How is senile hypertension treated?

summary

In view of the elderly hypertension, traditional Chinese medicine believes that the basic reason of elderly hypertension is that the function of viscera begins to decline gradually after people are over 50 years old. Chinese medicine control hypertension from the radical, through the balance of yin and Yang, syndrome differentiation, on the basis of reducing blood pressure, mainly to improve symptoms, prevention and treatment of complications, in order to improve the quality of life for the purpose. So we must do a good job of the disease related work, then how to treat the elderly hypertension?.

How is senile hypertension treated?

First: the blood pressure fluctuation of elderly hypertension is relatively large, especially systolic blood pressure. This is mainly due to the decrease of vascular baroreceptor sensitivity in elderly patients. Therefore, blood pressure should be measured regularly during the treatment of antihypertensive drugs, and the dosage should be adjusted at any time. The incidence of orthostatic hypotension is higher, especially in the treatment of hypertension drugs, which is also related to the decrease of baroreceptor sensitivity. Therefore, it should be cautious to use drugs that can cause postural hypotension.

Second, the elderly are prone to pseudohypertension due to arteriosclerosis, which leads to poor tolerance of antihypertensive drugs and more serious adverse reactions and complications. At the same time, the speed of lowering blood pressure in elderly patients with hypertension should not be too fast or too low. The treatment of hypertension in the elderly should be reduced, mainly with elevated systolic blood pressure, which is more harmful to the heart, more prone to heart failure and stroke.

Third: the elderly β The reactivity of the receptor is decreased, so the response to the receptor is decreased β Receptor blockers are better tolerated, but they are still at risk of causing bradycardia and congestive heart failure. The elderly are sensitive to hypovolemia and sympathetic inhibition, which may be related to cardiovascular reflex injury.

matters needing attention

The function of the nervous system of the elderly is lower, and they are more prone to depression during drug treatment. Therefore, antihypertensive drugs acting on the central nervous system should be avoided.