How to deal with low blood pressure?

Written by Zhang Yue Mei
Cardiology
Updated on September 18, 2024
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The management of low blood pressure requires different approaches depending on the cause of the hypotension and the severity of the condition. For mild hypotension not caused by a primary disease, it is important to rest, avoid staying up late, and consume more broth to stabilize or increase blood pressure. Hypotension caused by a disease, especially severe hypotension, requires emergency treatment in a hospital. Severe hypotension can be life-threatening and may require the use of vasoactive drugs, replenishment of blood volume, and other emergency measures to improve blood supply to the periphery and ensure blood supply to vital organs.

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Written by Zhang Yue Mei
Cardiology
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How to treat low blood pressure?

How to treat low blood pressure depends on the extent of the decrease in blood pressure and the causes of low blood pressure. If the blood pressure is not too low and there are no obvious clinical symptoms, generally, there is no need for pharmacological treatment. What is needed is lifestyle adjustments, consuming high-nutrient foods, proper exercise, increasing the vitality of the heart and the elasticity of the blood vessels, and drinking more broth. If it is caused by severe illness leading to shock, immediate effective medication treatment and rescue are required, starting with the replenishment of blood volume, improving microcirculation, and using vasopressors to raise the blood pressure to a safe range, to ensure the blood supply to the heart, brain, and kidneys. (Note: Doctor’s answers are for reference only. Please follow the guidance of a professional physician for medication use, and do not self-medicate blindly.)

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Written by Zhang Yue Mei
Cardiology
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How to treat low blood pressure?

The treatment of hypotension varies based on the cause and the underlying diseases. Mild hypotension without any accompanying diseases can often be managed by nutritional adjustments, proper rest, avoiding overwork, and refraining from staying up late and smoking. These measures can help gradually increase blood pressure. In cases where hypotension is caused by shock, bleeding, or heart disease, treatment should address these conditions while also replenishing blood volume and administering antihypertensive drugs as necessary. Severe hypotension can be life-threatening, thus, acute and severe low blood pressure is considered a critical condition that requires immediate emergency treatment.

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Written by Zeng Wei Jie
Cardiology
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Clinical symptoms of low blood pressure

The clinical symptoms of hypotension mainly depend on its type. For example, in patients with orthostatic hypotension, symptoms such as dizziness, syncope, or even falling may occur when moving from a lying to a standing position. For hypotension caused by shock, it can be divided into hypovolemic shock and shock caused by reduced cardiac output, which may lead to symptoms like reduced urine output, cold and clammy skin, rapid heart rate, and short pulse. The clinical symptoms caused by cardiac tamponade are also generally related to reduced cardiac output. If the hypotension is caused by gastrointestinal bleeding, symptoms like vomiting blood and black stools may occur. Thus, the symptoms of hypotension can vary greatly depending on the cause.

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Written by Zhang Yue Mei
Cardiology
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How to alleviate low blood pressure

How to alleviate low blood pressure depends on the cause of the low blood pressure and the degree to which the blood pressure has decreased. For mild low blood pressure without any primary disease, it is necessary to rest and consume high-protein, high-nutritional foods, especially high intake of broth, chicken soup, ginseng, sea cucumber soup, etc., which can effectively raise blood pressure. If the low blood pressure is caused by a disease and the blood pressure is relatively low, it is necessary to treat the primary disease while correcting the blood pressure. First, blood volume should be supplemented to raise blood pressure. In severe cases, pressor drugs should be used, and when blood pressure reaches a normal level, it is maintained to supply blood to important organs.

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Written by Cai Li E
Cardiology
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What blood pressure is considered low blood pressure?

Systolic pressure less than 90 mmHg and diastolic pressure less than 60 mmHg indicate low blood pressure. The normal blood pressure range for adult males and females of any age is a systolic pressure between 90 to 139 mmHg and/or diastolic pressure between 60 to 89 mmHg. High blood pressure is defined as having a systolic pressure of 140 mmHg or higher and/or a diastolic pressure of 90 mmHg or higher. Arterial blood pressure varies among individuals, as well as by age and gender, with a general trend of increasing pressure as age advances, and the increase in systolic pressure is more pronounced than that in diastolic pressure. Before menopause, women tend to have slightly lower blood pressure than men of the same age, but after menopause, their blood pressure generally aligns with or even slightly exceeds that of their male counterparts.