Decrease Blood Sugar
Hypertension is often called the “silent killer” because it often has no signs or symptoms of alarm. Malignant hypertension is a serious emergency, which is characterized by a severe increase in blood pressure, which can not be lowered. E ‘diagnosed by the presence of advanced retinopathy in the presence of a diastolic pressure greater than 120 mm Hg.
Malignant hypertension is defined as very high pressure with swelling of the optic nerve behind the eye, called (papilledema grade IV Keith-Wagner hypertensive retinopathy). Malignant hypertension is accompanied by damage to organs, such as hypertensive encephalopathy, kidney and heart.
Malignant hypertension is more common among people of African type and also more frequent among smokers. It affects about 1% of those who already suffer from hypertension. It is also known to occur in younger people (including children), and also during pregnancy.
In case of malignant hypertension, there is usually a feature race or increased blood pressure, often without apparent reason. Because it is very difficult to reduce blood pressure malignant, can and will cause the vital organs of the body, irreparable damage. This can include the brain, eyes, heart, kidneys and blood vessels. (They are all put under pressure).
Those suffering from malignant hypertension can complain:
? Confusional periods
? Decreased urine output
? Headache
? Vomiting
? Abnormal sensation in the arms, legs and other areas.
? Alcuni disturbi visivi.
? Change in mental status
? Agitation and anxiety
? Reduced attention and ability to think and concentrate
? Extreme fatigue
? Chest Pain
? Shortness of breath and cough
The prognosis for people suffering from malignant hypertension can be sad, such as damage caused to the body is often life-threatening especially for elderly people suffering from malignant hypertension. The common result is the death of kidney failure, stroke and heart in particular.
Some drugs commonly used for treatment are:
? Fenoldopam IV (which is the most common).
? Labetalol is another common treatment, which provides a smooth transition from IV to oral (PO) dosing.
? Beta-blockers can be performed by an intravenous treatment with esmolol or metoprolol.
? Hydralazine is usually reserved for pregnant women
? phentolamine is used as the drug of choice for a pheochromocytoma crisis.
Any treatment of a person suffering from malignant hypertension, should be administered with care, like a sudden drop in blood pressure compared to very high levels can be just as dangerous as the blood pressure remained at a constantly high level. Malignant blood pressure should be reduced (if possible) gradually over a period of at least a week with the anti carefully prescribe antihypertensive drugs. Complete bed rest is often prescribed to ensure complete rest is taken.
With effective treatment currently in force, including dialysis, the survival rate after 1 year is greater than 90%, and after 5 years is over 80%. If you are treated promptly, malignant hypertension can be controlled without further complications. However, the person suffering with malignant hypertension should be closely monitored.