50-year-old woman's high blood pressure is 146 and low blood pressure is 94

For middle-aged and elderly people, the probability of blood pressure problems is relatively high, so they need to monitor their blood pressure regularly so that they can detect whether there are problems with blood pressure in time. For example, if a woman has reached the age of 50, she can also monitor her blood pressure regularly. Among them, a small number of 50-year-old women were found to have a high blood pressure of 146 and a low blood pressure of 94. Is this normal?

A 50-year-old woman has a systolic blood pressure of 146 and a diastolic blood pressure of 94, which is mild hypertension. As long as active treatment and conditioning are carried out, it is generally not very serious. However, if it is not taken seriously and bad habits are not changed in daily life, once the blood pressure continues to rise, the consequences will be disastrous. Therefore, patients with hypertension must actively receive treatment.

The blood pressure lowering targets are different for different populations. The general blood pressure lowering target for patients is below 140/90 mmHg. For high-risk patients with comorbidities such as diabetes or kidney disease, the blood pressure should be lowered as appropriate. For all patients, regardless of whether their blood pressure is higher than normal at other times, attention should be paid to monitoring their blood pressure in the morning. Studies have shown that more than half of the patients whose blood pressure meets the standard in the clinic do not meet the standard in the morning.

1) Improve lifestyle behaviors: ① Reduce and control weight. ②Reduce sodium intake. ③Supplement calcium and potassium salts. ④Reduce fat intake. ⑤Increase exercise. ⑥Quit smoking and limit drinking. ⑦ Reduce mental stress and maintain psychological balance.

2) Individualized blood pressure control standards: Due to different causes and different pathogenesis of hypertension, clinical medications should be treated differently, and the most appropriate drugs and dosages should be selected to obtain the best therapeutic effect.

3) Coordinated control of multiple cardiovascular risk factors: Although blood pressure is controlled within the normal range after antihypertensive treatment, multiple risk factors other than elevated blood pressure still have an important impact on prognosis.

For patients with detected hypertension, recommended antihypertensive drugs for initial and maintenance treatment should be used, especially drugs that can control blood pressure for 24 hours and achieve target blood pressure when taken once a day. Specifically, four principles should be followed, namely, starting with a small dose, giving priority to long-acting preparations, combination therapy and individualization.

The main goal of hypertension treatment is to achieve blood pressure control, and the ultimate goal of antihypertensive treatment is to minimize the incidence and mortality of cardiovascular and cerebrovascular diseases in patients with hypertension. Antihypertensive treatment should establish blood pressure control target values. On the other hand, hypertension often coexists with other risk factors for cardiovascular and cerebrovascular diseases, such as hypercholesterolemia, obesity, diabetes, etc., which synergistically increase the risk of cardiovascular disease. Treatment measures should be comprehensive.