How to treat grade 3 hypertension?

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Ask
Hello doctor. I have high blood pressure, sometimes up to 185/105 mmHg. At such times, my body trembled and urinated a lot. The doctor asked me how should I handle it? I hope you can give me some advice, thanks.
Dao Manh Giang (1957)
Reply
Hello uncle!
According to the Vietnam National Heart Association's 2018 recommendation for diagnosis and treatment of hypertension, hypertension is diagnosed when blood pressure is measured in the clinic with systolic blood pressure 140 mmHg and/or blood pressure Diastolic blood pressure ≥90 mmHg, and hypertension when measuring blood pressure at home when systolic blood pressure ≥ 135 mmHg and/or diastolic blood pressure ≥ 85 mmHg. The classification of hypertension when measured at the clinic is as follows:

Untreated chronic hypertension can cause complications on various organ systems including the heart (left ventricular hypertrophy, angina/myocardial infarction, heart failure, arrhythmia), chronic kidney disease , peripheral vascular disease, eye and brain retinopathy (ischemic stroke, hemorrhagic stroke, and hypertensive encephalopathy or transient ischemic attack).
Thus, if you have grade 3 hypertension or you have severe episodes of high blood pressure (if it was previously grade 1 or grade 2 hypertension), your risk of complications from hypertension is quite high. Whether you are currently being treated for high blood pressure or not, you should go to the hospital for a personal and family history, a physical exam, and laboratory tests to determine the cause. For patients with secondary or primary hypertension, assess cardiovascular risk factors, target organ damage, and comorbidities to stratify risk. From there, there will be an appropriate treatment regimen for him, including lifestyle changes, dietary regimens and oral medications.
Hospitals under Vinmec Health System have modern facilities and many cardiologists, qualified to diagnose and treat him well. Wish you well!
Thank you for your question to Vinmec Health System. Best regards!
Pharmacist Cao Thanh Tu - University pharmacist - Faculty of Pharmacy - Vinmec Times City International General Hospital.