Hypertensive Crisis What Are The Symptoms

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Hypertensive crisis:
What are the symptoms?

SECTIONS

What's a hypertensive crisis? If I notice


a spike in my blood pressure, what
should I do?
Answer From Francisco Lopez-Jimenez, M.D.

A hypertensive crisis is a sudden, severe increase in


blood pressure. The blood pressure reading is 180/120
millimeters of mercury (mm Hg) or greater. A
hypertensive crisis is a medical emergency. It can lead to
a heart attack, stroke or other life-threatening health
problems.

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Severely high blood pressure can damage blood vessels


and body organs, including the heart, brain, kidneys and
eyes. During a hypertensive crisis, the heart may not be
able to pump blood effectively.

Hypertensive crises are grouped into two categories.

Urgent hypertensive crisis. Blood pressure is


180/120 mm Hg or greater. There are no signs of
organ damage.
Emergency hypertensive crisis. Blood pressure is
180/120 mm Hg or greater. There is life-threatening
damage to the body's organs.

Causes of a hypertensive crisis include:

Forgetting to take blood pressure medication


Suddenly stopping certain heart medications, such as
beta blockers
Medication interactions
Tumor of the adrenal gland (pheochromocytoma)

Symptoms of a hypertensive crisis may include:

Anxiety
Blurred vision
Chest pain
Confusion
Nausea and vomiting
Not responding to stimulation (unresponsiveness)
Seizures
Severe headache
Shortness of breath

If you get a very high blood pressure reading at home


and don't have any symptoms, relax for a few minutes.
Then check your blood pressure again. If it's still very
high, seek medical care.

Call 911 or emergency medical services if your blood


pressure is 180/120 mm Hg or greater and you have
chest pain, shortness of breath, or symptoms of stroke.
Stroke symptoms include numbness or tingling, trouble
speaking, or changes in vision.

Treatment for a hypertensive crisis may include a hospital


stay to monitor for organ damage. Medications to lower
blood pressure are given by mouth or IV.

With

Francisco Lopez-Jimenez, M.D.

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