Watch out for high blood pressure and heart failure

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Patients with high blood pressure should never stop taking beta-blockers without consulting a doctor. A rapid heartbeat or even a heart attack can occur.

Experts speak of hypertension when blood pressure is above a systolic and diastolic value between 140 and 90 mmHg for at least 24 hours. However, the warning signs of hypertension are often not perceived or interpreted by those affected, as is one Patient with hypertension describes directly. This makes regular blood pressure measurement at the doctor, pharmacy or at home even more important. The more those affected know their blood pressure values ​​and, if necessary, receive drug therapy, the more likely it is that consequential damage such as stroke and prevent heart attacks. Anyone who takes a beta blocker to lower blood pressure shouldn’t just stop it on their own if there are side effects or other reasons. It is important to always do this in consultation with your family doctor or treating cardiologist.

Lower blood pressure: what therapies are there?

Beta blocker tablets on an ECG print
Blood pressure lowering medications such as beta blockers should never be stopped independently without consulting a doctor. (Iconic image) © imagebroker / Imago

About three million people in Germany live with high blood pressure, about one in three suffer from it. Over 30 percent of those affected know nothing about their disease, why? Hypertension causes no symptoms or only nonspecific. “You don’t see it and you don’t hear it, that’s the insidious thing about hypertension. That’s why high blood pressure is also called the ‘silent killer'”, as stated by Prof. Dr. Thomas Eschenhagen, a member of the Foundation’s scientific committee. German Heart and Head of the Institute for Experimental Pharmacology and Toxicology at the Hamburg-Eppendorf University Hospital, describes it to the German Heart Foundation. High blood pressure is actually the number 1 risk factor for stroke and heart attack.

88% of those affected who know their high blood pressure can be cured German Heart Foundation. More than three-quarters of patients also achieve blood pressure within the normal range as a result of therapy.

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Blood pressure can be reduced simply by adopting an adapted lifestyle with lots of exercise and healthy Mediterranean diet they are not brought below a value between 140 and 90 mmHg, usually drugs, so-called antihypertensives, are used. These require a prescription and are prescribed by the doctor treating you. Preparations that are noisy German Heart Foundation used in drug therapy for high blood pressure are:

  • Beta blockers, alpha 2 agonists and alpha blockers
  • ACE inhibitors and angiotensin receptor blockers
  • Calcium channel blockers / calcium channel blockers
  • Diuretics (medicines that drain water)
  • Direct renin inhibitors (agents such as irbesartan and candesartan)

Discontinuation of beta-blockers: what to look out for in case of hypertension and heart failure

In many cases, a lower dose of beta-blocker is started at the start of blood pressure treatment, which is gradually increased. As a result, possible side effects can be reduced or avoided. The same is true at the end of beta-blocker therapy: the doctor recommends never stopping the tablets suddenly, but tapering them gradually. The original evening dose gradually reduced to zero over the weeks. Only then should you completely stop taking beta blockers, as is the case with Focus Online practical advice is described.

Suddenly stopping the antihypertensive drug can cause serious side effects such as cardiac arrhythmia, a rapid rise in blood pressure, or even tachycardia. people with one heart failure o a reduced blood supply to the heart muscle (angina pectoris) can also lead to a sudden stop of beta blockers Having a heart attack. The higher the dose of beta blockers originally taken, the greater the risk of side effects Focus online further. Reasons for discontinuing the beta blocker may be drug side effects from ingestion, a drug change, or temporary therapy.

This article contains only general information on the respective health topic and is therefore not intended for self-diagnosis, treatment or medication. In no way does it replace a visit to the doctor. Unfortunately, our editors are not authorized to answer individual clinical picture questions.

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