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Doctor insights on: Hypertensive Emergency In Children

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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

Dr. Joan Gelin
50 Doctors shared insights

Hypertensive Emergency (Definition)

Occurs when the blood pressure goes up high enough to cause ...Read more


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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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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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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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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 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

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Had hypertensive emergency resulting severe headache (perhaps encephalopathy) & the headache has not gone away for over a year. Ever seen that?

Had hypertensive emergency resulting severe headache (perhaps encephalopathy) & the headache has not gone away for over a year. Ever seen that?

YES: 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!

BE WELL
Z ...Read more

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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

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When does hypertensive emergency, if untreated, cause aortic dissection, and ultimately, rupture?

When does hypertensive emergency, if untreated, cause aortic dissection, and ultimately, rupture?

No timeline: It depends on strength of aortic wall, level and history of hypertension, and many other factors. More commonly, hypertensive emergencies lead to stroke before aortic dissections but it certainly can cause either. I hope this helps! ...Read more

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Post reaction to stimulant and subsequent hypertensive emergency, I have chronic chest pain & intractable migraine. Docs have no clue. Any theories?

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

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What is hypertension urgency?

What is hypertension urgency?

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

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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?

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?

Yes: So he is saying that when someone has HTN at a young age. It puts their children at higher same risk. Your children should be made aware of the risk, and they should eat healthy, exercise regularly and maintain a normal body weight....And no smoking. That will help reduce risk. ...Read more

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I am hypertensive what can I eat to reduce it?

I am hypertensive what can I eat to reduce it?

Hypertension needs: To be followed by your doctor. Check w/him/her about possibly using Neo 40, a natural product made from beet roots and other supplements that dilates the blood vessels and research shows is effective for mildly elevated blood pressure. Peace and good health. ...Read more

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What's hypertensive nephrosclerosis?

What's hypertensive nephrosclerosis?

Kidney scarring: This is a diagnosis seen at time of renal biopsy and essentially means that the kidney is damaged by high blood pressure. ...Read more

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Is it safe to fast when hypertensive?

Is it safe to fast when hypertensive?

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

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What are the risks of being hypertensive?

What are the risks of being hypertensive?

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

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Can you overdose on hypertensive medication?

Can you overdose on hypertensive medication?

Yes: The severity of reaction would depend on what the medication was, the dose and your health before hand. ...Read more

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What foods hypertensive patients should avoid.?

What foods hypertensive patients should avoid.?

Healthy Diet: A healthy diet without excessive salt or fatty foods is best. Concentrate on vegetables and fruits. Avoid fast foods. Exercise regulalry. Monitor BP daily and take medication as prescribed. ...Read more

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How do I know if I am in a hypertensive crisis?

Go to ED: If you think your are in a hypertensive crisis, go to the emergency room asap and ask them for help. ...Read more

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When should someone take anti-hypertensive drugs?

When should someone take anti-hypertensive drugs?

Antihypertensive dru: When your physician prescribes them is a really good time. Generally that will be when your doctor diagnoses you to have hypertension needing treatment. Most drugs are taken in the AM to have maximum effect while the patient is up and active. ...Read more

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Is chlorimphenicol safe for hypertensive patients?

Is chlorimphenicol safe for hypertensive patients?

Yes: Usually yes. Most of it's toxic effects are on the bone marrow. I cannot think of any BP medication that would increase bad interactions ...Read more

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What is hypertensive nephrosclerosis? What causes it?

What is hypertensive nephrosclerosis? What causes it?

Kidney damage: Hypertensive nephrosclerosis refers to damage to the kidneys caused by high b.p. Persistent hypertension can cause glomerulosclerosis where the filtering units of the kidney are progressively destroyed to the point where they resemble homgenized balls mircoscopically. Sclerosis literally means hardening.
The kidneys regulate bp via elaboration of hormones and regulation of salt & volume. ...Read more

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Can bisolol can be used in hypertensive pt with diabetes?

Can bisolol can be used in hypertensive pt with diabetes?

Yes: bisoprolol can be used for high blood pressure or heart disease in diabetes. It belongs to beta-blockers class so potential side effect is that it can hide symptoms of low blood sugar. It depends on individual risk/benefit evaluation to use it or not. In selected patients we do use it. Also if kidneys are slow dose needs to be lowered. Good luck! ...Read more

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What does it mean if a drug has anti-hypertensive effects?

What does it mean if a drug has anti-hypertensive effects?

Reduces BP: This is either a medication used primarily to lower blood pressure, or has another primary effect, but also may lower your blood pressure. ...Read more

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Could you give me tips on the latest anti-hypertensive drug.?

Could you give me tips on the latest anti-hypertensive drug.?

First tip: expensive: There are many new anti hypertensive medicines in different classes.
But why would you choose something new and expensive (very) when you have older, generic and relatively cheap medicines that will do the job of controlling hypertension just as well? ...Read more

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What is the best diet and exercise for a hypertensive patience?

Hypertension: You care for your health as you want to understand your diet and exercise for hypertension.
Diet low in salt and fat can be helpful
diet with about 1500 calories/day can also be helpful.
Cardio vascular exercises will decrease LDL which can result in decrease of blood pressure.
Please see your physician for lab test of lipids and chemistry, medication, and useful exercises. And a nutritionist. ...Read more

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What's necessary care for hypertensive patients especially food?

What's necessary care for hypertensive patients especially food?

DASH: Dietary approaches to stop hypertension (DASH) includes foods low in sodium, high in potassium, high in calcium, and high in magnesium. Fruits and vegetables are perfect for this. Not only are the minerals in fruits and vegetables able to control hypertension, but plant-based food will also activate enzymes that repair blood vessels, providing another way to reduce blood pressure. ...Read more

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What medications are most dangerous to hypertensive senior citizens?

What medications are most dangerous to hypertensive senior citizens?

Stimuants: Any drug with stimulating properties should be avaided in this type of patient. This may include decongestants (ie sudafed) appetite suppressants, etc. ...Read more

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I am hypertensive and I usually feel drowsy around midday, could this be connected?

HTN: Wondering if u r on medications that lower BP & might attribute to symptoms. Please review with your doc. ...Read more

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What should be the BP of a 65 year-old woman before taking a hypertensive medicine?

What should be the BP of a 65 year-old woman before taking a hypertensive medicine?

Recommendations for: Treatment of hypertension indicate that blood pressures in a woman this age should be treated if they are above 150/90. If you have diabetes or kidney disease, the limit for treatment is 140/90. ...Read more

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How can I ask hosts for easter dinner to serve something besides ham? I'm hypertensive.

How can I ask hosts for easter dinner to serve something besides ham? I'm hypertensive.

Answer: Just because they serve it, doesn't mean you have to eat it. Simply say, "no thank you, I'm trying to control my salt intake." next year they might serve an alternative. Be sure to comment on how good the other food is that you have eaten. ...Read more