Sunday, March 16, 2008

What is the radical type of malignant hypertension

Radical-radical malignant hypertension, including hypertension and malignant hypertension. The so-called radical hypertension refers to a condition which is the rapid progress in the beginning, or a few years after the slow process of the rapid development of a sudden. Common in young people under 40 years of age and the elderly, clinical performance significantly increased blood pressure, often sustained in the 26.6/17.3 kpa (200/130mmhg) above, fundus examination showed retinal hemorrhage or exudative. Malignant hypertension was particularly prevalent in young people, diastolic blood pressure often over 18.6 kpa (140mmhg), as a papillary edema (Ⅱ pole). Now that both clinical and pathological changes similar to radical hypertension if not promptly treated, can rapidly to malignant hypertension. In other words, is malignant hypertension-hypertension radical of the most serious stage, and therefore, collectively referred to as radical-malignant hypertension. Aggressive type of malignant hypertension can be no early symptoms, or only a headache to the morning for weight, and often extreme fatigue, excessive tension in the spirit of cold stimulation, endocrine disorders, and other incentives menopause, blood pressure suddenly increased, diastolic blood pressure over 17.3 k pa (130mmhg) above, fundus examination that retinal hemorrhage, or exudative optic disk edema, and there may also be the performance of cardiac dysfunction, such as the apical pulse Obviously, the expansion of the heart, but the most prominent renal damage. Often persistent proteinuria, hematuria, and urinary tube, and the merger tiny artery hemolysis and disseminated intravascular coagulation, and sometimes there will be hemolytic anemia, often suggested that when a critical condition. Hypertension is a radical type of hypertension in an emergency situation, although not as hypertensive encephalopathy danger, but not timely antihypertensive treatment, and often can be life-threatening. According to statistics, one year survival rate of only 10% to 20%, the majority of patients died within a year. No renal damage or renal dysfunction lesser of a better prognosis, the possibility of long-term survival. Radical-and the prognosis of malignant hypertension etiology, course, the level of blood pressure, heart and brain fundus changes and the degree of renal dysfunction. High blood pressure and heart, brain and kidney damage vital organs such as serious a poor prognosis. In recent years because of aggressive type of malignant hypertension in-depth study of the treatment methods to improve and the emergence of new drugs, it has greatly changed the prognosis.

No comments: