Arterial hypertension is a disease with a high prevalence in the adult population. Pathology is characterized by an abundance of clinical manifestations and significantly increases the risk of cardiovascular complications in the form of a heart attack and stroke. For this reason, treatment should be correctly selected by a specialist, and its effectiveness should be constantly monitored. And in this publication, important questions for the patient will be considered, for example, which doctor treats hypertension, how to prescribe treatment and how to monitor it, is there effective therapy without taking medications.
Specialist selection
Arterial hypertension in different categories of patients is treated with their own set of drugs, the selection of which should be done by a specialist doctor. Doctors of many specialties, including therapist, cardiologist, general practitioner, can successfully complete this task. In the case of severe neurological complications, the main role in the treatment is played by a neurologist, who is involved in the correction of lost or dying functions, while the therapist's task is to treat hypertension.
But if we consider the question of which doctor treats hypertension, then regardless of the place where it is carried out, the therapist will be the main specialist. On an outpatient basis, this is a general practitioner or community therapist. Any other specialist will not be able to more competently and competently treat hypertension and prevent other complications.
WHO position on hypertension
The World Health Organization notes that as of 2018, 1.5 billion people are suffering from hypertension in the world. Experts emphasize the fact that only 55% of patients are diagnosed with hypertension and appropriate treatment is prescribed. About 675 million people in the world either suffer from arterial hypertension and do not take medications, or are unaware of increased pressure, or consciously refuse to consult a doctor and specialized treatment.
WHO is constantly conducting an information campaign aimed at attracting people to this problem. For this reason, every 2nd Saturday of May, an organization worldwide holds World Hypertension Day. Then you can get an accessible consultation of a specialist without a visit to health facilities, get acquainted with the rules for measuring and controlling blood pressure. This is necessary to attract the attention of patients and those people who have not yet seen an increase in blood pressure due to its asymptomatic course.
World Hypertension Day is also an attempt to simultaneously explain to a large mass of people that pharmacological therapy is not always required during treatment. Part of the recommendations effective in terms of lowering blood pressure are general health measures. And to practice them means to increase the duration or comfort of one's life.
Outpatient diagnosis and treatment
Patients who have identified a persistent increase in blood pressure or have contacted an adult clinic need to undergo a series of diagnostic procedures. Among them, an ECG and daily monitoring of blood pressure, which will determine average values, maximum and minimum values of blood pressure. The patient also needs to keep a diary of blood pressure, in which, according to the instructions from the doctor, he will note the results of his measurements.
If, as a result of the diagnosis, a diagnosis of 1st degree hypertension is made and complications and lesions of the target organs are not determined, the treatment will consist of general health measures, rejection of bad habits. Patients who have difficulties with visits to outpatient organizations are available to call a therapist at home. This opportunity should be used as efficiently as possible and not abused only because of the imaginary severity of the condition or frank laziness of the patient.
Patterns of treatment of hypertension
If a clinic for adults will be diagnosed with hypertension of the 2nd and higher degrees or 1st degree with the presence of damage to target organs, it is necessary to prescribe drug therapy. In the overwhelming majority of cases, it should be used constantly throughout life, since it is impossible to correct the blood pressure figures once and for all. They act on the enzymatic and hormonal mechanisms of pressure regulation, and therefore their duration usually does not exceed 24 hours.
After removing them from the body, the same system that is responsible for increasing pressure is activated again, and the patient will experience symptoms of hypertension. The correct understanding that the drugs act for a limited period of time, and that they must be taken constantly according to the doctor’s recommendations, is the main key to successful disease control. It does not matter which doctor treats hypertension in a particular patient, because a well-chosen scheme will always help to cope with high blood pressure.
Collaboration with a therapist
The patient should help his doctor, and not hinder and mislead, the result of which is always the selection of an ineffective treatment regimen. It is necessary to adequately inform the specialist about when and to what figures blood pressure rises, what symptoms are accompanied. And if the treatment regimen selected for the first time does not work or its effectiveness is not enough, you do not need to make an appointment with a cardiologist, suggesting that this specialist will select a more effective treatment.
This is a mistake, since by working with your therapist you can choose an effective combination of drugs much faster. A cardiologist treats heart failure and complications of hypertension, such as heart attack or angina pectoris. In part, combinations of drugs in the treatment of hypertension and heart failure are similar, but not equivalent.
Tasks of a cardiologist
On the question of which doctor treats hypertension: a therapist or a cardiologist, preference should be given to that specialist who works with a more serious disease in a particular patient. That is, if there is a simple hypertension without complications, then it is reasonable to be observed and examined by a therapist. If there is congestive heart failure, myocardial infarction, angina pectoris or heart defects, then a record with a cardiologist will be required to select a treatment. This specialist will select a combined regimen intended simultaneously for the treatment of hypertension and underlying disease (heart attack, angina pectoris or heart disease), as well as for the prevention of heart failure.
Compliance Issues
Arterial hypertension is an ordinary problem that takes a lot of effort from the medical staff and the patient. And they are spent on the selection of treatment regimens for patients, many of which complicate the work by conscious refusal of treatment or by unconsciously introducing their own modifications into them. This is especially often observed in undisciplined people with an established conviction of their own indestructible rightness.
Such a patient does not just fail to comply with important recommendations, disrupts the use of drugs, ignores or differs in poor diligence with non-pharmacological treatment, but also prevents his own doctor from working. He misinforms a specialist, deliberately or unknowingly misleads by the fact that he inadequately reports on observations of blood pressure figures.
Problems in treatment approaches
Any person can call a therapist at home from the clinic. But as an undisciplined subject, the patient, having made many mistakes in measuring blood pressure and taking the values as true, shows them to the doctor. Based on them, decisions are made to modify the therapeutic regimen. And everyone understands that when errors occur at the input of information, the foundation for the inefficiency of this combination of drugs and non-pharmacological measures is immediately laid down and immediately realized.
For the above reasons, new therapy, such as the secrets of treating hypertension from Dr. Shishonin, is received with great interest. But in fact, this specialist does not bring anything fundamentally new, and higher efficiency is achieved only through close integration with the patient. More often being with him and suppressing his initiative, you can really successfully treat hypertension. This is exactly what is observed in any therapeutic hospital, when the patient is provided with drugs at the right time and excludes any opportunities for amateur performances.
However, in both situations, the diagnosis of "hypertension" prevails after the patient gets home and stops practicing what has been difficultly chosen and clarified. In contrast to them, disciplined people who actually perform medical appointments and correctly follow the recommendations of Dr. Shishonin on the treatment of hypertension without drugs, make progress and note stable numbers of blood pressure. It is the understanding that hypertension will not go away and needs constant medication or follow the rehabilitation recommendations of Dr. Shishonin, should ensure the maximum effectiveness of treatment.
Misinformation and understatement
Having figured out which doctor treats hypertension, who is involved in the prevention of complications and their correction, and who works in the future, we can draw some conclusions. Firstly, indeed, hypertension requires discipline and strict adherence to the recommendations of a doctor and rehabilitologist. Secondly, it is important to stop getting confused in the concepts and marketing tricks of individual citizens and specialists. Namely, one should stop unreasonably believing in effective treatment without taking pharmacological drugs.
Effective non-pharmacological treatment is possible only with 1st degree hypertension without damage to the target organs, which occurs at a young age. Such patients can do without medications, following the rehabilitation principles of Dr. Shishonin or simply changing their lifestyle, eliminating alcohol consumption, smoking, physical inactivity.
Conclusion and recommendations
In all other cases, when the diagnosis of "hypertension" of the 2nd and higher degrees or 1st degree with damage to the target organs is made, in addition to the rehabilitation methods of Dr. Shishonin, the treatment should include medications. This is necessary at least in order to eliminate the symptoms of hypertension and to reduce the already high blood pressure, which can cause complications in the form of a heart attack or stroke.
This is the main secrets of the treatment of hypertension from Dr. Shishonin. And being a qualified specialist, he, like the staff of his private clinic, will never say that effective treatment of a serious illness is possible without drugs. Without pharmacological preparations, only effective prophylaxis is possible, which the clinic of Dr. Shishonin is engaged in. This is a great merit of its specialists, but these methods should be practiced with an effectively selected regimen of drug therapy. Otherwise, it will be available only to patients with the 1st degree of hypertension without complications and damage to target organs.