According to statistics, about 1/3 of adults in the United States have high blood pressure, and the risk of the disease gradually increases with age. Fortunately, high blood pressure can be managed and controlled, especially when combined with medication and natural treatments.
High blood pressure refers to excessive pressure exerted on the walls of blood vessels as blood flows through arteries, usually measured as systolic blood pressure (pressure when the heart contracts) and diastolic blood pressure (pressure when the heart relaxes). The American Heart Association (AHA) defines high blood pressure as:
Normal blood pressure: less than 120/80 mm Hg
Elevated blood pressure: 120-129/80 mm Hg
Stage 1 hypertension: 130-139/80-89 mm Hg
Stage 2 hypertension: 140/90 mm Hg or higher
Long-term high blood pressure can lead to a variety of health problems, including but not limited to:
Heart disease: High blood pressure is one of the main risk factors for heart disease, which can lead to heart failure, coronary heart disease and arrhythmias.
Stroke: Long-term high blood pressure can damage cerebral blood vessels and increase the risk of stroke.
Kidney damage: High blood pressure is an important cause of chronic kidney disease and may lead to renal failure.
Vision problems: High blood pressure can also cause damage to retinal blood vessels and affect vision.
Drug treatment is an important means of controlling high blood pressure. Depending on the patient's blood pressure level, health status, and possible comorbidities, doctors will choose different drugs to control blood pressure. The following are several common types of antihypertensive drugs:
Diuretics
Diuretics (such as chlorthixene, furosemide) are one of the commonly used drugs for treating high blood pressure. They help the body excrete excess sodium and water and reduce blood volume in blood vessels, thereby lowering blood pressure. Diuretics are usually the first choice for treating mild to moderate hypertension.
Common side effects: dehydration, hypokalemia, hyperuricemia (may cause gout), dizziness, etc.
ACE inhibitors
ACE inhibitors (such as ramipril and lipril) inhibit angiotensin-converting enzyme, reduce vasoconstriction, and help vasodilation, thereby lowering blood pressure. This type of drug is often used for patients with diabetes, kidney disease caused by hypertension, and heart failure.
Common side effects: dry cough, increased blood potassium, hypotension, and renal impairment.
Calcium channel blockers
Calcium channel blockers (such as amlodipine and verapamil) inhibit calcium from entering the heart and vascular smooth muscle cells, reduce the heart's load and vasoconstriction, and help lower blood pressure. This type of drug is especially suitable for patients with angina pectoris.
Common side effects: swollen ankles, constipation, headache, slow heartbeat, etc.
β-receptor antagonists
β-receptor antagonists (such as metoprolol and amorol) lower blood pressure by slowing the heartbeat and reducing the burden on the heart, and are usually used in hypertensive patients with heart disease. They can also relieve chest pain caused by high blood pressure.
Common side effects: fatigue, cold hands and feet, slow heartbeat, and difficulty breathing.
ARBs (angiotensin II receptor antagonists)
ARBs (such as Locatel, Irbesartan) block the action of angiotensin II to help blood vessels dilate and achieve the effect of lowering blood pressure. Compared with ACE inhibitors, ARBs have fewer side effects, especially the side effect of dry cough.
Common side effects: increased blood potassium, hypotension, and impaired renal function.
α-receptor antagonists
α-receptor antagonists (such as doxazosin, amodapine) reduce vasoconstriction by blocking α-adrenergic receptors on vascular smooth muscle, and are often used to treat male patients with hypertension and prostate hyperplasia.
Common side effects: dizziness, hypotension, and fatigue.
In addition to drug treatment, patients with hypertension can also use some natural therapies to help control blood pressure. These therapies can sometimes be used in parallel with drug treatment to achieve better results. Here are some common natural methods:
Dietary management
Diet is crucial to controlling high blood pressure. The DASH (Dietary Approaches to Stop Hypertension) diet recommended by the American Heart Association emphasizes a low-salt, low-fat diet rich in fruits, vegetables, whole grains and low-fat dairy products, and increases the intake of minerals such as potassium, calcium and magnesium. Specific practices include:
Limit salt intake to less than 1500 mg per day.
Increase potassium-rich foods such as bananas, oranges, spinach and potatoes.
Eat more foods containing omega-3 fatty acids, such as fish (especially salmon and herring).
Increase dietary fiber intake, such as whole grains, beans, nuts, etc.
Increase physical activity
Regular aerobic exercise, such as brisk walking, swimming, cycling, etc., can effectively lower blood pressure. The American Heart Association recommends that adults do at least 150 minutes of moderate-intensity exercise per week, or 75 minutes of high-intensity exercise per week, which can reduce the risk of high blood pressure and improve cardiovascular health.
Weight loss
Overweight and obesity are important risk factors for high blood pressure. Weight loss can effectively lower blood pressure. For every kilogram of weight lost, blood pressure usually drops by about 1 mmHg. Therefore, weight loss can not only reduce the risk of high blood pressure, but also help reduce the need for medication.
Reducing stress
Long-term mental stress and anxiety can increase blood pressure. Effective stress management methods include:
Meditation and deep breathing exercises: Helps relax the body, reduce stress, and lower blood pressure.
Yoga and Tai Chi: Through deep body stretching and breathing control, relieve tension and improve cardiovascular health.
Sufficient sleep: Ensure 7-9 hours of high-quality sleep every night to help control blood pressure.
Supplementing natural herbs and nutrients
Some natural herbs and nutrients also have a certain auxiliary effect on blood pressure management. Common herbs and nutrients include:
Garlic: Garlic has been widely studied and proven to be beneficial for lowering blood pressure, especially the sulfides it contains can dilate blood vessels and lower blood pressure.
Fish oil: Fish oil rich in omega-3 fatty acids can improve blood lipids, reduce inflammation, and dilate blood vessels, thereby helping to lower blood pressure.
Potassium, calcium, and magnesium supplements: These three minerals help regulate blood pressure, especially potassium supplements are particularly important for patients with hypertension.
Quit smoking and reduce drinking
Smoking and excessive drinking are risk factors for high blood pressure. Smoking damages blood vessel walls, causes blood vessels to constrict, and increases blood pressure. Reducing drinking, especially excessive drinking, can also effectively lower blood pressure.
When treating high blood pressure, drug therapy and natural therapies should be used in combination to achieve
the best blood pressure-lowering effect. Drugs can quickly and effectively lower blood pressure, while natural therapies can help patients manage blood pressure in the long term through lifestyle and diet. In the United States, doctors usually recommend appropriate treatment plans based on the patient's specific situation.
Combining DASH diet and drugs: Many patients use diet adjustments to assist drug therapy. By increasing the intake of potassium, calcium, and magnesium and reducing the intake of sodium through the DASH diet, blood pressure can be further lowered on the basis of drug treatment.
Exercise and medication in parallel: Regular exercise can help patients reduce drug dependence and lower blood pressure levels. Many hypertensive patients use exercise and medication to reduce the dosage of drugs appropriately, thereby reducing side effects.
Gradually reduce stress: Combining stress management with drug treatment can help patients relax mentally and further reduce the symptoms of hypertension.
As a common chronic disease, hypertension has become a major health hazard for Americans. Through the combination of reasonable drug treatment and natural therapy, patients can effectively control blood pressure and reduce the risk of complications. Drug treatment can quickly and effectively regulate blood pressure, while natural therapy can help long-term management from a lifestyle perspective and improve overall health. During the treatment process, patients should develop a personalized treatment plan based on the doctor's advice, combining a healthy diet, appropriate exercise and stress management to comprehensively control hypertension and improve the quality of life.