How is isolated systolic hypertension manifested and treated in the elderly?

1 The inherent symptomatology of

Isolated systolic hypertension manifests itself in different forms. In elderly people, the clinical picture is more pronounced, long-lasting. But there are exceptions, when the symptoms are smeared, and to put the correct diagnosis without a special examination is not possible.

General implicit signs:

• Dizziness;
• Headache attacks;
• Weakness;
• Noises in the ears, head.

If the systole is a long time in high rates, there may be abnormalities from the brain, arteries, liver and kidneys.

With this development, the following symptoms are added to the clinical picture:

• Problems with memory, concentration;
• Visual impairment;
• Violation of coordination;
• Severe pain in the sternum;
• Skin pimple;
• Sweating.

In a patient with ICH, hypertensive crises may occur. They are accompanied by the following symptoms:

• Nausea;
• Vomiting;
• Tachycardia;
• Feeling of heat;
• Acute pain in the heart or colic;
• Coldness of limbs;
• Nervous overexcitation.

Hypertensive crisis is dangerous for life, because there is a risk of acute violation of cerebral circulation, cardiac arrest.

The main cause for concern is the systolic pressure, which, when measured during and , lasts for several days at 140 mm . p t .Art. or more.

High pressure growth can be noted both at night and during the day. In this case, you should immediately consult a doctor and undergo appropriate diagnosis.

2 Causes of the development of the disease

In elderly people, the risk of suffering from an HES is several times greater than that of the younger generation, but this does not mean that there are no other factors contributing to the development of the disease.

Isolated systolic arterial hypertension develops in the elderly due to fragility, loss of vascular elasticity. They contain a lot of compounds of calcium, collagen, elastin. At this age, cerebral circulation, arterial, worsens. But the decisive factors for the development of pathology can serve:

• Improper diet with a predominance of fatty, salty foods in the diet;Lack of calcium, magnesium. These two elements are responsible for important for the heart processes - do not allow clogged cholesterol plaques, improve and support the work of the heart muscles, prevent the deposition of excess salts in the body;
• Obesity. A large organism needs a stronger, faster blood supply to maintain vital functions. To ensure that the diameter of the vessels should increase, but in life it does not happen, eventually the cardiovascular system works under extreme conditions with increased pressure;
• Sedentary lifestyle. In an organism that has weaned from physical exertion, the vessels are weaker, less elastic. Even in old age you need to move, play sports;
• Smoking, drinking alcoholic beverages. Harmful substances in tobacco and alcohol disrupt the work of the vascular system, promote blood clots, increase blood pressure;
• Stress;
• Genetic predisposition. Some people have anatomical features that have a bad effect on the blood supply to the body, the heart, and may lead to hypertension in the future;
• Environmental factor. Residents of cities are more likely to suffer from increased pressure than people living in rural areas;
• Primary diseases. Isolated systolic hypertension is able to develop against the background of diseases of the kidneys, liver, digestive tract, diabetes mellitus.

3 Methods of diagnosis

Before prescribing any treatment, the doctor should examine the patient. First he conducts a conversation, asks about complaints about his state of health, does physical examination. Then a comprehensive examination is appointed:

• Physical examination. With the help of a phonendoscope, the doctor checks the heart for the appearance of noise, monitors the heartbeat;
• Electrocardiogram. ECG allows you to get a paper tape with certain heart rate in time;
• Echocardiography. It provides data on the heart structure, valves;
• Doppler. This type of diagnosis helps to know the exact state of the arteries, the vascular system;Biochemical analysis of blood serum. He gives an idea of ​​the level of sugar, cholesterol in the blood.

4 Medication Therapy

Treatment of isolated systolic hypertension is carried out primarily with the help of drugs.

Patients with a risk of developing a heart attack or someone who has already transferred it, are assigned beta-blockers. They can not be drunk with bronchial asthma, diabetes.

Major beta-blockers against hypertension:

• "Timolol";
• "Pindolol";
• Penbutolol;
• Nebivolol;
• "Nadolol";
• "Metoprolol";
• "Carvedilol";
• "Bisoprolol";
• "Betaxolol".

Potassium antagonists have a beneficial effect on the cardiovascular system, are taken as short courses, have a minimum of side effects. They normalize blood pressure, adjust the heart rate, take care of the blood vessels.

Potassium antagonists in hypertension:

• Adalat;
• "Corinfar";
• "Kordafen";
• "Baypress";
• "Felodip";
• Isoptin;
• "Dilzem";
• "Dilren";
• "Cardil";
• "Unipress".

ACE inhibitors are prescribed for severe kidney and urinary disorders associated with hypertension. They interfere or slow down the defeat of the kidneys, restore the blood circulation of the brain, make the nervous system work.

Treat IOGs with ACE inhibitors:

• Perindopril;
• Captopril;
• "Analapril".

5 Sanatorium treatment, physiotherapeutic procedures

Treatment in a sanatorium positively affects the condition of elderly patients. It protects from stress, creates a favorable atmosphere.

Traditional treatment in a sanatorium is usually accompanied by the following procedures:

• Oxygen cocktails;
• Medication therapy;
• Aromatherapy;
• Phytotherapy;
• Carbonic, sulphide, radon baths;
• Electrosound, laser therapy.

Treatment in a sanatorium will have a positive tendency only if there is a complete rejection of bad habits.

Remember, if you feel unwell, complain about high blood pressure, you should definitely go to a doctor. Timely treatment helps not only to preserve the health of the heart, but also life.