Treatment of elevated diastolic blood pressure

In most cases, patients who have found elevated diastolic blood pressure, recommended lifestyle change.

Doctors advise

• Reduce salt intake to 6 grams per day (six grams of these include not only the salt you add to food themselves, but also that which is contained, for example, bread, and other prepared foods).
• Maintain an active lifestyle - exercise at a total of at least two hours a week, every day try to walk at least half an hour, playing outdoor games and spend less time in front of TV.
• Reduce alcohol consumption or even to abandon it.
• Patients who are overweight or obese - lose weight. People with obesity should be treated with a dietitian, because they can be difficult to lose weight without the help of a specialist.
• Drink less coffee, tea and other beverages containing caffeine Caffeine - enemy or friend? Such as cola or energy drinks.
• Eat right - there are as many fruits, vegetables and other plant foods (nuts, grains), to minimize consumption of saturated fats, refined carbohydrates and white products.
• Give up smoking.

Controlling your stress level - for this you can practice yoga, meditation, breathing exercises, if necessary contact a psychologist.

Typically, if diastolic blood pressure below 100 mm Hg, lifestyle changes enough to gradually bring the pressure back to normal. If the lower pressure is greater than 100 mm Hg, in most cases, it is recommended not only to change the way of life, but also to take medication. Depending on the results of examination of the patient the doctor may prescribe medications and those with diastolic blood pressure higher than 90 mmHg.

To reduce the diastolic pressure can be used in various combinations of the following agents:

• Diuretics or diuretics, excrete excess fluids and salt.
• Calcium channel blockers dilate the arteries, thus lowering blood pressure.
• Beta-blockers lower blood pressure by acting on the heart muscle. Previously, they were widely used to treat various types of hypertension, but today they are assigned, if other drugs have failed. If elevated diastolic blood pressure Diastolic blood pressure is an important indicator of health   they are used very rarely.
• Angiotensin-converting enzyme (ACE) inhibitors have a relaxing effect on the blood vessel walls. With the simultaneous use of ACE inhibitors with other drugs may experience numerous and often unpredictable side effects. Therefore, if you are prescribed administration of drugs of this type, before taking any other medicines or supplements, you should consult with your doctor.

The main problem of medical treatment of isolated diastolic pressure is that antihypertensive drugs reduce not only lower, but also the top pressure. Treatment to be as effective as possible and does not lead to a deterioration of health of the patient, doctors usually prescribe concomitant use of several drugs. Selection of the optimal combination and dosage of medication may take some time.

Cognitive impairment

In people with high diastolic pressure High diastolic blood pressure - the problem is serious   increased likelihood of developing cognitive impairment. During the recently concluded study, the researchers came to the conclusion that the increase in diastolic blood pressure of 10 mm Hg increases the likelihood of developing cognitive decline of 7%. It is believed that cognitive impairment developed due to the fact that the increased diastolic pressure impairs the performance of the small blood vessels in the brain that lead to small areas of the brain damage. Experts believe that early treatment of isolated diastolic hypertension may reduce the risk of cognitive impairment, which can be precursors of dementia. Violation of the blood vessels of the brain is also one of the factors that increase the risk of stroke.

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