Principles of management
Regular Blood pressure monitoring
Regular exercise Low calorie, low fat diet Avoid Smoking
Avoid alcohol Reduce excessive weight. Life style modification
Meditation and Yoga
Non pharmacological therapy
Treatment of mild to moderate hypertension improves the long term outcome in these patients.
In patients with severe (accelerated) hypertension, the improvement is sufficiently established to justify aggressive treatment. Non pharmacological measures are also important.
Based on trial evidence, drug treatment is indicated in patients under 80 years of age, who have a diastolic pressure of > or = 100 mm Hg over a period of 3 to 4 month period.
Once a diagnosis of borderline, mild or moderate hypertension (Essential) is established, the first therapeutic step is usually non pharmacological. (without anti hypertensive medicines).
Non pharmacological therapy should be tried for at least 3 months before drug therapy is initiated.
How ever, the presence of 'Target Organ Damage' may require initial treatment with drugs.