What should be done at the start of hypertension?

Written by Zhang Yue Mei
Cardiology
Updated on September 21, 2024
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What to do at the onset of hypertension, specifically refers to mild early-stage hypertension. Mild early-stage hypertension can be managed through reasonable dietary adjustments and increased physical activity to lower blood pressure to normal levels. Generally, it is not necessary to use antihypertensive medications. Aerobic exercises such as swimming, skipping rope, square dancing, playing table tennis, volleyball, tennis, can increase vascular elasticity and improve blood circulation, thereby achieving a blood pressure-lowering effect.

In terms of diet, it is important to focus on low-fat, low-salt, and low-oil intake to reduce the occurrence of arteriosclerosis and decrease blood viscosity, as well as sodium and water retention which can cause elevated blood pressure. Pay attention to rest, avoid overworking, and do not get overly excited. These are effective treatment and prevention methods for initial mild hypertension.

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Written by Zhang Yue Mei
Cardiology
1min 6sec home-news-image

What should be done at the start of hypertension?

What to do at the onset of hypertension, specifically refers to mild early-stage hypertension. Mild early-stage hypertension can be managed through reasonable dietary adjustments and increased physical activity to lower blood pressure to normal levels. Generally, it is not necessary to use antihypertensive medications. Aerobic exercises such as swimming, skipping rope, square dancing, playing table tennis, volleyball, tennis, can increase vascular elasticity and improve blood circulation, thereby achieving a blood pressure-lowering effect. In terms of diet, it is important to focus on low-fat, low-salt, and low-oil intake to reduce the occurrence of arteriosclerosis and decrease blood viscosity, as well as sodium and water retention which can cause elevated blood pressure. Pay attention to rest, avoid overworking, and do not get overly excited. These are effective treatment and prevention methods for initial mild hypertension.

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Written by Li Qiang
Intensive Care Unit
1min 18sec home-news-image

How to treat hypertensive encephalopathy

The treatment goal for hypertensive encephalopathy is mainly to rapidly reduce blood pressure to a reasonable range. Typically, intravenous antihypertensive drugs are administered to decrease blood pressure by 20%-25% within the first hour, followed by oral antihypertensives or continued intravenous treatment to further reduce it to a more reasonable level. Hypertensive encephalopathy often accompanies cerebral edema, and patients may experience increased intracranial pressure. At this point, it is necessary to administer dehydrating agents such as mannitol to treat the cerebral edema. If the patient experiences seizures, which can cause an increase in blood pressure or difficulty in reducing blood pressure, sedative anticonvulsant drugs must be administered to control the seizures. If the patient shows signs of heart failure, diuretic treatment should be initiated. Additionally, high concentration oxygen therapy under high pressure should be administered, which can be delivered through nasal cannula. If nasal oxygen therapy is ineffective, non-invasive ventilation or even intubation with invasive ventilation may be used to provide high concentration positive pressure oxygen therapy.

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Written by Zhou Qi
Nephrology
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What is the general blood pressure for hypertensive nephropathy?

Hypertension caused by kidney disease is called renal hypertension. The blood pressure of patients with renal hypertension is generally higher than that of those with primary hypertension. However, these patients can exhibit any range of blood pressure types. Their blood pressure might be in stage 1, meaning the systolic pressure is between 140 to 160 mmHg. It could also reach stage 3, where the systolic pressure exceeds 180 mmHg. In cases of heart failure, the patient's blood pressure might even reach 220 or 240 mmHg, though such extreme cases are relatively rare.

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Written by Zhang Lu
Obstetrics
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Symptoms of Hypertension in Pregnant Women

During pregnancy, if a pregnant woman develops high blood pressure, initially there are no symptoms, because at the beginning the blood pressure just slightly exceeds 140/90mmHg. If the high blood pressure is only temporary, it generally does not affect the woman's body and therefore, she may not experience any symptoms. As the condition progresses, the symptoms of high blood pressure can cause physical harm to the woman, likely damaging the kidneys and causing proteinuria. The loss of protein can lead to edema in women, and as a result, many women's initial symptoms will appear as generalized swelling, which does not improve with rest. By measuring blood pressure and urinary protein, symptoms of hypertension in pregnant women can be detected. In the later stages of the disease, hypertension may sometimes be accompanied by dizziness, indigestion, and mild pain in the lower abdomen, which are all symptoms of hypertension in pregnant women.

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Written by Chen Tian Hua
Cardiology
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Is high diastolic pressure considered high blood pressure?

If the diastolic blood pressure exceeds 90 mmHg, hypertension should also be considered. Patients with a high diastolic blood pressure who do not actively undergo hypotensive treatment can suffer long-term damage to target organs such as the heart, brain, and kidneys, as well as severe hypertensive complications. For patients with high diastolic blood pressure, it is also necessary to adopt effective lifestyle adjustments and choose clinically frontline antihypertensive drugs for long-term treatment. Only by effectively controlling elevated diastolic pressure in the long term can severe target organ damage and hypertensive complications be avoided, thus improving the clinical prognosis for patients with hypertension.