Do I need to take antihypertensive medication for a blood pressure of 90/150

Blood pressure of 90/150 belongs to the range of hypertension, and whether to take antihypertensive drugs depends on individual circumstances. It is usually recommended to make a decision under the guidance of a doctor. The causes of hypertension include genetic, environmental, physiological, traumatic, and pathological factors, and treatment methods include medication, diet, and exercise management.

1. Genetic factors: Hypertension has a familial tendency, and if there is a history of hypertension in the family, the individual's risk of developing the disease increases. Regular monitoring of blood pressure and early intervention consultation are key.

2. Environmental factors: High salt diet, lack of exercise, long-term stress and other external factors can lead to elevated blood pressure. Reduce salt intake to no more than 5 grams per day; Increase potassium rich foods such as bananas and spinach; Maintain at least 150 minutes of moderate intensity exercise per week.

3. Physiological factors: Age, obesity, sleep apnea, and other self factors can also affect blood pressure. Control weight and maintain a BMI between 18.5-24.9; Improve sleep quality and use CPAP devices if necessary to treat sleep apnea.

4. Trauma and pathological factors: Head trauma, kidney disease, endocrine disorders, etc. may cause secondary hypertension. Timely treatment of primary diseases, such as controlling proteinuria in patients with kidney disease and regulating hormone levels in patients with endocrine disorders. In terms of drug therapy, commonly used antihypertensive drugs include calcium channel blockers such as amlodipine, ACE inhibitors such as enalapril, and diuretics such as hydrochlorothiazide. Specific medication should be adjusted according to avoiding self adjustment of dosage.

Dietary advice: Adopt the DASH diet and increase intake of whole grains, vegetables, fruits, and low-fat dairy products; Reduce intake of red meat, sugar, and saturated fat. Exercise suggestion: Choose aerobic exercise such as brisk walking, swimming, cycling, etc., at least 5 days a week, for 30 minutes each time.

Blood pressure of 90/150 needs to be taken seriously, and comprehensive management is key. Interventions such as medication, diet, and exercise can effectively control blood pressure and reduce the risk of cardiovascular disease. Regularly monitor blood pressure, adjust treatment plans in a timely manner, and ensure a healthy lifestyle.