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The choice of drugs for high blood pressure needs to be personalized based on specific personal circumstances. People of different ages and different comorbidities choose different drugs. As our country enters an aging society, the proportion of elderly patients with hypertension is gradually increasing. Here is a special introduction to the best antihypertensive drugs for elderly patients with hypertension.

1. Characteristics of hypertension in the elderly

As age increases, the heart function of the elderly tends to decline, the elasticity of peripheral blood vessels decreases, and the hardness of blood vessels becomes larger, resulting in high systolic blood pressure. , characterized by low diastolic blood pressure. At the same time, the heart, brain, kidneys and other organs are susceptible to dysfunction due to high blood pressure.

2. CCB (dipine, calcium antagonist) antihypertensive drugs are preferred for the elderly. The drug name is "dipine". "It's this type of drug. This type of drug has clear efficacy, strong antihypertensive effect and few contraindications. This type of antihypertensive drug has a certain anti-atherosclerotic effect and is suitable for the elderly who have more vascular sclerosis.

Usually choose long-acting preparations, which can be taken once a day, and can ensure long action time, slow onset of effect, stable blood pressure reduction, and protective effects on the heart, brain, kidneys and other organs.

3. When the curative effect is not satisfactory, combine with diuretics, and if necessary, add ACEI (certain chloride type) or ARB type (certain sartan type)

For, it is necessary to combine When using antihypertensive drugs, elderly people with high blood pressure often choose a CCB + diuretic regimen. If the blood pressure is still very high and the effect is not good, you can consider using angiotensin-converting enzyme inhibitors (ACEIs, Pril-type) or ARBs (angiotensin II receptor antagonists, Sartans).

4. Blood pressure lowering goals for the elderly

1) 65-79-year-olds: For ordinary elderly people aged 65-79, it is generally recommended to start lowering blood pressure when the blood pressure is above 150/90mmHg. For antihypertensive drugs, the antihypertensive goal follows the principle of gradually and slowly lowering blood pressure. The first step can be to lower the blood pressure to a level below 150/90mmg. If there are no symptoms of discomfort while taking antihypertensive drugs and the antihypertensive treatment can be tolerated, the blood pressure can be further lowered. to a level below 140/90mmg.

2) Elderly people aged 80 or above: For seniors aged 80 or above, the standards for lowering blood pressure are relaxed accordingly. Generally, in this age group, antihypertensive treatment is started when the systolic blood pressure is 160 or above 160mmHg, and the target of antihypertensive treatment is to reach a level below 150/90mmg.

It is recommended that the elderly take medication under the guidance of a doctor, while paying attention to the fact that the blood pressure level of the elderly changes greatly due to the influence of day, night and season, and strengthen blood pressure monitoring to prevent orthostatic hypotension.