symptoms hypertension


Malignant symptoms hypertension and accelerated hypertension are two emergency conditions that must be treated immediately . both conditions have the same outcome and therapy. However malignant symptoms hypertension is a complication of hypertension characterized by the very high high blood pressure of the blood, and means damage to the eyes, brain , lungs and / or kidneys. differs from other complications of symptoms hypertension, because it is accompanied by papillae . ( Papillary Eye) systolic and diastolic high blood pressures are usually higher than 240 and 120, respectively . While the accelerated blood pressure headache is a condition with high blood pressure , we target organ damage in the background that hemorrhage in a flame , or soft exudates , but without papillae .

There are two things . Hypertensive emergency and hypertensive emergency . In hypertensive emergency we do not see a target organ damage while in an emergency is target organ , with The systolic high blood pressure greater than > 220 . Now depending target organ damage that will decide whether you hypertensive emergency or urgent . It is essential to reduce High blood pressure in hypertensive emergency immediately if any urgent need to lower blood pressure headache quickly , it is required .

Symptoms of treatment of malignant symptoms hypertension

Pathogenesis of malignant symptoms hypertension is fibrinoid necrosis arterioles and small arteries. Red blood cells are damaged flow in the vessels obstructed by fibrin deposition , resulting in microangiopathic hemolytic anemia. other pathological process is the expansion of the cerebral arteries resulting in an increased blood flow to the brain , leading to The clinical manifestations of hypertensive encephalopathy . common more common in men than over 40 years and is age women. Blacks have a higher risk of developing hypertensive emergencies than the general population .

Target organs are mainly the kidneys, central nervous system and the heart . Therefore , the symptoms Malignant symptoms hypertension is oligurea , headache , vomiting , nausea, chest pain, difficulty breathing, paralysis , impaired vision. more commonly heart and central nervous system are involved in malignant symptoms hypertension . The pathogenesis is not fully understood. Up to 1 % of patients with essential symptoms hypertension develop malignant symptoms hypertension, and The reason why some patients develop malignant hypertension while others are not unknown . Other causes include any form of secondary symptoms hypertension , cocaine , MAOIs , blood pressure headache, or oral contraception , beta -blockers, or alpha- stimulants. kidney Artery stenosis , withdrawal of alcohol, pheochromocytoma { most pheochromocytoma can be localized using CT adrenals } , aortic lactation , complications of pregnancy and oldster secondary causes of symptoms hypertension. main Surveys access to achieving full target organ kidney profile , BSR, a chest radiograph , ECG, echocardiogram , CBC , thyroid
Functional tests .

management :

The patient is admitted to the intensive care unit . an intravenous taken for fluids and medications. The initial goal of therapy is the decrease in mean arterial high blood pressure of approximately 25 % during the first 24-48 hours. However hypertensive emergencies are not need to be admitted to hospital . The goal of treatment is reduce blood pressure in 24 hours , which can be achieved outpatient . Initially, patients treated for malignant symptoms hypertension are instructed to fast for stable. Once stable, all patients with malignant symptoms hypertension should have a diet low in salt, and the diet should focus on weight loss. Activity is limited to bed rest until the patient is stable. Patients should be able to resume normal activity as outpatients Once your high blood pressure is controlled .

Hospitalization is essential until the severe symptoms hypertension the blood pressure headache
is controlled . Drugs administered intravenously online , such as nitroglycerin , nitroprusside , or others, may
reduce high blood pressure. An alternative for patients Renal failure is fenoldopam IV. Beta- blockers may be accomplished intravenously with esmolol or metoprolol . labetalol is another common alternative symptoms hypertension , making the transition from IV for oral (PO ) dosing . Parenteral malarial are also available, diltiazem , verapamil , hydrolyzing is intended for use in pregnant women and also increases uterine profusion all phentolamine is the drug of choice for pheochromocytoma crisis. After high blood pressure was Control usual antihypertensive drugs by mouth can control your blood pressure. The medication may be necessary
adjusted from time to time.

Symptoms of treatment of malignant symptoms hypertension

Remember that it is very necessary to control malignant symptoms hypertension , otherwise it can lead to life-threatening diseases such as heart failure , myocardial infarction , renal failure and even blindness.

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