How to treat hypertension in the elderly

summary

Hypertension is not only a patent disease for the elderly. In fact, due to the pressure of work, life and housing loans, many post-80s and post-90s are suffering from hypertension. However, this proportion is still relatively small. After people are over 50 years old, the function of viscera begins to decline gradually, which is the fundamental reason for the occurrence of senile hypertension. It should be very clear in everyone's heart that the control of hypertension by traditional Chinese medicine starts from radical cure, through balancing viscera Yin and Yang, syndrome differentiation and treatment, on the basis of reducing blood pressure, the main purpose is to improve symptoms and prevent complications, so as to achieve the purpose of improving the quality of life. How to treat hypertension in the elderly.

How to treat hypertension in the elderly

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 have lower beta receptor reactivity, so they have better tolerance to beta blockers, but they still have the 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 initial dose and increased dose of antihypertensive drugs in elderly patients with hypertension are smaller than those in young patients with hypertension, and the interval time should be longer than that in young patients with hypertension. 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.