How Emergency Hypertension Affects

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The signs and symptoms of emergency hypertension include an abrupt rise in diastolic blood pressure to greater than 120 mm Hg and a persistent headache accompanied by nausea, vomiting, fatigue, dizziness, and restlessness. As with urgent hypertension, the headache usually affects the occipital region and is more intense in the morning. Other signs and symptoms include altered cognitive status, confusion, ataxia, irritability, drowsiness, increased fatigue, and decreased responsiveness.

Your patient may exhibit signs and symptoms of heart failure resulting from left ventricular dysfunction or volume retention caused by renal dysfunction. In a patient with heart failure, you may note these signs and symptoms:

chest pain

tachycardia

ischemic ECG changes

dizziness

crackles

shortness of breath

dyspnea with exertion

pedal edema with unequal or absent pulses

jugular vein distention.

The neurologic signs and symptoms of emergency hypertension commonly mimic those of a CVA. However, the focal signs of a CVA that signal neurologic problems, such as speech difficulties and weakness on one side of the body, won't appear with emergency hypertension.

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For more information on hypertension go to www.hypertensionblog.org/ for specialized information on blood pressure and coronary artery diseases .

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