{"id":3571,"date":"2023-12-12T02:35:00","date_gmt":"2023-12-12T07:35:00","guid":{"rendered":"https:\/\/mickeylieberman.com\/hypertension\/?p=3571"},"modified":"2023-10-27T21:09:52","modified_gmt":"2023-10-28T02:09:52","slug":"what-is-a-hypertensive-crisis","status":"publish","type":"post","link":"https:\/\/mickeylieberman.com\/hypertension\/what-is-a-hypertensive-crisis\/","title":{"rendered":"What is a Hypertensive Crisis?"},"content":{"rendered":"<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Hypertensive Crisis<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">A dangerous spike in blood pressure is known as a hypertensive crisis that can lead to a stroke.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Extreme high pressure of (top number) 180 systolic and (bottom number)120 diastolic or higher will damage arteries and capillaries.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">They will become inflamed and leak fluid and\/or blood, rendering the heart unable to effectively pump blood under this condition.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">There are two types of hypertensive crises.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">One is urgent and the other is an emergency.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">An urgent hypertensive crisis is when your blood pressure becomes dangerously high and your doctor doesn&#8217;t suspect any damage to your organs.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Symptoms and signs of an urgent hypertensive crisis may include, but not be limited to, shortness of breath, severe anxiety, severe headache, nose bleed and elevated blood pressure.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">An emergency hypertensive crisis occurs when the pressure becomes dangerously elevated and causes damage to your organs.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Life-threatening complications as a result of an emergency hypertensive crisis such as pulmonary edema (fluid in the lungs), heart attack, brain bleeding or swelling, stroke, aortic dissection (a tear in the heart&#8217;s main artery), and eclampsia (high blood pressure with seizures) if you are pregnant can occur.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">If you experience a severe increase in blood pressure, seek immediate medical treatment immediately. Treatment may include hospitalization with oral or intravenous (IV) medications.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">To diagnose a hypertensive emergency the health care provider might ask you several questions to understand your medical history.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">They will also ask you what medications you are taking including prescription, nonprescription medications, recreational drugs and herbal or dietary supplements and a history of other co-morbid conditions and prior cardiovascular or renal disease.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Tests will also be conducted to monitor blood pressure and assess organ damage including blood pressure monitoring, blood and urine test and pressure monitoring.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Early emergency room triage is top priority to identify those patients who may require more aggressive care in the emergency room.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Once a hypertensive emergency has been established the first order of business is to bring the pressure down with intravenous blood pressure medication to prevent further organ damage.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Any organ damage that has already occurred will be treated with the appropriate medication and therapies.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Most hypertensive urgencies and emergencies are preventable.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">They are often the result of inadequately treated or untreated stage I or II hypertension or non-adherence to hypertensive therapy.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Hypertension affects roughly 50 million people in the United States each year.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Hypertensive crises affect close to 500,000 Americans each year.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Approximately 30% of adults are unaware of their hypertension and 40% of the people with hypertension are not receiving treatment.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Of those treated up to 67% do not have their blood pressure controlled to less than 140\/90.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Hypertension develops at an early age and is more common and severe in African Americans compared to age-matched non-Hispanic whites.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Hypertensive crisis is more common in African Americans compared with other races.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">The lifetime hypertension risk is 86 to 90% in females and 81 to 83% in men.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">The best way to avoid hypertension and hypertensive crisis is to manage your blood pressure through exercise, healthy eating and proper medications when prescribed.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hypertensive Crisis A dangerous spike in blood pressure is known as a hypertensive crisis that can lead to a stroke. Extreme high pressure of (top&#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"slim_seo":{"title":"What is a Hypertensive Crisis? - Hypertension - High Blood Pressure","description":"Hypertensive Crisis A dangerous spike in blood pressure is known as a hypertensive crisis that can lead to a stroke. 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