Hypertensive crisis: how to act when the stress gets out

Hypertension is a chronic and maintained elevation of blood pressure. A high point shooting is not supposed to have the disease because the pressure should be kept elevated to a value equal to or greater than 140/90 mmHg in most measurements. When the systolic pressure higher than 180 mmHg occurs what is called hypertensive crisis.

In Spain there are 14 million hypertensive patients, between 35% and 40% of the population, a percentage that rises to 60% in those over 65 years. There is increasing pressure due to the increase in obesity, which begins in adolescence and sedentary lifestyle.

It is usual that hypertension is underdiagnosed because it can not cause symptoms. The 30% of hypertensive patients are undiagnosed and therefore untreated, this means that if hypertension develops cardiac complications may occur as heart failure, stroke, kidney failure and severe cerebrovascular incidents.

Hypertensive systolic crisis is started above 180mmHg. The severity depends on the patient and the clinical picture that accompanied the disease. The hypertensive crisis may have serious consequences on the most damaged by hypertension which are brain, heart and kidneys and even death of mentioned above organs.

The most common causes of a surge are forgetting – the medication adherence is critical to maintaining stable-pressure levels or dietary transgression – an excessive consumption of foods with high salt levels can greatly unbalance arterial pressure. Other reasons are sleep apnea: Obesity is a risk factor for hypertension, as well as for sleep apnea, an anxiety attack and exercise.

How to deal with a crisis of hypertension

A hypertensive crisis can occur without symptoms or presenting diffuse symptoms like headache, dizziness, tachycardia, eye pain or more serious as chest pain.

  • Immediate medical attention: when a hypertensive crisis should be seen by a doctor and determine whether hypertensive crisis occurs due to anxiety.
  • Be aware of the seriousness: hypertensive crisis can lead the patient to a heart failure, a stroke or a serious condition that could lead to death.
  • Do not be nervous: while it affects health – it is important to reassure the person that nervousness does contribute to raise the further pressure.

If these spikes occur frequently the doctor will have to refer the patient to a specific unit of hypertension to study secondary causes associated with these imbalances.