The phenomenon of hypertension is now becoming more and more common, especially among young people. The key to this disease is to first understand some common symptoms, such as dizziness, tinnitus, fatigue and insomnia in the early stages. 1. Slow-onset hypertension 1. Early manifestations: There are usually no symptoms in the early stages. Occasionally, high blood pressure may be found during physical examinations, or dizziness, headache, blurred vision, tinnitus, insomnia, fatigue, and inattention may occur after mental tension, emotional excitement, or fatigue. These symptoms may be caused by higher-level mental dysfunction. Blood pressure only rises temporarily in the early stages, and as the disease progresses, blood pressure continues to rise and organs are affected. 2. Brain manifestations: Headache and dizziness are common, mostly caused by emotional excitement, excessive fatigue, climate change or discontinuation of antihypertensive drugs, sudden increase in blood pressure, severe headache, visual impairment, nausea, vomiting, convulsions, coma, transient hemiplegia, aphasia, etc. 3. Cardiac manifestations: In the early stage, heart function is compensated and symptoms are not obvious. In the later stage, heart function is decompensated and heart failure occurs. 4. Renal manifestations: Long-term hypertension leads to renal arteriosclerosis. When renal function is impaired, it can cause nocturia, polyuria, protein, casts and red blood cells in the urine, poor urine concentrating function, phenol red excretion and urea clearance disorders, and the occurrence of azotemia and uremia. 5. Arterial changes. 6. Changes in the fundus. 2. Acute hypertension Also known as malignant hypertension, it accounts for 1% of hypertension. It can be a sudden change from a slowly progressive type, or it can start suddenly. Malignant hypertension can occur at any age, but it is most common in 30-40 years old. Blood pressure is significantly elevated, and diastolic pressure is mostly above 17.3Kpa (130mmHg). There are symptoms such as fatigue, thirst, and polyuria. Vision decreases rapidly, and there are retinal hemorrhages and exudations in the fundus. There is often bilateral optic disc edema, and proteinuria, hematuria and renal insufficiency appear rapidly. Heart failure, hypertensive encephalopathy and hypertensive crisis may also occur. The course of the disease progresses rapidly and most patients die of uremia. |
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