Malignant Hypertension Quiz

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Reviewed By:

Maxwell J. Nanes, DO

Maxwell J. Nanes, DO (Emergency department)

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

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.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Feel anxiety suddenly

  • Felt nauseous then fainted

  • My body is jerking

  • Dizziness multiple times

  • Sweating followed by fainting

  • Fainting followed by a headache

  • Pulsating headache

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Learn more about Malignant Hypertension

Content updated on Jan 19, 2024

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.

Symptoms of malignant hypertension

  • Losing consciousness

  • Dizziness

  • Headache

  • Seizure

  • Similar chest pain to the previous heart attack

  • Noisy breathing; e.g. wheezing, rattling

  • Feeling flustered or scared

  • Feeling breathless

Questions your doctor may ask to check for malignant hypertension

Your doctor may ask these questions to diagnose malignant hypertension

  • Have you temporarily lost consciousness?

  • Are you currently dizzy?

  • Do you have headaches or a heavy feeling in your head?

  • Have you had a seizure?

  • Is your chest pain similar to your previous heart attack?

Treatment for 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.

View the symptoms of Malignant Hypertension

  • Faint

  • Dizziness

  • Headache

  • Seizure

  • Wheezing

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

Maxwell J. Nanes, DO (Emergency department)

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

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.

From our team of 50+ doctors

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