Patient's question:
My mother has a long history of high blood pressure. In recent years, her blood pressure has reached as high as 200, and she often coughs, experiences facial swelling, and has difficulty breathing. How much harm does this situation pose to her health? What would be the best way to treat it?Doctor's answer:
Patients with hypertension and heart disease, the main treatment principle is to control blood pressure within the normal range. Additionally, medications should be used to reverse left ventricular hypertrophy, such as angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs). Commonly used drugs include enalapril, captopril, valsartan, losartan, etc.Additionally, if heart failure occurs, medications to correct heart failure should be administered, including ACE inhibitors and diuretics. If coronary heart disease is also present, drugs to improve myocardial ischemia are needed, such as metoprolol and sustained-release nifedipine.