If the upper pressure is 190, and the lower 130 – this means that the patient has a hypertensive crisis, which is characterized by a sudden and sharp increase in blood pressure, with symptoms of impaired functioning of the target organs and disorders of the autonomic system.
When diagnosed with arterial hypertension, the target organs are the heart muscle, kidneys, blood vessels, brain, retina.
The main pressure criteria 190/120:
- Unexpected start.
- Too high blood pressure.
- Signs of impaired functioning of target organs.
Hypertensive crisis with a pressure of 190/100 is quite common. According to medical statistics, 1/3 of patients diagnosed with hypertension occasionally or often (the crisis course of hypertension) experience a moderate or severe hypertensive crisis.
The insidiousness of a sharp jump in pressure lies in the increased risk of developing life-threatening pathologies: aortic dissection, heart attack, stroke. In view of this, if a crisis develops, you must immediately do something and take certain measures to help stop it.
It is worth noting that hypertensive crisis can develop not only in patients with hypertension, but also occurs in healthy people.
For example, caused by nervous tension and a serious stressful situation, in some cases, the reasons may lie in alcoholic beverages.
Varieties of hypertensive crisis
In the medical literature you can find several varieties of hypertensive crisis, each of which has its own characteristics. However, modern medical practice distinguishes two types:
With an uncomplicated form, there is no acute pathology of the target organs. Uncomplicated crisis is a potential danger, there is a need to quickly lower blood pressure. The uncomplicated form of the crisis includes the following:
- The cerebral appearance is characterized by cerebral symptoms (migraine, dizziness, etc.).
- A cardinal appearance when cardiac symptoms prevail (lack of oxygen, pain in the heart).
- Crisis with paroxysms of a hypothalamic nature (vegetative-vascular symptoms, trembling hands, frequent urination, redness of the skin).
- An increase in systolic blood pressure above 240 or diastolic pressure above 130, which occurs without any characteristic symptoms.
- A significant increase in blood pressure after surgery, as well as in patients with severe burns.
Complicated hypertensive crisis is not only characterized by high blood pressure, but there are also acute disorders in the functioning of target organs, which poses a direct threat to the patient’s life. In this case, it is required to immediately lower blood pressure within 1 hour.
A complicated crisis develops against the background of:
- Acute damage to nerve cells and cerebral vessels.
- Rupture of a cerebral vessel with subsequent hemorrhage.
- Cerebral infarction.
- Aortic dissection, myocardial infarction.
- Pulmonary edema.
- Acute k >It is important to note that the level of blood pressure indicators does not always correspond to the severity of the crisis, and this cannot be a criterion for the required amount of ambulance to the patient.
In some patients, symptoms of malfunctioning of target organs develop even with a moderate increase in indicators, while in other patients, even too high indicators will not lead to serious complications in the future.
In other words, a patient with a pressure of 190/130 can develop serious complications, even death. And the patient with a pressure of 240/120 will not have any complications.
Causes and symptoms of pressure 190/130
Before highlighting the reasons that can lead to pressure 190/120-130, it is worth saying that most often this pathological condition is the result of improper antihypertensive treatment, or its absence at all, non-compliance with important recommendations for taking medications and dosages.
Additional causes of pressure 190/130:
- Independent increase/decrease in the dosage of the drug.
- Supplementation of therapy with other medicines not recommended by the doctor.
- Lack of a special diet, the use of a large amount of salt and liquid.
- Nerve strain.
- Abuse of alcoholic beverages.
- Decrease/increase in atmospheric pressure.
- Fluctuations in the amount of hormones in the body (in women during critical days).
- The withdrawal syndrome, which can provoke some medications.
The reasons may lie in taking a number of drugs and psychoactive substances, as well as the development of a crisis can provoke intense physical activity or some kind of trauma.
At a pressure of 190/110-120, the functioning of the central nervous system of a person is disrupted, which is characterized by such symptoms:
- Strong headache.
- Noise in the head.
- Nausea, most often with vomiting, which does not bring relief to the patient.
- Confusion, drowsiness/agitation.
- Double vision, speech impairment, numbness of body parts.
There are also cardinal signs: pain in the heart, a strong heartbeat, a feeling of interruptions in the work of the heart, shortness of breath of varying severity.
Neurogenic disorders: redness of the skin of the face, constant thirst, dry mouth, frequent urination, increased sweating, panic. Visual disturbances: “flies” before the eyes, blurred visual perception.
What to do at a pressure of 190/100?
Unfortunately, you can never predict when the pressure will rise sharply to the numbers 190/110 and more, because of this, you need to know what to do in such a situation, and what measures to take to reduce blood pressure.
So what to do with a hypertensive crisis:
- The first thing a patient or his relatives should do is call an ambulance.
- Then try to calm down and relax, sit half-sitting, several pillows can be put under the back. To unfasten clothes that constrain respiratory functions.
- If the patient cannot cope with his emotions on his own, he needs to take medications with calming effects – Valerian, Motherwort, Corvalol.
- Provide the patient with fresh air by opening the window in the room where the patient is located.
- Sometimes asphyxiation can develop in this state, because of this it is necessary to do breathing exercises through deep breaths and slow exhalations.
- A cold lotion or ice pack can be applied to the patient’s head, and a warm heating pad can be placed on the feet.
If the patient himself or the family members are diagnosed with hypertension, each relative should know what to do in this situation, and how to help the patient.
What pills to take?
What to do in such a situation, it was found out, now it is necessary to consider medications that can lower blood pressure:
- It is imperative to take medications that were previously prescribed by your doctor.
- A captopril tablet will help lower your blood pressure in 15 minutes.
- The action of Nifedipine tablets (under the tongue) begins after 20 minutes.
- Amlodipine tablet begins to act in 10-100 minutes.
- Clon >The medicines indicated above can be taken on their own before the arrival of the first aid team. Ideally, if every hypertensive patient has such medicines, not only in his home medicine cabinet, but also in his pocket, to immediately stop the hypertensive crisis, but alternative remedies for lowering blood pressure can be taken as a prophylaxis.
With a blood pressure of 190/100-110 against the background of a sharp pain in the heart, you can put one tablet of Nitroglycerin under the tongue. It should be borne in mind that the medicine can dramatically lower the pressure, which will lead to a severe headache.
In this regard, after Nitroglycerin, you can put a Validol tablet under the tongue, which eliminates the negative reactions.
It is worth noting that all the actions performed by the patient or his relatives are pre-medical care necessary to alleviate the condition of the patient, but it will not replace a medical specialist.
The main thing, before you do something, you need to understand what exactly to do in order to avoid the deterioration of the situation. For example, during a hypertensive crisis, you can not take medications that have not previously been recommended by your doctor. Such actions can seriously complicate the situation, while the patient’s condition only worsens.
Summing up, it should be noted that hypertensive crisis is a heterogeneous group of disorders, and there is no ideally correct and correct treatment strategy. The main thing is to alleviate the condition of the patient before the arrival of doctors, and reduce pressure. The specialist in the video in this article will interestingly talk about the hypertensive crisis.
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