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When Is High Blood Pressure An Emergency

What Can I Do If I Find Out My Blood Pressure Is Dangerously High

10 Symptoms of Blood Pressure Emergency | Hypertensive Emergency Signs?

Normally, high blood pressure, sometimes called the silent killer, has few symptoms. But sometimes, a patient may be prompted to check their blood pressure because of troubling symptoms like headache, chest pain, shortness of breath, nausea, and loss of balance. These may be signs of dangerously high blood pressure, also known as a hypertensive crisiswhen your first blood pressure number is greater than 180 or your second number is greater than 120.

In this scenario, do NOT try to lower your blood pressure on your own. A hypertensive crisis is an emergency situation that can end in death, so someone nearby should call 9-1-1 immediately. Emergency personnel will begin the process of lowering your blood pressure in the ambulance while on the way to the hospital. Even then, they will follow guidelines on how quickly they can safely lower your blood pressure and will monitor your blood pressure closely.

What Are The Risks And After

When the reading exceeds the average amount or when a person experiences any of the symptoms mentioned, it is necessary to see a doctor. If it is confirmed, then one needs to remember that high blood pressure can change into an emergency condition at any time, and they need to be aware of the risks which come along with it to understand the graveness of the situation at hand.

Some of the risks associated with elevated blood pressure include.

When is high blood pressure an Emergency? and why is blood pressure higher in the morning? There are many more after-effects of high blood pressure, but only some have been highlighted in the scope of this article.

What Can I Do If My Blood Pressure Goes Up Right Before Doctors Visits

Have you ever heard of white coat syndrome? Its what happens when you typically have normal-ranged blood pressure but significantly higher blood pressure in medical settings like hospitals or doctors offices. This is often caused by feeling nervousness or anxiety around medical settings. Unfortunately, this means your health provider might think your blood pressure is higher than it really is.

White coat syndrome isnt uncommon. In fact, one study suggests that 15% to 30% of people who have high blood pressure readings might suffer from white coat syndrome. In cases like these, some patients wonder whether its possible to quickly lower their blood pressure before a reading. If youre in this situation, the safest and most effective thing you can do is try your best to relax.

Here are a few relaxation methods you can try:

If you or your doctor suspect white coat syndrome, your doctor may send you home with a blood pressure monitor that will check your blood pressure periodically throughout a normal day. This gives a more accurate reading of what your blood pressure really is and helps the doctor figure out whether the stress of a physical trip to a medical facility is affecting you.

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The Only Emergency Treatment For High Blood Pressure At Home: Call 9

If you have chronically high blood pressure, you’re probably aware of the scenarios listed above. We didn’t review them to frighten you we simply believe it’s best to start with the risks and warning signs, then work backward to lay out a plan.

If you’re over the age of 60 and have struggled with high blood pressure in the past, it’s important to know how to treat high blood pressure at home. This is important not only for your personal well being, but for the peace of mind of those who love and care about you.

Be sure to have Snug installed on your phone, so you can check-in daily. If you miss a check-in, well send a notification to your loved ones telling them to check on you.

Reminder: In a hypertensive emergency, there is no at-home treatment. Call 911, and go to the hospital. In the case of a hypertensive urgency, the best at-home treatment is long-term blood pressure control, which we’ll review in the next section.

When Is Blood Pressure High Enough To Go To The Hospital

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What are the observable symptoms of high blood pressure? There are often no symptoms indicating hypertension unless the said high blood pressure becomes an emergency. However, a few signs or symptoms are visible when the blood level goes to an uncontrollable level.

  • Extreme headaches for no reason or even after slight exertion
  • Sudden nosebleeds. Some might experience a twinge of pain in the nose.
  • The breathing level is irregular even after minor activities like walking for a short distance or sometimes without reason. Some have trouble breathing properly.
  • Chest pain is one of the prominently observed symptoms of high blood pressure. Getting to the nearest hospital is always advised, even if there is slight discomfort in the cardiac regions.
  • Traces of blood in the urine. For many people, it could be due to high blood pressure, making it an emergency condition, and the patient should go to the hospital for a proper checkup as soon as possible.

Some other rare symptoms can act as an indicator of high blood pressure, but it might be a result of some other complications too.

  • One can associate a lightheaded feeling with elevated blood pressure, but it might be due to various other causes like dehydration, diarrhea, and many more.
  • Increased sweat. While this could be due to overexertion, stress, and many other factors, hypertension could be a reason for it.
  • One can find small red spots in the eyes that are often associated with this condition.

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Hypertensive Crisis: When Is High Blood Pressure An Emergency

Hypertension is considered an emergency when there are symptoms like severe headache, blurred vision, chest pain, and difficulty in breathing, blood in the urine, or no urine output for more than 12 hours.

Hypertensive crisis has two main entities. The hypertensive emergency and hypertensive urgency.

What we about to discuss

Youre Experiencing Symptoms Of Extremely High Blood Pressure But Cant Measure Your Blood Pressure

A lot of the guides we see explaining when to go to the emergency room for high blood pressure seem to assume that the average person has a manual sphygmomanometer the familiar blood pressure measurement device with a pump and cuff or digital blood pressure reader at home. In reality, these arent typical household appliances.

While you can check your pulse manually with your fingers, you cant check your blood pressure without a blood pressure device. Apps are also notoriously unreliable.

If you are experiencing the symptoms of a hypertensive crisis but dont have a blood pressure monitor, go to the ER anyway. This is especially true if you know you often have elevated blood pressure or match certain risk factors such as diabetes, lack of exercise, unhealthy diet, regular alcohol or tobacco use, or a genetic history of hypertension in your family.

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How Can I Lower My Blood Pressure Naturally Over Time

Now that weve discussed why theres no fail-proof, safe, and fast way to lower blood pressure, remember, there are still many ways to lower your blood pressure over time. Here are some simple recommendations:

  • Exercise most days of the week. Exercise is the most effective way to lower your blood pressure. Being physically active at least 30 minutes a day most days of the week goes a long way toward keeping or getting your blood pressure under control.

  • Consume a low-sodium diet. Too much sodium causes blood pressure to rise. The AHA recommends keeping your daily sodium intake to less than 2 grams, but keeping it less than 1.5 grams is even better! The DASH diet provides a low-sodium eating plan for you to use as an example.

  • Limit alcohol intake to no more than 1 to 2 drinks per day. Drinking more than average1 drink for women and 2 drinks for mencan cause your blood pressure to rise. Plus, alcohol can cause you to pack on the pounds, which can also lead to an increase in blood pressure.

  • Make stress reduction a priority. Stressful situations can cause your blood pressure to go up temporarily. But if you continue to be stressed, your blood pressure can remain high. Find calming activities you can do every day to help you relieve stress. Coloring, walking outside, listening to relaxing music, and even taking a warm bath can help you keep you lower your stress levels.

How To Lower Blood Pressure Instantly In An Emergency

Emergency Treatment for High Blood Pressure at Home

Due to the effects of modern lifestyle, hypertension has become a leading cause of death in western society.

This is because our modern diets and sedentary lifestyles give rise to metabolic syndromes such as type 2 Diabetes and obesity.

These conditions are major precursors to high blood pressure and hypertension.

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The reason high blood pressure is so dire is because of the numerous negative health impacts it poses.

High blood pressure can lead to organ failure due to the damage or rupturing of important blood vessels that supply major organs. Such is the case with examples of kidney failure.

High blood pressure can even lead to blindness, a condition known as hypertensive retinopathy, common in Diabetes sufferers. High blood pressure can also lead to heart failure and neuropathy .

How To Lower Blood Pressure Instantly in an Emergency

In order to understand how to lower blood pressure and reduce the risk of what it brings, you need to understand what high blood pressure is.

A health adults blood pressure sits at 80 diastolic and 120 systolic . Most people will deviate from these levels a little which is natural and healthy.

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The Best Emergency Treatment For High Blood Pressure At Home Is Prevention

High blood pressure is common for people in their 60s and 70s. For the most part, high blood pressure comes with no symptoms attached. You may have to limit your morning cups of coffee, but beyond that, you can have high blood pressure and rarely notice it.

The complications of high blood pressure come when your blood pressure raises to dangerous levels, known as a hypertensive crisis. To prepare for this scenario, you should know the warning signs and know when to call 911.

The best at-home treatment for high blood pressure is always preventative treatment. Monitor your levels daily, keep an accessible log of all medications, and stay on top of exercise.

Lastly, install the Snug App on your phone so you can check in daily, ensuring your loved ones that youre looked after. If you miss a check-in, well alert your loved ones for you. That way, they can check up on you in case you need help.

First Aid Management For Hypertension

The following first aid tips are recommended when a person experiences hypertension:

  • Tell the patient to take deep breaths and reassure them
  • If the patient is in a stressful situation, remove the person from the stress.
  • If the patients nose is bleeding, administer appropriate first aid.
  • Give drinks that are high in potassium to help balance the amount of sodium in the body to lower blood pressure levels.

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Er Or Not: High Blood Pressure

High blood pressure can be a reason for concern, but is it worth an expensive trip to the ER? Emergency room physician Dr. Troy Madsen talks about when a trip to the ER for high blood pressure is needed, and how you can relax to reduce your blood pressure.



Dr. Madsen:

Are There Other Symptoms To Watch Out For Along With A High Blood Pressure Reading

Hypertensive and Hypotensive Crises

Yes, you should watch out for things like chest pain, blurred vision, headache, nausea, pain in the jaw or arm, anxiety, shortness of breath, seizures, confusion or a general lack of responsiveness. Any of these, coupled with a high blood pressure reading, are cause for emergency response, says Dr. Meier.

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What Can We Do To Control Blood Pressure

Dietary tips:

Food plays a vital role in every persons life. One of the apt ways to reduce high blood pressure before it becomes an emergency condition is by controlling our diet and eating certain foods, which would help alleviate the blood pressure level. Here are some of the dietary tips which one can use to keep the blood pressure under control.

Reducing the ratio of salt in the food

The American Heart Association has mentioned that a person should not consume more than 1500 milligrams per day. One of the main elements of salt is sodium, a naturally occurring mineral found in food items. monosodium glutamate is also a form of sodium found in instant noodles and similar products. It is important to note that sodium induces the body to use the extra water it has in store to remove the salt content. This process causes the blood pressure to rise, stressing the major blood vessels of the heart.

Reducing salt content can be done in many ways. For starters, avoiding table salt usage is one of the best ways to control excess sodium intake in your food. Another small thing one can do is read the content labels. This tip will be helpful not only for reducing the salt content in the human body but, in general, to understand the components of the food one consumes and avoid particular food that might be harmful to their health.

Maintaining a record of what one eats:

Take in fruits and vegetables.

Consuming Beets

Cutting back on caffeine

Foods to avoid



Hypertensive Emergency Vs Hypertensive Urgency

Hypertensive emergency is blood pressure more than 180/120 mmHg associated with organ failure. That means high blood pressure causes damage to one or multiple organs in the body. Following symptoms are considered as emergencies with high blood pressure.

  • Severe headache
  • Blurred vision or loss of vision
  • Chest pain
  • Severe back pain which not resoled to simple analgesics
  • Difficulty in breathing
  • Haematuria or blood in the urine
  • No urine output for more than 12 hours
  • When blood pressure is more than 180/120 mmHg mainly the brain, eyes, heart, kidneys, and aorta can get damaged. This occurs because of the damage to the blood vessel wall in individual organs. This is a must-attend to a hospital incident, so its better to call 911 if you have the above symptoms with high blood pressure.

    A hypertensive emergency can cause very troublesome consequences like,

    • Stroke
    • Pulmonary edema, a collection of fluid in the lungs
    • Aortic dissection, separation of the walls of the aorta which ultimately causes rupture.

    Hypertensive urgency is blood pressure is over 180/120 mmHg without symptoms of organ dysfunction. So there wont be the above-mentioned symptoms. Even though this isnt an emergency you should visit a doctor to check your blood pressure accurately. And this is a sign that your blood pressure control is not adequate and it needs to be properly optimized.

    Organs damaged in hypertensive emergencies

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    What Will The Er Do For High Blood Pressure

    When you arrive at the ER with high blood pressure, the first thing your physicians will do is try to bring your blood pressure down. Typically, this is done with either oral or intravenous medications. Your doctor will also assess your heart and other organs for potential damage and begin treating any complications that might have arisen. Depending on the severity of your hypertensive crisis, these damages may range from minimal to severe.

    Pearls And Other Issues

    High Blood Pressure – Preventing An Emergency

    In an acute hemorrhagic stroke, reduction of SBP to lower than 140 mmHg may improve functional outcomes. This requires an aggressive approach with rapidly titrated intravenous antihypertensives, and extreme vigilance is necessary to prevent hypotension, which causes decreased cerebral perfusion pressure and adds to the ischemic insult. Easily titratable medications with rapid onset and short duration of action, such as nicardipine, are recommended.

    Aortic dissection also deviates in the degree of blood pressure lowering that is recommended. Traditional teaching is to lower the blood pressure to as low as organs will allow, with close monitoring of the patients mental status as a guide. Intravenous beta-blockers, most commonly esmolol, are first-line treatments due to their ability to lower blood pressure while avoiding reflex tachycardia and increased shear stress to the aortic wall. Classically, nitroprusside has been used as an adjunct to beta-blockers in the treatment of aortic dissection, but this has become an infrequent practice due to its association with rapid and profound hypotension, tachyphylaxis, as well as the potential for cyanide toxicity. Nicardipine with the addition of a beta-blocker would also be a reasonable choice.

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    What Is A High Blood Pressure Emergency

    The answer can be found in two numbers. Systolic blood pressure, the upper number in a blood pressure measurement, refers to how much pressure your blood is exerting against your artery walls when the heart beats. Diastolic blood pressure, the lower number, indicates how much pressure your blood is exerting against your artery walls when the heart is resting between beats. A blood pressure of less than 120/80 mm Hg is considered normal.

    If your blood pressure is 180/120 millimeters of mercury or higher and you have chest pain, back pain, numbness or weakness, or a change in vision, you may be experiencing a hypertensive emergency.

    These symptoms suggest you may be experiencing whats called end-organ damage, Dr. Huot says. Untreated high blood pressure negatively impacts blood vessels in critical areas of the body such as the brain, heart, kidneys, and the aorta, which is the main blood vessel that carries blood away from your heart to the rest of your body.

    End-organ damage takes many forms including stroke, heart attack, and kidney failure. Its not just the blood pressure numbers that indicate the emergency and risk, its the symptoms of end-organ damage, he says.

    Other signs of end-organ damage due to a high blood pressure emergency can be:

    • Passing out
    • Severe anxiety


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