Symptoms of hypertension

Written by Zhang Yue Mei
Cardiology
Updated on August 31, 2024
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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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Written by Li Qiang
Intensive Care Unit
1min 18sec home-news-image

How to treat hypertensive encephalopathy

The treatment goal for hypertensive encephalopathy is mainly to rapidly reduce blood pressure to a reasonable range. Typically, intravenous antihypertensive drugs are administered to decrease blood pressure by 20%-25% within the first hour, followed by oral antihypertensives or continued intravenous treatment to further reduce it to a more reasonable level. Hypertensive encephalopathy often accompanies cerebral edema, and patients may experience increased intracranial pressure. At this point, it is necessary to administer dehydrating agents such as mannitol to treat the cerebral edema. If the patient experiences seizures, which can cause an increase in blood pressure or difficulty in reducing blood pressure, sedative anticonvulsant drugs must be administered to control the seizures. If the patient shows signs of heart failure, diuretic treatment should be initiated. Additionally, high concentration oxygen therapy under high pressure should be administered, which can be delivered through nasal cannula. If nasal oxygen therapy is ineffective, non-invasive ventilation or even intubation with invasive ventilation may be used to provide high concentration positive pressure oxygen therapy.

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Written by Liu Ying
Cardiology
1min 4sec home-news-image

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.)

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Written by Zhang Yue Mei
Cardiology
58sec home-news-image

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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home-news-image
Written by Zhang Yue Mei
Cardiology
56sec home-news-image

How to Read a Blood Pressure Monitor for High Blood Pressure

As living standards improve, a blood pressure monitor has become an essential medical device in households. Electronic blood pressure monitors are very convenient for measuring blood pressure, especially for patients with hypertension. They allow patients to measure their blood pressure timely and adjust medication dosages accordingly. How to read a blood pressure monitor varies with different models. Typically, on an electronic blood pressure monitor, the first line displays the systolic pressure, also known as high blood pressure; the second line displays the diastolic pressure, also known as low blood pressure; and the third line displays the heart rate. These readings can help you know your systolic and diastolic pressures.

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Written by Zhou Qi
Nephrology
1min 27sec home-news-image

The difference between hypertensive nephropathy and renal hypertension

Hypertensive nephropathy and hypertension due to kidney disease need to be differentiated, as this affects the treatment approach and prognosis assessment differently. Hypertensive nephropathy refers to patients with long-term high blood pressure, which causes arteriosclerosis of small vessels leading to renal pathology. Often, there is also arteriosclerosis in other organs, such as the retinal arteries, which can be confirmed through funduscopic examination. On the other hand, hypertension due to kidney disease occurs when a patient has kidney disease first followed by hypertension, where the causes and types of kidney diseases vary and can frequently lead to hypertension. The difference between the two lies in the sequence of occurrence. Hypertensive nephropathy is characterized by initial high blood pressure and commonly associated with arteriosclerosis in other vessels, which can be preliminarily identified through funduscopic examination. In cases of hypertension due to kidney disease, the patient has other kidney disorders first, followed by hypertension. If a patient's 24-hour urine protein quantification exceeds 2g, it is likely due to kidney disease rather than hypertensive nephropathy. If differentiation remains challenging, kidney biopsy can be performed for further differentiation.