What is the risk of treating a patient’s hypertension too aggressively?

Treating a patient’s hypertension too aggressively can lead to hypotension, which is characterized by abnormally low blood pressure. When blood pressure is lowered excessively, important organs might not receive adequate blood flow, potentially resulting in symptoms such as dizziness, fainting, or shock. This situation may also cause a cascade of complications, especially in individuals who have not adapted to the lower pressure or who may already have compromised circulatory systems.

In addition to hypotension, excessive blood pressure lowering can lead to other serious complications. For instance, while severe drops in blood pressure may lead to a risk of hemorrhage or myocardial infarction in certain vulnerable populations, these consequences are secondary to the immediate effects of hypoperfusion caused by hypotension. Recognizing and managing blood pressure appropriately is crucial because overly aggressive treatment can yield more harm than benefit, further affirming the importance of individualized treatment goals in managing hypertension.