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                Management principles

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Principles of management

  • The principles of management of Hypertension include the reduction of blood pressure to levels which result in the reduction of   'Target Organ Damage'.

                                                      

 

                                  

 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

 

 

 

                                         

   Drug therapy.

 

  Pharmacological therapy

 

 

 

 Guidelines:

  • 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.

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