The old man suit antihypertensive beware of hypotension

China's traditional Chinese medicine to

        The 72 - year - old Chen big ye up the toilet, suddenly felt a whirl, then fell to the ground. By his family rushed to a nearby hospital rescue, intracranial hemorrhage, fortunately found serious survived. Classics doctor is diagnosed, leading to a big ye result shows the "culprit" is orthostatic hypotension. "Father with hypertension, have been taking nifedipine, how can have" hypotension '?" The son of the big ye Chen looked puzzled.

        The expert points out, although "hypertension combined orthostatic hypotension" at first sound is a "contradiction" concept, however, according to the survey, 70 years or older with high blood pressure patients, nearly 30% of orthostatic hypotension is merged. Therefore, elderly hypertensive patients taking blood pressure drugs at the same time, must think of merger orthostatic hypotension may.

        General hospital of guangzhou military command elderly cardiovascular disease section head XieZhiQuan said, high blood pressure patients should be under the guidance of a doctor to use, decompression should comply with smooth, moderation, and long-term, individualization principle:

        1. Elderly hypertensive patients don't decompression aim too low to high blood pressure, merger orthostatic hypotension in patients with systolic blood pressure control in 130 ~ 150 MMHG the most appropriate, unfavorable decompression excessive.

        2. In the antihypertensive medications choice, appropriate chooses long-term preparation, such as angiotensin converting enzyme inhibitors, angiotensin receptor blockers, long-term calcium channel blockers. Alpha blockers (such as terazosin, etc.) easy to induce orthostatic hypotension to occur, Some blood pressure drugs such as diuretics, not two hydrogen pyridine class calcium ion blockers (such as verapamil, etc.) to orthostatic hypotension adverse.

        3. Elderly hypertensive patients is recommended to use tracking 24-hour blood pressure change, but according to blood pressure change rule targeted drug choice. If the patient appears after decubitus high blood pressure, can choose the short-term or effect of anti-hypertensive drugs, in recumbent position before the break medication. If patients after getting up appear low blood pressure, can take hydrochloric acid midodrine booster.

        4. Antihypertensive drug taking time is generally recommended that in the morning on an empty stomach take warm water. LiJin remind, two hydrogen pyridine classes of antihypertensive agents (such as nifedipine) can't and grapefruit juice or grapefruit also take. Because grapefruit juice contains furan coumarin derivatives, this kind of material can make drugs in blood concentration increased drug effect is strengthening, and some will also appear to speed up the heart rate, blood pressure and other adverse reaction. If patients with recurrent drink grapefruit juice, had better stop drinking 3 days before taking the drugs. In addition, in order to prevent the occurrence of orthostatic hypotension, had better sit suit antihypertensive medication, don't lie. (MoGuanTing XieYinLong)