High blood pressure is more harmful to the body and is a relatively serious disease. It often occurs in middle-aged and elderly people and has a significant impact on people's health and life. Some older people have blood pressure characterized by high systolic blood pressure and normal or low diastolic blood pressure. This type of hypertension is called isolated systolic hypertension. Isolated systolic hypertension is a type of high blood pressure. If the high pressure is high and the low pressure is low, the pulsatile pressure difference will become larger and more harmful. Older people are more likely to develop isolated systolic hypertension than other age groups. The etiology of the disease is more complex and is a symptom of simple systolic hypertension produced by a combination of factors***.
The hypertensive elderly have a large pulse pressure difference and are prone to complications! Do four things, away from stroke
Systolic blood pressure is high, diastolic blood pressure is normal or low in the elderly susceptible to cardiovascular disease
Elderly isolated systolic hypertension refers to the elderly over the age of 60 years old, if the blood pressure is measured consecutively or on different dates, its systolic blood pressure ≥ 140 mmHg 3 times, diastolic blood pressure <90 mmHg 3 times, then the diagnosis of the elderly isolated systolic hypertension.
Isolated systolic hypertension, especially with a large pulse pressure difference, indicates a high degree of atherosclerosis, and a high systolic blood pressure implies a high impact on blood flow, thus making it easier to explain complications such as stroke, myocardial ischemia, left ventricular hypertrophy and arrhythmia, renal damage, and retinal damage.
Therefore, clinical attention should be paid to the treatment of simple systolic hypertension in the elderly to delay, prevent, or reverse target organ damage, to reduce adverse cardiovascular events, and to reduce mortality and blindness due to simple systolic hypertension in the elderly. To improve the quality of life of the elderly.
Systolic blood pressure is too high and diastolic blood pressure is normal or too low in older adults. Pay attention to the following 4 points
(1) Reasonable diet and weight control:
In terms of diet, the intake of carbohydrates and sodium salt should be minimized. According to the recommendations of the World Health Organization, the daily intake of salt should not exceed 6 grams; supplementation of appropriate high-quality proteins, appropriate supplementation of potassium and calcium, and more fruits and vegetables are recommended. Patients are advised to keep their body mass index (BMI) below 24 if possible.
(2) Appropriate enhancement of physical exercise:
Isolated systolic hypertension patients can appropriately increase physical exercise and choose the type and duration of exercise suitable for them under the condition of evaluating their physical condition. Aerobic exercise such as walking, tai chi, square dancing, and jogging should be done daily. Exercising for about 30 to 45 minutes a day can lower blood pressure by 13/8 mmHg.
(3) Pharmacological treatment:
According to the characteristics of hypertensive disease in the simple treatment phase: the principle of individualized treatment is especially important for patients with simple systolic hypertension, which is usually combined with other diseases. The choice of drugs should be based on the patient's disease and physical condition. Side effects of small drugs. The principle of using antihypertensive drugs is: stable, slow, starting dose, gradually increase the drug dose. The "Chinese elderly hypertension treatment experts *** Knowledge" recommended for the treatment of monogenic temperature hypertension drug selection nostalgia (eg, hydrochlorothiazide), calcium channel blockers (floor agents), angiotensin-converting enzyme inhibitors (Puli) II receptor inhibitors (tridan) and β-blockers (Rollers) to choose the initial drug and maintenance. (4) Control of risk factors:
Elimination of hypertension and other cardiovascular disease risk factors such as obesity, diabetes mellitus, hyperlipidemia, insulin resistance, left ventricular hypertrophy, and stressful conditions, as well as cessation of smoking and restriction of alcohol consumption.
Conclusion
In short, isolated systolic hypertension in the elderly, especially with large pulse pressure differentials, is strongly associated with damage to vital target organs such as the heart, brain, kidneys and retina. The risk is high. It should be improved by improving lifestyle, proper diet and under the guidance of specialists. Standardized treatment with rational choice of antihypertensive drugs.