Treatment FAQ

when to initiate treatment for hypertension

by Gretchen Wiza Published 3 years ago Updated 2 years ago
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Key Points for Practice
In patients with hypertension and diabetes, pharmacologic treatment should be initiated when blood pressure is 140/90 mm Hg or higher, regardless of age.
Oct 1, 2014

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...

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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...

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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 treatment for hypertension?

You can lower your blood pressure with the following lifestyle changes:

  • Losing weight if you are overweight or obese
  • Quitting smoking. ...
  • Following the DASH eating plan, which stands for Dietary Approaches to Stop Hypertension. ...
  • Reducing the amount of sodium in your diet to less than 1,500 milligrams a day if you have high blood pressure; healthy adults should try to limit their sodium intake ...

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What foods to avoid with hypertension?

Foods that are high in sodium are known to cause high blood pressure. Learn the top foods to avoid if you’ve been diagnosed with hypertension, including table salt, cured meats, and some canned foods.

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. ...

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When should you start treatment for hypertension?

The first recommendation is that of initiating antihypertensive drug treatment when systolic blood pressure is at least 140 or diastolic blood pressure at least 90 mmHg in patients with grade 1 hypertension and low or moderate total cardiovascular risk, and even when blood pressure is in the high normal range in ...

When should hypertension be treated with medication?

If you have very high blood pressure, the risk of cardiovascular disease is so great that doctors usually recommend immediate treatment with medication. This is the case for systolic blood pressure levels over 180 mmHg.

Do I need medication if my BP is 140 90?

120 to 129/less than 80 (Elevated): You probably don't need medication. 130/80 to 139/89 (stage 1 hypertension): You might need medication. 140/90 or higher (stage 2 hypertension): You probably need medication.

Does stage 1 hypertension require medication?

If you have stage 1 or stage 2 hypertension, your doctor will likely prescribe medications to lower your blood pressure and recommend healthy lifestyle changes.

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.

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 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 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.

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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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