Is grade 3 hypertension serious?

Stage 3 hypertension is a more serious type of hypertension and is also a type of hypertension that requires timely treatment and control. If hypertension reaches stage three and is not treated in time, it is likely to have a great impact on the patient's brain health, heart health and kidney health, and may even threaten the patient's life safety. Here I will introduce to you the treatment methods for stage 3 hypertension!

① Antihypertensive drugs are required for long-term treatment of essential hypertension. Therefore, it is advisable to use oral antihypertensive drugs (such as hydrochlorothiazide, reserpine, compound antihypertensive tablets, etc.) that have mild, slow, and long-lasting antihypertensive effects, few side effects, are easy for patients to master and convenient to use as basic antihypertensive drugs, and then select other antihypertensive drugs according to different stages of the disease.

② Antihypertensive drugs are generally started with a small dose and gradually increased. After achieving the blood pressure lowering goal, you can switch to a maintenance dose to consolidate the therapeutic effect. Use the smallest maintenance dose possible to reduce side effects.

③ When using antihypertensive drugs that can cause significant upright hypotension, patients should be informed that they should move as slowly as possible when standing up from a sitting position or from a supine position, especially when getting up to urinate at night, to avoid fainting and accidents caused by a sudden drop in blood pressure.

④ For patients with slowly progressive stage 1, symptoms are not obvious and general treatment (including sedatives) can be effective. There is no need to use antihypertensive drugs. When necessary, a small amount of mild antihypertensive drugs such as diuretics, rauwolfia or compound antihypertensive tablets can be used. Patients in the second stage often need to be treated with two or more antihypertensive drugs, such as reserpine, hydralazine and diuretics combined, or enzyme inhibitors, postganglionic sympathetic nerve inhibitors, ganglion blockers or adrenergic receptor blockers. Patients in the third stage often need to be treated with drugs with strong antihypertensive effects such as postganglionic sympathetic inhibitors and ganglion blockers, such as clonidine hydrochloride and cyprodinil.

⑥The treatment measures for acute hypertension are similar to those for the third stage of chronic hypertension. If blood pressure continues to not drop, hibernation therapy may be considered; if renal failure occurs, antihypertensive drugs such as methyldopa, hydralazine, minoxidil, and clonidine are appropriate. The blood pressure should not drop too significantly to avoid a decrease in renal blood flow that aggravates renal failure.

⑦ For patients whose blood pressure has been significantly elevated for many years, it is not advisable to lower their blood pressure too quickly or too much. Patients often feel uncomfortable because they cannot adapt to lower or normal blood pressure levels, and this may lead to insufficient blood supply to the brain, heart, and kidneys, causing cerebrovascular accidents, coronary thrombosis, and renal insufficiency. Emergency antihypertensive measures should be taken when hypertensive crisis or hypertensive encephalopathy occurs.