Hypertensive crisis blood pressure values

Written by Tang Li
Cardiology
Updated on September 08, 2024
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At any stage of hypertension development and other disease emergencies, severe life-threatening blood pressure increases can occur, requiring emergency treatment. Hypertensive crises include hypertensive emergencies and hypertensive urgencies. Hypertensive emergencies refer to severe blood pressure increases within a short time—hours or days—with diastolic pressure greater than 130 mmHg and/or systolic pressure greater than 180 mmHg, accompanied by severe dysfunction or irreversible damage to critical organs and tissues such as the heart, brain, kidneys, retina, and major arteries. Hypertensive urgencies may present as increased blood pressure but without obvious target organ damage.

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What is the blood pressure in a hypertensive crisis?

Hypertensive crisis is a relatively urgent medical condition in clinical settings. Its diagnostic criterion is a diastolic pressure greater than 130 mmHg. Naturally, the higher the blood pressure, the greater the threat. A hypertensive crisis can lead to many clinical symptoms, such as acute left heart failure, dizziness, headache, cerebral hemorrhage, and acute renal failure. The most common causes of hypertensive crisis are primary or secondary hypertension, which, under certain specific circumstances, lead to uncontrollably high blood pressure and related clinical symptoms. The focus of treatment is on controlling the blood pressure and choosing different treatment plans for complications. For instance, in the case of heart failure, vasodilators and diuretics may be used for symptomatic treatment.

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Causes of pregnancy-induced hypertension

There are many reasons that can lead to the occurrence of hypertensive disorders during pregnancy. Normally, due to reasons related to the mother herself or being under the age of 18 or over 35, the risk of developing hypertensive disorders during pregnancy may increase. Additionally, dietary and environmental influences such as a high-salt diet, excessive fatigue, and mental stress can lead to the development of pregnancy-induced hypertension. In some cases, after the development of pregnancy-induced hypertension, it may trigger diseases in other organ systems, leading to severe issues with the placenta, causing complications such as placental abruption, hypoalbuminemia, and cerebrovascular accidents.

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What to eat for high blood pressure

Patients with hypertension need to regularly take antihypertensive medication to bring their blood pressure within the normal range. In daily life, dietary adjustments should be made, avoiding foods high in fats such as fatty meat from animals, offal, fried foods, and sweets. Instead, consume more vegetables high in dietary fiber, vitamins, and trace minerals. Suitable vegetables for people with hypertension include celery, spinach, mung bean sprouts, black fungus, water chestnuts, onions, carrots, winter melon, and Chinese cabbage.

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Emergency treatment for high blood pressure

Hypertension is currently a common and frequent disease, especially among middle-aged and elderly people. It requires the use of proper antihypertensive drugs to lower blood pressure back to a normal range to ensure the blood supply to the heart and brain. If medication is not taken on time, or due to emotional excitement or excessive fatigue, there can be a sudden increase in blood pressure. Immediate use of effective antihypertensive drugs is necessary to lower the blood pressure to a safe range to prevent accidents. In case of a hypertensive emergency, one should go to the hospital for active treatment to avoid life-threatening risks.

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How is hypertensive nephropathy treated?

Long-term hypertension can lead to abnormal kidney structure and function, also known as hypertensive nephropathy. Once hypertensive nephropathy is diagnosed, comprehensive treatment measures are often adopted, including both pharmacological and non-pharmacological treatments. In terms of non-pharmacological treatment, patients should maintain a low-salt diet in their daily life, focusing on a light diet, with a daily salt intake of about 4 grams. Regarding pharmacological treatment, the main goal is to control the patient's blood pressure and reduce urinary protein. Medications that can be used include angiotensin-converting enzyme inhibitors or angiotensin II receptor antagonists. Any of these medications can be chosen and used long-term to control blood pressure, protect kidney function, and reduce urinary protein. (Medications should be used under the guidance of a physician, and self-medication should be avoided.)