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Doctor insights on: Hypertensive Emergency

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Dr. Joan Gelin
47 doctors shared insights

Hypertensive Emergency (Overview)

A hypertensive emergancy is when the blood pressure goes up high enough to cause damage to an organ. It can be a bleed in to the brain or eye , a ruptured aorta, or a heart attack. Just to name a few.


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How often does hypertensive emergency cause aortic dissection, rupture?

How often does hypertensive emergency cause aortic dissection, rupture?

Not necessarily: Causative...However if the aorta is dilated a hypertensive emergency in that case would contribute to dissection. ...Read more

Dr. Joan Gelin
47 doctors shared insights

Hypertensive Emergency (Overview)

A hypertensive emergancy is when the blood pressure goes up high enough to cause damage to an organ. It can be a bleed in to the brain or eye , a ruptured aorta, or a heart attack. Just to name a few.


2

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What would the typical vitals be of someone who is having a hypertensive emergency?

What would the typical vitals be of someone who is having a hypertensive emergency?

More than numbers: In keeping with theme of treating patients, not just numbers, we don't have a typical cutoff at which we make a diagnosis of hypertensive emergency. Rather we look for associated (potential) evidence of end-organ damage. Someone who walks into an office for regular check up w/o complaint might be managed as outpt whereas someone complaining of headache, etc might have more aggressive treatment. ...Read more

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Exhaustion after a hypertensive emergency. Any tips to get better faster?

Exhaustion after a hypertensive emergency. Any tips to get better faster?

meds?: If you had a hypertensive emergency, i'll bet you're on one or more medications to prevent another one? You're likely just not used to them yet. Give it time. ...Read more

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Is stroke normal after a hypertensive emergency?

Is stroke normal after a hypertensive emergency?

Acute hypertension: The short answer is no. Acute severe hypertension may lead to a stroke, but usually does not. If there is an underlying vascular malformation or aneurysm, there may be a hemorrhage, but these are not common. Chronic untreated hypertension produces changes that increase the risk of stroke, so treating it to keep systolic pressures at or under 130 is advisable. Work with your family doctor. ...Read more

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What is the definition or description of: hypertensive emergency?

What is the definition or description of: hypertensive emergency?

End organ damage: A hypertensive emergancy is when the blood pressure goes up high enough to cause damage to an organ. It can be a bleed in to the brain or eye , a ruptured aorta, or a heart attack. Just to name a few. ...Read more

See 1 more doctor answer
6

6
Exhaustion after a hypertensive emergency. Any tips to get better faster?

meds?: If you had a hypertensive emergency, i'll bet you're on one or more medications to prevent another one? You're likely just not used to them yet. Give it time. ...Read more

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7
What would the typical vitals be of someone who is having a hypertensive emergency?

More than numbers: In keeping with theme of treating patients, not just numbers, we don't have a typical cutoff at which we make a diagnosis of hypertensive emergency. Rather we look for associated (potential) evidence of end-organ damage. Someone who walks into an office for regular check up w/o complaint might be managed as outpt whereas someone complaining of headache, etc might have more aggressive treatment. ...Read more

See 1 more doctor answer
8

8
Is stroke normal after a hypertensive emergency?

Acute hypertension: The short answer is no. Acute severe hypertension may lead to a stroke, but usually does not. If there is an underlying vascular malformation or aneurysm, there may be a hemorrhage, but these are not common. Chronic untreated hypertension produces changes that increase the risk of stroke, so treating it to keep systolic pressures at or under 130 is advisable. Work with your family doctor. ...Read more

See 1 more doctor answer
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9
How bad of a hypertensive emergency, if untreated, would cause aortic dissection?

How bad of a hypertensive emergency, if untreated, would cause aortic dissection?

Chronic and acute: It is usually an acute event in a chronically hypertensive patient or a patient with a chronic disease of the aorta like marfans disease. There is no absolute number but the higher the blood pressure multiplied by the time the blood pressure is elevated isthe most important parameter. ...Read more

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10
How often does hypertensive emergency cause aortic dissection, rupture?

Not necessarily: Causative...However if the aorta is dilated a hypertensive emergency in that case would contribute to dissection. ...Read more