TREATING HYPERTENSION

In most cases, high blood pressure is usually present long before its complications developed and shows some of its symptoms. In order to treat high blood pressure it is important to detect it in its earliest stage before it can do severe damages to the critical organs in the body. In addition, the increases in public awareness as well as the promotion of some screening programs that are aimed towards the detection of hypertension in its earliest stage are some of the keys that lead to successful treatment of hypertension. The essence of treating high blood pressure in its earliest stage can decrease significantly the risk of stroke, heart attack and even kidney failure. Moreover, life style changes in patients which are pre-hypertensive are advised since it is not yet well proven that treatment by means of medication are beneficial for patients with pre-hypertension. 

In treating high blood pressure, it is important to note the blood pressure reading. For blood pressure that is consistently higher than 140/90 mm Hg, the treatments consist of lifestyle modifications coupled with an appropriate medication. However, for cases wherein the diastolic pressure remains at a borderline level which is usually under 90 mm HG and steadily remains above 85 mm Hg, a more aggressive treatment may be advised. Furthermore, there are instances wherein the borderline diastolic pressures are associated with end-organ damage, this kind of problem is usually associated with systolic hypertension as well as some factors that may have increase the risk of cardiovascular diseases especially on patients that are 65 years and over who are smoking and has hyperlipemia and diabetes. Regardless of the stage of hypertension, any patient can start with any one of the several classes of medication except of course the alpha-blocker medications. The reason for this is that alpha-blockers are usually used only in combination with another anti-hypertensive medication and only in specific medical situations.

There are some particular situations wherein certain classes of anti-hypertensive drugs are preferable compared to others as the first choice of drugs. An example of which is the angiotensin converting enzyme (ACE) which are inhibitors or the angiotensin receptor blocking (ARB) drugs which are some of the first prescribed medicines especially for patients with heart failure, chronic kidney failure, for diabetics as well as for patients with weak heart muscles.

Moreover, some patients with hypertension sometimes have coexisting medical conditions in which case a particular class of anti-hypertensive medication or a combination of which may be chosen as the initial approach in treating hypertension. The rationale behind this is to control the hypertension at the same time curing the coexisting medical condition.