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Home > West Medicine > Internal Medicine > Cardiology
I10.x06

Hypertensive Crisis

心内科

Common symptoms

血压高、嗜睡、视力障碍、颈部搏动、头痛并呕吐、烦躁不安、视乳头水肿、基底节出血、恶心、心悸伴高血压

The pathology of disease

Hypertensive crisis is severe blood-pressure elevation (>180/120 mmHg), classified as hypertensive emergency (with acute end-organ damage: encephalopathy, chest pain, pulmonary edema, renal failure, stroke, aortic dissection) or urgency (without acute end-organ damage). Treatment: emergency - hospitalize/ICU, controlled IV BP lowering; urgency - oral agents, gradual lowering over 24-48 h; investigate/treat the underlying cause; monitor target organs.

Common Symptoms

Severe BP elevation; headache/chest pain/dyspnea/neurologic deficit; by emergency/urgency

Causes and Pathogenesis

Marked BP elevation may cause acute end-organ damage (emergency) or be asymptomatic (urgency).

Treatment

Emergency: ICU/IV controlled lowering; urgency: oral gradual lowering; investigate cause

Preventive Measures

Control chronic hypertension; adhere to meds; monitor.

Department to Visit

It is recommended to visit the Cardiology/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.