What Who should take blood pressure pills? Cardiologist recommendations

• 5/06/1404
• 9 minutes

High blood pressure is one of the most common health problems in the world and it is estimated that more than one third of adults in the world have some degree of high blood pressure. This disease has been called the "silent killer" because it is usually asymptomatic for years. Many people only become aware of their disease when they experience serious complications such as stroke, heart attack, kidney failure, or vision problems. But the basic question that concerns many minds is: Who should take blood pressure pills? Do all people with high blood pressure need medication or can this problem be controlled by lifestyle changes? In this article, we will examine this issue comprehensively and in addition to introducing drugs and treatment methods, we will also explain ways to reduce blood pressure without drugs. We will also talk about what is normal blood pressure, what are the symptoms of high blood pressure and what factors cause high blood pressure.

What is normal blood pressure?

In order to know when blood pressure is considered high, we must first familiarize ourselves with the blood pressure ranges. Blood pressure is represented by two numbers:

• Systolic blood pressure (top number):

This term actually means blood pressure during the contraction of the heart.

• Diastolic blood pressure (bottom number):

Diastolic is actually the same blood pressure when the heart is resting between two beats.

The table below shows the different ranges of blood pressure in detail. Give:

Classification of blood pressure Systolic pressure (mmHg) Diastolic pressure (mmHg) Condition and description Normal, less than 120, less than 80, complete health, pre-blood pressure, 120 to 129, less than 80, need to modify lifestyle, blood pressure stage 1130 to 1380 to 89, possibility of needing medication in addition to changing habits, blood pressure stage 2140 or higher, 90 or higher, definite need for medication, blood pressure crisis, more than 180, more than 120 emergency situation

As can be seen, normal blood pressure should be less than 80.120 mm Hg. If the number is higher, the lifestyle should be modified first; But in more advanced stages, medicine is necessary.

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• Severe headaches, especially in the mornings
• Dizziness, fatigue and general weakness
• Blurred vision or impaired vision
• Bleeding from the nose for no particular reason
• Rapid heartbeat or chest pain
• Shortness of breath or sleep disturbance

Important note: these symptoms do not always mean high blood pressure and may caused by other diseases. Therefore, the only sure way to diagnose is to measure blood pressure regularly.

Who should take blood pressure pills?

This section is the most important part of the article. Based on the latest scientific guidelines, cardiologists recommend that the drug be prescribed in certain situations.

The following people definitely or possibly should take the drug:

• Those whose blood pressure is more than 90/140 mmHg, even if they have no symptoms.
• Diabetic patients with blood pressure higher than 130/80.
• People with chronic kidney disease and blood pressure higher than 130/80.
• Seniors over 65 years old if their blood pressure is higher than 130/80.
• Those who have a history of heart attack, stroke or coronary artery disease.
• Patients whose lifestyle changes (diet, exercise, stress reduction) have not been effective in controlling their blood pressure.

Therefore, the answer to the question "Who should take blood pressure pills?" It depends on the person's situation. Some people must take medicine in the early stages, and others will be able to control the disease only by modifying their lifestyle.

What kind of medicine can cause high blood pressure?

Sometimes high blood pressure is not caused by the primary disease, but occurs due to the use of certain drugs. It is very important to know these drugs because a person may think that his disease has become more severe.

Drugs that can increase blood pressure include:

• Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and diclofenac.
• Corticosteroids such as prednisolone. Orally.
• Some antidepressants (especially serotonin reuptake inhibitors).

If a person takes these drugs and has high blood pressure, he should consult a doctor to choose the right alternative.

Methods of blood pressure treatment

Blood pressure is a combination of drug treatment and lifestyle modification. The doctor decides which method to use depending on the condition of each patient.

Blood pressure lowering drugs

The main drugs used are:

• Diuretics (diuretic pills):

These pills are diuretics and cause excess salt and water to be excreted from the body. Taking these pills can help treat high blood pressure in the body.

• ACE inhibitors:

These drugs prevent narrowing of the arteries. Therefore, high blood pressure is prevented and in fact helps to treat hypertension.

• Angiotensin receptor blockers (ARB):

These types of blockers have the same function as ACE inhibitors. Therefore, they prevent narrowing of blood vessels and control blood pressure.

• Beta blockers:

Slow down the heart rate and reduce the pressure on the heart. By reducing the pressure on the heart, conditions are provided to control blood pressure.

• Calcium channel blockers:

Calcium channel blockers are among the drugs that help treat high blood pressure. These products relax the muscles of the walls of the vessels. In this situation, the possibility of vessel narrowing is reduced and it helps to improve blood pressure.

Each of these drugs has its own advantages and side effects, and the doctor chooses the best option based on the patient's condition.

Ways to reduce blood pressure without medication

If blood pressure is in the initial stages or if a person wants to live a healthy lifestyle along with medication, these methods are recommended:

• Decreasing salt consumption:

By reducing salt consumption, this disease can be controlled and high blood pressure can be prevented. prevented Be careful that the daily consumption of salt should be less than 5 grams.

• Healthy nutrition:

Consuming fruits, vegetables, whole grains, fish and vegetable oils as a healthy diet can be effective in treating high blood pressure. .

• Weight loss:

One of the ways to reduce blood pressure without taking medicine is to lose weight. Losing 5 to 10 percent of body weight can have a great effect in this field.

• Regular exercise:

Activities such as brisk walking, cycling and swimming for at least 30 minutes a day can control and normalize blood pressure. By leaving these substances, you can help your health and reduce blood pressure.

• Stress management through yoga, meditation and breathing exercises can help lower blood pressure.
• Adequate sleep:

Inadequate or irregular sleep can increase blood pressure. href="https://doctordadras.com/%d8%b9%d9%84%d8%a7%d8%a6%d9%85-%d8%a8%db%8c% Disease They also reduce cardiac and metabolic diseases.

Diagnostic and specialized heart services

For people with high blood pressure, sometimes additional examinations are necessary to evaluate the health of the heart and blood vessels more accurately. Some of the most important of these services are:

• Echo heart: examination of the structure and function of the heart.
• Cardiac tape (ECG): detection of irregular heartbeat and heart damage.
• Exercise test or Stress Echo: investigation of heart response to physical activity.
• Nutrition consultation: help to modify the diet to control blood pressure.
• Weight control programs: weight loss is one of the most effective ways to control blood pressure.

Conclusion

High blood pressure is a silent but very serious disease that needs constant attention. The answer to the question "Who should take blood pressure pills?" It is not simple and must be determined with the opinion of a cardiologist. What is important is to measure blood pressure regularly, pay attention to warning signs and adhere to a healthy lifestyle. Drug treatment is unavoidable in many patients, but changes in nutrition, physical activity, and stress control can play an important role in preventing and reducing the need for medication.

If you need a more specialized examination, you can use services such as echocardiography, electrocardiogram (ECG), exercise or stress echocardiography, as well as nutrition and weight control counseling to fully evaluate your heart condition.

Frequently Asked Questions

Do all high blood pressure patients need medication? eat?

No. In the initial stages, lifestyle modification may be sufficient. But in severe cases or with other diseases, medicine is necessary.

What is normal blood pressure?

Normal blood pressure should be less than 120 on 80 mmHg (120/80 mmHg).

Does high blood pressure also happen in children?

Yes, although its prevalence is less, it may occur in obese children or those with kidney problems and should be taken seriously.

Is it possible to stop the medication after the improvement of high blood pressure?

In some cases, yes, but this decision should be made only with the doctor's opinion. Arbitrarily stopping the drug is dangerous.

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