Doctor insights on:
Hypertensive Emergency In Children
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
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
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
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 Marfan's 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
Had hypertensive emergency resulting severe headache (perhaps encephalopathy) & the headache has not gone away for over a year. Ever seen that?
HOWEVER do not be so "quick" to think of the headache as being due to your episode of severe hypertension. The headache MUST BE EVALUATED and all causes of prolonged headache ruled out!! Start with your Primary Care Physician who may order appropriate testing (eg Brain MRI!) then consultation with a Neurologist or Headache specialist (YES there are such Physicians) is the NEXT STEP!
Z ...Read more
Not necessarily: Causative...However if the aorta is dilated a hypertensive emergency in that case would contribute to dissection. ...Read more
Post reaction to stimulant and subsequent hypertensive emergency, I have chronic chest pain & intractable migraine. Docs have no clue. Any theories?
Clue - no conclusion: They have clues - just no answers yet. Difficult cases can take long efforts and you need to be patient and help them as things are tried by good feedback. It can be really helpful to have a Health Psychologist on thelp translate between you all the team and also provide support to you through the frustration. ...Read more
Severe HTN: It's more accurately: severe HTN with mild symptoms. Mostly BP doesn't cause symptoms, but when it's very high (we're talking >200/>110 - sometimes much higher), there may be angina, heart failure, or encephalopathy. If severe, it's a hypertensive emergency. "urgency" is a term used for a borderline situation. ...Read more
Cardiologist diagnosed me with hypertensive heart disease. He said my children have a 40% chance of having it. Can I do anything to prevent it?
Safe and Helpful!:
In a research study nearly 90% of those with hypertension had large reductions in blood pressure after a 10 day medically-supervised fast. See http://www. Ncbi. Nlm. Nih. Gov/pubmed/11416824
it would be best to do this under the supervision of a doctor with knowledge about how to safely fast. While a water fast was used in the study, I believe a juice fast is safer. ...Read more
Stroke: I'm not an md, but my dad was hypertensive and a stubborn sort and died of a hemorrhagic stroke. Take your meds and monitor closely. So the answer, at least one is a stroke. And you don't want that. ...Read more