Treatment Goals for Hypertension
It is always good to know what you are aiming for. The doctors from The Seventh Joint National Committee for Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (the JNC-7) worked together to come up with the following treatment goals for high blood pressure3:
- If you have no other cardiovascular risk factors, your blood pressure should be less than 140/90 mm Hg. Do you understand your blood pressure reading?
- If you have diabetes or kidney disease, your blood pressure should be less than 130/80 mm Hg
Diet and Exercise: Where Treatment Starts
You have probably already been advised to change your diet and to exercise more. And if you are like most people, you have probably beaten yourself up a little about not making changes. Give yourself a break. Changing habits is not easy. Most people need to try and try again. So do not give up. It is worth going over again. The ones who love you want you to stick around a long, long time. This will help.
The DASH—Dietary Approaches to Stop Hypertension—diet was developed just to meet the needs of people with hypertension.13 It helps correct most of the risk factors that you can control.3,8
The DASH diet consists of the following:
- Cutting calories
- Reducing your dietary salt
- Increasing the number of fruits and vegetables that you eat and reducing the fat that you eat
- Increasing the exercise you get to 30 minutes a day
- Limiting the amount of alcohol you drink
The DASH diet has been proven to reduce blood pressure in men and women, minority groups, and even in those who do not have hypertension.14 Get your own copy of the DASH diet.
Adding exercise also helps. Even people with severe hypertension can benefit from moderate aerobic exercise.15 Some examples of this kind of exercise are16
- Bicycling
- Dancing
- Golfing
- Walking
The important thing is to find an exercise that works for you—or that you might even enjoy.
Medicines Used to Treat High Blood Pressure
For many people, even though they have tried, diet and exercise alone did not lower their blood pressure enough.3 There are a number of medications healthcare professionals use to treat high blood pressure.7 Sometimes more than 1 will be used at a time. Here is a quick review of the different types, starting with 1 of the most common:
- Diuretics—also known as "water pills"—help the kidneys get rid of the salt and excess water that keep your blood pressure high
The following drugs reduce blood pressure7 in 3 different ways:
-
Stop hormones from narrowing your blood vessels. When a hormone called angiotensin II forms in your body, it works to constrict or tighten your blood vessels. These drugs work either by preventing angiotensin II from forming or by blocking it from working.7
There are 2 types of these drugs.7
- ACE inhibitors—"ACE" stands for angiotensin-converting enzyme, a chemical compound that forms in your body. ACE helps create a protein called angiotensin II, which causes your blood vessels to constrict. This raises your blood pressure. ACE inhibitors prevent angiotensin II from forming, which prevents harmful effects on blood vessels. ALTACE® is an ACE inhibitor. Learn more about ALTACE®
- ARBs—also known as angiotensin receptor antagonists. Instead of preventing angiotensin II from forming, ARBs block it to keep it from working
- Reduce nerve impulses to the heart or blood vessels.7
- Alpha-blockers reduce the effect of nerve impulses to blood vessels, allowing the vessels to relax and let blood pass through more easily
- Beta-blockers also reduce the effect of certain nerves. This helps your heart beat more slowly, which lowers your blood pressure and makes your heart work less hard
- Alpha-beta-blockers combine the effects of both beta-blockers and alpha-blockers
- Nervous system inhibitors control impulses from nerves and relax blood vessels
- Work on the muscles in the heart or blood vessels.7
- Calcium channel blockers prevent calcium from entering heart and vessel cells, which lets vessels relax
- Vasodilators also relax muscles in the blood vessel wall
More
- Learn about your cardiovascular risk
- Learn about ALTACE®
















