11/28/2012

Hypertensive patients with accident how to do?

The majority of hypertensive patients in the autonomic nervous system is in an unstable state, therefore, the irascible temper urgent with fast heart rate, etc.. Especially in the early hypertension in adults, the autonomic nervous system more unstable, mood a bit excited, blood pressure will rise. While the elderly hypertensive patients due to the environmental adaptability is poor, the regulation of autonomic nerve system disorders, are also prone to blood pressure rises.

The hypertensive patient in emotion, should be timely and self monitoring of blood pressure. Due to individual differences, each hypertensive patient blood pressure changes in the self feels different: some people feel nothing or only mildly palpitation, dizziness, headache, while others feel dizzy, nausea, vomiting, tinnitus, cold limbs. Once the blood pressure rises, immediately oral a short-acting antihypertensive agents ( such as nifedipine, captopril ), to prevent accidents. If blood pressure is not lower, should go to hospital in time.

After the meal, feel suffocated

Hypertension patient after a meal or express as if suddenly feel flustered, breath, chest stuffy pain, emergency measure blood pressure, if up to 180/100mmHg above, should be considered in coronary insufficiency. Because after a meal of gastrointestinal blood flow increased, or after exercise limb blood flow increase, will cause the coronary arteries relative to insufficient blood supply, causing angina. The angina pectoris patients in a state of tension, irritability of the stress state, so the pressure will be relatively rise.

At this time, should immediately sublingual nitroglycerin a sublingual isosorbide dinitrate, can also be a. Due to high blood pressure will cause reflex vasoconstriction, so it should be used to treat angina, and blood pressure lowering drugs, such as sustained release diltiazem. Even if in containing two tablets nitroglycerin after chest still without remission, patients should be to the hospital emergency receiving ECG examination, to rule out myocardial infarction, arrhythmia and other diseases.

Midnight wake not prostrate

When hypertension patients progress to a certain extent, intracardiac pressure will gradually increase, the blood from the left atrium into the left ventricle is gradually blocked, patients with left atrial change. The clinical manifestations of early, patients can be asymptomatic; along with the blood pressure rising, increasing age, the patient will be upstairs and shortness of breath, chest tightness shortness of nocturnal paroxysmal, inability to lie flat and must sit; further development, may cause myocardial contraction asthenia, the heart is large, slightly active feeling of dyspnea, even the days are not prostrate, general dropsy.

In this case, description of the patient's heart already involved. At this time, should immediately sublingual nitroglycerin or oral isosorbide dinitrate, and measurement of blood pressure. At the same time can reduce the load on the heart of oral captopril and carvedilol. Increased heart rate, can also choose to beta blockers, such as metoprolol. If the patient of this breath at night often occurs, should go to hospital for examination ultrasonic heartbeat.

In hypertensive patients, to change their previous bad habits; develop a regular daily life, exercise. We should strengthen the therapeutic work, adjust the diet is also important; diet should be light, less salt and less fat less greasy, quit alcohol limit pressure reduction.



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