Hypertension is a disease that manifests itself in increased blood pressure. This is not a death sentence, and with timely and correct treatment, a person may well be cured and return to a full-fledged lifestyle. A pressure of 170 over 90 indicates the development of hypertension. With constant readings of 170 over 90, doctors diagnose stage 2 hypertension. It needs and is important to treat. The attending physician is responsible for drawing up a treatment regimen, but the patient must be able to provide first aid, know the basic antihypertensive drugs and traditional medicine for hypertension in order to stop the acute condition in a timely manner.
What does blood pressure 170/90 mean?
You need to maintain blood pressure at 120/80.
Indicators of 170 to 90 are considered elevated. This means that a person’s blood circulation is impaired and blood vessels are subject to wear and tear. This condition is especially difficult for older people and children. The former suffer due to the fact that their vascular system is already depleted due to age, and the latter - due to an underdeveloped organism, which is less able to tolerate high blood pressure.
Are such indicators dangerous?
A pressure of 170 over 90 is arterial hypertension of the second degree. By leaving hypertension unattended and without taking any measures, you risk the appearance of serious disorders in the functioning of the cardiovascular system.
If left unchecked, hypertension increases the risk of heart disease by up to 20% over the next 10 years of a patient's life.
It is known that the level of blood pressure in the morning upon awakening, according to 24-hour monitoring, is a more significant risk factor for serious cardiovascular complications than the level of blood pressure at any other time of the day or the average blood pressure values per day. However, there have never been any well-designed studies that directly compared the effect of antihypertensive therapy depending on the timing of its administration.
In addition, the prescription of antihypertensive drugs before bedtime has a certain pathophysiological justification: for example, it is known that the activity of the RAAS is maximum at night.
The European Heart Journal published the results of an open-label, prospective study of Hygia Chronotherapy conducted in primary care clinics in Spain.
The study included 19,084 patients with arterial hypertension, the course of which allowed a single dose of antihypertensive drugs (both monotherapy and combinations). Patients were divided into 2 groups: taking standard medications in the morning or taking the same medications before bed. It was allowed to take small doses of diuretics (hypothiazide no more than 25 mg). It was assumed that such a dose of diuretics would not disturb the patients' sleep at night. At each visit (at least once a year), two-day blood pressure monitoring was carried out, and adverse events were recorded. The average follow-up duration was 6 years.
It turned out that in the group taking antihypertensive drugs before bedtime, daytime blood pressure was slightly lower, and patients were less likely to be classified as non-dippers. In addition, it turned out that such a regimen of taking antihypertensive drugs was associated with a decrease in the incidence of the combined endpoint of cardiovascular death/MI/coronary revascularization/CHF/stroke. After adjustment for major risk factors, the OR was 0.55 (95% CI 0.50–0.61), P < 0.001. -=»» 0=»» 44=»» 34=»» 56=»» p=»»>Such impressive results are difficult to explain solely by a decrease in blood pressure, since the differences in the degree of blood pressure reduction with the standard therapy group were quite modest. Perhaps there were some pleiotropic effects that normalized circadian rhythms in the functioning of the cardiovascular system.
Of course, randomized placebo-controlled studies are required to confirm the results obtained.
Based on materials:
Ramon C Hermida, et al. Bedtime hypertension treatment improves cardiovascular risk reduction: the Hygia Chronotherapy Trial, European Heart Journal, ehz754, https://doi.org/
Text: Ph.D. Shakhmatova O.O.
Causes
The cause of hypertension is the lifestyle of the average metropolis resident. Lack of proper attention to your health, as well as the following aspects lead to increased blood pressure:
physical inactivity and life without physical activity;- heredity;
- binge eating;
- excess fatty, sweet or salty foods in the diet;
- stress;
- lack of sleep;
- alcohol abuse and smoking.
It is worth noting that women are less likely to suffer from hypertension, since in pursuit of beauty they monitor their physical activity and diet.
Symptoms
The symptoms of hypertension seriously affect the mood, vitality and performance of the patient, so hurry to use a tonometer if you experience the following ailments:
- headache;
- nausea;
- dizziness;
- facial redness;
- apathy or irritability;
- impaired vision clarity.
Headache is the main indicator of high blood pressure. With this, it is most advisable to take an aspirin tablet.
And also read on our website: What do pressure readings of 90 to 70 mean, is it dangerous, what pulse is considered normal and what to take?
Folk remedies
If diagnosing the patient does not show any complications, then traditional methods that use herbs and other plants can be used for treatment:
- In case the pressure is 170/90 mmHg. Art. pressure, if there is a sharp jump as a result of stress or tension, you can use motherwort. To do this, put 1 tbsp in a deep bowl. motherwort, valerian root, marsh cudweed and horsetail. Add 250 ml of boiling water to the container, leave to steep for 15 minutes, then strain and take ½ cup three times a day before meals.
- To normalize blood pressure, use fresh beet juice with the addition of honey and lemon. You will need to drink 125 ml of the drink every day after main meals, in a course of 21 days. To prepare, you need to mix all the ingredients, and you can store the product in a jar in the refrigerator.
- Hawthorn juice will help with hypertension. Take it 2 tbsp. 30 minutes before starting meals 3 times a day. This remedy can significantly improve the condition of patients.
- Cranberry and honey can normalize the indicators. Such ingredients are ground in equal parts, and a tablespoon is used three times a day, after meals.
Before using this or that method or complex therapy, it is necessary to accurately determine the reasons why your health is deteriorating and your blood pressure is jumping.
Pulse
The normal heart rate for an adult is from 60 to 80 beats per minute. At a pressure of 170 over 90, a low pulse is considered a common occurrence for people constantly taking antihypertensive drugs.
However, if you experience tachycardia with arterial hypertension, be sure to consult a doctor. After all, if you haven’t done any physical activity recently. an accelerated heartbeat may indicate the development of pathologies of the circulatory system.
Symptoms of high blood pressure
Common symptoms of hypertension
To identify stage 2 hypertension, it is important for the doctor to analyze two main symptoms:
- sudden pressure surges, their frequency and degree of increase;
- blood flow disorders.
Regular increase in pressure to 170 to 90 mmHg. Art indicates the development of type 2 hypertension. There may be no other symptoms of high blood pressure. It all depends on the individual characteristics of the patient’s body.
Symptoms of hypertension can only manifest themselves with the development of a hypertensive crisis.
Signs of a hypertensive crisis
The development of a hypertensive crisis is indicated by the appearance of the following symptoms:
- a sharp increase in pressure to critical levels;
- causeless fear;
- chills;
- hyperhidrosis;
- fever;
- severe headaches;
- dizziness;
- black spots before the eyes;
- bouts of vomiting;
- cardialgic syndrome;
- nose bleed;
- hyperemia;
- rapid heartbeat.
If these symptoms appear, you must call an ambulance. Before the medical team arrives, it is necessary to provide first aid to the patient.
Dizziness and darkening of the eyes may be signs of a hypertensive crisis
What to do?
Proper first aid for hypertension is the key to reducing the risk of complications to a minimum. If you or someone you know suffers from hypertension, you definitely need to know a few basic first aid rules.
First of all
The following algorithm of actions will allow you to either finally bring the patient back to normal, or maintain his condition until the doctors arrive.
- Help the patient take a semi-sitting position.
- Don't panic under any circumstances.
- Give an antihypertensive drug if previously prescribed by a doctor.
- If the pressure does not decrease within 20 minutes, call an ambulance.
Never take antihypertensive drugs unless they have been prescribed by a doctor and do not exceed the dose prescribed by him. This can be very harmful to your health!
By medical means
Treatment of blood pressure 170 over 90 can be done at home. There are several groups of drugs that can be prescribed by a doctor. Medicines are selected depending on the unique properties and individual condition of the patient.
There are the following groups of antihypertensive drugs:
- diuretics;
- beta blockers;
- sartans;
- calcium channel blockers.
Tablets are taken in the morning, before or after meals, since the peak effect of the medication is reached 4-6 hours after administration.
Traditional treatment
In the treatment of hypertension, you can rely not only on medications, but also on traditional medicine, because it contains many recipes, the effect of which is determined by their pharmacological properties.
And also read on our website: What does blood pressure 170 to 120 mean, causes and symptoms, what to do and how to reduce high levels?
What you can do for hypertension:
- Apple cider vinegar compress on calves. The effectiveness of this method is due to the fact that vinegar irritates certain reflex zones.
- Tincture of motherwort or valerian. They are excellent for lowering blood pressure due to the sedative effect of these herbs.
- You can also eat watermelon. Its diuretic effect will eliminate excess fluid in the body and have a hypotensive effect.
However, before trying any of the methods, be sure to discuss it with your doctor.
What to do if the pressure is 170 to 90
First of all, in case of a hypertensive crisis, you will need to call an ambulance. Until the doctor’s visit, the sick person must be given help. The main task is to remove the negative symptoms of the crisis. Initially, you will need to relax and calm the patient, you need to help overcome fear and panic. After this, the patient should be placed on the bed or seated in a comfortable position. Open the windows in the room to bring in fresh air. After the manipulations, it is necessary to monitor the symptoms; if severe chest pain occurs, nitroglycerin should be given.
Before the ambulance visit, you will need to reduce your blood pressure with medications. For this purpose, only those medications used by the patient are used. Additionally, blood pressure is constantly measured. An effective medicine for emergency blood pressure reduction is the drug Captopril. It is taken in a dosage of 12.5 mg. The drug quickly stops an attack and is effective for hypertension.
Prevention
High blood pressure often occurs due to an unhealthy lifestyle. You can relieve yourself of the risks of hypertension by making the following changes in your life:
- play sports;
- isolate yourself from sources of stress;
- give up bad habits;
- give preference to a contrasting shower.
It is advisable to get out of town more often. Physical activity at the level of the average rural resident is suitable for reducing the risk of developing cardiovascular diseases.
