2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43
High blood pressure with hypotension, what to do?
Hypotension is a persistent drop in blood pressure. Typically, hypotensive patients have a consistently low blood pressure of 100 to 60 mm. rt. Art.
Most often, hypotension is observed in young people. Moreover, with age, people who suffered from hypotension in their youth begin to suffer even more from an increase in blood pressure. Hypotonic people endure such races very difficult and difficult. What to do?
In order not to miss the moment when a persistent increase in blood pressure occurs, it is necessary to constantly measure its level. It is best to start doing this at a young age.
Sometimes the pressure rises to high levels during stressful situations, after physical exertion, and the rest of the time it can remain below normal. Such cases are especially dangerous, since often a person does not suspect that he may have serious problems with blood vessels and heart.
So, now you can move on to the question of what to do with high blood pressure in a hypotensive. First of all, you need to contact your GP with complaints. He should send the patient for a cardiovascular examination.
It can include:
- ECG;
- Echocardiography;
- 24-hour pressure monitoring;
- Duplex scanning of arteries.
At the same time, the patient donates blood for general and biochemical analysis, which will allow a more complete picture of what is happening.
Causes of high blood pressure with hypotension
Most often, hypotensive patients begin to feel pressure surges with age. This is a completely natural process, which is due to a deterioration in the elasticity of the blood vessels of an aging body.
As for women, in them this pathology usually manifests itself during menopause and is aggravated by hormonal disruption. The less estrogen is produced in a woman's body, the more the vessels will be narrowed. This, in turn, will increase blood pressure.
All vascular systems of the hypotonic will be rearranged much more difficult than in those people whose blood pressure was normal throughout their lives. Therefore, this problem cannot be ignored.
Treatment of high blood pressure with hypotension
Very often, patients, whose pressure has always been low, turn to doctors with complaints of poor health already at a pressure of 130/90. Moreover, not always therapists and even cardiologists recommend such people to start treatment. Although this position is fundamentally wrong.
The fact is that with the development of hypertension in a former hypotensive, pathological processes occur against a background of low vascular tone, which significantly increases the risks of stroke and heart attack.
Treatment of high blood pressure in hypotensive patients is a very difficult task, since the selection of the optimal pressure is carried out individually. Drugs to lower blood pressure can be prescribed only after thorough testing of the cerebral circulation system.
It is important not only to reduce the pressure to normal, but also to correct it in such a way as to prevent complications. If pressure surges began to occur regularly, then it is impossible to completely cure the developing hypertension. However, it is quite possible to stop its development.
The patient should adhere to the following recommendations:
- Quit drinking alcohol and smoking;
- Adhere to a dietary diet, limit salt intake, include foods rich in magnesium and potassium in the diet;
- Increase physical activity, start swimming, walking. It is possible to use complexes of physiotherapy exercises;
- Fully follow the doctor's recommendations. Take their prescribed drugs without missing a beat;
- Systematically observed by a cardiologist.
There are a lot of drugs that are prescribed to normalize pressure in hypotensive patients, among them beta-blockers, hypolipidemic agents, antiplatelet agents, sedatives, hypoglycemic and diuretic drugs, and some other antihypertensive drugs. Only a doctor can recommend taking a specific drug to reduce blood pressure in a hypotensive person.
The earlier therapy is started, the higher the chance that it will be possible to achieve positive results and prevent the development of vascular catastrophes, in particular, stroke.
The fact that the treatment gave a positive effect can be judged by the normalization of a person's condition, when his pressure drops to those values at which he feels good. It is important to ensure that pathological changes provoked by pressure surges stop occurring in the vessels and in other organs. This, in turn, will ensure that the risks of developing severe complications will be minimal.
The author of the article: Molchanov Sergey Nikolaevich | Cardiologist
Education: Diploma in "Cardiology" received at the PMGMU. I. M. Sechenov (2015). Here I completed my postgraduate studies and received a diploma "Cardiologist".
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