COMPLICATIONS
- Arteriosclerosis. More than 60% of patients with fixed hypertension suffer from arteriosclerosis. This condition is characterized by a change in the vessel wall. Healthy arteries are flexible and resilient. In atherosclerosis, due to high blood pressure, arterial wall is amended thickening occurs, the wall stiffness and there is a loss of elasticity. As a result, incurred limiting blood flow to organs and tissues and it is coming to following complications: heart attack or stroke, and retinopathy which can lead to loss of vision.
- Aneurysm. increased blood pressure can cause weakness in the wall of blood vessels and the creation of aneurysms. Rupture of an aneurysm is a life-threatening condition.
- Cardiovascular complications. Impairment of heart during hypertension is irrefutably established. There may be a hypertrophy of the left ventricle of the heart, heart failure and coronary artery disease.
- Cerebral complications. In this group belong brain hemorrhage, cerebral infarction or ischemia after thrombosis, cerebral infarction after emobolia, intermittent cerebral ischemia without infarction. In hypertensive crisis may occur and acute hypertensive encephalopathy.
- Metabolic syndrome. This syndrome involves more disorder of metabolism – high triglycerides, increased waist circumference, low HDL (good cholesterol), high blood pressure and high levels of insulin. If you suffer from high blood pressure, there is an opportunity to present and other components of the metabolic syndrome. The more components are present, the greater is the risk of developing diabetes, heart disease and cerebral.
- Bad memory and cognitive functions. Uncontrolled hypertension can impair thinking, memory and learning.
DIAGNOSIS
In order to diagnose arterial hypertension apply certain diagnostic procedures:
- History.
- Physical examination. You have to do a complete clinical examination, special attention is paid to the measurement of blood pressure, since a large number of hypertensive individuals especially at the beginning of the disease do not manifest any symptoms.
- Laboratory trials. These trials aim to differentiate whether it is primary or secondary hypertension, if there is presented organ damage and whether there are other metabolic disorders. Often the urine sediment is examined, glucose, protein, and blood glucose, urea, creatinine, HDL and LDL cholesterol, triglycerides, proteins, albumin.