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Hypertensive crisis; Other names: Malignant hypertension, accelerated hypertension: A systolic hypertensive crisis as measured on a home automated arm blood pressure monitor, showing an extremely elevated systolic blood pressure of 227, a mildly elevated diastolic blood pressure of 93 and a very fast tachycardic heart rate of 162 beats per minute.
A hypertensive emergency is very high blood pressure with potentially life-threatening symptoms and signs of acute damage to one or more organ systems (especially brain, eyes, heart, aorta, or kidneys). It is different from a hypertensive urgency by this additional evidence for impending irreversible hypertension-mediated organ damage (HMOD).
A hypertensive urgency is a clinical situation in which blood pressure is very high (e.g., 220/125 mmHg) with minimal or no symptoms, and no signs or symptoms indicating acute organ damage. [1] [2] This contrasts with a hypertensive emergency where severely high blood pressure is accompanied by evidence of progressive organ or system damage. [1]
Complications of hypertension are clinical outcomes that result from persistent elevation of blood pressure. [1] Hypertension is a risk factor for all clinical manifestations of atherosclerosis since it is a risk factor for atherosclerosis itself.
Hypertensive encephalopathy is most commonly encountered in young and middle-aged people who have hypertension. [ 7 ] [ 8 ] [ 9 ] Overall, the condition is rare even among people with hypertension. Studies report that from 0.5 to 15% of people with malignant hypertension develop hypertensive encephalopathy.
In terms of environmental factors, dietary salt intake is the leading risk factor in the development of hypertension. [7] Salt sensitivity is characterized by an increase in blood pressure with an increase in dietary salt and is associated with various genetic, demographic, and physiological factors— African American populations, postmenopausal women, and older individuals carry a higher ...
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A prominent individual with severe hypertension was Franklin D. Roosevelt. [13] However, while the menace of severe or malignant hypertension was well recognised, the risks of more moderate elevations of blood pressure were uncertain and the benefits of treatment doubtful. Consequently, hypertension was often classified into "malignant" and ...