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41 PRACTICAL QUESTIONS AND ANSWERS ABOUT HYPERTENSION AND HYPERCHOLESTEROLEMIA - 2008

DRUG TREATMENT FOR HYPERTENSION PREVIOUS QUESTION  QUESTIONS  NEXT QUESTION
  • The goal of treatment is to reduce systolic pressure below 140 and diastolic pressure below 90; in some cases (eg. in patients with diabetes mellitus or renal disease) even lower levels of blood pressure are required (systolic blood pressure below 130 and diastolic blood pressure below 80 (see also: "How much should blood pressure be reduced by treatment?"). This means that systolic pressure will be around 120 or 100. Such values of systolic pressure should not be regarded as excessively low even in the elderly. It should be kept in mind that the ideal blood pressure is: systolic pressure below 120 and diastolic pressure below 80 (see also: "What is the ideal pressure?"). Therefore those levels of blood pressure should not generate anxiety or lead to treatment withdrawal.
  • On the other hand, if you observe that low blood pressure is accompanied by symptoms, like a feeling of dizziness or fainting, especially when standing up (a situation called orthostatic hypotension), you should inform your physician.

WRITING GROUP
G. Stergiou, Chairman
A. Achimastos
E. Andreadis
I. Avramopoulos
M. Elissaf
N. Karatzas
T. Mountokalakis
D. Papadogiannis
K. Siamopoulos
E. Varsamis
K. Vemmos
D. Vlahakos