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Long-term ingestion: high blood pressure usually do not cure, but in the long run needs to be treated. That is, taking the pills regularly and over a longer period of time. Lifestyle changes are important: medications alone are often not enough. A healthy diet with low salt consumption, regular physical activity, weight loss if Overweight, and avoiding tobacco and alcohol assist in the treatment tremendously. Regular checks Of blood pressure should be measured at regular intervals, to verify the effectiveness of the medication and the dose adjusted if necessary. Conclusion There is no single best pill for high blood pressure, however, a variety of effective options that can be selected by a doctor individually. The combination of modern medicine and a healthy life style and provides the best protection against the dangerous consequences of hypertension. 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According to the WHO, approximately 17.9 million people to the consequences of diseases of the cardiovascular system die each year — the equivalent of nearly 30 % of all deaths. In this context, the movement therapy is gaining as a preventive and rehabilitative measure, is becoming increasingly important. Movement therapy is not an easy sport programme, but a personalized, medically-supervised training plan. Your goal is to stabilize the heart and circulatory function, increase physical performance and improve the overall well-being of the patient. Especially in the case of diseases such as coronary heart disease, congestive heart failure or arterial hypertension regular dose of exercise can make a substantial contribution to the improvement of the quality of life. What are the forms of movement therapy are particularly effective? Among the tried-and-tested methods: Endurance exercise (e.g., walking, Cycling, Swimming): promotes the cardiac output and lowers blood pressure. The intensity is graded according to the maximum oxygen consumption (VO₂ max) or maximum heart rate. Strength training with low Weights: strengthens the muscular system and assists in the metabolism without excessive strain on the circulatory system. Relaxation exercises and breathing techniques to: reduce Stress, which is considered to be a risk factor for cardiovascular diseases. Coordination training: helping elderly patients to improve balance and falls prevention. Important principles of therapy A successful movement therapy follows strict medical rules: Individual adjustment: each Patient receives on his illness, his age and his physical Constitution, tailored Plan. Gradually increase the load slowly and controlled to avoid excessive demands. Regularity: at least 3-4 Training sessions per week, 30-60 minutes is ideal. Medical Surveillance: in particular, in the initial phase, the heart rate, blood pressure, and possibly an ECG is monitored continuously. Effects of exercise therapy Studies show that patients who regularly participate in an exercise program, results in significant improvements: Reduction in Resting heart rate and blood pressure Improvement in blood lipids (lowering LDL cholesterol, increase HDL‑cholesterol) Reducing body fat and weight regulation Increase in insulin sensitivity (lower risk of diabetes) Mental relief: reduction of Stress, anxiety, and depression Challenges and perspectives Despite the evidence of efficacy, many patients encounter in the initial movement therapy on barriers: lack of Motivation, lack of time or fear of Overload. Here it is important that patients fully educate and support you through group training, supervision by a physiotherapist and digital Support services. In summary: exercise therapy, disease is not a Replacement for medication or surgery, but an important pillar in the prevention and Rehabilitation of cardiovascular disease. 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