Transient arterial hypertension

Arterial hypertension is a condition in which the level of systolic and diastolic pressure rises.

Such a disease is diagnosed in 40% of older patients, but today it is not rarely detected in young people. Therefore, many doctors recommend that anyone over the age of 25 regularly measure blood pressure.

According to statistics, only 20-30% of all hypertensive patients receive competent treatment. At the same time, only 18% of women and 7% of men regularly monitor blood pressure.

When the disease is at the initial stage of development, its course is asymptomatic, therefore, the presence of the disease can be found out by chance, for example, during a preventive medical examination or treatment of another pathology.

Untimely diagnosis or non-treatment of arterial hypertension leads to a rapid progression of the disease, a sharp deterioration in the patient’s well-being, but most importantly, all kinds of complications develop, such as heart failure, myocardial infarction, stroke, etc.

>Blood pressure rises due to a decrease in the lumen of the arteries and their small branches – arterioles. This condition is caused by complex nervous and hormonal processes.

During narrowing of the vascular walls, the functioning of the heart becomes more intense, therefore, essential (primary) arterial hypertension occurs. Such a disease is diagnosed in 90% of patients. In the remaining 10% of patients, symptomatic (secondary) hypertension occurs, which occurs against the background of other diseases (often cardiovascular).

The primary form of the disease appears due to damage to certain organs, which, if untreated, results in target organ disease.

Secondary hypertension occurs due to a violation that occurs in the work of organs and systems involved in the regulation of blood pressure, that is, an increase in its numbers is a manifestation of the underlying disease.

Secondary arterial hypertension is classified according to the causes of its occurrence:

  1. renal;
  2. hemodynamic;
  3. endocrine;
  4. neurogenic and so on.

Renal hypertension (renovascular, parenchymal) occurs as a result of acquired or congenital hydronephrosis, diabetic glomerulonephrosis, radiation kidney disease, acute and chronic pyelo – and glomerulonephritis and renal polysytosis.

Hemodynamic (cardiovascular and mechanical) occur when:

  • arteriovenous fistulas;
  • aortic valve insufficiency;
  • Paget’s disease;
  • complete atrioventricular block;
  • coarctation of the aorta;
  • atherosclerosis of the aorta;
  • open aortic duct and stuff.

Endocrine hypertension develops with a disease of either Itsenko-Cushing’s syndrome, pheochromocytoma, acromegaly, Cohn’s syndrome and paragangliomas.

Neurogenic types of the disease occur in diseases and focal lesions of the brain and spinal cord, acidosis and hypercapnia.

Other types of arterial hypertension may develop with:

  1. porphyria (genetic failure in pigment metabolism);
  2. late toxicosis;
  3. taking hormonal contraceptives;
  4. lead and thallium poisoning;
  5. the use of food containing tyramine during treatment with MAO inhibitors;
  6. carcinoid syndrome;
  7. an overdose of glucocorticosteroids, catecholamines and ephedrins.

Hypertension is also divided by the nature of the course:

For the crisis form of the disease, episodic hypertensive crises are characteristic. With malignant hypertension, the level of blood pressure rises to high levels, the disease progresses rapidly, as a result of which severe consequences develop, which can even lead to death.

With the labile nature of the course, blood pressure increases due to the influence of a provoking factor (emotional or physical overstrain). In order to normalize the pressure in this case, treatment with medications is necessary.

With stable hypertension, the patient is constantly elevated. Therefore, for its stabilization, a long and serious therapy is necessary.

In addition, there is transient hypertension, in which the rise in blood pressure is episodic. This condition lasts from 2-3 hours to several days. As a rule, taking medications in this case is not required.

Transient hypertension: causes

Even a periodic increase in blood pressure is an alarm. However, what is the likelihood that transient hypertension will develop into hypertension? What are the causes of this phenomenon and how to prevent the development of the disease.

It is worth noting that the disease progresses gradually, so it goes through several stages. So, for its first stage, a transient increase in blood pressure (140/90 mm Hg) is characteristic.

An hereditary factor plays an important role in the appearance of hypertension. In addition, the disease can frolic due to instability of the nervous system. In this condition, a labile mood is noted, while the patient is thrown into the heat, then into the cold. Therefore, if this phenomenon is not controlled, hypertension can develop.

Often arterial hypertension appears due to violations in the endocrine system, which is often accompanied by obesity. Still unstable blood pressure may be in people who lead a sedentary lifestyle.

Also, the appearance of arterial hypertension is facilitated by bad habits – the abuse of alcohol and tobacco. In addition, non-compliance with sleep and rest, work in hazardous industries and chemical poisoning – all this also negatively affects the work of the cardiovascular system.

Of great importance in the occurrence of transient hypertension is stress, in which substances are released into the body that cause the heart to work intensively, pumping blood through narrowed vessels.

In addition, hypertension develops much faster with:

  1. excessive salt intake;
  2. chronic brain hypoxia;
  3. kidney disease;
  4. age-related hormonal changes.
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It is noteworthy that the signs of hypertension feel better for people who have not been diagnosed with hypertension. Moreover, the manifestations of this disease are often associated with overwork or other factors, however, it has its own characteristic symptoms:

  • fatigue;
  • headache of varying intensity and duration;
  • intolerance to odors, light and harsh sounds;
  • irritability;
  • dizziness.

Moreover, with an increase in blood pressure indicators, heat can rush to the face, his skin turns red, “flies” flash before his eyes and there is a ringing in the ears.

The duration of the attack can be from 2-3 hours to 24 days. As a rule, the heart pressure at this moment is not more than 130-40 mm Hg. Art., and diastolic indicators remain normal (80-85 mm RT. Art.).

It is worth noting that the transient stage of hypertension can last up to six years, but if the treatment of the disease is timely and most effective, the disease will recede. In addition, a short-term increase in blood pressure does not affect the state of the cardiovascular system, its functioning deteriorates only when the pathology of hypertension flows into the next stage. So, with moderate and severe hypertension, changes occur in the brain, myocardium, kidneys and blood vessels of the eyes.

Persistent hypertension is accompanied by such unpleasant phenomena as:

  1. memory impairment;
  2. atherosclerosis;
  3. deterioration of visual function, which may result in complete blindness;
  4. coronary heart disease, in which failures in his work and chest pains are noted;
  5. noise in ears;
  6. swelling of the lower extremities.

According to statistics, timely diagnosis and adequate treatment of hypertension in 50% of cases prevents the appearance of myocardial infarction. Together with constant monitoring and normalization of blood pressure, it is possible, if you do not prevent the progression of the disease, then at least improve the well-being of the patient and prolong his life.

How to diagnose transient hypertension?

To detect hypertension, you need to constantly monitor the pressure and regularly measure it when a headache occurs, discomfort in the heart, dizziness and other symptoms of the disease.

Blood pressure should be measured twice: sutra (after getting out of bed), which will be the base indicator, and working pressure throughout the day. It is worth noting that the numbers can increase due to physical or emotional overload.

In addition, blood pressure indicators are rising due to age-related changes. So, if a man who is 55 years old or more has a pressure of 135-140 / 85-90, then this condition is normal. It is noteworthy that by the age of 80 it can normalize and even decrease.

If you suspect arterial hypertension, you must undergo an examination consisting of:

  • urine and blood tests (general, biochemical);
  • ophthalmoscopy;
  • ECG;
  • fluoroscopy and ultrasound of the heart;
  • FCG;
  • Echocardiography

Non-drug treatment of transient hypertension

With a periodic and unstable increase in blood pressure, drug treatment is not required, therefore, seizures can be eliminated using traditional medicine recipes. So, with an increase in pressure of 2 tbsp. l hawthorn (berries) are poured into 250 ml of water and boiled for 15 minutes. Then the tool is insisted, cooled, filtered and taken three times a day for 1 tbsp. l

2 tbsp. l strawberry leaves are placed in a thermos and pour a glass of boiling water. Then they all insist 60 minutes and drink 1/3 stack. before eating 3 p. in a day.

1 tbsp. l dry and crushed horse Valerian pour 200 ml of water and boil for 30 minutes. After which the broth is insisted for 2 hours and taken 4 p. per day for 1 tbsp. l The course of treatment is at least 21 days.

2 tsp dried motherwort is poured with boiling water and insisted for 10 minutes. The medicine is taken in 1 glass three times a day in small sips. The duration of treatment is from 2 to 4 weeks.

The crushed leaves of plantain are poured with alcohol (200 ml – 4 tbsp. L. Vodka). The medicine is insisted for 2 weeks in the dark, filtered and drunk three times a day, 30 drops.

250 ml of honey and yogurt are mixed with 2 tsp. cinnamon powder. The drug is taken for 14 days at 0.5 cups 2 r. a day before meals. After you need to take a break for 2 weeks and repeat the course again.

1 tbsp. l dill seeds are poured with 250 ml of boiling water, infused for ¼ hours and filtered. Infusion is drunk 1/3 cup three times a day.

2 tbsp. l blackcurrant pour 200 ml of boiling water and put on fire for 10 minutes. Means insist hour and drink 4 r. день cup per day.

500 ml of cranberry juice is mixed with 100 g of sugar, put on fire and brought to a boil. The medicine is drunk on an empty stomach of 250 ml, and in the afternoon take a decoction of rose hips. The duration of treatment is 1.5 months.

Also, with hypertension, you should drink mountain ash juice, which is taken 30 minutes before meals for 30 days in an amount of 1 tbsp. l at a time. Another good remedy is lingonberry fruit juice, which removes excess water from the body, thereby reducing blood pressure.

In addition, a rosehip decoction that can be drunk in unlimited quantities is a good antihypertensive agent.

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To prepare an effective remedy that strengthens blood vessels, squeeze 200 ml of onion juice and mix it with 50 g of lemon peel and honey. The medicine is stored in the refrigerator and taken in 60 minutes. before meals three times a day for 60 days.

In addition, you can lower the numbers Blood pressure with the help of a lemon. To do this, citrus is ground and mixed with 200 g of sugar. All insist on a loan for 1 week in a dark place and drink throughout the day.

Rub the lemon together with the peel and mix with chopped rosehips (0.5 tbsp. L.), A glass of honey, cranberries (1 tbsp. L.). The medicine is drunk in the evening and the sutra of 1 tbsp. spoon.

To lower blood pressure, you need to eat potatoes baked in a fire or in the oven with the skin. Also, a medicine can be prepared from this vegetable: 5 potatoes are poured with 2.5 glasses of water, boiled for ¼ hours, insisted and filtered. Means drink 250 ml throughout the day.

To normalize blood pressure, you need to eat 100 g of walnuts daily. And for 7 days on an empty stomach you need to drink a glass of mineral water mixed with honey (1 tbsp. L.) And the juice of half a lemon.

Also an effective antihypertensive drug is a medicine from infusions:

100 g of each product is mixed and diluted with 100 ml of water. The resulting medicine is drunk in the evening for 1 tbsp. spoon.

With a strong jump in blood pressure, you can use the following tool: the vinegar essence is diluted with water (1: 1). Next, the socks are lowered into this mixture, then they need to be put on your feet and go to bed.

In addition, to reduce blood pressure during transient hypertension, acupressure can be done. So, the small pillow of the thumb should be pressed on the area under the lower part of the jaw, including the place where the pulsation of the carotid artery is heard. It is necessary to count to 10, and then release your finger, inhale and press again. This procedure must be repeated 3 times on both sides of the jaw.

If nerve stress and stress contributed to the increase in pressure, then a salt dressing can be done. To do this, apply 3-4 dressings of gauze fabric, folded in 4 layers, on the lower back. Pre-wetted tissue in saline (9%).

In case of kidney problems, up to 15 bandages on the lower back should be established during the night. And if there are symptoms such as headache and tinnitus, then the above procedure can be combined with the application of dressings of 8-10 layers of gauze on the head area (back of the head).

Preventive measures

To ensure that transient arterial hypertension does not develop into more stable and serious stages of hypertension, it is necessary to reconsider the lifestyle. First of all, you need to change the diet, abandoning fatty, salty, fried foods with preservatives.

Moreover, for those who are overweight, it is important to normalize it. Indeed, with excess body weight, the heart has to pump more blood, which affects the work of the entire cardiovascular system.

In addition, it is necessary to forget about all bad habits – smoking, alcohol. It is equally important to walk in the fresh air, observe sleep and rest, do breathing exercises and sports. So, you need to do exercises at least 5 times a week, you can also walk 3 times for 30 minutes at a fast pace.

To avoid swelling with hypertension, you need to reduce the amount of fluid you drink. For this purpose, you can drink no more than 1.5 liters of water per day. And with swelling of the extremities, its amount should be reduced to 800-900 ml.

Moreover, an excellent prevention of hypertension is the saturation of the body with magnesium, calcium and potassium. Various microelements abound with various products:

  1. porridge;
  2. beans;
  3. apples;
  4. dried fruits;
  5. milk products;
  6. sea ​​kale;
  7. peaches;
  8. potatoes (baked or in uniform);
  9. berries;
  10. beef and pork;
  11. greenery;
  12. tomatoes;
  13. beet;
  14. fish and other seafood.

But hypertension must be abandoned from sour cream, beef, mayonnaise and butter.

In addition, with arterial hypertension, the body needs a sufficient amount of omega-3s, which naturally normalize blood pressure. To get these substances you must regularly drink fish oil (in tablets) or eat fatty varieties of fish. In the video in this article, an experienced specialist will talk about all the dangers of hypertension.

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Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.