Saturday, November 26, 2022

Hypertensive urgency

The two types of hypertensive crises—hypertensive emergency and hypertensive urgency— share a common sign: severely elevated BP, usually defined as a diastolic pressure that exceeds 120 mm Hg. An estimated 1% to 2% of patients with chronic hypertension will at some time develop hypertensive urgency or emergency.

Hypertensive urgency occurs when blood pressure spikes -- blood pressure readings are 180/120 or higher -- but there is no damage to the body's organs. Persons with hypertensive urgency may experience severe headache, shortness of breath, nosebleed, or anxiety.

Hypertensive urgency is most often treated by adjusting the medications. It’s important to treat hypertensive urgency quickly so it doesn’t become a hypertensive emergency.

Causes of a hypertensive crisis include:
+Forgetting to take blood pressure medication
+Suddenly stopping certain heart medications, such as beta blockers
+Medication interactions
+Tumor of the adrenal gland (pheochromocytoma)

Patients with hypertensive urgency are advised lifestyle changes and these include:
*Reduce salt (sodium) intake
*Avoid alcohol
*Take plenty of fiber in the form of vegetables and fruits
*Exercise regularly
*Avoid caffeinated drinks
*Quit smoking
*If obese, reduce weight
Hypertensive urgency

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