Posts Tagged ‘hypertensive urgency’

When Hypertensive Urgency Is Reached

Thursday, November 10th, 2011

When the body touches on hypertensive urgency, you can probably say that a state of emergency has been declared. The person’s health is fast approaching the point of no return and if severe lifestyle changes are not implemented at once, it may soon not be necessary anymore.  

The dire prospect that someone with unchecked hypertension faces includes organ malfunction, heart problems or a stroke within five years. By this time, the person might suffer severe headaches or show symptoms of renal failure. Vision may be affected in some way. Timely detection of these risks could turn the person’s health around, if he or she keeps strictly to the doctor’s instructions.  

Uncontrolled high blood pressure significantly pushes up your chances of suffering a stroke. Strokes are categorized in two kinds, one more common than the other. The first happens when a blood clot obstructs the natural movement of blood through the arteries towards the brain. The stumbling block, so to speak, is normally cholesterol or fatty deposits from bad eating habits. The other kind of stroke, which is more rare, happens through the aneurysm of a blood vessel. Blood flows into the brain cells and may cause damage.

When a stroke commences, the victim will feel numb or weak. The person may lose the ability to use one side of the body and experience visual disturbances. Speech is sometimes impossible and the person will act confused and not appear to comprehend attempts to communicate. Someone in this state must immediately be taken to a medical facility for care.

Another organ that suffers when blood pressure is too high is the heart. The increased exertion of maintaining circulation may increase the size of the heart. A bigger danger, of course, is the possibility of a heart attack or heart failure. The cause of a heart attack is usually some obstruction that prevents oxygen-bearing blood from reaching the heart. This in turn sees the heart muscle deteriorate to the point of crisis.

The experience of a heart attack can be extremely alarming. Victims have described it as the feeling of a heavy weight pressing down on the chest, the arms or the breastbone, resulting in an overall weakness. Breathing may be short and shallow.  Some of the symptoms may at first be mistaken for severe heartburn or indigestion. The heartbeat may speed up or show signs of irregularity. As the trauma progresses, the pain will spread to other parts.  

This exploration of the prospects for those at risk of hypertensive urgency will hopefully serve as a wake-up call, before it is too late.

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Hypertensive Urgency

Friday, October 28th, 2011

High blood pressure is not called the silent killer for nothing, since some people to not realize that they have a problem until the point of hypertensive urgency is reached. By that time, the hour is almost too late and drastic HEALTH measures will need to be effected.

The condition can lead to organ damage, and also to the fatal occurrence of heart failure, kidney damage or brain haemorrhage within five years. Symptoms such as headaches are usually present and retinal disturbances may also be evident. If treated in time, this critical condition can be reversed.

Persons with unchecked hypertension are up to six times likelier to have a stroke. There are two types. One type results when a blood clot forms and blocks the flow of blood to the brain cells. The problem often can be found with too much cholesterol or fatty deposits within the blood stream. This type accounts for four out of five strokes. The second type occurs when a blood vessel ruptures, causing blood to flood the brain cells and cause damage. In this case, the cause is usually high blood pressure or an aneurysm.

A person suffering a stroke experiences the following symptoms. Vision blurs in one or both eyes. The person feels numbness, weakness or even complete paralysis in one side of the body. He or she battles to speak or understand simple words or sentences and feels disorientated. Sometimes complete loss of consciousness occurs. Any man or woman with these symptoms requires immediate and specialized medical attention.

Untreated hypertension can affect the functioning of the heart in a number of ways. It can become enlarged with the increased effort of pumping blood or a heart attack or even heart failure can occur. The onset of a heart attack can be a frightening experience. It usually results when a blockage starves the heart muscle of oxygen bearing blood. The heart tissue begins to die. A less common form of heart attack occurs when a coronary artery spasms.

The symptoms of a heart attack include pressure or heaviness focussed in the chest, arm or breastbone. The person sweats, feels nausea and may vomit. The heart rate is fast or irregular. He or she experiences weakness and shortness of breath. There may also be a sensation similar to indigestion or heartburn. The discomfort will radiate towards other parts of the body such as the back or the jaw. Someone suffering a heart attack needs to be taken to the hospital at once.

These are just some of the conditions a person moving towards hypertensive urgency can expect, if medical advice is not sought.

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Hypertensive Urgency, Diagnosis and Treatment

Wednesday, August 24th, 2011

The condition if hypertensive crisis includes both the hypertensive urgency and hypertensive emergency. To further explain, both these conditions are a result of substantially high blood pressure. When the blood pressure is critically high so much so that it may cause damage to the vital organs of the human body and lead to other complications, it is a case of hypertensive urgency. In this case, the blood pressure can be moderated with medications to reduce it to the normal range within a few hours. The hypertensive emergency is a situation when the vital organs of the body actually get damaged. When a person has hypertensive emergency, his blood pressure has to be reduced immediately to prevent any further damage to the body’s vital organs.  The other complications associated with hypertensive emergency include confusion, coma, stroke, cardiac failure, pulmonary edema etc. However, hypertensive emergency isn’t very common as hypertensive urgency is.  

22a Hypertensive Urgency, Diagnosis and Treatment

The initial symptoms of hypertensive urgency include severe head ache, seizure, chest pain, shortness of breath etc. to name a few. The diagnosis involves a thorough check up of the body regularly with the physician. Certain tests are also done which includes regular monitoring of the blood pressure, blood and urine test, eye examination to check for any swelling or internal bleeding. The whole idea of treating a person with hypertensive urgency involves quickly reducing the blood pressure with proper medication. This is to prevent further organ damage that can prove to be detrimental. It normally leads to irreversible organ damage. However, the organs that have been damaged already can be treated using some organ specific therapies. Anti-hypertensive agents are employed generally to bring down the blood pressure levels. The laboratory evaluation involves the measurement of the blood urea nitrogen and creatinine levels to check for the renal impairment. A complete blood cell and the peripheral blood smear should be evaluated to check for microangiopathic anemia. Toxicology test, pregnancy test, endocrinology screening etc. are also employed if required depending upon the condition and severity. Patients with malignant hypertension have renal impairment. Other clinical features include encephalopathy, confusion, left ventricular failure, intravascular coagulation, and impaired renal functioning with hematuria and rapid weight loss. Another hallmark of malignant hypertension is fibrinoid necrosis of the arterioles, which occurs systemically, but specifically in the kidneys. These patients develop fatal complications if untreated.      

Treating hypertensive urgency mainly involves reduction in the blood pressure so as to inhibit further complication from developing. There is no clear consensus on how quickly the blood pressure has to be lowered however the goal ranges from hours to days depending on the gravity of the patient. It generally employs moving the patient to a quiet and calming environment; careful monitoring and medication. These help lower the blood pressure during hypertensive urgency and prevent from further fatal damages to any vital organ.    

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Hypertensive Urgency and Complications

Wednesday, August 24th, 2011

Hypertensive urgency is a condition of severe hypertension or extremely high blood pressure level. It is accompanied with the serious destruction of an organ system especially the central nervous system, cardiovascular system and the renal system. In such extreme situations, there are good chances of a possible organ damage that is most often than not, irreversible. In case of a hypertensive emergency, the blood pressure has to be substantially lowered within minutes to protect the vital organs from damage.

21a Hypertensive Urgency and Complications

Hypertensive urgency includes a spectrum of clinical presentations in which the uncontrolled blood pressure leads to progressive or impending end-organ dysfunction (EOD). There could be neurological or cardiovascular organ damage as a result of uncontrolled blood pressure. The neurological damage can also cause severe problems like hypertensive encephalopathy, cerebral vascular accident, cerebral infarction; subarachnoid hemorrhage and intracranial hemorrhage. Cardiovascular end-organ damage may include myocardial infarction, acute left ventricular dysfunction, acute pulmonary edema, and aortic dissection. Other organ systems may also be affected by uncontrolled hypertension. This may lead to acute renal failure, retinopathy, eclampsia, hemolytic anemia etc. All these medical terms denote the complications that uncontrolled blood pressure can cause in the body.

When the blood pressure gets very high, the patients are at risk of serious complications like blood vessel rupture, swelling of the brain, and kidney failure to name a few. This is known as hypertensive urgency. The patients may complain of specific symptoms that suggest the kind of end-organ dysfunction that may be present. Chest pain may indicate myocardial infarction; and back pain may denote aortic dissection. The presence of neurologic symptoms may include seizures, visual disturbances, altered level of consciousness etc. denoting hypertensive encephalopathy. There is also a possibility that a person may have extremely high blood pressure but without any prominent or visible symptoms. In these cases, the level of blood pressure is high enough to cause a serious risk of sudden and life threatening events. However, none of these events will happen immediately. In other words, it means that these patients have no end-organ failure or any immediately life threatening conditions, but could quickly develop them if the blood pressure isn’t brought under control quickly.  

The best thing that can be done to avoid the seriousness of hypertensive urgency is to consume regular medication for controlling the blood pressure. The symptoms that tend to develop very quickly and denote a possibly high blood pressure are blurry vision, vision disturbances, severe head ache, dizziness, nausea etc. If any of these symptoms are felt, a doctor must be visited as soon as possible. Monitoring the blood pressure levels at regular intervals also helps greatly in preventing situations of hypertensive urgency.

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Hypertensive Urgency: Symptoms and treatment

Sunday, July 31st, 2011

Hypertensive urgency is the first category of hypertensive crisis. Also known as urgent hypertensive crisis, hypertensive urgency is the sudden elevation in the blood pressure of a person. In such a condition, the systolic blood pressure usually touches and goes above 180 mm Hg or the diastolic blood pressure touches or goes above 120mm Hg. One of the most important characteristics of hypertensive urgency is that there are no visible symptoms. There is no immediate damage to any vital organs of the body but urgent medical attention is still mandatory.

10a Hypertensive Urgency: Symptoms and treatment

Although there are almost no visible symptoms of hypertensive urgency, a person with such high blood pressure can feel slightly dizzy or experience headaches. If not treated in time, hypertensive urgency becomes hypertensive emergency, which can be fatal. There are a number of symptoms of hypertensive emergency, such as, chest pain, severe headache, blurry vision and other vision problems, difficulty in breathing, among others. Once a person crosses over to hypertensive emergency, he or she may have to be hospitalized immediately.

Although hypertensive urgency is not life threatening, it requires urgent medical attention. The primary goal of a doctor in such a situation is to bring the blood pressure down. The blood pressure can be brought down with regular blood pressure medications. One important thing about this condition is that the blood pressure has to brought down slowly in order to make sure that the blood supply to the vital organs of the body is not hampered. In cases of hypertensive urgency, the doctors have to set a goal while bringing down the blood pressure and this may take from several hours to a number of days to do this. The time taken depends upon the severity of the problem and the patient. The treatment process includes careful observation to make sure that the pressure is coming down slowly and not abruptly and that there are no recurrences. The medication phase is often followed by therapies and sessions urging the patients to make positive lifestyle changes.

There are several blood pressure medications that can bring down the blood pressure safely but it is of utmost importance to make sure that high blood pressure is detected as early as possible. One of the best ways to do so is by regularly monitoring the blood pressure. One can make positive changes to one’s lifestyle, eat healthy and exercise regularly. Hypertensive urgency is treatable but preventable as well.

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Understanding Hypertensive Urgency

Sunday, July 31st, 2011

Hypertensive urgency can be understood as a dangerous elevation in blood pressure with no visible or minimal symptoms. In hypertensive urgency, the elevation of blood pressure takes place without causing any immediate damage to the vital organs but the pressure has to be lowered in the next 24 hours to prevent any serious physical damage.

9a Understanding Hypertensive Urgency

Hypertensive urgency is not synonymous with hypertensive emergency. Hypertensive emergency is mainly characterized by severe elevation of blood leading to organ damage that needs immediate medical attention. In such a situation, the absolute numbers for blood pressure in terms of diastolic and systolic readings are not provided as the slightest increase in the blood pressure can trigger a hypertensive crisis situation, even in people with no blood pressure history.

With the advancement in medical technology and high blood pressure treatment mechanisms, the number of people reporting at hospitals with hypertensive urgency has come down by a great extent. The regular use of home blood pressure monitoring kits and instruments has made it possible for thousands of people who are susceptible to high blood pressure to measure it at home. This is an effective way of controlling the blood pressure without the assistance of a medical practitioner. Studies have shown that of all the people suffering from hypertension related problems, less than 30% actually suffer hypertensive urgency.

One of the main characteristics of this condition is that individuals do not show any symptoms and there is no visible damage for some time. The term ‘urgency’ means that the patient has to receive medical attention urgently to bring the situation under control. Usually, a high majority of people suffering from the condition respond perfectly to the medical care and elude the situation. The patients are usually given medication to lower the blood pressure to a certain level that doctors think is normal. Soon after the blood pressure has been lowered, various therapies and non-medical approaches are used to bring about a positive change in the patient’s life, such as lifestyle modification and the introduction of healthy eating habits. This can not only help the patient in recovering from the previous episode, but also may help prevent others.

If urgent medical attention is not provided, hypertensive urgency can turn into a hypertensive emergency. In such a situation, typical symptoms include chest pain and blurred vision among others. In these situations, the blood pressure has to be lowered slowly to make sure that the essential organs of the body are not deprived of blood supply. Thus, hypertensive urgency has to be dealt with urgently and professionally.

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