11/18/2012

What are the abnormal situation of hypertension

The body's blood pressure is not always stable in a certain numerical value, but with the environment and time for different seasons change, have the disease of human blood pressure variation is greater, and indicates that the disease is not stable. Hypertension has the following general these abnormal:

A malignant hypertension

Malignant hypertension is hypertension emergency one, it is compared with chronic hypertension and hypertensive crisis between a particular hypertension clinical types. Its characteristics are a start condition is developed rapidly, or after a few years slow development process after the sudden rapid development continuously, blood pressure in 200 / 130 mm Hg, and accompanied by severe retinopathy and renal failure of a class of hypertension, also known as malignant hypertension. It happened some incentive mechanism is to make small temporary sharp contraction, make blood pressure rise sharply, appear a series of symptoms. Patients can appear abnormal excitement, heating dry mouth, sweating, trembling hand tremor, headache, vertigo, tinnitus, nausea and vomiting, blurred vision or temporary blindness. If the patient is the original heart disease, also can appear flustered, chest distress, chest pain, shortness of breath, dyspnea, wheezing cough; such as the patient with cerebrovascular disease, cerebral vascular disease aggravating circumstances can occur.

Malignant hypertension incidence rate is high?

According to relevant statistics, primary hypertension patients about 15% may develop into malignant hypertension. Secondary hypertension can develop rapidly progressive malignant hypertension disease with renal artery stenosis, acute glomerulonephritis, pheochromocytoma. The kidney disease caused by malignant hypertension accounted for more than 50%. The characteristics of this disease is common in the young, some statistics of which 80% for young people, and the predominantly male. The incidence of the characteristics are: severe illness, rapid onset, poor treatment effect, poor prognosis. The past has been reported in most of the patients died within half a year, one year survival rate accounted for only 1020%. But after years of clinical diagnosis and treatment level, the prognosis of this disease has significantly improved, long-term survival rate increased gradually.

In short, the disease is most obvious characteristics, is blood pressure increased rapidly, and is not easy to fluctuate, can be accompanied by a series of symptoms, such as headache and vomiting, dizziness flustered, red excitement. If this happens immediately detect the blood pressure, blood pressure to rise faster, immediate diagnosis and treatment, prevent further aggravate the disease.

B hypertensive crisis

In hypertensive patients the most critical state is a hypertensive crisis. So what is hypertensive crisis?

From the patient's performance, hypertensive crisis is occurring in hypertensive patients in the course of a kind of special phenomenon, which in the original hypertension basis, by certain triggers make a strong peripheral arteriolar spasm, raised blood pressure increased rapidly, thus producing a series of vascular compression performance, and in a short period of time the occurrence of multiple organ or single organ irreversible damage, become a fatal clinical syndrome. The hypertensive crisis can occur in chronic hypertension basis, also can occur in malignant hypertension basis, can occur in patients with primary hypertension, can also occur in patients with secondary hypertension, such as pheochromocytoma, renal parenchymal hypertension high blood pressure disease, pregnancy, renal vascular hypertension, acute aortic dissection hematoma and cerebral hemorrhage.

Then a hypertensive crisis when blood pressure value how many? Generally speaking, the systolic blood pressure at 200 mmHg, diastolic blood pressure of 130 mm Hg, and even higher. Hypertensive crisis, small sharp spasm can cause a variety of organ damage. For example caused by coronary artery spasm angina patients chest distress, sweating, continuous perplexity; cerebral vasospasm caused by hypertensive encephalopathy, can appear have a headache dizziness nausea and vomiting, numbness of limbs or motor and sensory failure; renal artery spasm may present with acute renal failure, appeared oliguria, anuria, edema; vestibular and cochlear artery spasm caused by tinnitus deafness, vertigo, nystagmus, and exercise to lose balance.

Hypertensive crisis is a serious condition, if not treated in time, many adverse consequences, one part person death. Particularly in rural and underserved areas, its mortality rate as high as 70 - 90%, five year mortality 99%. The occurrence of such a situation with patients knowledge of hypertension related to a lack of, or to the hypertension harmfulness to understand enough. Therefore we should increase the hypertension knowledge propaganda. When the patients had changes, palpitation chest tightness, severe headache, vomiting, pale, difficulty breathing, sweating, should pay attention to whether the case of hypertension, and timely diagnosis and treatment to the hospital. If take effective drugs and comprehensive treatment, the mortality rate can be effectively reduced to below 25%, five-year mortality can be reduced to below 50%.



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