Saturday, January 12, 2008

What is the aggressive type of malignant hypertension

Aggressive type of malignant hypertension include aggressive type of malignant hypertension and hypertension. The so-called fast-hypertension is a condition namely, the rapid progress in the beginning, or after several years of slow process after the sudden rapid development. Common in the following 40-year-old youth and the elderly, clinical performance significantly increased blood pressure, Chang continued .6/17.3kPa 26 (200/130mmHg) above, fundus examination showed retinal hemorrhage or exudative. Malignant hypertension was particularly prevalent in young people, diastolic blood pressure often more than 18.6 kPa (140mmHg) there palilledema (very II). Now that both the clinical and pathological changes similar performance, the aggressive type of hypertension if not treated in time, quick to malignant hypertension. In other words, malignant hypertension is the aggressive type of hypertension of the most serious stage, therefore, now referred to as the aggressive type of malignant hypertension. Aggressive type of malignant hypertension there will be no early symptoms, or only a headache to early morning weight, and often extreme fatigue, excessive mental tension, the cold stimulation, menopause and other incentives endocrine disorders, blood pressure suddenly increased, diastolic blood pressure over 17.3 k Pa. (130 mmHg) above, we can see fundus examination of retinal hemorrhage, or exudative optic disk edema, may occur cardiac dysfunction performance, as apexcardiogram obviously enlarged heart, However, renal dysfunction is most prominent. Often persistent proteinuria, hematuria, and urinary tube, could be combined with hemolytic small arteries and disseminated intravascular coagulation, Sometimes there will be the hemolytic anemia, then often suggest severity. Malignant hypertension is a clinical hypertension in emergency situations, though not as much as hypertensive encephalopathy dangerous, But without timely antihypertensive treatment, often life-threatening. Statistics show that within one year survival rate is only 10% ~ 20%, the majority of patients die within a year. No renal dysfunction or renal dysfunction lesser better prognosis, the possibility of long-term survival. Aggressive type of malignant hypertension prognosis and etiology, course, the level of blood pressure, fundus changes and heart, brain and kidney function related to the degree of damage. High blood pressure and heart, brain and kidney damage vital organs such as the severe poor prognosis. In recent years, because of the aggressive type of malignant hypertension - depth research, treatment methods and the emergence of new drugs. it has greatly changed the prognosis.

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