Definition and classification

The division of the WHO (World Health organization)/ISH (International Society of hypertension) guideline is valid here. This division of the blood pressure values orientates itself at the results of epidemiological and clinical studies.

Stadia:
  1. Hypertension without organ changes
  2. Hypertension with light organ changes
  3. Hypertension with heavy organ damages: Left-sided heart failure/(cardiac insufficiency with pulmonary congestion), hypertensive retinopathie (eye illness by a high blood pressure), cerebrale complications (e.g. brain massive cerebral hemorrhage), renal insufficiency.
Malignant hypertension:
  • Therapy resistance (insufficient attitude with > 2 antihypertensives)
  • Durable increase in the blood pressure after quite a long time of good attitude
  • Hypertension suddenly appearing
  • Unusual manifestation age (old < 30 or > 60 years)
  • diastolic (lower) value of > 120-130 mmHg
  • Lifted circadian rhythm at long chronometry
  • Eyeground changes stage III IV
  • Development of a renal insufficiency (function restriction)
Classification

Optimally normally 'highly' normally
light hypertension (heaviness
degree 1) hypertension of medium
difficulty (heaviness degree 2)
heaviness hypertension (heaviness
degree 3) isolated systolic
hypertension hypertensive crisis
(critical blood pressure increase)
Systolic

< 120
< 130
130 - 139
140 - 159
160 - 179
> 180
> 140
>230
diastolic

< 80
< 85
85 - 89
90 - 99
100 - 109
> 110
< 90
> 130
Definition and classification of blood pressure areas in mmHg. The classification is carried out into the higher class if systolic (upper) and more diastolic a (lower) blood pressure value at a patient into different classes fall

From the perspective of medical behavior a blood pressure has > 140/90 mmHg practical relevance primarily, since it gives cause for a medicinal therapy for another clearance, diagnostics and possible. Applies to the malignant hypertension and the hypertensive gaffe, that the medicinal therapy must immediately be started with under stationary conditions !!!!


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