Prehypertension Treatment - Natural home remedies to manage prehypertension

According to the 7th National Commission for Hypertension Treatment (JNC 7), prehypertension is patients with systolic blood pressure between 120-139 mmHg and / or diastolic blood pressure within 80-89 mmHg. More details: https://www.nhlbi.nih.gov/files/docs/guferences/express.pdf

Does hypertension need treatment?

Prehypertension is not classified as a disease, with such a blood pressure classification will help identify and alert individuals at high risk for hypertension, actively implementing changes to It is recommended that pre-hypertensive patients often do not need to be treated with medication, only need to make lifestyle changes to limit their risk of developing the disease. High blood pressure in the future. However, JNC 7 also added that pre-hypertensive patients with diabetes or kidney disease should start considering medication if they previously failed to control blood pressure to 130/80 or less. by making lifestyle changes. Thus, for individuals with pre-hypertension and without other comorbidities, the main goal of treatment is to reduce blood pressure to normal levels by making lifestyle changes and preventing the progressive increase in blood pressure. pressure.

Treatment of hypertension is recommended by JNC 8:

However, with the 2014 JNC 8 THA recommendation, the definition of hypertension and prehypertension was not mentioned, and experts established thresholds for drug therapy. Include recommendations with the following thresholds:

Recommendation	Population age	The BP level needs to start drug treatment	Target HA level
1	Population ≥ 60 years old	Systolic BP ≥ 150mmHg or Diastolic BP ≥ 90mmHg	Systolic BP <150mmHg Diastolic BP <90mmHg
2	Population < 60 years old	Systolic BP ≥ 90mmHg	Diastolic BP <90mmHg
3	Population < 60 years old	Systolic BP ≥ 140 mmHg	Systolic BP <140mmHg
4	Population ≥ 18 years old	Diastolic BP ≥ 140mmHg Diastolic BP ≥ 90mmHg	Systolic BP <140mmHg Diastolic BP <90 mmHg
5	Population ≥ 18 years old	Systolic BP ≥ 140mmHg Diastolic BP ≥ 90mmHg	Systolic BP <140mmHg Diastolic BP <90 mmHg

The main goal of treatment of hypertension is to achieve and maintain target BP levels, if BP targets are not achieved within 1 month, the initial dose should be increased or a second supplement from one of the recommended drug groups is recommended.


	Lifestyle changes are always the cornerstone of drug therapy

Thus, with this new recommendation, the age of 60 is defined as a boundary to apply for different BP targets, and the BP target is divided into two thresholds <150/90 mmHg and <140/90 mmHg. When a patient's blood pressure exceeds the threshold prescribed for drug therapy, medication should be used to reach the recommended target (no need to change lifestyle first and then use the medication), in addition to implementing lifestyle interventions throughout treatment process. The new recommendation does not define hypertension or pre-hypertension, but the benefit of reducing important health outcomes from clinical studies strongly recommends the drug intervention threshold in the recommendation. Lifestyle changes are always the underlying foundation that goes hand in hand with medication.
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