Difference between hypertensive crisis and hypertensive encephalopathy

Written by Zhou Yan
Geriatrics
Updated on September 22, 2024
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Hypertensive crisis, now referred to as hypertensive emergency, includes hypertensive encephalopathy. It mainly refers to cases where, under certain triggers, the blood pressure of patients with primary or secondary hypertension suddenly or significantly rises, typically exceeding 180/120 mmHg, accompanied by progressive failure of critical target organs such as the heart, brain, and kidneys. Hypertensive emergencies include hypertensive encephalopathy, cerebral hemorrhage, cerebral infarction, acute heart failure, acute coronary syndrome, aortic dissection, etc. Hypertensive encephalopathy is characterized by symptoms caused by hypertension, such as headache, blurred vision, nausea, vomiting, and severe edema of the head.

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How should one take medicine for high blood pressure?

Patients with hypertension must use effective medications to keep their blood pressure within the normal range to prevent damage to the cardiovascular and cerebrovascular systems. During medication use, patients should not arbitrarily stop taking their medication or switch to different types. It is necessary to regularly monitor blood pressure and adjust the medication dosage or switch types under the guidance of a doctor as blood pressure fluctuates. Randomly stopping medication and discontinuing antihypertensive drugs can cause blood pressure fluctuations and pose greater risks to the body, especially causing ischemia in the heart and brain.

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Which is more dangerous, low blood pressure or high blood pressure?

Blood pressure is a crucial indicator for maintaining human life. Both low blood pressure and high blood pressure can pose significant risks to the body. High blood pressure can lead to arteriosclerosis, and prolonged high blood pressure can cause cardiovascular and cerebrovascular diseases, with severe cases leading to cerebral ischemia and myocardial infarction. Low blood pressure affects the blood supply to vital organs and also brings negative factors to the body. Extremely low blood pressure can also endanger human life. Therefore, whether it is low blood pressure or high blood pressure, it should be correctly treated and improved under the guidance of a doctor to ensure the health of the body.

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Written by Wang Ji Zhong
Internal Medicine
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The difference between hypertensive crisis and hypertensive encephalopathy

Both hypertensive encephalopathy and hypertensive crisis involve a rapid increase in blood pressure, symptoms of headache, restlessness, nausea and vomiting, palpitations, shortness of breath, and blurred vision, with systolic pressure increasing to 200 mmHg and diastolic pressure to 120 mmHg, typically presenting similar clinical blood pressure readings. The main difference between the two is that hypertensive encephalopathy is based on excessively high blood pressure in patients with severe hypertension. Furthermore, hypertensive encephalopathy can lead to clinical signs of cerebral edema and increased intracranial pressure, whereas hypertensive crisis occurs when blood pressure suddenly rises over a short period, causing symptoms due to excessive secretion of catecholamines driven by increased sympathetic nervous excitement.

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Cardiology
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What should be done at the start of hypertension?

What to do at the onset of hypertension, specifically refers to mild early-stage hypertension. Mild early-stage hypertension can be managed through reasonable dietary adjustments and increased physical activity to lower blood pressure to normal levels. Generally, it is not necessary to use antihypertensive medications. Aerobic exercises such as swimming, skipping rope, square dancing, playing table tennis, volleyball, tennis, can increase vascular elasticity and improve blood circulation, thereby achieving a blood pressure-lowering effect. In terms of diet, it is important to focus on low-fat, low-salt, and low-oil intake to reduce the occurrence of arteriosclerosis and decrease blood viscosity, as well as sodium and water retention which can cause elevated blood pressure. Pay attention to rest, avoid overworking, and do not get overly excited. These are effective treatment and prevention methods for initial mild hypertension.

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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.