Malignant Hypertension Quiz
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Reviewed By:
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 (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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Learn more about Malignant hypertension
Content updated on Sep 20, 2022
What is malignant hypertension?
Malignant hypertension is extremely high blood pressure with evidence that it is causing organ damage. High blood pressure is a medical emergency if there is reason to believe organ damage is occurring. 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 drugs abuse, such as cocaine.
Symptoms of malignant hypertension
Dizziness
Headache
Similar chest pain to the previous heart attack
Losing consciousness
Fatigue
Chest tightness
Questions your doctor may ask to check for malignant hypertension
Your doctor may ask these questions to diagnose malignant hypertension
Are you feeling dizzy right now?
Do you have headaches or does your head feel heavy?
Do you have same type of chest pain as your previous heart attack?
Have you currently regained consciousness after temporarily losing consciousness?
Do you feel fatigued?
Treatment for malignant hypertension
Immediate evaluation in a hospital to investigate if there is 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.
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
Reviewed By:
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 (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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Seiji Kanazawa, MD, PHD
Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan