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Why can't elderly people's high blood pressure be reduced?

Feb 28, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Persistently high blood pressure in the elderly that remains difficult to lower may be caused by factors such as significant emotional fluctuations, unhealthy lifestyle habits, or irregular medication use. Additionally, it could be due to heart failure, in which patients may experience symptoms including high blood pressure, shortness of breath, and generalized weakness. It is important to seek timely, targeted examinations at a正规 hospital to avoid delays in treatment. In daily life, a light diet should be maintained, with increased intake of fresh vegetables and fruits.

Consistently high blood pressure in elderly individuals that remains difficult to lower may be caused by significant emotional fluctuations, unhealthy lifestyle habits, irregular medication use, and other factors.

1. Significant Emotional Fluctuations

Persistent high blood pressure in the elderly may result from excessive physical exertion or severe emotional stress. In such cases, it is important to remain calm and eliminate sources of excitement or agitation. Re-measuring blood pressure after calming down typically shows normalization, and special treatment is usually not required.

2. Unhealthy Lifestyle Habits

Poor lifestyle habits such as an unbalanced diet and chronic sleep deprivation can contribute to persistently elevated blood pressure in older adults. Therefore, it is essential to adopt healthier daily routines, including a low-salt, low-fat diet, adequate rest, and avoiding overexertion.

3. Irregular Medication Use

In most cases, uncontrolled high blood pressure in the elderly is due to inconsistent medication schedules, missed doses, or forgetting to take prescribed drugs. Patients should consult their doctors to possibly adjust or switch medications and must adhere strictly to prescribed regimens—never stopping or reducing medication without medical advice. If secondary hypertension is suspected, patients should seek medical evaluation and undergo appropriate diagnostic tests.

In addition, heart failure could also be a contributing factor, presenting symptoms such as high blood pressure, shortness of breath, and general fatigue. It is crucial to visit a正规 hospital for targeted examinations to avoid delays in treatment. Maintaining a light diet and consuming more fresh vegetables and fruits are recommended in daily life.



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