Is it normal for people in their 70s to have a blood pressure of 160, but now it is 130? This article analyzes the facts for you
Elderly people in their 70s used to have high blood pressure. The high pressure was around 160, but now it is around 130. Is it normal? This question is too general, so we have to use this question to share some knowledge points on blood pressure control of elderly hypertensive patients, hoping to help the elderly to control high blood pressure.
Elderly hypertensive patients in their 70s, can their blood pressure be controlled from 160 to 130?
If the high blood pressure value reaches 160mmhg, no matter how old you are, you have already reached the level of grade 2 hypertension. Generally speaking, the existence of high blood pressure can be determined. , usually need to control diet in life, moderately increase the amount of activity, maintain a good work and rest, and maintain a peaceful mind. If the blood pressure cannot be controlled, you should also take antihypertensive drugs to control blood pressure. The antihypertensive drugs of diuretics such as Puli and thiazide are all antihypertensive drugs that can be used by elderly hypertensive patients. Combined with the actual situation, choose a drug that is suitable for you, can effectively reduce blood pressure, and can ensure the safety of medication , Long-term use can control blood pressure.
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 the problem of high blood pressure for many years, coupled with aging, the degree of arteriosclerosis is usually more serious. For such a situation, the goal of blood pressure control should be combined with the actual situation. Reasonably and scientifically set the goal of reaching the standard. Generally speaking, the value of 130 is a good control value. If the elderly hypertensive patients control their blood pressure to this level and the body tolerates it, controlling it to about 130 is a reasonable level to fully meet the standard. .
But one thing to note is that for elderly hypertensive patients, often because of hardening of blood vessels and weakening of blood vessel elasticity, many elderly hypertensive friends simply have elevated systolic blood pressure, that is to say, our high blood pressure has increased , but the low pressure measured by the blood pressure does not exceed the standard. In such a situation, on the premise of controlling the systolic blood pressure (high pressure) to reach the standard, we should also pay attention to the drop level of the low pressure. For example, in the case of this elderly friend, the blood pressure and high pressure dropped from 160 to 130, how much did the low pressure drop to in the end? Generally speaking, it is not recommended for elderly hypertensive patients to lower their blood pressure to below 60 or lower when controlling their blood pressure. If your low blood pressure is not too low, then when controlling systolic blood pressure, you should Try to keep the low pressure value as good as possible, and don't drop the low pressure too low.
For example, a 70-year-old hypertensive patient with a simple increase in systolic blood pressure has a blood pressure value of about 160/80. If you choose between the two blood pressure target values of 140/70mmhg and 130/55mmhg, 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 relaxes, the pressure maintained by the blood vessels can be better. To ensure the blood perfusion of various organs of the body, the health benefits of 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. Elderly people over 70 years old generally control the systolic blood pressure to within 140, while Keeping the diastolic blood pressure above 60 is usually a more scientific and reasonable control goal.
Elderly hypertensive patients in their 70s did not take medicine. Is it normal for the original blood pressure to be 160 and now it is 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 blood pressure and found that the blood pressure value has dropped from about 160 to about 130. Is this high blood pressure cured? In fact, for this situation, the situation should also be analyzed.
Generally speaking, elderly hypertensive patients have more serious vascular aging and sclerosis, and their blood pressure is often more affected by temperature changes. Now is the hot summer season. Since the blood vessels are also affected by temperature, they expand with heat and contract with cold. Therefore, the blood pressure of the elderly tends to be relatively low in summer, or even far lower than that in winter.
This phenomenon just reflects the seriousness of our vascular sclerosis and the relatively slow response of the body's blood pressure regulation center. It is a phenomenon worthy of vigilance, not a phenomenon to be thanked for. For the elderly who do not take medicine in summer, their blood pressure has reached around 130 , we must pay more attention to the monitoring of blood pressure, and try to avoid the fluctuation of blood pressure of the elderly in summer. If the value of 130 can be maintained stably, 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 drug regimen can be adjusted appropriately according to the actual situation, so as to minimize the risk of excessive antihypertensive and hypotension in summer.
As the climate gradually turns cooler, in autumn and winter, 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's hypertension problem It will make a comeback, and you still need to add drugs to effectively control your blood pressure. If you don’t care about it because your blood pressure returns to normal in summer, in this case, in winter, your blood pressure has soared and you don’t know or don’t take medicine. The probability of cerebrovascular risk events will be greatly increased.