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TREATING
HYPERTENSION |
by:
Jinky
C. Mesias |
In
most cases, high blood pressure is usually
present long before its complications developed
and shows some of its symptoms. In order
to treat high blood pressure it is important
to detect it in its earliest stage before
it can do severe damages to the critical
organs in the body. In addition, the increases
in public awareness as well as the promotion
of some screening programs that are aimed
towards the detection of hypertension in
its earliest stage are some of the keys
that lead to successful treatment of hypertension.
The essence of treating high blood pressure
in its earliest stage can decrease significantly
the risk of stroke, heart attack and even
kidney failure. Moreover, life style changes
in patients which are pre-hypertensive are
advised since it is not yet well proven
that treatment by means of medication are
beneficial for patients with pre-hypertension.
In treating high blood pressure, it is important
to note the blood pressure reading. For
blood pressure that is consistently higher
than 140/90 mm Hg, the treatments consist
of lifestyle modifications coupled with
an appropriate medication. However, for
cases wherein the diastolic pressure remains
at a borderline level which is usually under
90 mm HG and steadily remains above 85 mm
Hg, a more aggressive treatment may be advised.
Furthermore, there are instances wherein
the borderline diastolic pressures are associated
with end-organ damage, this kind of problem
is usually associated with systolic hypertension
as well as some factors that may have increase
the risk of cardiovascular diseases especially
on patients that are 65 years and over who
are smoking and has hyperlipemia and diabetes.
Regardless of the stage of hypertension,
any patient can start with any one of the
several classes of medication except of
course the alpha-blocker medications. The
reason for this is that alpha-blockers are
usually used only in combination with another
anti-hypertensive medication and only in
specific medical situations.
There are some particular situations wherein
certain classes of anti-hypertensive drugs
are preferable compared to others as the
first choice of drugs. An example of which
is the angiotensin converting enzyme (ACE)
which are inhibitors or the angiotensin
receptor blocking (ARB) drugs which are
some of the first prescribed medicines especially
for patients with heart failure, chronic
kidney failure, for diabetics as well as
for patients with weak heart muscles.
Moreover, some patients with hypertension
sometimes have coexisting medical conditions
in which case a particular class of anti-hypertensive
medication or a combination of which may
be chosen as the initial approach in treating
hypertension. The rationale behind this
is to control the hypertension at the same
time curing the coexisting medical condition.
About the author:
Author’s Bio: Jinky C. Mesias is a lover
of simple things and of nature. She spend
most of her time reading and writing poetry.
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