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Hypertensive emergency is severely elevated blood pressure (bp) associated with new or progressive target organ dysfunction Breathlessness, ankle swelling, reduced exercise tolerance, fatigue, tiredness, increased time to recover after exercise, and nocturnal cough.urgently assess for any signs or symptoms related to the underlying cause of acute heart failure. If the clinical suspicion is high, treatment should be initiated immediately without waiting for further tests.
Treatment includes medical therapy for hypertension and surgical excision of tumour (open or laparoscopic adrenalectomy) Acute heart failure should be suspected in any patient with For unresectable tumours, alternative approaches include chemotherapy or radiopharmaceuticals
Complications include hypertensive crisis, myocardial infarction, and hypotension.
Essential hypertension is typically diagnosed by screening of an asymptomatic individual Treatment of uncontrolled hypertension reduces the risks of mortality and of cardiac, vascular, renal, and cerebrovascular complications. Clinical course is determined by extent of vascular and fibrosing complications Vascular involvement includes raynaud's phenomenon, ischaemic digital ulcers, hypertensive crisis, and pulmonary arterial hypertension
Fibrosis can involve lungs, heart, and gastrointestinal tract. Heart failure is defined clinically as a syndrome in which patients have symptoms and signs resulting from an abnormality of cardiac structure and/or function causing impairment of ventricular filling or ejection of blood. Hypertrophic cardiomyopathy (hcm) is the most common cardiomyopathy and the most frequent cause of sudden cardiac death in young people Presentation varies from asymptomatic to symptoms of heart failure
Physical examination may be normal at rest
Auscultation along the left sternal border when. Cocaine toxicity occurs within minutes to hours of excessive cocaine use Some patients may die suddenly before treatment is given Presentation includes tachycardia, hypertension, hyperthermia, diaphoresis, mydriasis, and agitation
Urine cocaine screen confirms recent cocaine use, but treatment. Hypertension is a common disorder that affects a large proportion of the community It is usually asymptomatic and is detected on routine exam or after the occurrence of a complication such as a heart attack or stroke.
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