What is intractable hypertension

What is intractable hypertension

Most patients with hypertension after anti-hypertensive drug therapy, blood pressure can be controlled at a satisfactory level, while a small number of patients with hypertension despite receiving a higher dose of drug in the treatment, the diastolic blood pressure continued to increase, remain at 15.2 kPa (115mm Hg) and above, Known as intractable hypertension.

Intractable causes of hypertension is more complicated, the general should check the reasons for the following aspects.

1. Catering improper some patients with hypertension is caused by improper diet. That is, after suffering from hypertension do not pay attention to diet control, such as the chaos-eat drink, tobacco, alcohol, sugar, fat, offal and other animals can not and will not bogey, increased atherosclerosis, affecting the blood vessels flexible and lead to vasospasm, can blood pressure Habitat highly difficult, therefore, serve antihypertensive agents to perform well.

2. Inappropriate medication use a single, ignored the drug treatment, hypertension is often Jiuzhi the reasons for the drop is not, therefore, attention should be paid to patients with hypertension combined. At the same time, attention should be paid to adhere to medication, not good on that withdrawal, not because of Jiuzhi blood pressure down and not give up treatment of refractory patients with hypertension often have to lifelong medication.

3. Ineffective for weight loss obesity-hypertension, obesity and is often a balance between high blood pressure, high blood pressure patients if such relief simply rely on drug treatment, and not reduce weight, blood pressure dropped often unsatisfactory, so in addition to adhere to such patients drop Pressure treatment, attention should be paid to lose weight.

4. The spirit of high blood pressure and poor mental state is closely related to poor, because emotional instability and tension in sympathetic to the body increased secretion of catecholamine, a contraction of vascular, blood pressure Jiuzhi not turn down, Therefore, high blood pressure patients to pay attention to self-conciliation, and maintain a happy mood, overcoming impetuosity.

5. Movement is too small number of patients with hypertension do not love, a small amount of exercise, sleep eating, sleep eating, simply relying on antihypertensive drug treatment, blood pressure often Jiuzhi not drop, so patients with hypertension should strengthen physical exercise. Sports not only relief, but also in addition to fat diet and regulating psychological balance, improve mental state of tension.

The persistence of high blood pressure, as long as blood pressure can not find out the reasons for the drop, reasonable treatment, Jiuzhi not drop in blood pressure and more can be changed.

Intractable hypertension present the choice of antihypertensive drugs more than that combined. Generally preferred calcium antagonists, such as nifedipine, nitrendipine, such drugs are characterized by a lasting effect, the side effects of small, reliable efficacy. If the treatment of blood pressure drop得不ideal, arteriosclerosis heavier, larger pulse pressure may increase use of angiotensin-converting enzyme inhibitors, such as captopril, or enalapril, plus softening of vascular medicine Vitamin C And nicotinic acid tablets, if the heart rate faster, it should be added to β-blockers, such as propranolol, metoprolol Effects of metoprolol, such as the United States or if diastolic blood pressure, pulse pressure small, body fat, it should be added to the appropriate Diuretics, such as urine thiadiazole dihydrochloride grams, Anben Die啶, it should be noted Bujia to prevent electrolyte imbalance, plus weight loss Antuo prescribed lipid-lowering drugs, nicotinic acid inositol lipid, such as oryzanol.