Although a large number of patients with hypertension and do not have any obvious symptoms, many patients do have hypertension due to certain symptoms.
Clinically, dizziness, headache, eye dizziness and other symptoms are the most common clinical symptoms in patients with hypertension.
However, these symptoms do not occur only when blood pressure rises, and many other factors related to blood pressure can also cause these symptoms. Moreover, the causes of symptoms vary, and the strategies for coping are also different!
This article will specifically talk about what common causes may cause symptoms such as dizziness, headache, and dizziness in patients with hypertension. How to distinguish them and what are the differences in response strategies?
-1 Hypertension is not controlled
Clinically, some patients went to the hospital for treatment due to symptoms such as dizziness, dizziness, headache, numb scalp, and stiff neck. After a check, it was found that the blood pressure level exceeded the standard, and he was diagnosed with hypertension.
If, after the blood pressure is lowered back to normal levels by the treatment of antihypertensive drugs, these symptoms can be significantly improved or even completely disappeared. If the symptoms will reappear because the medication is stopped, the medication is stopped or the blood pressure fluctuates due to external stimulation, then the doctor can basically judge that these symptoms are caused by the lack of control of hypertension.
Generally, the key to solving these symptoms caused by increased or fluctuations in blood pressure is to persist in taking antihypertensive drugs for a long time and keep blood pressure stable within a suitable range.
2 Blood pressure drops too fast
Contrary to the situation we mentioned earlier, there are other patients in clinical practice who have no symptoms when their blood pressure levels are high. Instead, they only develop symptoms such as dizziness and dizziness after taking antihypertensive drugs.
Some people wonder if this will be a side effect caused by antihypertensive drugs? Or, is it because the medicine is too effective and reduces blood pressure to " hypotension "? But in fact, this situation is more likely because the blood pressure drops "too fast", rather than the blood pressure drops "too low".
The reason why most patients with hypertension do not feel obvious symptoms is that the occurrence and progress of hypertension are generally slow. During this process, the body has actually gradually tolerated higher blood pressure levels, so there is no obvious discomfort.
When you first start taking antihypertensive drugs, if your blood pressure drops from a higher level to normal, then even if your blood pressure is not low, you may also experience dizziness, dizziness and other symptoms similar to " brain blood supply ".
In order to avoid this situation as much as possible, nowadays, when doctors recommend drugs to patients who take antihypertensive drugs for the first time, they will give priority to "long-acting" antihypertensive drugs that only take once a day; and, starting from a small dose, gradually increase to the appropriate dose.
In this way, the patient's blood pressure will gradually drop to the target range within a few weeks, thereby avoiding physical discomfort due to the drop in blood pressure too quickly.
3 Various hypotensive attacks
In many people’s impression, patients with hypertension should not experience hypotension! But in fact, patients with hypertension are sometimes more likely to develop hypotension than people with normal blood pressure!
For example, some elderly patients with hypertension are prone to sudden symptoms of dizziness, dizziness, darkness, or even falls and fainting when they get up or get up. These are actually typical manifestations of " orthostatic hypotension ".
The reason why "positional hypotension" is particularly prone to occur in elderly patients with hypertension is mainly related to the increase in the degree of vascular sclerosis caused by perennial hypertension and the impairment of blood pressure self-regulation ability.
Therefore, elderly patients with hypertension should pay attention to slowing down their movements during the process of getting up and getting up, and beware of the occurrence of "positional hypotension".
For example, eating can sometimes cause "hypotension" symptoms.Some patients with hypertension may experience dizziness, fatigue, and difficulty after eating. If blood pressure is measured separately at different time points before and after meals, and it is found that the "high pressure" after meals drops by more than 20 mmHg compared with before meals, then you must consider that the problem of "post-meal hypotension" occurs.
If there is a suspected "hypotension after meals", you can try to drink appropriate water before meals and avoid drinking when eating. At the same time, pay attention to proper rest after meals, and see a doctor if necessary.
In addition, there are some hypertensive patients with dyslipidemia or diabetes . Their body is thin. Then, they choose too strict dietary control and other means to try to lower blood pressure, lipidemia and blood sugar. As a result, due to insufficient nutritional supply and weak constitution, they experience dizziness, dizziness, fatigue and other hypotension symptoms.
For patients with weak constitutions, they must pay attention to a balanced diet and strengthen nutrition!
4 Brain damage
If the symptoms of dizziness, dizziness, headache and other symptoms in patients with hypertension have nothing to do with the level of blood pressure or fluctuations, and also have nothing to do with changes in position, diet, weakness and other factors, then at this time, we still need to check whether these symptoms are caused by brain damage.
The brain is one of the four major target organs of hypertension. Long-term hypertension can easily cause damage to the brain.
is milder. For example, if you do CT or magnetic resonance examination, you can see signs of lacunar cerebral infarction, cerebral atherosclerosis ; if you are more severe, you can have " transient ischemia attack ". This disease mostly shows clinical symptoms similar to the attack of " stroke ", but there are no signs of large-scale infarction of brain tissue, so it is also called "small stroke";
and more serious, you have already had large-scale cerebral infarction or cerebral hemorrhage.
Here is a reminder that when patients with hypertension experience unexplained symptoms such as dizziness and dizziness, they must contact a doctor to check if there are any brain damage. Because sometimes brain damage can cause very serious consequences!
Of course, the symptoms such as dizziness and dizziness in patients with hypertension may not be related to blood pressure. For example, cervical spondylosis , inner ear disease, sinus diseases, etc. These very common diseases often cause these symptoms.
If you rule out the association between these symptoms and blood pressure through our previous introduction, then you must consider whether they are caused by other causes other than cardiovascular and cerebrovascular diseases.
[References]
1. How to deal with orthostatic hypotension or postprandial hypotension in elderly patients? "Chinese Journal of Hypertension" September 2021 Volume 29 Issue 9
2, Research progress on diagnosis and treatment of orthostatic hypotension "Chinese Journal of Hypertension" October 2021 Volume 29 Issue 10
3, China's Guide to Prevention and Treatment of Hypertension (Revised Edition in 2018) "Chinese Journal of Cardiovascular" February 2019 Volume 24 Issue 1
