This is an automatically translated article.
The article is professionally consulted by Master, Doctor Pham Van Hung - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.
In cardiovascular diseases, a hypertensive crisis is one of the risks leading to many dangerous and life-threatening complications. The formation of a hypertensive crisis due to many different causes, in which the subjectivity of the patient is an important factor.
1. What is paroxysmal hypertension?
Paroxysmal hypertension is a sudden increase in blood pressure readings that are very high above normal and have serious consequences for many organs of the body at a time when blood pressure is high. Systolic blood pressure usually rises above 180 mmHg and diastolic blood pressure usually rises above 120 mmHg.When blood pressure rises suddenly and has symptoms such as headache, chest pain, dizziness, "flying", shortness of breath, vomiting, fatigue accompanied by a hypertensive crisis. paroxysmal pressure.
It can cause many dangerous complications such as: cerebral vascular revascularization, acute pulmonary edema, heart failure, angina... very life-threatening if not promptly given emergency care. Therefore, timely treatment and especially preventive measures for high blood pressure are essential.
Trắc nghiệm: Bạn có hiểu đúng về huyết áp cao không?
Huyết áp cao còn được gọi là kẻ giết người thầm lặng vì bệnh thường không có triệu chứng. Thiếu hụt kiến thức về huyết áp cao có thể làm cho tình trạng bệnh trở nên trầm trọng hơn. Dưới đây là những câu hỏi trắc nghiệm vui giúp bạn hiểu đúng về bệnh cao huyết áp.2. Subjects prone to paroxysmal hypertension
First of all, there are people who have not been examined for a long time and have high blood pressure for a long time but do not know it and only when there is a hypertensive crisis, it will be detected. Unfortunately, which can accompany a hypertensive crisis are severe manifestations such as acute pulmonary edema due to left heart failure or signs of cerebrovascular rupture such as coma or hemiplegia...Hypertension Blood pressure is a common disease in the elderly and young people but with obesity, people with diabetes, dyslipidemia should measure blood pressure periodically, 3-4 times a year to detect increased blood pressure. blood pressure. Normal people who have a feeling of headache, heavy face, hot flushes, and rapid heart rate should also measure blood pressure so that they can detect hypertension in time.
Paroxysmal hypertensive crisis also occurs in people with high blood pressure but not on full drug treatment as directed by the doctor or being treated but suddenly stopped the drug. It can also be seen in hypertensive patients who are treated with drugs, but these antihypertensive drugs have insufficient effect and are not adjusted in time because the patient does not return to the doctor's examination as directed by the doctor.
Paroxysmal hypertensive crisis can also occur if the patient experiences strong mental trauma or when there are sudden changes in weather or climate (magnetic storms) despite adequate drug treatment. before.
In addition, cases of hypertension that have a cause but are not detected or are not properly diagnosed are also susceptible to a hypertensive crisis. Antihypertensive drugs only temporarily lower blood pressure, and there are times of the day when antihypertensive drugs do not control blood pressure readings. Among the causes of hypertension, adrenal tumors causing Crohn's syndrome and Pheochromocytoma or renal artery stenosis are the most common.
3. Dangerous complications of paroxysmal hypertension
The most common complication of paroxysmal hypertension is acute left-sided heart failure (both left ventricle and left atrium), which causes the patient to develop acute pulmonary edema at the same time.Paroxysmal hypertension can lead to rupture of cerebral blood vessels, causing focal neurological signs such as hemiplegia, hemifacial paralysis and/or pharyngeal muscle paralysis, making it difficult for the patient to speak and swallow.
More seriously, the patient can become comatose in the first hours, leading to disability or more dangerously death.
Paroxysmal hypertension can lead to aortic dissection. The inner and middle layers of the aorta of people with hypertension are often atherosclerotic, when the sudden increase in pressure on the artery wall due to high blood pressure can crack and rupture the inner and middle layers of the artery wall. motherboard. From there, blood will flow into the fissures causing aneurysm and dissection of the aorta.
Paroxysmal hypertension is one of the causes of acute renal failure.
Permanent blindness is also a consequence of paroxysmal hypertension, which is heavy bleeding in the fundus and rupture of the central retinal artery when blood pressure rises too high and suddenly.
4. Prevention
Maintain a reasonable weight Eat healthy Increase exercise and sports Limit the use of stimulants Rest, relax Take medicine exactly as prescribed by the doctor Vinmec International General Hospital currently offers two Packages Hypertension check-up helps customers choose: Basic Hypertension Checkup Package and Advanced Hypertension Checkup Package.Comprehensive and professional medical examination, consultation and treatment services; System of modern equipment, supporting effective diagnosis and treatment; Modern, civilized, luxurious and sterile space for medical examination and treatment.... Vinmec International General Hospital is the perfect address to take care of your health and that of your loved ones.
Master, Doctor Pham Van Hung has 30 years of experience in examination and treatment of internal diseases, especially in Cardiology: coronary arteries, heart failure, heart valves, arrhythmias. ..Master, Dr. Hung used to hold the position of Deputy Head of Cardiology Department and Head of Interventional Cardiology Unit at Da Nang General Hospital and is currently working at Department of Medical Examination and Internal Medicine, Internal Cardiology, and Cardiology. Interventional circuit at Vinmec Da Nang International General Hospital.
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