Causes and treatments of postural hypertension

Hypertension is a very common disease in many people. In clinical practice, postural hypertension is a common classification. So, what are the causes of postural hypertension?

Causes of postural hypertension:

The mechanism of orthostatic hypertension is generally believed to be related to the overfilling of the "gravity vascular pool" of the veins and venous sinuses.

The veins and venous sinuses below the horizontal plane of the human heart will swell when affected by the gravity of the blood. These veins or venous sinuses are called "gravity vascular pools" in medicine. These vascular pools are not affected when a person lies flat, but when standing or sitting, the blood flow back to the heart is reduced due to the excessive blood stagnation in the venous vascular pools in the sagging parts, which reduces the cardiac output, leading to overexcitement of the sympathetic nerves, and the small blood vessels throughout the body, especially the small arteries, are in a state of contraction or spasm for a long time, causing increased blood pressure. Some people are particularly sensitive to this reaction, so they can develop postural hypertension.

Treatment of postural hypertension:

Another prominent problem with orthostatic hypertension is that its pathogenesis is different from that of general hypertension, so the treatment methods for general hypertension cannot be used to treat orthostatic hypertension. Experiments have shown that the use of diuretics not only cannot lower blood pressure, but will stimulate blood pressure to rise further. Therefore, the treatment of orthostatic hypertension is mainly to strengthen physical exercise and increase the fullness of muscles. Generally, medication is not required. For those with obvious individual symptoms, appropriate amounts of neurological function regulators (such as oryzanol, etc.), central and peripheral nerve nutrition agents (such as brain rehabilitation, vitamins, inosine and related Chinese medicines), and tranquilizers can be taken.

Orthostatic hypertension generally has a good prognosis and no long-term adverse consequences. Therefore, if a person is found to have elevated blood pressure during an outpatient examination, it should be determined whether it is orthostatic hypertension to avoid unnecessary or incorrect treatment measures that affect the patient's physical and mental health.