Hypertension is a disease with a high prevalence among the adult population. Pathology is characterized by an abundance of clinical manifestations and significantly increases the risk of cardiovascular complications in the form of heart attack and stroke. For this reason, treatment should be correctly selected by a specialist, and its effectiveness should be constantly monitored. And this publication will address important issues for the patient, for example, which doctor treats hypertension, how to prescribe treatment and how to track it, whether there is an effective therapy without taking drugs.
Specialist choice
Arterial hypertension in different categories of patients is treated with its own set of drugs, which must be selected by a specialist doctor. Doctors of many speci alties can successfully perform this task, among whichtherapist, cardiologist, general practitioner. In the case of a severe neurological complication, the main role in the treatment is played by a neurologist, who is engaged in the correction of lost or extinct functions, while the task of the therapist is to treat hypertension.
But if we consider the question of which doctor treats hypertension, then regardless of the place where it is carried out, the therapist will be the main specialist. In an outpatient setting, this is a general practitioner or a district therapist. No other specialist will be able to treat hypertension more competently and competently and prevent its complications.
WHO position on hypertension
The World He alth Organization notes that as of 2018, 1.5 billion people in the world suffer from arterial hypertension. Experts emphasize the fact that only 55% of patients are diagnosed with hypertension and appropriate treatment is prescribed. About 675 million people in the world either suffer from arterial hypertension and do not take medications, or are unaware of an increase in pressure, or deliberately refuse to consult a doctor and profile treatment.
WHO is constantly running an information campaign aimed at attracting people to this problem. For this reason, every 2nd Saturday in May, World Hypertension Day is celebrated worldwide by the organization. Then you can get an affordable consultation of a specialist without a visit tohe alth care institutions, familiarize themselves with the rules for measuring and controlling blood pressure. This is necessary to attract the attention of patients and those people who have not yet seen an increase in blood pressure due to its asymptomatic course.
World Hypertension Day is also an attempt to simultaneously explain to a large mass of people that pharmacological therapy is not always required for treatment. Some of the recommendations that are effective in reducing blood pressure are general he alth measures. And to practice them means to increase the duration or comfort of your life.
Outpatient diagnosis and treatment
Patients who have been diagnosed with a persistent increase in blood pressure or have applied to an adult clinic need to undergo a series of diagnostic procedures. Among them are ECG and daily monitoring of blood pressure, which will determine the average, maximum and minimum blood pressure values. Also, the patient needs to keep a blood pressure diary, in which, according to the instructions received from the doctor, he will note the results of his measurements.
If, as a result of the diagnosis, a diagnosis of hypertension of the 1st degree is made and complications and lesions of target organs are not determined, the treatment will consist of general he alth measures, the rejection of bad habits. Patients who have difficulties with visits to polyclinic organizations can call the therapist at home. This opportunity should be used as efficiently as possible and not abused only because ofimaginary severity of the condition or outright laziness of the patient.
Treatments in the treatment of hypertension
If a diagnosis of hypertension of the 2nd and higher degrees or 1st degree with the presence of target organ damage is diagnosed in the polyclinic for adults, it is necessary to prescribe drug therapy. In the vast majority of cases, it should be used constantly throughout life, since it is impossible to correct blood pressure numbers once and for all with drugs. They act on the enzymatic and hormonal mechanisms of pressure regulation, and therefore the time of their action usually does not exceed 24 hours.
After they are removed from the body, the same system that is responsible for increasing the pressure is activated again, and the patient will feel the symptoms of hypertension. Understanding that drugs only work for a limited period of time, and that they need to be taken consistently as directed by a physician, is a major key to successful disease control. It does not matter which doctor treats hypertension in a particular patient, because a well-chosen scheme will always help to cope with high blood pressure numbers.
Cooperation with a therapist
The patient should help his doctor, and not interfere and mislead, the result of which is always the selection of an ineffective treatment regimen. It is necessary to adequately convey to the specialist information about when and to what numbers the blood pressure rises, what symptoms it accompanies. And if the treatment regimen selected for the first time did not work or its effectiveness is not enough, you do not need to make an appointment with a cardiologist, assuming that this specialistwill select a more effective treatment.
This is a mistake, because by working with your therapist, you can find an effective combination of drugs much faster. A cardiologist treats heart failure and complications of hypertension, such as a heart attack or angina pectoris. In part, combinations of drugs in the treatment of hypertension and CHF are similar, but not equivalent.
Tasks of a cardiologist
In the question of which doctor treats hypertension: an internist or a cardiologist, preference should be given to the specialist who works with a more severe disease in a particular patient. That is, if there is simple hypertension without complications, then it is reasonable to be observed and examined by a therapist. If there is congestive CHF, myocardial infarction, angina pectoris or heart defects, then an appointment with a cardiologist will be required to select a treatment. This specialist will select a combined scheme designed simultaneously for the treatment of hypertension and the underlying disease (heart attack, angina pectoris or heart disease), as well as for the prevention of CHF.
Compliance Issues
Hypertension is a common problem that takes a lot of effort from the medical staff and the patient. And they are spent on the selection of treatment regimens for patients, many of which complicate the work by deliberately refusing treatment or unconsciously making their own modifications to them. This is especially often noted in undisciplined people with a well-established conviction of their own indestructible rightness.
Suchthe patient not only fails to comply with important recommendations, violates the intake of medications, ignores or is distinguished by meager diligence in non-pharmacological treatment, but also interferes with the work of his own doctor. He misinforms the specialist, deliberately or unknowingly misleads by inadequately reporting observations of blood pressure numbers.
Problems in treatment approaches
Any person can call a therapist at home from a polyclinic. But as an undisciplined subject, the patient, having made many mistakes in measuring blood pressure and accepting the values as true, shows them to the doctor. Based on them, decisions are made to modify the therapeutic regimen. And it is completely clear to everyone that if errors occur at the input of information, the basis for the ineffectiveness of this combination of drugs and non-pharmacological measures is immediately laid and immediately implemented.
For the above reasons, new therapies, such as Dr. Shishonin's secrets to treating hypertension, are being received with great interest. But in fact, this specialist does not bring anything fundamentally new, and higher efficiency is achieved only by close integration with the patient. Being with him more often and stopping his initiative, you can really successfully treat hypertension. This is exactly what is observed in any therapeutic hospital, when the patient is given drugs at the right time and excludes any opportunities for self-activity.
However, in both situations, the diagnosis of hypertension prevails after the patientgets home and stops practicing what was picked up and explained with great difficulty. In contrast, disciplined people who really fulfill medical prescriptions and correctly follow Dr. Shishonin's recommendations for the treatment of hypertension without drugs are making progress and note stable blood pressure numbers. It is the understanding that hypertension will not go away and needs constant medication or following the rehabilitation recommendations of Dr. Shishonin, should ensure the maximum effectiveness of treatment.
Disinformation and understatement
Having figured out which doctor treats hypertension, who is involved in the prevention of complications and their correction, and who works for the future, we can draw some conclusions. Firstly, indeed, hypertension requires discipline and strict adherence to the recommendations of a doctor and a rehabilitation therapist. Secondly, it is important to stop getting confused in the concepts and marketing tricks of individual citizens and specialists. Namely, one should stop unreasonably believing in effective treatment without taking pharmacological drugs.
Effective non-pharmacological treatment is possible only for grade 1 hypertension without target organ damage, which occurs at a young age. Such patients can do without drugs by following the rehabilitation principles of Dr. Shishonin or simply by changing their lifestyle by eliminating alcohol consumption, smoking, physical inactivity.
Conclusion and recommendations
In allIn other cases, when a diagnosis of "hypertension" of the 2nd and higher degrees or 1st degree with damage to target organs is made, in addition to the rehabilitation methods of Dr. Shishonin, treatment should include medications. This is necessary at least in order to eliminate the symptoms of hypertension and reduce already high blood pressure, which can cause complications in the form of a heart attack or stroke.
This is the main secrets of the treatment of hypertension from Dr. Shishonin. And being a qualified specialist, he, like the staff of his private clinic, will never say that effective treatment of a serious illness is possible without drugs. Without pharmacological preparations, only effective prevention is possible, which is what Dr. Shishonin's clinic is engaged in. This is a great merit of its specialists, but these techniques should be practiced with an effectively selected drug therapy regimen. Otherwise, it will only be available to patients with grade 1 hypertension without complications and target organ damage.
