Difference between hypertensive crisis and hypertensive encephalopathy

Written by Zhou Yan
Geriatrics
Updated on September 22, 2024
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Hypertensive crisis, now referred to as hypertensive emergency, includes hypertensive encephalopathy. It mainly refers to cases where, under certain triggers, the blood pressure of patients with primary or secondary hypertension suddenly or significantly rises, typically exceeding 180/120 mmHg, accompanied by progressive failure of critical target organs such as the heart, brain, and kidneys. Hypertensive emergencies include hypertensive encephalopathy, cerebral hemorrhage, cerebral infarction, acute heart failure, acute coronary syndrome, aortic dissection, etc. Hypertensive encephalopathy is characterized by symptoms caused by hypertension, such as headache, blurred vision, nausea, vomiting, and severe edema of the head.

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Can high blood pressure be hereditary?

Hypertension has a certain level of heritability, and research indicates that if parents have hypertension, their children’s risk of developing this condition significantly increases. Of course, genetic factors are only one of the reasons for the development of hypertension. The presence of genetic factors does not necessarily lead to hypertension; postnatal environmental factors are also very important. Maintaining good lifestyle habits over time, including healthy dietary habits, regular physical exercise, reasonable weight control, and a positive mindset can help prevent hypertension. Moreover, even without a family history of hypertension, poor lifestyle habits can still lead to the development of the condition.

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How should one take medicine for high blood pressure?

Patients with hypertension must use effective medications to keep their blood pressure within the normal range to prevent damage to the cardiovascular and cerebrovascular systems. During medication use, patients should not arbitrarily stop taking their medication or switch to different types. It is necessary to regularly monitor blood pressure and adjust the medication dosage or switch types under the guidance of a doctor as blood pressure fluctuates. Randomly stopping medication and discontinuing antihypertensive drugs can cause blood pressure fluctuations and pose greater risks to the body, especially causing ischemia in the heart and brain.

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Symptoms of hypertension

Hypertension is a common and frequently occurring disease clinically. Mild hypertension often has no clinical symptoms and is usually detected during physical examinations when measuring blood pressure reveals an increase. In cases of severe hypertension, individuals with long-term high blood pressure may experience dizziness, a feeling of pressure in the head, and headaches. In serious cases, symptoms can include tinnitus and palpitations, requiring the use of effective antihypertensive medications for management. If patients with hypertension do not use medications to manage their condition, long-term high blood pressure can cause significant harm to the body, leading to cardiovascular and cerebrovascular diseases, hypertension-induced heart disease, and stroke. (Please use medications under the guidance of a doctor.)

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How to monitor blood pressure in hypertensive crisis

If a patient experiences a hypertensive crisis, it is recommended that they use an electrocardiogram monitor. This can effectively monitor changes in the patient's heart rate, blood pressure, and pulse. If there is a rise in blood pressure, it can be immediately observed. The occurrence of a hypertensive crisis is very dangerous and can lead to complications, potentially causing damage to liver and kidney functions, and leading to cardiovascular and cerebrovascular events. In particular, it is prone to causing cerebral hemorrhage or coronary heart disease. In such cases, it is crucial to actively use antihypertensive drugs to control symptoms. Regarding diet, it is important to maintain a light diet, especially limiting sodium intake, in order to control the phenomenon of high blood pressure in patients.

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How to lower high blood pressure?

Hypertension is divided into primary hypertension and secondary hypertension. If it is secondary hypertension, removing the factors that cause high blood pressure can cure it. For example, if the hypertension is caused by an adrenal tumor, removing the tumor can normalize blood pressure. However, if diagnosed with primary hypertension, lifelong medication is required. There are many types of medications available, which need to be specifically analyzed based on the individual situation. If the patient primarily has high systolic pressure, it is recommended to use some calcium channel blockers, which are commonly used for elderly patients who primarily exhibit high systolic pressure. If it is primarily high diastolic pressure, some ACE inhibitors or ARBs are suggested. If sympathetic excitement is predominant, some β-blockers can be used. (Medication should be taken under the guidance of a professional doctor.)