There is a kind of "extremely fatal" in hypertension. Young and middle-aged men have the highest incidence. I will teach you 3 ways to prevent it!

 Most hypertension is a long-term and slowly progressing process. As everyone gradually realizes the harm of hypertension and the necessity of early diagnosis and treatment, the blood pressure level and clinical manifestations of most patients are not serious at present, but there are still some hypertension Very dangerous, and the condition progressed very quickly.

The patient has a poor outcome and requires special attention. This is malignant hypertension.

1. What is malignant hypertension?

Malignant hypertension is an emergency, which may be a group of clinical syndromes caused by primary hypertension or secondary hypertension, manifested as a sharp increase in blood pressure (diastolic blood pressure is usually ≥130mmHg) accompanied by fundus bleeding and oozing And (or) papilledema and multiple organ systems (heart, brain, kidney) are affected.

The condition is very dangerous. If not treated in time, patients with malignant hypertension can die suddenly, mostly from hypertensive encephalopathy, acute left heart failure, pulmonary edema, and renal failure.

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2. Why does malignant hypertension occur?

1. People at risk

It is more common in young and middle-aged men, especially those with improper diet and medication, obesity, and lack of exercise, accounting for about 1% of hypertension patients.

2. Cause

Primary or secondary hypertension may show "malignant" manifestations, most of which are untreated or inadequately treated primary hypertension. There is also a patient with malignant hypertension.

3. Incentives

Such as emotional excitement, mental trauma, excessive fatigue, sudden temperature changes, endocrine disorders, and cold stimulation.

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3. What should I do if I have malignant hypertension?

If you experience severe headaches, nausea, vomiting, irritability, dizziness, tinnitus, palpitations, shortness of breath and blurred vision, please go to the hospital immediately.

Once malignant hypertension is diagnosed, doctors will immediately take active antihypertensive treatment to prevent the occurrence or progression of serious complications such as hypertensive encephalopathy, cerebral hemorrhage, acute pulmonary edema and renal failure.

Medically, it is generally believed that blood pressure should be quickly reduced to within 140~160/90~100mmHg.

In order to achieve this goal, intravenous administration is usually used, and the blood pressure reduction rate is about 25% within one hour. After the blood pressure stabilizes, it is gradually changed to oral medicine, and the blood pressure treatment must be adhered to for a long time.

For malignant hypertension caused by various secondary hypertension, it is necessary to find and eliminate the cause (such as pheochromocytoma caused by tumor removal; renal artery stenosis caused by interventional surgery to correct the stenosis; atrophic kidney caused by removal The affected kidney, etc.) to keep blood pressure stable for a long time and avoid further deterioration.

Don't be too nervous if you have malignant hypertension. In recent years, with the rapid development of antihypertensive drugs, the treatment effect of malignant hypertension has been significantly improved.

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4. How to prevent the occurrence of malignant hypertension?

1. Change the bad lifestyle.

Eat a reasonable diet, less salt and less oil (salt is controlled within 6 grams per day, and oil is limited within 20-25 grams), eat more fresh fruits and vegetables, quit smoking and limit alcohol, exercise moderately, and lose weight.

2. Maintain psychological balance.

Avoid emotional excitement and long-term fatigue.

3. Regular physical examination.

Early detection of hypertension, adhere to long-term treatment, and control the blood pressure within a reasonable normal range under the guidance of a doctor.

Tips: For those who are very difficult to lower blood pressure, blood pressure fluctuates rapidly, the original blood pressure is stable and suddenly rises, cerebral hemorrhage, cerebral infarction, heart disease and renal failure occur at a young age, and they should go to the hospital in time. The internal medicine or hypertension specialist conducts the screening of the cause of hypertension to remove the cause as soon as possible to avoid the occurrence of malignant hypertension.

*The content of this article is for the popularization of health knowledge. It cannot be used as a specific diagnosis and treatment recommendation, nor can it replace the face-to-face consultation of a practicing doctor, for reference only.