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How to lower diastolic blood pressure
Lower diastolic blood pressure may be different ways. Begin, as a rule, determine the causes pressure increase and then prescribe a diet, a healthy lifestyle and reduce excess body weight. If that does not work and the pressure is kept at the high figures, the prescribed medication.
Basic principles of treatment of patients with high diastolic blood pressure
If diastolic blood pressure is consistently high, the patients are usually hospitalized. Hospitalization in this case has two objectives: to find out the cause of raising blood pressure and choose the appropriate therapy that the patient will receive at home. Hospitalization is indicated and an exacerbation of the disease, for example, with frequent crises, development of complications in the internal organs.
If during the inspection were eliminated diseases that caused the persistent increase in diastolic blood pressure, the patient is diagnosed essential hypertension (before it was called hypertension) and selected treatment that promotes permanent reduction in blood pressure.
When symptomatic forms of hypertension cure the underlying disease, simultaneously choosing a treatment that will help to reduce blood pressure. Often in this case, surgical treatment. For example, for aortic valve replacement surgery in its failure to surgical correction of abnormalities of number of vessels. Typically, after such operations passes symptomatic hypertension, and blood pressure does not need further correction.
Recommendations for treatment of a general nature - diet and a healthy lifestyle
Diet - the first thing that is prescribed to patients with high diastolic blood pressure before testing. If the patient has weight, it is advisable to reduce, as it increases the load on the heart.
Patients with high diastolic blood pressure is recommended lacto-vegetarian diet.
All kinds of vegetables, stewed, boiled, steamed or raw. Always in the diet should include fruits and berries. Cereals are also useful - is buckwheat, oats, rice porridge (alternate) and wholemeal bread. Low-fat dairy products. You can eat lean meat and sea fish (also low-fat). Do not eat fatty meat and fish (oily fish can sometimes afford it contains useful for fat metabolism), fried, spicy, salty, smoked foods, sweets and baking. Salt should be limited, but it was a salt-free diet
Salt-free diet: salty say no!
today is not recommended, as the sodium necessary for the organism.
The patient is also advised to change their daily routine, to combine business with pleasure as the middle of the day, and with a full night's sleep. To do this, to lead a more active lifestyle, walking as much as possible to engage in physiotherapy. To restore normal sleep recommended walks in the fresh air before going to bed and soothing extracts of herbs (valerian, motherwort).
Drug treatment of hypertension with elevated diastolic blood pressure
Such treatment (including dosage drugs) selected individually. With consistently high diastolic blood pressure, be sure to get treatment all the time - it helps to relieve stress in the circulatory system and prevents possible complications of the internal organs.
For drugs that are best suited for such long-term use are ACE inhibitors and angiotensin receptor blockers angiotensin II. Certainly they reduce the blood pressure as a whole, but including increased and decreased diastolic blood pressure.
ACE (angiotensin converting enzyme)
. Angiotensin - are substances that are formed from blood plasma protein angiotensinogen, which is not able to raise blood pressure
. Under the influence of a substance produced in the kidneys - renin angiotensinogen is transformed into angiotezin I (he is also not able to raise the blood pressure)
. Angiotensin I is converted into the active angiotensin II, which has a powerful pressor (blood pressure rises) properties under the influence of ACE
. Drugs that inhibit the action of angiotensin-converting enzyme (ACE inhibitors) do not allow to form angiotensin II and lower your blood pressure
. Diastolic blood pressure decreased as well in the background of these drugs
. All ACE inhibitors are well tolerated except when they cause a persistent cough lasting central origin - in this case, ACE inhibitors are usually replaced by other drugs, such as angiotensin II receptor blockers
. For ACE inhibitors include enalapril ,, lisinopril, ramipril, and others
.
Angiotensin II receptor blockers do not allow the receptors to contact with angiotensin II, and that contributes to the persistent reduction in blood pressure. The most famous of this series is the drug losartan.
Increased diastolic blood pressure requires examination and treatment.
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