Does high diastolic blood pressure require lipid-lowering treatment?

Generally, high "low pressure" refers to elevated diastolic blood pressure. Whether lipid-lowering treatment is needed for high diastolic pressure depends on the underlying cause. If it is caused by hyperlipidemia, then lipid-lowering therapy is necessary; however, if it results from other factors, lipid-lowering treatment may not be required.

Elevated blood lipids, especially increased cholesterol and triglycerides, can lead to atherosclerosis, thereby affecting heart function and indirectly causing elevated diastolic pressure. In such cases, lipid-lowering therapy can reduce the risk of atherosclerosis and thus help lower diastolic pressure. Medications such as lovastatin tablets or bezafibrate tablets may be used under medical guidance.

Adverse emotions can cause abnormal excitation of the sympathetic nervous system, leading to elevated diastolic pressure. In patients with nephritis, kidney damage impairs the excretion of water, sodium, and other substances, resulting in fluid and sodium retention, which increases intravascular pressure and elevates diastolic pressure. These situations are generally unrelated to blood lipids and can usually be improved through emotional regulation and appropriate physical activity.

It is recommended to maintain a diet low in fat and salt and rich in dietary fiber, reduce intake of greasy and high-cholesterol foods, engage in moderate exercise, quit smoking, and limit alcohol consumption.