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Hypertensive crisis


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Hypertensive crisis is the sudden increase in arterial blood pressure which is followed by complaints and pathological changes from a brain and a cardiovascular system against the background of vegetative disturbances.

Hypertensive crisis can develop at any degree of arterial hypertension or in symptomatic arterial hypertension. Hypertensive crisis can sometimes arise also at the healthy person.

The Krizovy state is usually provoked:


  • psychoemotional overloads

  • weather changing

  • abuse of coffee, alcoholic beverages

  • hormonal disturbances

  • cancellation of earlier taken hypotensive drugs

  • brain diseases (stroke), hearts (myocardial infarction, stenocardia attack), kidneys.


Symptoms of hypertensive crisis:

  • the sudden beginning within several minutes or 1-3 hours

  • level of arterial blood pressure individually high (at one patient it is level 240/120, at another - 130/90). It depends on the initial level of arterial blood pressure. If the patient has constantly low level of pressure, even its small increase can cause hypertensive crisis

  • availability of complaints from heart (a heartache, heartbeat)

  • availability of complaints from a brain (headaches, dizzinesses, various disorders of vision)

  • availability of complaints from the autonomic nervous system (fever, a shiver, perspiration, feeling of rush of blood to the head, feeling of shortage of air, etc.).


Hypertensive crises subdivide on:

  • hypertensive crisis with prevalence of a neurovegetative syndrome. Usually such crisis begins quickly, arises after a stress, psychoemotional loading. The patient has complaints to the pulsing headache, dizziness, nausea, more rare there is vomiting. This state is followed by sensation of fear and feeling of shortage of air. The patient can be excited, he has a shiver in hands, a fever, perspiration. Such state lasts not for long from 1 to 5 hours. Often after crisis there is a plentiful urination. Usually such crisis of threat for life does not represent.

  • water-salt hypertensive crisis. It is caused system renin-angiotensin-aldosteronovoy. It is that system which normal maintains constancy of internal environment of a human body, in this case arterial blood pressure. There are complaints to a severe headache, constant character, nausea and vomiting. Patients are often sluggish, they are sometimes disoriented in space and time. Can forget what day today, get lost in the familiar area. Various disorders of vision - doubling in eyes,<мушки> and spots before eyes, loss of sites of sight are possible, hearing can worsen. Such state can proceed up to several days.

  • acute hypertensive encephalopathy. This serious condition caused by substantial increase of arterial blood pressure. Happens because of disturbance at supertension of normal blood supply of a brain. At this state the confusion of consciousness, a spasm, passing disturbances of the speech is possible.


On classification of foreign authors all crises are divided into complicated and uncomplicated:

  • Uncomplicated crises - without defeat<органов-мишеней>. Such crisis nevertheless poses a threat for the patient's life. Arterial blood pressure needs to be reduced within several hours.

  • The complicated crises - with defeat<органов-мишеней>. Target organs it is those bodies which to a greater or lesser extent suffer in this disease. In arterial hypertension this heart, a brain, vessels, kidneys. Such crises pose hazard to life of the patient and demand a lowering of arterial pressure, immediate within 1 hour. At a long course of such crisis there can be complications from heart (myocardial infarction, acute insufficiency of a left ventricle, unstable stenocardia, arrhythmias), vessels (the stratifying aortic aneurysm, bleedings), a brain (stroke, the tranzitorny ischemic attack, acute hypertensive encephalopathy), kidneys (acute renal failure).


Treatment of hypertensive (hypertensive) crisis:

In uncomplicated crises the reception of 1-2 tablets of captopril, nifedipine, a katapressan under language usually helps. If it does not help, enter intravenously Dibazolum, Obsidanum, clonidine, Sodium nitroprussidum, nimodipin, furosemide. All complicated crises have to be hospitalized. For prevention of crises it is necessary to treat constantly arterial hypertension, to find out conditions and the causes of krizovy states and to avoid them.
The drugs used at treatment of this disease:

Adonisidum
Adonisidum of dry (Adonisidum siccum)
Ajmalinum
Allapininum
Almagel
Alveofakt
Alprenolol
Alugastrin
Aluminii hydroxydum
Ambroxolum
Amylii nitris
Amiodaronum
Amrinone
Anaprilinum
Anaesthesinum
Antrasenninum
Apizartron new (Apisartron neu)
Apressinum
Astemizole
Atenolol
Acetylcysteinum
Benzofurocainum
Betahistine
Bicarphenum
Bisacodylum
Bonnecor
Bopindolol
Bromhexinum
Bromocriptinum
Bupivacaine hydrochloride (Bupivacaine hydrochloride)
Butiroxanum
Validolum
Vincanorum
Vincapan
Vipraxinum for injections (Vipraxinum pro injectionibus)
Bismuth nitrate of main (Bismuthi subnitras)
Gastal
Histaglobulinum
Histaminum
Glycyrramum
Guttalax
De-Nol
Dermatolum
Diazolinum
Digalen-neo
Dihydroergotaminum
Dihydroergotoxinum
Digitoxinum
Digoxinum
Disopyramidum
Dicainum
Dimebonum
Dimedrolum
Dimenhydrinatum
Diprazinum
Dopamine (Dophaminum, Dofaminum)
Liquid of a drill (Liquor Burovi)
Isapheninum
Isosorbide mononitrate (Isosorbide mononitrate)
Instenon
Cavinton
Caleflonum
Kalmagin (Granulae "Calmaginum")
Calcium a carbonate besieged (Calcii carbonas praecipitatus)
Carbocromenum
Cardiovalenum
Cafiolum
Alumen
Alum burned (Alumen ustum)
Ketanserinum
Ketotifenum
Clophelinum
Cocainum
Bark of an oak (Cortex Quercus)
Bark of a buckthorn (Cortex Frangulae Alni)
Corglyconum
Cordigitum
Rhizomes of an acorus (Rhizomata Calami)
Rhizomes of a coil (Rhizomata Bistortae)
Rhizomes and roots of a burnet (Rhizomata cum radicibus Sanguisorbae)
Rhizomes of a silverweed (Rhizomata Tormentillae)
Rhizomes with roots of an inula (Rhizomata cum radicibus Inulae)
Rhizomes with roots of a Jacob's ladder (Rhizomata cum radicibus Polemonii)
Roots of a mallow (Radices Althaeae)
Roots of a milkwort (Radices Polygalae)
Roots of a dandelion (Radices Taraxaci)
Roots of a rhubarb (Radices Rhei)
Roots of a licorice (Radices Glycyrrhizae)
Amylum
Cromolyn sodium
Xeroformium
Labetalol
Laminaridum
Lantosidum
Lidocaine hydrochloride (Lidocaini hydrochloridum)
Lidoflazinum
Lysuride
Liquiritonum
Lycorine hydrochloride (Lycorini hydrochloridum)
Linimentum Alor (Linimentum "Alorom")
Leaves of watch of trifoliate (Folia Menyanthidis trifoliata)
Leaves of coltsfoot (Folia Farfarae)
Leaves of a peppermint (Folia Menthae piperitae)
Leaves of a plantain of big (Folia Plantaginis majoris)
Leaves of a wormwood of bitter (Herba Artemisiae absinthii)
Leaves of Senna (Folia Sennae)
Leaves of a sage (Folia Salviae officinales)
Leaves of an eucalyptus (Folia Eucalypti viminalis)
Magnesium carbonate of main (Magnesii subcarbonas)
Magnesium oxide (Magnesii oxydum)
Magnesium peroxide (Magnesii peroxydum)
Magnesium sulfate (Magnesii sulfas)
Antipsoriatikum ointment (Unguentum "Antipsoriaticum")
Psoriazinum ointment (Ungentum "Psoriasinum")
Ungapiven ointment (Unguentum "Ungapiven")
Finalgon ointment (Unguentum "Finalgon")
Ointment of a gliderinin (Unguentum Glyderinini)
Ointment "Viprosal" (Unguentum "Viprosalum")
Liquid paraffin (Oleum vaselini)
Castor oil (Oleum Ricini)
Oil almond (Oleum Amygdalarum)
Oil turpentine cleaned (Oleum Terebinthinae rectificatum)
Medilasidum
Mexaminum
Mexiletine hydrochloride
Mentholum
Mesna
Methysergide
Metoprolol
Milrinone
Minoxydin
Molsidominum
Laminaria saccharina
Morshinsky laxative salt ()
Mucaltinum
Nadolol
Foxglove ()
Bitters (Tinctura amara)
Tincture of a lily of the valley (Tinctura Convallariae)
Natrii benzoas
Sodium nitrite (Natrii nitris)
Natrium nitroprussid
Sodium sulfate (Natrii sulfas)
Najaxinum
Nedocromil sodium
Neo-Gilurythmal
Neobenzinolum for injections (Neobenzinolum pro injectionibus)
Nimodipine
Nitroglycerinum
Nitrosorbidum
Nicergoline
Novocainum
Novocainamidum
Nonachlazinum
Oxatamide
Oxyfedrinum
Oxprenololum
Omeprazole
Ornidum
Pertussinum
Pizotifen
Pindololum
Pyromecainum
Pyrroxanum
Plantaglucidum
Fruits of an anise (Fructus Anisi vulgaris)
Fruits of a buckthorn of laxative (Fructus Rhamni catharticae)
Fruits of pepper of siliculose (Fructus Capsici)
Fruits of caraway seeds (Fructus Cari carvi)
Fruits of fennel of odorous (Fructus Anethi graveolentis)
Fruits of fennel (Fructus Foeniculi)

Fruits of a bird cherry (Fructus Padi)
Fruits of bilberry (Fructus Myrtilli)
Sprouts of a Labrador tea of marsh (Cormus Ledi palustris)
Kidneys pine (Turiones Pini)
Prazosinum
Proxodololum
The prolonged dosage forms of nitroglycerine ()
The prolonged dosage forms of Nitrosorbidum ()
The prolonged dosage forms of quinidine ()
Propafenone
Pulsnorma
Rhamnilum
Ranitidine
Solution of ammonia of 10% (Solutio Ammonii caustici of 10%)
Recutanum
Romasulon
Rotocanum
Salmus
Salvinum
Collecting carminative (Species carminativae)
Collecting for arousing appetite (Species amarae)
Candles with glycerin (Suppositoria cum Glycerino)
Lead acetate (Plumbum aceticum)
Seeds of a flax (Semina Lini)
Seed of mustard (Semen Sinapis)
Senade
Serotonin adipate (Serotonini adipinas)
Setastine
Sinepres
Juice of a plantain (Succus Plantaginis)
Salt Karlovy Vary artificial (Sal carolinum factitium)
Compound fruits of an alder (Fructus Alni)
Alcohol ant (Spiritus Acidi formici)
Rest-harrow field or pashenny (Ononis arvensis)
Strophanthidin acetate (Strophanthidini acetas)
Strophanthin to (Strophanthinus K)
Sucralfat
Suprastin
Tablets "Apifor" (Tabulettae "Apiphorum")
Tablets "Vicairum" (Tabulettae "Vicairum")
Tablets "Vicalinum" (Tabulettae "Vicalinum")
Tablets "Izaman" (Tabulettae "Isamanum")
Tablets "Senadeksin" (Tabulettae "Senadexinum")
Tavegil
Talinololum
Tannalbinum
Tannin (Tanninum, Acidum tannicum)
Terpinum hydratum
Timololum
Grass block (Plantago psyllium L)
Grass of an adonis of spring (Herba Adonidis vernalis)
Grass of a marjoram (Herba Origani vulgaris)
Grass of a St. John's wort (Herba Hyperici)
Grass of a centaury (Herba Centaurii)
Grass of an everlastings of uliginose (Herba Gnaphalii uliginosi)
Grass of a thermopsis of lanceolate (Herba Thermopsidis lanceolata)
Grass of a violet (Herba Violae)
Grass of a thyme (Herba Thymi serpylli)
Grass of a train (Herba Bidentis)
Trimecainum
Tropaphenum
Famotidine
Phencarolum
Phenolphthaleinum
Phentolaminum
Flunarizin
Fosfalugel
Chinidinum
Chlorobutanoli hydras
Chloroformium
Flowers of a meadowsweet of vyazolistny (Flores Filipendulae ulmariae)
Flowers of a camomile (Flores Chamomillae Recutitatae)
Celanidum
Cimetidinum
Cinnarizine
Cyproheptadinum
Erynitum
Aethacizinum
Aetmozinum

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