High blood pressure how to treat early?

Question
High blood pressure how to treat early?
Answer
Mr. Chang, 50-year-old, 3 years ago when a medical examination found that blood pressure 130/92 mm Hg, triglycerides 5.45 mmol / L (normal value for the 0.4 ~ 1.73 mmol / L). High blood pressure can be heard against the initial antihypertensive agents, Mr. Zhang has been attention to diet and exercise, adhering to the 3 years. Also strange to say, a good weekend at home when the blood pressure was 120/85 Chang ~ 80 mm Hg; usually after work a little bit of pressure will be high, in order to 120/90 to 95 mm Hg. Recently went to a medical examination, blood pressure was higher, and 140/92 mm Hg. Triglyceride or higher than normal,3.63 mmol / liter. Heard Mr. Zhang spent on antihypertensive drugs could not be disabled, so they have to worry about medication. Like him this is the case, need to take antihypertensive drugs? If necessary, the election which it? In the rest, under normal circumstances blood pressure should also take blood pressure medicine? If 24-hour ambulatory manometry conditions, Mr. Zhang first hospital should be a 24-hour ambulatory blood pressure checks to determine whether further suffering from high blood pressure, and severity and 24-hour blood pressure variability to assess the situation. Of course, if the conditions to do this inspection, may also be the basis of the above preliminary view is that risk ChangThere are at least mildly high blood pressure or prehypertension. Mr. Zhang rest normal blood pressure, but when busy to go to work high blood pressure, especially diastolic hypertension has reached the standard of 鈮?90 mm Hg, recent physical examination for the 140/92 mm Hg blood pressure, high blood pressure has reached the standard (adult blood pressure 鈮?140/90 mm Hg can be diagnosed with high blood pressure). However, in hospital or clinic blood pressure should pay attention to the so-called quot;white coat effect.quot; Because a lot of people to see doctors in white coats would have thought of tension, fear, blood pressure will increase, even if the normal blood pressure is not high, sometimes reaching levels of hypertension and was diagnosed as quot;highBlood pressure, quot;which isquot; white coat effect. quot;Manometry and 24-hour ambulatory white coat effect can be avoided interference of the establishment of definite help in the diagnosis of hypertension. Non-pharmacological treatment of essential hypertension with or without pay attention to not do any work, a reasonable diet , smoking cessation, weight reduction and appropriate exercise, is of prime importance to anyone. Mr. Zhang can stick to it is very correct. In fact, many patients with mild high blood pressure, sometimes as long as the application of the above-mentioned methods can make the blood pressure returned to normal. when to use the medication if the result of these non-pharmacological treatment, blood pressure normal, periodic review may temporarily do not have to take blood pressure medicine. IfFollowing the above results to deal with the blood pressure is still elevated, and reached the level of hypertension, then still need medication. Must be pointed out that increased with age, the incidence of high blood pressure will rise higher and higher, Mr. Zhang has 50 years of age this year, so regular blood pressure testing is particularly important. For mild hypertension, what to do with what kind of antihypertensive agents? In general, the currently recognized types of antihypertensive drugs can be used as primaries. But, specifically, how to use or what kind of medicine, doctor according to the patients should be in accordance with the principle of individualized medicine. Hypertension is a chronic progressive disease, the majority of patients with long-term medication to do medication or even mentally prepared for lifeBecause so far there is no way to completely cure hypertension. Only sustained high blood pressure can reduce complications. However, after treatment with mild hypertension, normal blood pressure of more than half a year to observe the reduction or discontinuation of treatment, but should adhere to the non-drug treatment and periodic follow-up. Once again the blood pressure rise, antihypertensive agents should be applied again. Finally, also note the treatment of high blood pressure should be comprehensive, Mr. Chang still elevated triglycerides should be treated accordingly. The use of fibrates in general medicine, such as fenofibrate to lower triglyceride. If combined with diabetes or atherosclerosis should also be done while the corresponding treatment, most important matter in order to reduce high bloodPressure complications. (Editor: Wang Hai-e)