Treatment with high top pressure

If the patient was found high top pressure, the doctor will do an exam to rule out medical conditions that may contribute to the development of systolic hypertension. It will also assess other factors that increase the risk of cardiovascular disease, such as cholesterol Cholesterin   blood, body mass index Body mass index   and so on.

In most cases, the first step in the treatment of high top pressure becomes a lifestyle change. Exceptions are cases where the patient has very high blood pressure and an urgent need to take action to reduce it as quickly as possible. Recommendations for lifestyle changes in the systolic hypertension and the reasons for which it is necessary to:

• Weight reduction: in patients with obesity each lost kilogram leads to a decrease in systolic blood pressure of approximately one millimeter of mercury;
• Changes in diet. A diet rich in fruits, vegetables, dairy products with reduced fat content and a limited intake of both saturated and unsaturated fats may help lower systolic blood pressure by 8-14 mm Hg;
• Restricting salt intake. Reducing the daily salt intake to 6 grams - that is, about one teaspoon - may gradually lead to a reduction of the upper pressure of 2-8 mm Hg;
• Physical activity. Half-hour walks and other types of aerobic activity at least five to six times a week, can help reduce the pressure on the systolic 4-9 mmHg;
• Moderate alcohol consumption. Limiting alcohol consumption to one serving per day of a standard - it is about 65 ml of wine, 115 ml of beer, or 25 ml vodka - can reduce pressure by 2-4 mm Hg.

Patients who do not have diabetes and in whom there are no violations that could result in damage to the heart, brain, liver, eyes, or lifestyle changes may be sufficient to cause the top pressure to normal.

If a healthy lifestyle does not help to cope with systolic hypertension, patients received antihypertensive drugs. At relatively mild forms of hypertension and in the absence of concomitant severe disease normally used thiazide diuretic which excrete excess water and sodium. Patients who have heart disease Heart disease - symptoms of heart disease   or diabetes, can be recommended, angiotensin-converting enzyme (ACE) inhibitors, calcium channel blockers, or - both types of drugs relax the blood vessel wall. In some cases, doctors prescribe simultaneously receiving two or more drugs.

New approaches to the treatment of isolated systolic hypertension

It is assumed that these drugs can lower the systolic blood pressure to a greater extent than the diastolic pressure:

• Spironolactone - a drug from the group of aldosterone antagonists that inhibit the development of myocardial fibrosis and blood vessels; scientists believe that because of this it can prevent the emergence of the rigidity of the artery walls, which is one of the causes of isolated systolic hypertension. Studies have shown that spironolactone beneficial effect on patients with this disorder, but the information is insufficient to allow the widespread use of this drug for the normalization of the upper pressure.
• Eplerenone - more new antagonist of aldosterone, which causes less severe side effects than spironolactone.

Scientists are also investigating the use of nitrates in the treatment of systolic hypertension. In particular, izosorbiddinitrat effectively reduced systolic blood pressure without affecting the diastolic blood pressure in elderly patients with a high pressure overhead. The results of the drug began to emerge after eight weeks of starting treatment.

Age and systolic hypertension

The older the person, the higher the probability of his systolic hypertension. Even if for fifty-five years you do not have high blood pressure, chances are that sooner or later you will develop hypertension - and most likely, systolic - 90%.

Among patients under the age of forty years, suffering from hypertension, the proportion of people with high top pressure is 18%; among patients aged forty to forty-nine years - 24%; from fifty to fifty-nine years - 56%; from sixty to sixty-nine years - 82%, from seventy to seventy-nine years - 91%. Finally, among hypertensive people over eighty years of isolated systolic hypertension was diagnosed in 93%.

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