Choice of antihypertensive drugs for hypertension

People with hypertension usually choose antihypertensive drugs that suit them. There are many types of antihypertensive drugs. It is correct to choose the appropriate drug according to each person's specific situation. Moreover, everyone's physical health is different, so it is important to clarify the cause of the disease problem of high blood pressure. How should we choose antihypertensive drugs for hypertension?

How to choose antihypertensive drugs for hypertension

There are dozens of antihypertensive drugs in China at present, and the preferred antihypertensive drugs mainly include five categories: 1. Diuretics, such as hydrochlorothiazide; 2. Calcium ion antagonists (dipines), such as amlodipine; 3. β-receptor blockers, such as metoprolol; 4. Angiotensin converting enzyme inhibitors (prils), such as captopril; 5. Angiotensin receptor antagonists (sartans), such as losartan. For patients with simple hypertension without complications such as coronary heart disease, heart failure, cerebrovascular disease, diabetes, and kidney disease, all five types of antihypertensive drugs can be used, and there is no significant difference in overall efficacy. If you already have complications, you need to choose carefully based on the specific situation.

Patients with hypertension, coronary heart disease, and angina pectoris need to control blood pressure and dilate coronary arteries to improve myocardial blood supply. Diazepam or beta-blockers are the first choice.

Patients after myocardial infarction also need to lower blood pressure and protect the heart, and prils or beta-blockers are the first choice;

The first choice for patients with chronic heart failure is beta-blockers, prils or sartans, and diuretics, which are the main drugs for the treatment of heart failure;

For patients with chronic kidney disease, the drug selection should be based on the stage of renal function. For patients with mild renal abnormalities, prils or sartans that have a protective effect on the kidneys can be selected. For patients with poor renal function, these two types of drugs should be used with caution and renal function should be checked regularly.

Beta-blockers are the first choice for patients with fast heart rates, as they can lower blood pressure and stabilize heart rate;

For patients with diabetes, prils or sartans are the first choice. Beta-blockers are not recommended for patients with recurrent hypoglycemia because they can mask the symptoms of hypoglycemia.

For patients with atrial fibrillation, sartans or prils are preferred. Beta-blockers can also be used to prevent atrial fibrillation and reduce heart rate.

For patients with dyslipidemia, pril or sartan are preferred;

Patients with high uric acid or diabetes should try not to use diuretics.

Chinese medicine massage can also control blood pressure

Fengchi Point

Meridian: Foot Shaoyang Gallbladder Meridian

Location: In the depression on the outer edge of the two large tendons on the neck, that is, the depression where the hairline appears, level with the earlobe.

How to use: Press the Fengchi point with the thumbs of both hands, and use the other four fingers to wrap around the head for support, pressing on both sides at the same time.

Fengchi acupoint, acupressure treatment for hypertension, can significantly improve the blood and oxygen supply to the neck and brain.

Neiguan Point

Meridian: Hand Jueyin Pericardium Meridian

Position: Three horizontal fingers upward from the base of the wrist, in the depression between the two tendons.

How to use: pinch your wrist between your index finger and thumb and adjust your breathing for better results.

The Neiguan acupoint for treating hypertension can treat various cardiovascular diseases, arrhythmia, angina pectoris, hypertension, etc.

Quchi Point

Meridian: Hand Yangming Large Intestine Meridian

Location: When the elbow is bent at a right angle, the transverse line head on the outside of the elbow, that is, the wrinkle close to the thumb side.

How to use: Bend your elbow to a right angle. Press with the thumb of your other hand and hold your arm with the remaining four fingers.

Pressing the Quchi point, an acupuncture point for treating hypertension, can reduce fever and lower blood pressure.