High blood pressure is familiar to many. Headache, knocking in the ears, unpleasant shortness of breath, pain in the sternum, fluttering of the heart. In addition, dizziness, sharp severe heart pains are characteristic of such a diagnosis. If you endure the jumps in blood pressure for a long time, then your vision will begin to fall, because irreversible changes will gradually occur in the vessels of the whole body, including the eyeball. In any case, increased pressure is dangerous because the blood circulation of the brain is disturbed, heart failure occurs, the kidneys fail, all chronic diseases of the internal organs become aggravated.
High blood pressure usually means elevated systolic and diastolic values. If only diastolic (lower) is elevated, the doctor should be especially careful with prescriptions so as not to lower the normal systolic pressure below the critical limit. When it is revealed high diastolic pressure, the causes can be very different. For example, this indicates a reduced cardiac output force with possibly increased vascular resistance. Accordingly, a complete and deep examination of the heart and all blood vessels is necessary.
If you went to the doctor because you constantly have spasmodic high diastolic pressure, reasons, thatβs what he will begin to find out from the very beginning, while trying to lower it. He will begin, most likely, with adjustments to nutrition, lifestyle, and diet. If this does not help, he will be forced to prescribe medication.
An approach to treating high diastolic pressure
To find out the cause of abnormal indicators, it is advisable to hospitalize the patient and conduct an examination. And already the patient will be able to undergo the treatment himself, at home. If such a condition in the patient is complicated by hypertensive crises, high diastolic pressure, the reasons may be hidden in the malfunction of internal organs, in severe chronic diseases (diabetes mellitus, pathology of the heart and arteries, renal failure, etc.).
After a complete examination of all organs (CVS, endocrine system, urinary system, etc.), when all possible diseases of the internal organs are excluded, the patient will be diagnosed with essential arterial hypertension or hypertension.
If high diastolic blood pressure is systematic, then the main cause of this condition will be treated. For example, with abnormalities in the blood vessels or a defect in the aortic valve, you will need to seek surgical help. If the reason is hidden in this, then after the operation, the pressure normalizes.
As with any other types of hypertension, the patient will be recommended to adhere to the correct lifestyle - healthy eating, activity, good rest. If the patient is overweight, a diet will be the first requirement of the attending doctor. And this is not an excess, because every extra kilogram is a blow to the heart. The optimal diet for hypertension is a fruit - vegetable and cereal-milk diet. The cooking method for such a disease is cooking, baking, stewing. All food should be low-fat, moderate servings, but plenty of meals (4-6). Seafood in the diet must be present. You can eat fatty sea fish (due to the huge amount of healthy fats). The use of salt should be limited (not completely ruled out!), As well as sweet and flour products.
Drug therapy for diastolic hypertension
Unfortunately, drugs that reduce only diastolic pressure practically do not exist. Therefore, the patient will be prescribed ACE inhibitors. In some cases, receptor blockers may also be prescribed. All treatment should be taken constantly to prevent complications in the work of internal organs due to constant tension in the vessels and only then there will be a noticeable and steady decrease in diastolic pressure.
ACE inhibitors lead to a decrease in blood pressure due to the inhibition of the formation of angiotensin II from angiotensin I. Angiotensin I - a protein substance that is formed from blood plasma, does not have a pressure-increasing effect, unlike group II. This group of drugs is very well tolerated (Ramipril, Enalapril, Ramipril, etc.), but in rare cases causes a strong persistent cough. In such cases, it is necessary to prescribe receptor blockers aimed at angiotensin II (losartran and others).
Strictly fulfilling all the doctor's recommendations, controlling systolic pressure (so that it does not fall heavily under the influence of drugs) and normalizing high diastolic pressure (the causes will be gradually clarified), we get a chance to bring the pressure back to normal.