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Diagnostics of possible complications of the high blood pressure
The results and complications of the high blood pressure are various and have a special effect at the vascular systems of brain and heart, also concern all other organs, however. Here become different complications both acute as also introduced to long time consequences for the different organs which it is necessary to prevent if possible by an adequate attitude.
1. Hypertensive emergency:
It is a heavy hypertension suddenly appearing with endangering the patient vitally by acute organ damages: - Hypertension encephalopathy of blood flow increased with dilatation of the cerebral vessels and pathological by failure of the car blood pressure regulation of the brain with the danger of a stroke: Symptoms are strong headaches, nausea, vomiting, visual defects, perhaps neurological breakdowns and seizures. Without an immediate therapy unconsciousness, breath disturbances and death threaten! - on the left heart overload with danger of the pulmonary edema by the too high pressure - Angina pectoris attack with mamma pains - Aortic dissection - tearing the great body artery is rare.
2. Vascular system:
50-60 % of the hypertension patients develop an early arteriosclerosis (arterial calcification.) The extent can be read from the image of the eyeground (hypertensive Retinopathy with 4 stadia)
3. Heart:
Left-sided heart failure (cardiac insufficiency) and coronary heart condition are cause of death at 2/3 of the hypertension patients:
- Pressing aurochs hypertrophy (enlargement) of the left heart chamber except for a weight on the other side of the critical brand of 500 g > weakness of the pumps.
Echocardiography: getting thick the heart wall (particularly septum ending diastolic > 11 mm). This represents a risk factor for the later occurrence of cardiovascular events. Roentgen: Widening+extension of the heart shadow. Aortic elongation. ECG: Left ventricular hypertrophy sign (Sokolow index Sv1+Rv5/6 > 3.5 mVs), late repolarization disturbances.
- Coronary heart condition: 4 manifestations are possible: Angina pectoris with mamma pains, myocardial infarction, acute cardiac death and left-sided heart failure.
4. Brain:
Complications at the brain vessels put the cause of death for patients at approx. 15% of the hypertension.
- Stroke by reduction of the cerebral perfusion (85%) due to the arterial calcification > cerebral infarction
- Cerebral perfusion (15%) by the increased pressure > strongly increased brain massive cerebral hemorrhage stroke by
- Hypertensive emergency with failure of the car blood pressure regulation of the brain with dilatation of the cerebral vessels - see above
5. Eyes:
The analysis of the eyeground represents a method for the further division of the stadia of the hypertonus. The changes of the retina vessels and therefore the eyeground are divided up into 4 heaviness degrees. The visual acuity also can be influenced by the blood pressure therefore and lead to the loss of sight in the extreme case by damage done to the retina.
6. Kidneys:
Training of a sclerotic kidney by the arterial calcification. The inferior circulation resulting from it of the kidney leads so-called renin angiotensin aldosterone mechanism in turn for a rise of the blood pressure, so that about this one the hypertonus in front of already consisting is made worse or fixed. Threaten restriction of the kidney function with renal insufficiency in the further course. Test: Urine on micro albumins (secretions of smallest egg-white particles which are usually filtered and kept back in the body by a fully working kidney) as follow-up and heaviness graduation as well as creatinine Clearance.
These informations may be considered a substitute for a piece of medical advice in no case. The content of health-illness.com doesn't can and may be put into any case to make diagnoses or carry out self medical treatment independently.
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