High blood pressure lowering target, no longer 140/90?Elderly people to lower blood pressure, should we relax the standard?

For people with hypertension, the number "140gam90" should not be unfamiliar: when the blood pressure exceeds 140Unip 90 mmhg, it is considered hypertensive, but if it is lower than 140lap90 mmhg, there is no hidden risk of hypertension.

Almost all people with hypertension, think so. However, in reality, it is not correct to judge the cardiovascular health status by the blood pressure value, alone. Even if a hypertensive patient's blood pressure drops to 140/90, it is not exactly referenced as a blood pressure lowering goal.

Hypertension blood pressure lowering target, is no longer 140/90

In fact, as early as 2020, the state has made changes to this standard, the comprehensive International Society of Hypertension issued a "HypertensionPractice guidelines ", changes are as follows.

In the case of patients with only one symptom, hypertension.

To be judged to have achieved the goal of lowering blood pressure, the ideal situation is to reduce blood pressure toLess than 130/80 mmhg and more than 120/70 mmhg. Compared to the 140/90 standard, the new blood pressure target has become more stringent.

The reason why the blood pressure targets have become more "stringent" is due to 2 factors

① National blood pressure standards with international standards

Before 2020, China suppressed the fixed value of 140/90 as the standard for assessing hypertension. However, the United States, Japan, and other medically advanced countries revised their hypertension targets at the end of 2017.

Therefore, in order to align with international medicine and to make modern medical testing more rigorous, the blood pressure reduction target has been adjusted, also to give hypertension patients more detailed and standard reference.

② It is conducive to regulate the habits of hypertensive patients

Compared with the past, the national economic level has improved, and the diet has become more and more nutritious. Stricter blood pressure standards will allow hypertensive patients to be more "self-disciplined" in their daily lives and to organize their blood pressure reduction plans, thus reducing the risk of hypertensive complications.

However, even the existing blood pressure standards for hypertension are not fixed.

If you have hypertension along with hypertensive kidney disease, vasculitis, coronary artery disease and other complications, there are corresponding hypertension criteria. Please make a plan to lower your blood pressure according to your doctor's criteria. It is also essential to have a good means of lowering blood pressure in order to better achieve the "blood pressure reduction goal".

There are 3 things that people with hypertension need to do to achieve their "blood pressure reduction goals" quickly

TheFirstThing: reduce sodium intake

In layman's terms, this means reducing salt intake in the diet. Excessive sodium intake will lead to changes in the osmotic pressure of the blood vessels, which will further aggravate the phenomenon of hypertension and increase the risk of uncontrolled disease.

AccordingToThe "Guidelines for the Prevention and Treatment of Hypertension ", the daily salt intake of hypertensive patients should not exceed 6 g.This also includesThe intake ofSalted vegetables, soy sauce, baconAnd other "invisible edible salt", which must be balanced. Studies have shown that long-term reduction in sodium intake can lower blood pressure by an average ofAbout6mmhg, thus quickly achieving the desired goal of lowering blood pressure.

TheSecond thing: control your weight

WeightControl is one of the most effective waysTo control bloodPressure.

For example, exercise, diet regulation and other ways, are effective ways to reduce weight. However, it is important to note that do not over-exercise or dieting to lose weight, resulting in a heavier burden on the body, but will increase the risk of disease.

TheThird thing: regular blood pressure testing

As the saying goes, "ItTakes supervision to be effective ". If a person with hypertension does not know anything about his or her blood pressure, it will be difficult to discipline himself or herself and produce results, even if he or she wants to achieve the goal of lowering blood pressure quickly.

ThereforeRegular blood pressure testing to have a general understanding of your blood pressure lowering processIs also an effective way to speed up the achievement of your "blood pressure lowering goal". In general, it is recommended that people with hypertension have their blood pressure measured two to three times a day.

According to studiesBloodPressure peaks in the morning, between 4:00 and 7:00 p.m., and at night before bedtimeAnd blood pressureMeasurements during these times are more accurate and worthy of reference.

To sum up, to reach the goal of lowering blood pressure faster, it is important to make adjustments in life, and for patients who need to take medication, don't forget that taking medication on time is the basis for lowering blood pressure and stabilizing the condition. But for the elderly, after all, older, all aspects of the body is not as good as before, the standard of lowering blood pressure, is it necessary to properly relax?

Extended reading: Is it necessary to relax the standard for lowering blood pressure in the elderly?

For the elderly, the aging of blood vessels, coupled with the body's metabolic capacity are much less than before.

Therefore, it is possible toTry to "relax"Blood pressure standardsCompared to the average hypertensive patient.

In theHypertension Practice Guidelines, it is clearly statedThat if a patient with hypertension isOver65 years of age, the blood pressure target can be lowered from the old, i.e. 140/90Mmhg. If the patient is over 70 years of age and has difficulty in lowering the blood pressure, it can even be relaxed to 150/90 mmHg.

However, it should be noted that blood pressure is divided into "Systolic"and" diastolic ", systolic pressure can be relaxEdBut diastolic pressure exceeds the limit too much, the hidden danger will be more serious, such asCerebral hemorrhage, acuteHeart disease and other serious diseases.

Therefore, the elderly should still be vigilant in dealing with elevated diastolic blood pressure. Doing more aerobic exercise, quitting smoking and drinking, and avoiding late nights are all effective ways to limit diastolic blood pressure and keep hypertension symptoms stable.

In conclusion, hypertension as a metabolic disease of universal concern, for its standards, requirements, but also be sure to keep up with the times, according to the latest antihypertensive standards to implement. Active adjustments in life to stabilize the condition and supplement medication treatment are more likely to keep blood pressure under control and obtain good health.

Reference.

[1]: Hypertension Practice Guidelines (2022 edition) International Society of Hypertension ISH, 2020-5

[2] Liu, D. P.. Some issues that should be noted in the antihypertensive treatment of hypertension in the elderly [J]. Chinese Journal of Cardiovascular, 2014.

[3] Zhu Sha Li. Exploring the role of strict monitoring of blood pressure and lowering blood pressure to achieve the standard for the prevention and treatment of hypertension in the elderly [J]. Medical Information, 2015.