How To Treat Hypertension?

Hello! Welcome to HCM! I read your question and understand your concern. I would like to explain that your systolic blood pressure is within the highest normal limits, while your diastolic blood pressure is slightly higher. Although the diastolic high blood pressure is not lower risk factor for cardio-vascular disease comparing to high systolic blood pressure, it is indicative of pre-hypertension or hypertension, commonly known as high blood pressure. So treatment (nor pharmacological or/and pharmacological is necessary). First I would recommend to make some modifications to your lifestyle: 1-Salt intake should be limited to approximately 5 to 6 g per day 2-You should avoid caffeine intake as much as you can 3-You should loose some weight. Body-mass index (BMI) should be reduced to 25 kg/m 2 and waist circumferences should be reduced to less than 102 cm in men and less than 88 cm in women. If the above tips don t help reduce your blood pressure to the goal of below 130/90mm Hg, a medical treatment should be started. I would recommend a thiazide diuretic ( hydroclorthiazide) or an ACEinhibitor (enalapril) or ARB class (losartan) instead of numlo 5 for the beginning of the therapy. These are better treatment in first stage hypertension. I also recommend performing some lab tests (complete blood count, kidney and liver function tests, fasting glucose, thyroid hormone levels, blood electrolytes), besides the physical examination and resting ECG, to exclude other causes of secondary high blood pressure before starting the therapy. Hope to have been of help! Greetings! Dr. Iliri