Hypertension is a very common disease and today has become a social problem.
According to statistics in Vietnam in the late 80s, the percentage of adults with hypertension was 11% and according to the 2008 survey of the Institute National Heart in 8 provinces / cities across the country, the ratio is 25.1%.
Hypertension can be dangerous even for patients but also may silently affect target organs such as the heart, brain, kidneys, eyes, cause sequelae severely affect quality of life of patients ring.
As defined by the World Health Organization (WHO) called hypertension as a systolic blood pressure greater than or equal 140 mmHg and diastolic blood pressure or greater than or equal to 90 mmHg.
Hypertensive emergency situations hypertension is accompanied by serious complications should hypotension down immediately to avoid damage target organs, often blood pressure above 200 / 100mmHg.
Common situations in hypertensive emergency: encephalopathy hypertension.
Hypertension and myocardial infarction.
Hypertension and chest pain unstable.
Hypertension accompanied separated into the aorta.
Left heart failure caused by hypertension.
Hypertension associated with subarachnoid hemorrhage, and hemorrhagic.
Hypertension in pheochromocytoma.
Hypertension by stimulating drugs (cocaine, amphetamines …)
hypertension around the surgery.
Hypertension condition eclampsia and pre-eclampsia. Hypertension associated with subarachnoid hemorrhage, and hemorrhagic. Hypertension in pheochromocytoma. Hypertension by stimulating drugs (cocaine, amphetamines …) hypertension around the surgery. Hypertension condition eclampsia and pre-eclampsia. Hypertension associated with subarachnoid hemorrhage, and hemorrhagic. Hypertension in pheochromocytoma. Hypertension by stimulating drugs (cocaine, amphetamines …) hypertension around the surgery. Hypertension condition eclampsia and pre-eclampsia.
The principle of treating the hypertension emergency
Handled urgently, monitors. Patients must be hospitalized and monitored at the hospital has specialized in cardiology and emergency.
Taking the road of hypertensive intravenous infusion. The selection of specific drugs case is relevant to the accompanying disease and the vulnerability of target organs to patients, in the opinion of the specialist.
Lower blood pressure levels as the case specifically.
The drug treatment of hypertension intravenous lines
In cases of emergency hypertension, reduce blood pressure should be treated quickly, but does not need to return to normal soon, particularly in patients with cerebral vascular accidents.
Patients were separated into the aorta should bring blood pressure down to the lowest possible level. After the last severe hypertension emergencies, patients should continue to follow up and treatment of hypertension and other risk factors.
After having passed the acute hypertension, patients should be evaluated back of body condition, the target organ damage and the accompanying risk factors to be monitored, long-term treatment and counseling, avoid complications.
The target organs damage may experience in hypertension
Level: Lung edema, NMCT.
Port: the left ventricular coronary insufficiency, thick, heart failure.
2. brain Circuits:
Levels: brain circuits, brain disease hazard due to hypertension.
Beam: brain circuits, hazard accidents brain circuit transient.
-Diabetes mellitus, diabetes mellitus, renal protein out.
4. The bottom of the eye:
-Edema, hemorrhage, vascular, co. ..
5. Peripheral Arterial Disease: clogged arteries, the carotid occlusion.
As such, hypertension is a relatively common disease, if not treated good track has quite a lot of complications affect the life and health of the patient.
One such situation is the acute hypertension. In the event of severe acute hypertension, patients need to be hospitalized and monitored, emergency treatment at Department of cardiovascular disease.
After having passed the emergency status of patients still need to be monitored, long-term treatment and should be consulted, education to prevent later complications.