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Hypertensive Urgency

Hypertensive urgency is a situation where the blood pressure is severely elevated [180 or higher for your systolic pressure (top number) or 110 or higher for your diastolic pressure (bottom number)], but there is no associated organ damage. Those experiencing hypertensive urgency may or may not experience one or more of these symptoms:

Severe headache Shortness of breath Nosebleeds Severe anxiety

Treatment of hypertensive urgency generally requires readjustment and/or additional dosing of oral medications, but most often does not necessitate hospitalization for rapid blood pressure reduction. A blood pressure reading of 180/110 or greater requires immediate evaluation, because early evaluation of organ function and blood pressure elevations at these levels is critical to determine the appropriate management.

Hypertensive Emergency A hypertensive emergency exists when blood pressure reaches levels that are damaging organs. Hypertensive emergencies generally occur at blood pressure levels exceeding 180 systolic OR 120 diastolic, but can occur at even lower levels in patients whose blood pressure had not been previously high. The consequences of uncontrolled blood pressure in this range can be severe and include

Stroke Loss of consciousness Memory loss Heart attack Damage to the eyes and kidneys Loss of kidney function Aortic dissection Angina (unstable chest pain) Pulmonary edema (fluid backup in the lungs) Eclampsia

If you get a blood pressure reading of 180 or higher on top or 110 or higher on the bottom, and are having any symptoms of possible organ damage (chest pain, shortness of breath, back pain, numbness/weakness, change in vision, difficulty speaking) do not wait to see if your pressure comes down on its own. Seek emergency medical assistance immediately. If you can't access the emergency medical services (EMS), have someone drive you to the hospital right away

Hypertensive Urgency:

Severe high blood pressure is defined as systolic pressure > 180 and/or diastolic pressure > 120. When pressures get this high, patients also are at risk of serious complications like blood vessel rupture, swelling of the brain, and kidney failure. This is known as a hypertensive emergency. People with severe high blood pressure usually develop symptoms which ultimately bring them into the doctor. These symptoms tend to develop quickly and may include things like:

Blurry vision or other vision disturbances Headache Dizziness Nausea or appetite changes

Sometimes, patients can have very high blood pressure and have no symptoms. In these cases, the elevated blood pressure is discovered incidentally. These cases severe high blood pressure without serious symptoms are called hypertensive urgency. Hypertensive urgency indicates that the blood pressure is high enough to cause serious risk of sudden, life threatening events, but that no such events are currently occurring. In other words, these patients have no organ failure or other immediately life threatening conditions, but could quickly develop them if their blood pressure isnt quickly brought under control. Treating Hypertensive Urgency Treated:

The goal is to reduce blood pressure before additional complications develop. There is no clear consensus on how quickly the blood pressure should be reduced, but the goal typically ranges from hours to days depending on severity. While the regimen used to decrease the blood pressure depends on the patient, treatment usually includes:

Moving the patient to a dark, quiet, calming environment One or more oral medicines Careful monitoring

It is important to not lower the blood pressure too quickly, because rapid blood pressure reductions can cut off the supply of blood to the brain, leading to brain damage or death. Preventing Hypertensive Urgency:

The most important thing you can do to prevent hypertensive urgency is to take your blood pressure medications as directed. If you experience any of the symptoms listed above, you should see a doctor as soon as possible. If you are unable to see your own physician, you should consider visiting an emergency room close to your home s per the latest data available it is estimated that more than half a million Americans are affected by hypertensive urgency each year. Keeping in view increasing number victims of these diseases it has become a major health problem to the people of America in which many people may pass severed blood related problems. This disease is characterized by acute dys- functioning of various organ system of body. Generally systems affected by the disease include central nervous system, however equally this may affect other systems of our body like cardiovascular and renal system.

However it is obvious that all people, and also recommended by many medical professionals that there blood pressure should be kept at certain level of healthy range. Generally a healthy range is considered blood pressure which is less than 120 mm of Hg. This measurement comes under the circulation process of systolic, further lowest range as being told by medical experts should be to the tune of 80 mm Hg, which comes under the circulation process of diastolic. Any kind of variations from that of prescribed ranges of blood circulations may result your going onto the path of pretension or hypertension.

This is generally an accepted norm that even minor disruptions in blood pressure may cause many problems which can cause a hypertensive urgency like situations the consequences of which may be life threatening. However this situation may arise more often than not through disturbances are blood circulating rates these cause strokes to happen into several phases. Broadly depending upon the affect level of circulate we can categorize two phase of disease one of phase needs to be treated on urgent basis. Two categories of disease are Hypertensive Urgency and Hypertensive emergency. These two phases depends on the level of affected parts of body's organ system in which it is tested whether as to what extent these are affected. In the first case the disease is not as serious disease needs to be treated on urgent basis at this process. In the first phase of hypertensive urgency blood pressure attains a level as high as 180 mm Hg similarly diastolic pressure goes up to the level of 120mm Hg or more. Whether hypertensive is of either level it must be treated on urgent basis, which may often need hospitalization of the patient.

Hypertension (high blood pressure) is a disease of vascular regulation resulting from malfunction of arterial pressure control mechanisms (central nervous system, rennin-angiotensinaldosterone system, extracellular fluid volume.) the cause is unknown, and there is no cure. The basic explanation is that blood pressure is elevated when there is increased cardiac output plus increased peripheral vascular resistance. The two major types of hypertension are primary (essential) hypertension, in which diastrolic pressure is 90 mm Hg or higher and systolic pressure is 140 mm Hg or higher in absence of other causes of hypertension (approximately 95 % of patients); and Secondary hypertension,which results primarily from renal disease, endocrine disorders, and coarctation of the aorta. Either of these conditions may give rise to accelerated hypertension a medical

emergency in which blood pressure elevates very rapidly to threaten one or more of the target organs: the brain, kidney, or the heart. Hypertension is one of the most prevalent chronic diseases for which treatment is available; however, most patients with hypertension are unaware, untreated, or inadequately treated. Risk factors for hypertension are age between 30 and 70; black; overweight; sleep apnea; family history; cigarette smoking; sedentary lifestyle; and diabetes mellitus. Because hypertension presents no over symptoms, it is termed the silent killer. The untreated disease may progress to retinopathy, renal failure, coronary artery disease, heart failure, and stroke. Hypertension in children is defined as the average systolic or diastolic blood pressure greater than or equal to the th 95 percentile for age and sex with measurement on at lease three occasions. The incidence of hypertension in children is low, but it is increasingly being recognized in adolescents; and it may occur in neonates, infants, and young children with secondary causes.