Dangers of active treatment of arterial hypertension
Excessive lowering of blood pressure can increase the risk of cardiovascular and General mortality. This trend is most pronounced among elderly and senile patients. One of the dangers of this decrease is orthostatic hypotension and syncope. Among all the causes of syncopal States, cardiovascular factors are the most dangerous. Orthostatic hypotension is diagnosed when systolic blood pressure decreases by 20 mm Hg and/or diastolic blood pressure decreases by 10 mm Hg and more after 3 minutes of standing. Diagnosis of orthostatic hypotension includes a tilt test, video recording of morning spontaneous episodes of orthostatic disorders at home. In the treatment of orthostatic hypotension, priority is given to non-drug methods, in some cases, it is possible to prescribe medications.