The patient is 78 years old, with a high pressure of 147 and a low pressure of 68, how does this condition lower blood pressure? This is a very grounded problem, and it is estimated that the elderly in the family of friends with such problems are facing such health problems. So, like this 78-year-old, how much blood pressure control is the most appropriate? Elderly patients with high pressure 147 low pressure 68, what is the situation of this blood pressure level? Dr. Zhang will briefly introduce this type of problem to you.
In fact, in terms of age, the elderly over the age of 75 belong to the category of "old age". At this age, even if there are no underlying diseases, the functions of the body are in a state of decline. Take kidney function as an example, the elderly population over 75 years old will have a decrease in their own glomerular filtration rate, and even some elderly people will be reduced very obviously, at this time, the choice of some drugs needs special attention. This is also why many medical experts pay attention to the indicators of their bodies when they see the elderly, and they will not use drugs too much. Let's get back to the point and continue to talk about this question in the opening title.
So, for the elderly over 75 years old, how much is it appropriate to control blood pressure?
In fact, there is such an understanding in the field of domestic hypertension, for the elderly over 75 years old, high pressure control does not exceed 150mmHg, low pressure control does not exceed 90mmHg, this range is acceptable. Obviously, the high pressure and low pressure of the elderly patient mentioned in the title did not exceed the standard, and they were within the acceptable range.
Another feature of this kind of elderly blood pressure is high pressure, low pressure, and pulse pressure difference is relatively large. This is a more significant feature of hypertension in the elderly, which requires us to pay attention to the fact that when reducing high pressure, we need to pay attention to the fact that the low pressure is not significantly too low, for example, do not let the low pressure below 60mmHg appear, otherwise it may adversely affect the perfusion of the heart.
The elderly patient in the title, high pressure 147mmHg is actually an acceptable range, low pressure at 68mmHg. However, if the patient has uncomfortable symptoms because of blood pressure problems, it is possible to consider lowering blood pressure under the guidance of a doctor. However, be sure not to let the low pressure too low, low voltage is best not lower than the lower limit of 60mmHg. On the other hand, if this blood pressure level, the patient does not have uncomfortable feelings, this blood pressure level is also acceptable for the elderly over 75 years old, not necessarily reduced to the numerical standard, because the perfection of the value may cause the patient to have a hypotensive reaction, especially the cardiac perfusion problem caused by low pressure, which also requires special attention.
Of course, for many elderly hypertensive patients, if you can withstand a relatively lower blood pressure, such as blood pressure at 130/80mmHg, and there is no hypotension response, you can also control blood pressure more perfectly under the guidance of a doctor, which is also seen in some large medical research institutes in recent years. But specific to each person, it needs to be analyzed on a case-by-case basis.
Dr. Zhang Zhiying is in a free clinic
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