Postmenopausal women how to treat hypertension

Women after age 50, ovarian function began to decline, estrogen levels decline ( estradiol ), menstrual gradually cease, the incidence of hypertension is also on the rise, so, how should treat postmenopausal hypertension? Mainly from the following three aspects of treatment:

Non drug treatment:

Postmenopausal women with hypertension should be eating light, restriction of salt intake. Weight of obesity or overweight, should limit fat intake, appropriate exercise, increased physical activity, at the same time to relax the mood, to keep the psychological balance. Mildly elevated blood pressure patients to not to use drugs. As examples of the hung, can first take some regulation of autonomic dysfunction, sleep medicine, and observed for 3 months to half a year. Some patients in the relief of menopausal symptoms, blood pressure will gradually decline.

Effect of antihypertensive drug:

, in patients with severe hypertension, or mild hypertension but has been complicated by heart, brain, kidney and other organ damage in patients taking antihypertensive drugs, need. Postmenopausal hypertension showed volatility increased, with higher systolic blood pressure, accompanied by palpitations, chest discomfort and other symptoms. Drug therapy for the purpose of reducing blood pressure, blood pressure level to reach the sign ( bp<140/90 mm Hg ), long-term goal is to reduce the heart, brain, kidney and other target organs damage. At present, postmenopausal hypertension treatment principles and common hypertension are basically the same, the doctor will be according to the specific circumstances of the patients, individualized treatment, clinical less commonly used drugs: beta blockers, angiotensin converting enzyme inhibitors ( ACEI ), and calcium ion antagonist drugs ( CCB ). If blood pressure is not achieved, the doctor will give patients combined with low dose diuretics.

Estrogen replacement therapy:

Decreased levels of estrogen, can make the beneficial effect of vascular regulation weakened, causing high blood pressure. Estrogen replacement therapy can reverse or slow the women with menopausal estrogen replacement therapy may increase breast cancer and endometrial cancer incidence. Therefore, estrogen application must be used under the guidance of doctors, and regular follow-up.

At present, the new argument that, with phytoestrogens can replace endogenous estrogen. Plant estrogen is the main component of isoflavones and lignans, they can significantly improve menopausal metabolic disorder, also can reduce breast cancer and endometrial cancer. Wheat, oats, soy foods and soy containing higher plant estrogen. Japanese scholars have found, in postmenopausal Japanese women hypertension have less, may be associated with Japanese women from the beans in the food intake of phytoestrogens are.

Postmenopausal women not only need to lower the blood pressure, but also adjust the autonomic nerve function disorder.