Treatment FAQ

what is treatment for essential hypertension

by Dr. Ally Herzog Published 3 years ago Updated 2 years ago
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beta-blockers, such as metoprolol (Lopressor) calcium channel blockers, such as amlodipine (Norvasc) diuretics, such as hydrochlorothiazide/HCTZ (Microzide) angiotensin-converting enzyme (ACE) inhibitors, such as captopril (Capoten)

Mayoclinic.org

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...

Learn More...

Top10homeremedies.com

1. Lemons...antioxidant...

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

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

4. Banana...rich source of potassium...

5. Celery...

6. Coconut Water...

7. Cayenne Pepper...

8. Onion Juice...

Learn More...

Medicalnewstoday.com

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...

Learn More...

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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What is the best way to treat hypertension naturally?

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. ...

What is the most common treatment for hypertension?

Common hypertension treatments include lifestyle changes, such as losing weight or stopping smoking, and medications such as beta blockers and diuretics. Treatment is usually performed by the patient at home, but more complicated hypertension treatments may have to be performed in a hospital.

How does diet and lifestyle influence essential hypertension?

Risk factors that can be managed include:

  • Obesity (a primary risk factor)
  • Smoking or using tobacco in any form
  • Drinking too much alcohol
  • Lack of exercise
  • High levels of fat and cholesterol in your blood
  • Too much salt (sodium) in your diet
  • Too little potassium in your diet
  • Too little vitamin D in your diet
  • Oral contraceptives
  • Stress

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What is the first-line treatment for essential hypertension?

ACE inhibitors — Angiotensin-converting enzyme (ACE) inhibitors are first-line therapy in all patients who have HF or asymptomatic LV systolic dysfunction, in all patients who have had an ST elevation MI, in patients with a non-ST elevation MI who have had an anterior infarction, diabetes, or systolic dysfunction, and ...

What is the most common cause of essential hypertension?

Essential hypertension is a type of high blood pressure that has no clearly identifiable cause, but is thought to be linked to genetics, poor diet, lack of exercise and obesity. It is by far the most common form of high blood pressure, affecting the majority of those who experience hypertension.

Can you reverse essential hypertension?

Unfortunately, there is no cure yet for primary HBP. Healthy lifestyle habits can help keep your HBP under control. But you'll likely need medication eventually to keep your blood pressure in a safe range. Secondary hypertension is caused by another health condition.

What stage is essential hypertension?

Normal: SBP less than 120 and DBP less than 80mmHg; Elevated: SBP 120 to 129 and DBP less than 80mmHg; Stage 1 hypertension: SBP 130 to 139 or DBP 80 to 89mmHg; Stage 2 hypertension: SBP greater than or equal to 140 mmHg or greater than or equal to 90 mmHg.

What is the difference between hypertension and essential hypertension?

Primary (essential) hypertension is diagnosed in the absence of an identifiable secondary cause. Approximately 90-95% of adults with hypertension have primary hypertension, whereas secondary hypertension accounts for around 5-10% of the cases.

What are 3 symptoms of hypertension?

When symptoms do occur, they can include early morning headaches, nosebleeds, irregular heart rhythms, vision changes, and buzzing in the ears. Severe hypertension can cause fatigue, nausea, vomiting, confusion, anxiety, chest pain, and muscle tremors.

Can drinking lots of water lower blood pressure?

Something as simple as keeping yourself hydrated by drinking six to eight glasses of water every day improves blood pressure. Water makes up 73% of the human heart,¹ so no other liquid is better at controlling blood pressure.

What are the common symptoms of essential hypertension?

What are the symptoms of essential hypertension (now known as primary hypertension)?Blood in your urine (hematuria).Blurry vision.Chest pain and shortness of breath.Dizziness and lightheadedness.Fatigue.Mental fog.Nosebleed.Severe headaches.

What is the best drink for high blood pressure?

The top drinks for lowering blood pressure include water, fruit juices (pomegranate, prune, cranberry, cherry), vegetable juice (tomato, raw beet), tea (black, green), and skim milk.

What are the risk factors for essential hypertension?

Known Etiological Factors in Essential Hypertension A number of factors increase BP, including (1) obesity, (2) insulin resistance, (3) high alcohol intake, (4) high salt intake (in salt-sensitive patients), (5) aging and perhaps (6) sedentary lifestyle, (7) stress, (8) low potassium intake, and (9) low calcium intake.

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 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 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.

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.

Overview

Primary (essential) hypertension is high blood pressure that is multi-factorial and doesn’t have one distinct cause. It’s also known as idiopathic or essential hypertension. Above-normal blood pressure is typically anything over 120/80 mmHg. This means that the pressure inside your arteries is higher than it should be.

Symptoms and Causes

Unhealthy habits and certain circumstances put you at risk for essential primary hypertension.

Diagnosis and Tests

A diagnosis of primary hypertension is made when you have high blood pressure, but none of the conditions that cause secondary hypertension. The best way to know if you have it is by seeing a healthcare provider who will:

Management and Treatment

Primary hypertension treatment typically includes lifestyle changes and medications.

Living With

Medications alone are not enough to lower your blood pressure. For the best results, you need to live a healthy lifestyle.

What is essential hypertension?

Essential hypertension is defined as blood pressure (BP) ≥140/90 mmHg, with no secondary cause identified. [1]#N#National Heart, Lung, and Blood Institute. The seventh report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Aug 2004 [internet publication]. https://www.nhlbi.nih.gov/files/docs/guidelines/jnc7full.pdf#N#[2]#N#Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH guidelines for the management of arterial hypertension. Eur Heart J. 2018 Sep 1;39 (33):3021-104. https://academic.oup.com/eurheartj/article/39/33/3021/5079119 http://www.ncbi.nlm.nih.gov/pubmed/30165516?tool=bestpractice.com#N#[3]#N#James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014 Feb 5;311 (5):507-20. https://jamanetwork.com/journals/jama/fullarticle/1791497 http://www.ncbi.nlm.nih.gov/pubmed/24352797?tool=bestpractice.com#N#The main goal of treatment is to decrease the risk of mortality and of cardiovascular and renal morbidity. [4]#N#ansson L, Zanchetti A, Carruthers SG, et al. Effects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension: principal results of the Hypertension Optimal Treatment (HOT) randomised trial. Lancet. 1998 Jun 13;351 (9118):1755-62. http://www.ncbi.nlm.nih.gov/pubmed/9635947?tool=bestpractice.com

What are the best ways to treat uncontrolled hypertension?

Lifestyle changes are recommended for all patients: weight loss, exercise, decreased sodium intake, Dietary Approaches to Stop Hypertension (DASH) diet, and moder ation of alcohol consumption.

What is the best way to reduce blood pressure?

Diuretics . Diuretics , sometimes called water pills, help the kidneys get rid of excess water and salt (sodium). This reduces the volume of blood that needs to pass through the blood vessels. As a result, blood pressure goes down. There are three major types of diuretics defined by how they work.

What is resistant hypertension?

Resistant hypertension refers to blood pressure that remains high after trying at least three different types of blood pressure medication. Someone whose high blood pressure is controlled by taking four different kinds of medication is considered to have resistant hypertension.

How does catecholamine affect blood pressure?

The muscles around some blood vessels have what are known as alpha-1 or alpha adrenergic receptors. When a catecholamine binds to an alpha-1 receptor, the muscle contracts, the blood vessel narrows, and blood pressure rises.

How to make the most of your treatment?

To make the most of your treatment, it’s vital to get regular medical checkups and blood pressure tests. Regular checkups allow your doctor to monitor how well your treatment is going and make any necessary adjustments to your treatment plan.

What is considered high blood pressure?

The goal is to get your blood pressure below the high range. If normal is less than 120/80 mm Hg, what’s high? When the systolic blood pressure — the top number — is between 120 and 129, and the diastolic blood pressure — the bottom number — is less than 80, this is considered elevated blood pressure.

What is the purpose of calcium channel blockers?

Calcium channel blockers limit calcium from entering the smooth muscle cells of the heart and blood vessels. This makes the heart beat less forcefully with each beat and helps blood vessels relax.

How to get blood pressure back to normal?

Sometimes, lifestyle changes are enough to return your blood pressure to normal levels. These changes may include diet, exercise, and weight loss. If your high blood pressure continues, be sure to consult a doctor who can prescribe the appropriate medication. Last medically reviewed on February 27, 2019.

How to treat hypertension?

Doctors may recommend a range of lifestyle adjustments that will commonly include: [13] Adopting a healthy, nutritious diet, ideally vegetarian or vegan in nature. Exercising.

What is essential hypertension?

Essential hypertension is a type of high blood pressure that has no clearly identifiable cause, but is thought to be linked to genetics, poor diet, lack of exercise and obesity. It is by far the most common form of high blood pressure, affecting the majority of those who experience hypertension. It is also known as primary hypertension.

What happens if your blood pressure is high during pregnancy?

Premature birth. Stillbirth. Women with essential hypertension in pregnancy will have their blood pressure levels monitored regularly by their doctor or midwife. If levels become high, the urine will be checked for protein, and symptoms of preeclampsia will be checked for.

How to lower blood pressure with essential hypertension?

People diagnosed with essential hypertension generally stand a good chance of lowering their blood pressure through lifestyle changes, medication or a combination of the two. Lifestyle changes will normally need to be maintained for the rest of one’s life to ensure high blood pressure does not reoccur. Depending on the person, medications may need to be taken indefinitely. In some cases, the use of medication can be stopped after blood pressure has fallen, with these lower levels then maintained through lifestyle alterations.

How many genes are linked to high blood pressure?

Those with a family history of essential hypertension are more likely to be at risk of developing the condition themselves. Fifty genes have been identified as linked to high blood pressure.

What is the term for the heart pumping blood through the circulatory system?

It is also known as primary hypertension. [1] As the heart pumps blood through the circulatory system, blood presses against the artery walls. High blood pressure occurs when the walls of the arteries exert a stronger oppositional force, which requires the heart to work harder in order to move blood through the body.

Can essential hypertension be diagnosed?

Symptoms of essential hypertension. In most cases , there will be no apparent symptoms of essential hypertension, and it will only be discovered during a regular medical examination. If essential hypertension is not diagnosed, the condition has the potential to worsen and create heart or kidney problems.

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.

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 But sometimes lifestyle change…
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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 ple...
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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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