Malignant Hypertension Quiz
Reviewed By:
Maxwell J. Nanes, DO (Emergency Medicine)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Yoshinori Abe, MD (Internal Medicine)
Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.
Content updated on Mar 31, 2024
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What is Malignant Hypertension?
Malignant hypertension is extremely high blood pressure with evidence of organ damage. It is a medical emergency if organ damage is suspected. Causes include not taking blood pressure medications, blood vessel disease, kidney disease, spinal cord injuries, adrenal gland tumors, certain medications like birth control pills, and illegal drug abuse, such as cocaine.
Typical Symptoms of Malignant Hypertension
Losing consciousness
Headache
Dizziness
Seizure
Similar chest pain to the previous heart attack
Noisy breathing; e.g. wheezing, rattling
Feeling flustered or scared
Feeling breathless
Doctor's Diagnostic Questionson Malignant Hypertension
Your doctor may ask these questions to check for this disease:
Have you temporarily lost consciousness?
Do you have headaches or a heavy feeling in your head?
Are you currently dizzy?
Have you had a seizure?
Is your chest pain similar to your previous heart attack?
Treatmentof Malignant Hypertension
Immediate evaluation in a hospital to investigate organ damage is suggested, especially if high blood pressure numbers accompany headache, vision problems, arm or leg weakness/numbness, and chest pain or difficulty breathing. Treatment in those circumstances may involve injected and oral medications to quickly lower the blood pressure.
Think you might have
Malignant Hypertension
Diseases related to Malignant Hypertension
References
Domek M, Gumprecht J, Lip GYH, Shantsila A. Malignant hypertension: does this still exist? J Hum Hypertens. 2020 Jan;34(1):1-4. doi: 10.1038/s41371-019-0267-y. Epub 2019 Oct 21. PMID: 31636349.
https://www.nature.com/articles/s41371-019-0267-y
Lewek J, Bielecka-Dąbrowa A, Maciejewski M, Banach M. Pharmacological management of malignant hypertension. Expert Opin Pharmacother. 2020 Jul;21(10):1189-1192. doi: 10.1080/14656566.2020.1732923. Epub 2020 Feb 26. PMID: 32100590.
https://www.tandfonline.com/doi/full/10.1080/14656566.2020.1732923
Shantsila A, Lip GYH. Malignant Hypertension Revisited-Does This Still Exist? Am J Hypertens. 2017 Jun 1;30(6):543-549. doi: 10.1093/ajh/hpx008. PMID: 28200072.
https://academic.oup.com/ajh/article/30/6/543/2990207
Gosse P, Boulestreau R, Brockers C, Puel C, Rubin S, Cremer A. The pharmacological management of malignant hypertension. J Hypertens. 2020 Nov;38(11):2325-2330. doi: 10.1097/HJH.0000000000002547. PMID: 32649635.
https://journals.lww.com/jhypertension/Abstract/2020/11000/The_pharmacological_management_of_malignant.33.aspx
User Testimonials
Reviewed By:
Maxwell J. Nanes, DO (Emergency Medicine)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Yoshinori Abe, MD (Internal Medicine)
Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.
Think you might have
Malignant Hypertension
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