In a hypertensive crisis, blood pressure can rise abruptly to very high readings. It is typically caused by a previously diagnosed hypertension.
Mildly high blood pressure is notoriously unnoticed. However, it may come as a surprise to many that even life-threatening high blood pressure may not be felt at all.
Sudden a very high rise in blood pressure is an extreme form of hypertension that can damage multiple organs and, at worst, lead to a life-threatening condition.
In medical language, a drop in blood pressure to dangerous readings is called a hypertensive crisis.
Fresh Journal of the American Heart Association published in research according to which hypertensive crises requiring hospitalization have become more common in the United States. In Finland, the medical association was the first to report on the matter Duodecim.
The results of the study show that hospital visits in the United States doubled between 2002 and 2014 due to the hypertensive crisis. In all, about 920,000 patients in the United States were treated for the hypertensive crisis during that time, of whom 4,400 died.
In Finland no similar development is observed, says a specialist in internal medicine and nephrology Daniel Gordin. He heads the blood pressure clinic at Helsinki University Central Hospital (Hyks).
According to Gordin, some hundreds of people end up in hospital in Finland every year due to the hypertensive crisis. He is unable to give exact figures on the development of the volume because there is no research data on the matter.
At the time patients arrive, acute treatment interventions are typically required.
“Symptomatic hypertensive crisis is treated in the hospital’s surveillance or intensive care unit with intravenous antihypertensive drugs,” Gordin says.
According to Gordin, high blood pressure can damage things like the brain, heart, aorta, kidneys, or retinas of the eye. Thus, for example, a heart attack, paralysis or visual disturbances may result.
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Hypertensive crisis is usually preceded by previous hypertension-related illnesses.
Researchers According to the United States, the main reason for the increase in hypertensive crises in the United States is that more and more patients cannot afford or do not use medication.
In a hypertensive crisis, the upper blood pressure is usually above 200 and the lower is above 130. Blood pressure is considered high when the upper pressure is at least 140 and the lower pressure is at least 90.
The fact that normal blood pressure would suddenly make a rocket rise to life-threatening readings is not at all typical, according to Gordin. Thus, the hypertensive crisis is usually preceded by some previous hypertension-related illnesses.
“The biggest cause of the hypertensive crisis is hypertension and its lack of compliance. So the patient is not taking the antihypertensive drugs prescribed for him, ”says Gordin.
According to Gordin, cortisone and certain other drugs, as well as stimulants such as cocaine and amphetamines, may contribute to the onset of a hypertensive crisis. The salt and salmia and licorice found in a regular cupboard can also play a role if used in large quantities.
“Sometimes rarely is the cause hormonal or related to acute kidney disease. Mental stress, such as a panic attack, can also be a trigger. ”
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If your own blood pressure is not monitored and there are no symptoms, high blood pressure may develop.
Normal high blood pressure is not felt at all, so it can only be caught by measuring blood pressure. Hypertensive crisis can also be seen in blood pressure measurements, as Gordin says it may not be immediately associated with symptoms either.
“A crisis can also be asymptomatic, resulting in dangerously high blood pressure without the patient feeling anything out of the ordinary.”
If your own blood pressure is not monitored by measurement and there are no symptoms, hypertension or, at worst, a hypertensive crisis may develop in hiding.
“Sometimes a hypertensive crisis can be the first manifestation of hypertension. However, most often the condition occurs in a person with high blood pressure, ”says Gordin.
However, it is much more common in Finland that blood pressure is high but not in life-threatening readings. Gordin estimates that there are about two million such people, and more than a million diagnosed with medication.
Remember these three things about measuring your blood pressure:
1. “Blood pressure measurement is a few studies that are worth doing for just about everyone,” says Daniel Gordin, a specialist in internal medicine and nephrology.
Measuring blood pressure is part of the basic examinations of healthcare professionals – not just the doctor. Thus, blood pressure should be measured, if possible, even if there is no doubt that their symptoms are related to blood pressure problems.
2. According to Gordin, the importance of home blood pressure measurements has been emphasized in international recommendations. It is recommended that a hypertensive patient obtain a home meter and measure it regularly so that treatment can be refined.
Home measurement can also avoid white coat syndrome, i.e., the patient’s blood pressure rises at the reception due to tension.
3. According to Gordin, a person with high blood pressure should have their blood pressure measured immediately if he or she develops any vague symptoms. In this case, treatment of a possible hypertensive crisis can also be started as soon as possible.
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