There are any characteristics in old age simple systolic phase hypertension how to treat? 's treatment

There are any characteristics in old age simple systolic phase hypertension, how to treat? 's treatment
The characteristic of the old age simple systolic phase hypertension: First, systolic pressure increases but the diastolic pressure is not high. Second, blood pressure fluctuation is large, mainly body posture blood pressure fluctuation is relatively obvious, if lie in the high location, the seat is low; It is low at the time of the sleep, it is high while waking up; It is high while arranging defecation and urination. Perhaps regulation varied to the body posture with the elderly's plant nerve is not normal and relevant for its reason. But someone thinks that results from the reason that the pressures of the elderly receptor regulate the sensitiveness of blood pressure to fail. Another characteristic is that a seasonal fluctuation is relatively great, it is low in summer that generally behave, it is high in winter.
Thought it had danger even more that the diastolic pressure increased and increased than systolic pressure in the past, rise systolic pressure often too at being clinical, regard one as because natural aging of people, benign course due to failing in elasticity of blood vessel. But the epidemiology materials reveal, the higher old hypertension patient's systolic pressure is in recent years, the more vascular complications of heart brain are, the higher mortality is, especially the brain apoplexy is seen more.
Persons who increase to slight systolic pressure, should adopt non- drug therapy at first, but not the medicine fails to respond to any medical treatment, it is getting obvious for systolic pressure to increase, should pay drug therapy.
Simple systolic pressure increases, first-selected any medicines are good, there is not a unified opinion yet at present, the majority is inclined to first-selected piperazine diuretic. Invalid and should jointly use medicine or ladder healing solution. But no matter which kind of depressor to select for use, should begin with low dose, and according to the blood pressure fluctuation situation, adjust the medicine dosage and time of using medicine in time, should also check the patient's heart, brain, renal function regularly at the same time, pay attention to the side effect of the medicine.
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