How to deal with hypertensive emergencies

Written by Wei Shi Liang
Intensive Care Unit
Updated on September 29, 2024
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Hypertensive emergency is characterized by a significant increase in blood pressure, often with diastolic pressure greater than 130 mmHg. Target organs including the brain, eyes, heart, and kidneys are severely compromised or fail. Hypertensive emergencies require admission to the CCU for cardiac monitoring and the use of intravenous antihypertensives. In the initial one to two hours, the reduction in blood pressure should not exceed 25% of the peak value. Control blood pressure within two to six hours and stabilize it at 160/100 mmHg. Commonly used antihypertensive drugs include sodium nitroprusside and nitroglycerin, while avoiding the use of nifedipine-like drugs for blood pressure reduction.

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Written by Zhang Yue Mei
Cardiology
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Symptoms of hypertension

Hypertension is a common and frequently occurring disease clinically. Mild hypertension often has no clinical symptoms and is usually detected during physical examinations when measuring blood pressure reveals an increase. In cases of severe hypertension, individuals with long-term high blood pressure may experience dizziness, a feeling of pressure in the head, and headaches. In serious cases, symptoms can include tinnitus and palpitations, requiring the use of effective antihypertensive medications for management. If patients with hypertension do not use medications to manage their condition, long-term high blood pressure can cause significant harm to the body, leading to cardiovascular and cerebrovascular diseases, hypertension-induced heart disease, and stroke. (Please use medications under the guidance of a doctor.)

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Written by Wei Shi Liang
Intensive Care Unit
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How to deal with hypertensive emergencies

Hypertensive emergency is characterized by a significant increase in blood pressure, often with diastolic pressure greater than 130 mmHg. Target organs including the brain, eyes, heart, and kidneys are severely compromised or fail. Hypertensive emergencies require admission to the CCU for cardiac monitoring and the use of intravenous antihypertensives. In the initial one to two hours, the reduction in blood pressure should not exceed 25% of the peak value. Control blood pressure within two to six hours and stabilize it at 160/100 mmHg. Commonly used antihypertensive drugs include sodium nitroprusside and nitroglycerin, while avoiding the use of nifedipine-like drugs for blood pressure reduction.

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Written by Zhang Lu
Obstetrics
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What is the blood pressure for gestational hypertension?

Pregnancy-induced hypertension refers to a series of pathophysiological changes caused by elevated blood pressure in women during pregnancy. It is a severe complication of pregnancy that can have serious effects on both the mother and the fetus. The diagnostic standard for hypertension during pregnancy is the same as in non-pregnant periods, that is, a blood pressure greater than 140/90mmHg can be diagnosed as pregnancy-induced hypertension. However, pregnancy-induced hypertension can be classified based on whether it is combined with other conditions, as well as the severity of the condition. Depending on the severity, pregnancy-induced hypertension can be divided into categories such as gestational hypertension, pre-eclampsia, eclampsia, chronic hypertension, and chronic hypertension with superimposed pre-eclampsia. These classifications are mainly based on the severity of the condition, and it is essential to treat pregnancy-induced hypertension with standardized care.

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Written by Zhang Yue Mei
Cardiology
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What to eat for high blood pressure

Patients with hypertension need to regularly take antihypertensive medication to bring their blood pressure within the normal range. In daily life, dietary adjustments should be made, avoiding foods high in fats such as fatty meat from animals, offal, fried foods, and sweets. Instead, consume more vegetables high in dietary fiber, vitamins, and trace minerals. Suitable vegetables for people with hypertension include celery, spinach, mung bean sprouts, black fungus, water chestnuts, onions, carrots, winter melon, and Chinese cabbage.

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Written by Zhang Yue Mei
Cardiology
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Emergency treatment for high blood pressure

Hypertension is currently a common and frequent disease, especially among middle-aged and elderly people. It requires the use of proper antihypertensive drugs to lower blood pressure back to a normal range to ensure the blood supply to the heart and brain. If medication is not taken on time, or due to emotional excitement or excessive fatigue, there can be a sudden increase in blood pressure. Immediate use of effective antihypertensive drugs is necessary to lower the blood pressure to a safe range to prevent accidents. In case of a hypertensive emergency, one should go to the hospital for active treatment to avoid life-threatening risks.