Hello! I have been a doctor for 21 years. My name is Georgy Olegovich Sapego. In this article I will talk about a hypertensive crisis without hypertension.
We have already discussed labile hypertension, in which blood pressure rises and falls. There is also the so-called paroxysmal hypertension. This thing is feared because it resembles a pheochromocytoma - a tumor in the adrenal glands that pours a sea of adrenaline into the bloodstream.
With paroxysmal hypertension, there is no tumor, but there is some very powerful hysteria. It's kind of like a panic attack.
It is interesting that with paroxysmal hypertension, there will also be a sea of adrenaline in the blood, but it appears there from sudden hysterics. Some people are so able to freak out that they cause a kind of adrenaline explosion in their bodies.
Since this thing is associated with emotions, it is found mainly in women.
How does it manifest
Blood pressure rises sharply. When an ambulance arrives, they have no doubt that this is a hypertensive crisis.
At the same time, nausea, headache, dizziness, hot flashes, sweating, chest pain may appear.
All this can last from 10 minutes to several hours, and repeat - from several times a day, then once a year.
Between such attacks, blood pressure is often normal. Moreover, it can be slightly increased if the case is approaching the usual hypertension, or even low, because the ambulance is constantly treating such patients with something.
Lies and nerves
Paroxysmal hypertension is triggered by hysterics, but patients for some reason try to hide this fact. Because of this, they are often incorrectly treated.
It also happens that someone periodically beats the patient, but she hides it.
Differences from panic attack
These diseases are very similar. The difference is that with paroxysmal hypertension, blood pressure first rises, then chest pain, headache, hot flashes appear. All this greatly scares a person.
With a panic attack, the opposite is true. First, a person develops an unreasonable panic, and only then his blood pressure rises. Moreover, it does not jump too much.
Difference from labile hypertension
We have already discussed this labile hypertension. You can read the link below. There, too, blood pressure rises from time to time. But there are differences.
With labile hypertension, blood pressure does not scale so much and is not accompanied by all sorts of pain and hot flashes. In addition, with labile hypertension, people admit that they were nervous, and their blood pressure increased.
With paroxysmal hypertension, everyone around you knows for sure that the person has gone to bed, but for some reason he himself does not admit it. This is a characteristic feature. That is, they are nervous and secretive.
Treatment
Paroxysmal hypertension is usually treated either by emergency or in a hospital. This all resembles a hypertensive crisis, which can be dangerous, and many different medications are injected into the patient. Moreover, after treatment in such freaks, blood pressure falls, and they get even worse.
This is exactly the situation when a person was admitted to the hospital with a crisis, and therefore nothing was prescribed for him home. Many are offended, but this has to be done so as not to feed people with unnecessary medications, which can be bad.
Some doctors have their own opinion on this matter. They believe that it is advisable to give such psychos at least something from pressure between attacks, so that during a hysteria it does not scale. But this approach is not officially approved.
Psychotherapy
This is a separate story. People with frequent tantrums or those who are regularly beaten have to undergo a lot of treatment with a psychotherapist. Moreover, most of this treatment, a psychotherapist with a cardiologist convinces the sick person that he will not have any stroke. If something got sick, flushed, dizziness appeared, pressure scale, then even after treatment in an ambulance, nothing threatens his life later.
This is probably the most difficult thing - to convince that they do not die from this.
As you may have guessed, if a person is hysterical, then it is not always possible to convince him or her, so such impressionable people are treated with anti-anxiety medications.
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Read my article about labile hypertension.
