Why is the blood pressure control goal of the elderly "dynamic"?

An elderly friend told Huazi that he heard that the blood pressure requirements of the elderly are different from young people. They should maintain a higher level of blood supply to the heart and brain. Is it better?

Huazi said that the blood pressure control goals of the elderly can be slightly higher, but the purpose of doing so is not to better protect the heart, brain, kidney and other organs, but for some elderly people with severe arteriosclerosis. Said, maintaining a higher blood pressure is a last resort.

1. Elderly and young people have the same blood pressure standards

What you must understand is that the diagnostic criteria for hypertension are uniform, not different standards for different ages. Regardless of the age, as long as high pressure (systolic blood pressure) is reached or more than 140mmHg, low pressure (diastolic pressure) reaches or exceeds 90mmHg, which is high blood pressure.

When the family measures it by itself, because the family environment is more relaxed, the high blood pressure standard for home self -test is lower than the hospital clinic. When the high pressure is greater than that of 135mmHg, and the low pressure is greater than equal to 85mmHg, hypertension is hypertension.

The degree of hardening of the elderly arteries is high, and the high blood pressure is characterized by significantly higher pressure, while the low pressure is unchanged or reduced.

Second, higher blood pressure control goals are helpless moves

The higher the blood pressure, the greater the damage to the heart, brain, kidney and other organs, as well as blood vessels, and the higher probability of cerebral hemorrhage, cerebral infarction, coronary heart disease, heart failure, myocardial infarction, and renal failure. Strict control of blood pressure is an important means to prevent hypertension complications.

However, the arteries of patients with hypertension usually have severe hardening and narrowing, especially the elderly who have not been well controlled by long -term blood pressure have adapted to high blood pressure. When blood pressure is reduced, important organs may have insufficient blood supply to blood supply blood supply. In order to maintain the normal functions of the organs, in the case of a last resort, you can only choose higher blood pressure control targets.

3. The goal of the blood pressure control of the elderly is "dynamic"

Many elderly friends asked Huazi, "How much should blood pressure over the age of 65 be controlled?", "How much can 70 -year -old blood pressure be controlled?" Huazi said that the goal of the elderly's blood pressure control is not determined by age, but depends on everyone The physical condition, whether there is complication and the degree of condition, the goal of blood pressure control is "dynamic", and everyone is different.

Generally speaking, the elderly over 65 years old, when controlling blood pressure, first use 150/90mmHg as the first antihypertensive target. After reaching the target blood pressure, for 2 weeks, if there is no symptoms of insufficient blood supply such as palpitations, dizziness, and black vision, adjust the drug and continue to reduce the blood pressure below 140/90mmHg.

After reaching 140/90mmHg, look at it for 2 weeks. If you can still tolerate better, adjust the drug again to lower the blood pressure to less than 130/80mmHg until you try to control the blood pressure at about 120/80mmHg. If you cannot tolerate during the antihypertensive process, you will use the higher blood pressure as the control target.

Fourth, simply contraction period Hypertension reduction target

Elderly people with low pressure below 60mmHg should be carefully lowered. At present, the popular perspective internationally believes that most elderly people can tolerate low pressure, which can be accepted above 50mmHg. It mainly controls high -voltage standards.

However, the low pressure of low pressure may affect the blood supply to the heart and the brain. Therefore, a small dose of drugs should be used to slowly increase the amount of drugs and pay close attention to the situation of insufficient blood pressure and insufficient blood supply.

The control target of high blood pressure during the simplicity period is to reduce the high pressure to less than 150mmHg, and as long as it can be tolerated, it will slowly increase and try to make the high pressure below 130mmHg as much as possible.

Studies have confirmed that among the elderly, there will be a better prognosis if the high pressure is maintained below 130mmHg. If it can be tolerated, it is best to maintain it at about 120mmHg.

To sum up, there is no fixed mode for the treatment of hypertension. There are many basic diseases of patients with hypertension, and each person's condition is different. The antihypertensive target cannot be "one -size -fits -all". According to their actual situation, choose dynamic blood pressure targets. The best blood pressure target is about 120/80mmHg. When using antihypertensive drugs, it is necessary to be carried out under the guidance of a doctor. If you have doubts about medication, please consult a doctor or pharmacist. I am a pharmacist, and welcome to follow me and share more health knowledge.

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