Long term high blood pressure of 190-200 requires immediate medical attention and comprehensive treatment measures, including medication, lifestyle adjustments, and regular monitoring. If hypertension is not controlled in a timely manner, it may lead to serious consequences such as cardiovascular and cerebrovascular diseases.

1. Medication therapy
Hypotensive drugs are an important means of controlling hypertension. Common drugs include calcium channel blockers such as amlodipine, angiotensin-converting enzyme inhibitors such as enalapril, and diuretics such as hydrochlorothiazide. Doctors will choose the appropriate medication combination based on the patient's specific condition and adjust the dosage to achieve the best effect. Regular check ups are required during medication to monitor blood pressure changes and medication side effects.
2. Lifestyle Adjustment
A healthy lifestyle is crucial for controlling blood pressure. Reduce sodium intake and keep the daily salt intake below 5 grams; Increase foods rich in potassium, magnesium, and calcium, such as bananas, spinach, and low-fat dairy products. Quit smoking and limit alcohol consumption, avoid excessive drinking, with a daily alcohol intake of no more than 25 grams for men and 15 grams for women. Maintaining moderate exercise, such as walking for 30 minutes a day or doing 150 minutes of moderate intensity aerobic exercise per week, can help lower blood pressure.
3. psychological regulation

Long term stress and mental tension may lead to elevated blood pressure. Relieve stress and maintain emotional stability through meditation, deep breathing, yoga, and other methods. If necessary, seek psychological counseling or treatment to improve the psychological state.
4. Regular monitoring
Home self testing of blood pressure is an important part of managing hypertension. Measure blood pressure at a fixed time every day, record the data, and provide regular feedback to the doctor. Monitoring changes in blood pressure can help adjust treatment plans in a timely manner and avoid excessive fluctuations in blood pressure.
5. Prevention of Complications
Hypertensive patients should regularly check the function of target organs such as the heart, brain, and kidneys to prevent complications. By controlling blood pressure, blood lipids, and blood sugar, the risk of cardiovascular and cerebrovascular diseases can be reduced. If there are any discomfort symptoms such as headache, chest tightness, blurred vision, etc., seek medical attention promptly. The long-term high blood pressure of 190-200 should be highly valued, and comprehensive methods such as medication treatment, lifestyle adjustment, and psychological regulation should be used. At the same time, regular monitoring of blood pressure and prevention of complications should be carried out. Through scientific management and active treatment, blood pressure can be effectively controlled and health risks can be reduced.

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