Malignant hypertension and sudden rise in blood pressure are two medical emergencies that require immediate treatment. Both conditions have the same outcome and treatment. However, malignant hypertension is a complication of hypertension characterized by very high blood pressure and organ damage to the eyes, brain, lungs and/or kidneys. It differs from other complications of hypertension in that it is accompanied by edema of the optic disc. (Optic nerve papilledema) The systolic and diastolic blood pressures are 240 and more than 120, respectively. Accelerated blood pressure is high blood pressure, a condition with target organ damage, but on ophthalmoscopy there is flame-like bleeding or slight exudate but no papillary edema.
There are two. Urgent Hypertension and Urgent Hypertension. Hypertension Urgency does not show target organ damage, but urgency does present target organ damage with hypertension >220 systolic. Your target organ damage will now determine if you have emergency hypertension or an emergency. Care. In the case of high blood pressure, blood pressure should be lowered immediately, and in urgent cases, a very rapid drop in blood pressure is not required.
The pathogenesis of malignant hypertension is fibrinous necrosis of arterioles and arterioles. Red blood cells are damaged as they pass through blood vessels blocked by fibrin deposits, causing microangiopathic hemolytic anemia. Another pathological process is the dilation of the cerebral arteries, which increases blood flow to the brain, which provokes the clinical manifestations of hypertensive encephalopathy. The average age is over 40, and it occurs more often in men than women. Black people have a higher risk of developing high blood pressure than the general population.
Target organs are mainly the kidneys, central nervous system, and heart. Thus, the symptoms of malignant hypertension include oliguria, headache, vomiting, nausea, chest pain, shortness of breath, paralysis, and blurred vision. In most cases, the heart and central nervous system are involved in malignant hypertension. The pathogenesis is not fully understood.Essential hypertensive patients develop malicious hypertension, and some patients develop malicious hypertension and others were not known. Another reason is that all forms of secondary hypertension; Use of cocaine, May, or oral contraceptive pills; , Peeling or alpha muscle. The stenosis of kidney artery, withdrawal of alcohol, Phookhromocytoma {Most can be localized using CT scanning of adrenal sweat glands. The complications of the NAM's detention, pregnancy and hypedosteronish are the second cause of hypertension. The main study on approach to the damage of the target body is the perfect profile that tests the capabilities of kidney, BSR, breasts, ecology, heart ultrasound, CBC, and thyroid function.
Control:
Patients can separate intensive care. Intravenous injections are used for fluids and medicines. The initial goal of treatment is to reduce mean arterial pressure by about 25% during the first 2448 hours. However, emergencies for high blood pressure do not require hospitalization. The goal of treatment is to lower blood pressure within 24 hours, achievable on an outpatient basis. Patients initially treated for malignant hypertension are advised to fast until their condition is stable. Once stable, all patients with malicious hypertension should be lowered in solo solo diets and should focus on weight diet. Activities are limited to bed breaks until the patient is stable. Patients must be able to resume normal activity by ready for outpatient after blood pressure is controlled.
Inparent to hypertension is required for a long time with hypertension control. Drugs supplied through LINE IV, such as nitroglycerin, nitrophile or other, can reduce blood pressure. The alternative to the kidney failure is IV Fenoldopam. Betablockade can achieve Esmolol or Metoprolol as vein comments. Labetalol is another common alternative to providing metastasis to the mouth of dosing in IV. In addition, Enalapril, Diltiazene, Verapamil, Hydralazine is also reserved for use in pregnant patients, so fannol amine is a choice for the crisis of Feochromocytoma. After supplying strong hypertension as a control, regular anti-hypertensive drugs taken with the mouth can adjust blood pressure.
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