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9055643 malignant hypertension 300x229 Malignant Hypertension   Causes Symptoms And TreatmentImmediate treatment is essential in cases of accelerated high blood pressure and malignant hypertension. Those two conditions have very similar outcomes in therapies but the ligament hypertension can be recognized through its unusually elevated blood pressure, and damage to the organs including the eyes, the lungs, the kidneys, and or the brain.

Effects of high blood pressure is a similar condition that target organ damage

The major difference from other complications of hypertension is that it comes with papilledema, which is an edema of the optic disc of the eye. You can recognize a problem with the systolic blood pressure being greater than 240. You can recognize the diastolic blood pressure when it’s over 120. Accelerated high blood pressure is a similar condition that target organ damage but it will not include the papilledema. It still includes the flame shaped hemorrhages on the fundoscopy.

There are two main varieties we need to consider. In hypertensive urgency there is no organ damage. In a hypertensive emergency, there are is organ damage on top of the elevated blood pressure. You can learn whether or not you have hypertensive emergency or urgency based on the target organ damage. During situations of hypertensive emergency it is absolutely essential that blood pressure is brought down immediately. In urgency it’s important but it doesn’t have to be as quickly.

The malignant hypertension causes pathogenesis with fibrinoid necrosis of arterioles and small arteries.

This fibrin deposition will negatively affected the red blood cells as they attempted flow through the blood vessels. That can lead to microangiopathic hemolytic anemia.

The body even starts to react as if hypertensive encephalopathy is occurring due to the brain receiving an excessive amount of blood from the dilated cerebral arteries. It is more likely in men. This is generally seen in people over the age of 40. Risk of hypertensive emergencies is greater for black individuals when compared to Caucasian individuals.

The heart, the kidney, and the central nervous system are the target organs. That means that the main symptoms of malignant hypertension are vomiting, breathlessness, blurred vision, paralysis, chest pain, vomiting, headache, and oligurea. The central nervous system and the heart are the two biggest problems in most cases. Scientists still don’t completely understand pathogenesis.

It is not completely understood what causes malignant hypertension versus regular hypertension. It’s believed that 1% of the patients that suffer from hypertension may be suffering from malignant hypertension. Some of the potential causes include secondary hypertension concerns. Some worth considering are cocaine, contraceptives (oral) and MAOIs.

Beta blockers or alpha stimulants may also be involved. Some other secondary causes may be pregnancy complications, aortic coarctations, pheochromocytoma, withdrawal symptoms, renal artery stenosis, and hyperaldosteronism. Potential target organ damage can be observed through a number of different means such as a BSR, chest x-ray,ECG, echocardiography, thyroid function tests, CBC.

Managing The Situation

Patients are brought to the ICU. Fluids and medications are provided through intravenous lines. During the first day or two medical professionals will be attempting to bring the average arterial pressure down by at least a quarter. For situations of hypertensive urgencies hospital admission is not a necessity. The therapy in those cases is to reduce the blood pressure within a day.

That can typically be achieved with outpatient involvement. Typically malignant hypertension patients are given instructions not to eat until their conditions stabilized. Malignant hypertension patients need to change the way they live.

That includes eating less salt within their diet, and making weight management a top priority. Until the patient is completely stabilized, they should remain in bed rest. After their conditions are under control they should be able to return to their regular lifestyle.

Severe high blood pressure situations need hospitalization. There are medications such as nitroglycerin, and nitroprusside, that can help lower blood pressure when taken through an IV line. Patient suffering from renal insufficiency may be receiving fenoldopam through their IV. There are also a number of beta blockers that may be used intravenously.

Those might include esmolol or metoprolol. Another option that can be easily transferred to oral consumption is labetalol. The uterine profusion can be increased in women that are pregnant while managing high blood pressure with hydralazine. For pheochromocytoma concerns, phentolamine is the typical first selection.

Once high blood pressure is back under control the patient can resume with the typical medication to help manage their hypertension that means taken orally instead of intravenously. A doctor should manage this medication on a regular basis.

It’s absolutely essential to control and manage malignant hypertension while you have the chance. They can lead to life altering and even threatening situations like cardiovascular failure infarction, failure of the kidney, and even blindness.

Author: Tsvetan Petrov is the author of this great article and owner of “Get Holistic Health” blog!


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