hg. It says that about 53 million adults in the United States, equating to about 21% of these individuals, fall into this category.

What is the first line 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 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.

What are the 4 stages of hypertension?

High blood pressure is classified in one of several categories — and those designations can influence treatment. Doctors classify blood pressure into four categories: normal, prehypertension (mild), stage 1 (moderate) and stage 2 (severe).

Can hypertension be cured?

There is no cure for high blood pressure. But treatment can lower blood pressure that is too high. If it is mild, high blood pressure may sometimes be brought under control by making changes to a healthier lifestyle.

Is hypertension Stage 1 Serious?

The first stage of hypertension is called stage 1 hypertension. The systolic pressure is 140 to 159 mm Hg or your diastolic pressure is 90 to 99 mm Hg. The next stage of hypertension, stage 2 hypertension, is diagnosed when your systolic pressure is 160 mm Hg or higher or your diastolic pressure is 100 mm Hg or higher.

Can hypertension be cured naturally?

Unfortunately there is no cure for high blood pressure currently, but you can take steps to manage it even without medication. Here are 7 ways to lower your blood pressure naturally: Exercise! Regular exercise is great for your overall well-being, and it can also help with lowering your BP.

What is hypertensive emergency?

Hypertensive emergencies are those with very high blood pressures or with any of the features discussed earlier. If the blood pressure needs to be lowered rapidly, then the agents listed in Table 22-30 should be considered.

Is hypertension on the rise in the US?

The number and percentage of patients treated at emergency departments for hypertension are on the rise across the United States, according to a Vanderbilt University Medical Center study published recently in the American Journal of Cardiology.

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 American Heart Association guidelines for diagnosing high blood pressure and cholesterol?

Gibbs says: “The current American Heart Association guidelines for diagnosing high blood pressure and cholesterol recognize that otherwise healthy individuals with mildly or moderately elevated levels of these cardiovascular risk factors should actively attempt to reduce these risks.”. People who meet these criteria are candidates for ...

What is the AHA prescription?

The American Heart Association (AHA) and the American College of Cardiology (ACC) offer a new “prescription” for people with moderately high blood pressure and cholesterol: exercise more.

How to increase physical activity?

The statement advises doctors to help by: 1 checking in with patients about their physical activity at every appointment, either by asking questions or by tracking their activity using a wearable device 2 offering suggestions for ways a patient can increase and sustain their physical activity levels 3 encouraging patients to spend more time engaging in physical activities that they enjoy 4 encouraging and verbally rewarding any, even small, increase that the patient undertakes, such as doing more walking or taking the stairs instead of the elevator

Is physical activity the first line of treatment?

Together with the ACC, the AHA has released a new scientific statement that stresses the value of recommending physical exercise as the first line of treatment for such individuals. Research. Trusted Source. indicates that physically active people have a 21% lower risk of developing cardiovascular disease and a 36% lower risk of dying from it.

Does exercise lower blood pressure?

Regular exercise can lower blood pressure, low-density lipoprotein (LDL) cholesterol, and triglyceride levels. The advice from the AHA for otherwise healthy adults with moderately elevated blood pressure and blood cholesterol is to “sit less and move more.”.

What is stage 2 hypertension?

Stage 2 hypertension puts you at higher risk for life-threatening problems such as heart attack and stroke. This form of high blood pressure needs immediate medical treatment with monitoring blood pressure frequently to avoid complications. Newly diagnosed with stage-2 hypertension!

What is the target BP for a diabetic?

If you have hypertension – Target BP should be less than 140/90 mmHg. 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.

Is angiotensin II receptor good for diabetes?

Angiotensin II receptor + Diuretics – It is suitable in concurrent with heart failure and diabetes. Put your maximum efforts with a lifestyle change to reach your target BP. Once the BP is in control, most patients require life-long treatment.

Which drugs are equally effective in minimising the risk of cardiovascular disease?

For people with uncomplicated hypertension, all the major drug groups – thiazide diuretics, ACE inhibitors, calcium antagon- ists and ARBs – are equally effective in minimising the risk of cardiovascular disease (Evidence Grade 1). Beta blockers reduce the risk of stroke to a lesser extent (Evidence Grade 1).

How many people in Sweden have high blood pressure?

Prevalence of High Blood Pressure. An estimated 1.8 million people in Sweden, or 27% of the adult population (aged 20 or older), have high blood pressure (hypertension). The condition is just as common among women as men. Of the 1.8 million Swedish adults with elevated blood pressure:

Do women have lower blood pressure than men?

Women have a lower absolute risk of cardiovascular disease than men (Evidence Grade 1). However, blood pressure lowering treatment reduces relative risk equally in women and men (Evidence Grade 1). Guidelines in Different Countries.

Is smoking cessation a priority for hypertensives?

Smoking cessation measures should also be a priority for hypertensives and can generate major treatment benefits (Evidence Grade 1). Pharmacological Treatment. Blood pressure lowering treatment reduces the risk of stroke, myocardial infarction and premature death in hypertensives of both sexes (Evidence Grade 1).

Is high blood pressure a risk factor for dementia?

Risk Factor for Cardiovascular Disease. Elevated blood pressure is a risk factor for coronary heart disease, stroke and other cardiovascular disease, including heart failure (Evidence Grade 1). High blood pressure is also a risk factor for dementia (Evidence Grade 3). An increase of 20 mm Hg in systolic pressure or 10 mm Hg in diastolic pressure ...

Does hypertension affect cardiovascular disease?

The effect of hypertension treatment on the absolute risk of cardiovascular disease morbidity and mortality is greater with concurrent diabetes (Evidence Grade 1). In people with type 2 diabetes, the impact on relative risk is also greater (Evidence Grade 1).

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Diagnosis

Treatment

Clinical Trials

Alternative Medicine

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Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Simple lifestyle changes can regulate high blood pressure, but when blood pressure is very high or lifestyle measures fail, medications for life long will be recommended.
Medication

Beta blockers: Helps in reducing the heart rate thus decreasing the blood pressure.

Acebutolol . Atenolol . Betaxolol


Diuretics: Increases urination which in turn reduces the sodium and fluid content resulting in decreasing blood pressure.

Bumetanide . Chlorthalidone . Chlorothiazide


Angiotensin-converting enzyme (ACE) inhibitors: Widens the blood vessels thereby aiding in easy blood flow and reduce the blood pressure.

Captopril . Fosinopril . Lisinopril . Ramipril


Angiotensin II receptor blockers (ARBs): Helps relax the blood vessels to lower the pressure.

Losartan . Telmisartan


Calcium channel blockers: Reduces the amount of calcium entering heart muscles thereby reducing the heart rate and controlling blood pressure.

Amlodipine . Felodipine . Isradipine


Alpha blockers: The muscles of arteries and veins are relaxed thus reducing the blood pressure.

Doxazosin . Prazosin . Terazosin


Renin inhibitors: Inhibits the enzyme that favors the production of angiotensin (a peptide hormone, which aids in regulation of blood pressure) which constricts blood vessels.

Aliskiren

Nutrition

Foods to eat:

  • Eat more fruits, vegetables, and low-fat dairy foods
  • Cut back on foods that are High in saturated fat, cholesterol, and trans fats
  • Eat more whole-grain foods, fish, poultry, and nuts

Foods to avoid:

  • Frozen foods
  • Salty and sugary foods
  • Caffeine and alcohol
  • Red meats

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Coping and Support

  • Your doctor will ask questions about your medical history and do a physical examination. The doctor, nurse or other medical assistant will place an inflatable arm cuff around your arm and measure your blood pressure using a pressure-measuring gauge. Your blood pressure generally …
See more on mayoclinic.org

Preparing For Your Appointment

  • 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 But sometimes lifestyle change…
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