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Preventing complications of hypertension

 Each person, depending on age, condition identified a need to achieve target blood pressure and apply measures to prevent complications increased appropriately.

Hypertension is common disease and is one of the leading causes of death worldwide and in Vietnam. Hypertension causes serious complications in the lives of patients. Hypertension need long-term treatment, continuous blood pressure and achieve desired goals aimed at improving long-term quality of life of patients. If the good treatment of hypertension can reduce myocardial infarction 20-25%, 35-40% risk of stroke, heart failure risk 50%, 30-40% risk of death and cardiovascular risk reduction diabetes.
 
According to Masters, Dr. Bui Thanh Quang, deputy foreign medical treatment, Heart Institute HCMC, each person should determine the blood pressure goal should be achieved. Patients with diabetes mellitus, renal failure, cerebral vascular accident, to achieve blood pressure below 130/80 mmHg. People with heart failure should keep blood pressure below 120/80 mmHg. People over age 80 should be maintained below 145-150 systolic blood pressure, diastolic blood pressure below 90 mmHg. The group has no other disease comes, to keep blood pressure below 140/90 mmHg.
 
 
Each person needs to identify a target blood pressure should be achieved. Photo: wp.vcu.edu
Dr. Thanh Quang, a number of measures to prevent the complications of hypertension are as follows:
 
Non-drug measures, when applied on the blood pressure 120/80 mmHg but below 160/90 mmHg.
 
- Stop smoking.
 
- Cai addicted to alcohol, heavy drinking can lower spirits 30ml, 720 ml of beer in less than a day.
 
- Reduce salt intake, eat less than 4g of salt per day, less than 1 teaspoon salt, or less than 2 tablespoons fish sauce or soy sauce.
 
- A diet rich in vegetables, small fruits, low-fat.
 
- Exercise at least 30-45 minutes a day and regular training 7 days a week.
 
- Lose weight in overweight or obese.
 
Antihypertensive Medication
 
If performance measures do not take drugs that have not achieved the desired blood pressure goals, the need to coordinate more antihypertensive drugs. Antihypertensives Today there are many groups and so many new drugs that work well. Every drug has advantages for each group of subjects with hypertension. So, should be consulted and indicated by the physician, the patient should not use drugs or copying other people's prescription for self-treatment.
 
Treatment of diabetes
 
People with hypertension with diabetes if not better glycemic control, blood pressure, risk of heart disease is very high. Good glycemic control in patients with type 2 diabetes and 24% reduced risk of cardiovascular complications. HbA1C goal to be achieved in a high cardiovascular risk, have been myocardial infarction or cerebral vascular accident is under 7%.
 
Hyperlipidemia Disorders
 
People with hypertension are associated lipid disorders if not treated well the two diseases, the risk of cardiovascular complications is high. Conversely, if treated well, every 10% reduction in blood pressure readings and 10% full cholesterole will reduce by 45% the risk of death from cardiovascular complications.
 
Dr. Quang note, after a period of treatment blood pressure was stable, reaching blood pressure goals should not arbitrarily stopping medication maintenance treatment dose be adjusted by the physician. Just stop taking the opinion of the designated physician.


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