Is it normal for an old man in his 70s to have a blood pressure of 160 and now 130? This article analyzes the facts for you
An elderly person in their 70s who used to have high blood pressure, around 160, is now around 130, is this normal? This question is too general, so we have to share some knowledge points about blood pressure control in elderly hypertensive patients through this question, hoping to be helpful for the control of hypertension in the elderly.
Is it ok for an elderly hypertensive patient in their 70s to control their blood pressure from 160 to 130?
If the high pressure value of blood pressure reaches the level of 160mmhg, no matter how old you are, it has reached the level of grade 2 hypertension. Generally speaking, the existence of high blood pressure problem can be determined. For the blood pressure control of elderly hypertensive patients , It is usually necessary to control diet, increase activity moderately, maintain a good routine, and maintain a peaceful mind. If blood pressure cannot be controlled, antihypertensive drugs should be taken to control blood pressure. Common dipines, sartans, etc. The antihypertensive drugs of puli and thiazide diuretics are all antihypertensive drugs that can be used by elderly hypertensive patients. According to the actual situation, choose the one that is suitable for you, can be effective antihypertensive drugs, and can ensure the safety of medication. , long-term use to control blood pressure is good.
What is the goal of controlling hypertension in the elderly? Can it be controlled to around 130? For elderly friends in their 70s, if it is a problem of high blood pressure for many years, coupled with aging, the degree of vascular sclerosis is usually more serious. For such a situation, the goal of blood pressure control should be combined with the actual situation. Rationally and scientifically formulate the goal of reaching the standard. Generally speaking, the value of 130 is a good control value. If the blood pressure of elderly hypertensive patients is controlled to this level, if the body tolerates it, it is controlled to about 130, which is a reasonable level to fully meet the standard. .
But it should be noted that for elderly hypertensive patients, because of the hardening of blood vessels and the weakening of blood vessel elasticity, many elderly hypertensive friends simply have elevated systolic blood pressure, that is to say, our high blood pressure increases , but the low pressure measured by the blood pressure does not exceed the standard. In this case, on the premise of controlling the systolic blood pressure (high pressure) to meet the standard, we should also pay attention to the drop level of low pressure. For example, in the case of this elderly friend, the high blood pressure dropped from 160 to 130, how much did the low pressure finally drop? Generally speaking, it is not recommended for elderly hypertensive patients to reduce the low pressure of blood pressure to below 60 or lower when controlling blood pressure. If your low pressure value is OK and not too low, then when controlling systolic blood pressure, you should Try to keep the low pressure value as much as possible, do not drop the low pressure too low.
For example, a 70-year-old hypertensive patient with elevated systolic blood pressure has a blood pressure value of about 160/80. If he chooses between the two blood pressure target values of 140/70 mmhg and 130/55 mmhg, for For elderly hypertensive patients, it is more recommended to relax the control range of high pressure to about 140, so that the low pressure value is also guaranteed, not too low, so that when the heart is diastolic, the pressure maintained by the blood vessels can be better. By ensuring the blood perfusion of various organs of the body, the health benefits obtained by the body are often greater.
Therefore, for elderly hypertensive patients, the standard value of blood pressure control should be controlled as soon as possible on the premise of ensuring the low pressure level. The elderly over 70 years old generally control the systolic blood pressure to less than 140, while Keeping diastolic blood pressure above 60 is usually a more scientific and reasonable control goal.
Is it normal for an elderly hypertensive patient in their 70s to take no medicine. The blood pressure was 160, but now it has become 130?
Some friends of elderly hypertensive patients take antihypertensive drugs on and off, and do not insist on long-term medication. However, they recently measured their blood pressure and found that the blood pressure value has dropped from about 160 to about 130. Is this high blood pressure? In fact, this situation should also be analyzed.
Generally speaking, the aging and hardening of blood vessels in elderly hypertensive patients are more serious, and blood pressure is often greatly affected by temperature changes. Now is the hot summer season. Because blood vessels are also affected by temperature, the phenomenon of thermal expansion and contraction occurs, so the blood pressure of the elderly tends to show relatively low blood pressure in summer, even far lower than that in winter.
This phenomenon just reflects the severe degree of vascular sclerosis and the relatively slow response of the body's blood pressure regulation center. It is a phenomenon to be vigilant, not a fortunate phenomenon. For the elderly who do not take medicine in summer, the blood pressure also reaches about 130. , we must pay more attention to the monitoring of blood pressure, and try to avoid the fluctuation of blood pressure in the summer of the elderly. If the value of 130 can be maintained steadily, it is of course possible not to take medicine, but if 130 is only a value measured occasionally, in most cases , the blood pressure value is still exceeding the standard, then the antihypertensive drugs should continue to be taken, and the medication plan can be adjusted appropriately according to the actual situation to minimize the risk of excessive blood pressure and hypotension in summer.
As the climate gradually turns cooler, in the autumn and winter seasons, elderly friends who have such a situation should pay more attention to blood pressure monitoring. The most likely situation is that in the cold season, the elderly have high blood pressure problems. It will make a comeback, and it is still necessary to add drugs to effectively control blood pressure. If it is ignored because the blood pressure returns to normal in summer, in this case, the blood pressure has soared in winter. The odds of cerebrovascular risk events are greatly increased.