Therapy of hypertension

The aim of any type of therapy for high blood pressure is to reduce the risk of secondary diseases. Therefore, a normal blood pressure of belw 140/90 mmHg is usually sought, in the case of patients with diabetes mellitus II (diabetes which is often caused by age and an unhealthy lifestyle) below 140/85 mmHg, and in the case of renal disease below 125/75 mmHg. The treatment takes place regardless of the noticeable complaints, because the high blood pressure initially exhibits no symptoms.

The medical treatment decisions take into account not only the level of blood pressure but also the overall risk profile, i.e. the sum of the individual risk factors of the patient for cardiovascular disease (e.g. obesity, diabetes and events such as a heart attack or stroke in the anamnesis).

Consistency is important
Remember, even if you have no complaints, in the end, untreated high blood pressure leads to more or less harmful damage to your body. By the time your notice it, this damage is usually irreversible. Treated in time, you can get the risk associated with high blood pressure under control. To this end, it is usually necessary to carry out life-long therapy. If needed, your motivation (compliance) can be improved through individual and group interviews as well as doctor-patient seminars. The success of the therapy, i.e. the drop in blood pressure must be checked regularly by the doctor and the medication may be adjusted. By adhering to a healthy lifestyle, you can keep the dosage of the active substances as low as possible.

For monitoring the therapy, in addition to the regular measuring of blood pressure by the doctor, self-monitoring and 24-hour blood pressure monitoring at-home (during the activities of the day and during sleep at night) have developed into an important supplementary method of measurement. Patients who measure their blood pressure themselves, should receive a detailed briefing relating to the measurement technique.