Emotional hypertension

Introduction In the war of the former Soviet Union, the French surrounded Stalingrad, and many Soviets in the city faced the French soldiers under the city and suffered from high blood pressure overnight. This is the famous "behemian hypertension" in history. In the daily life, the pressure is the most common. We often see that when some people are emotional, their complexion is red, white, blue, and even fainted in anger and a stroke will inject the drug life into the nerve. What is the reason? The main reason is that sudden changes in blood pressure caused by sudden emotional changes. According to the survey, the personality is too strong, and it is easy to be excited. One of the regular conservative fatigue treatments is impatience, it is difficult to suppress itself, and it is too self-sufficient: to strengthen the dragon's impact dehydration, stereotyped stubbornness, suspicious care, and personality quirks female lesions mainly involved in ticket sales. , or suppressed and hostile, people with a tendency to attack, can cause cervical spondylosis of the type of cervical vertebral disease with metabolic disorders, physiological dysfunction and even high blood pressure. Some people who reported this personality accounted for 19.71% of the hypertension group in one survey, which means that this extremely introverted personality is more characteristic than female lesions, which is a risk factor for hypertension. . This is emotional hypertension.

Cause

This is because when people change their mood, the excitability of the cerebral cortex and the hypothalamus increases. The body often produces some special substances. The road is unstable and uncomfortable, such as adrenaline, catecholamines, angiotensin, etc. Increased blood pressure.

The direct characteristic of emotional hypertension is that regardless of age, the rich and the poor, as long as the character is violent, hostile, and prone to excitement, people who are conceited may have this hypertensive disorder, some patients with emotional hypertension after psychological treatment Blood pressure can be restored to normal levels, and severe cases cannot be recovered. Unlike other hypertensive disorders, emotional hypertension can lower blood pressure by doing some recreational activities, as long as you take some medicine occasionally.

an examination

Related inspection

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First, measure blood pressure to determine whether it is high blood pressure, find the cause of high blood pressure and the patient's medical history and physique to diagnose.

Emotional hypertension classification

1. Paroxysmal emotional hypertension, patients usually have low blood pressure, sudden rise in blood pressure during the attack, systolic blood pressure up to 26.6-34 kPa (200-300 mmHg), and diastolic blood pressure is also significantly increased, up to 17-24 kPa (130- 180 mmHg), with severe headache, pale complexion, sweating, tachycardia, pain in the precordial area, arrhythmia, nausea, blurred vision, etc. Severe cases can be complicated by acute left heart failure or cerebrovascular accident. These are mainly caused when the patient's emotions are too excited.

2. Persistent emotional hypertension, such patients usually have paroxysmal episodes on the basis of continuous increase in blood pressure, in addition to fear of heat, hyperhidrosis, hypothermia, tachycardia, arrhythmia, headache, anxiety , weight loss, orthostatic hypotension, high blood pressure fluctuations and other performance. Some patients may have high blood pressure and low alternating phenomenon, which is related to different concentrations of adrenaline, norepinephrine and dopamine in patients. This type of emotional hypertension is mostly manifested in a person who is self-sufficient and hostile to everyone.

Differential diagnosis

1. Cervical hypertension: refers to the instability and dislocation of cervical intervertebral tissue due to cervical strain, degeneration, trauma, etc., resulting in aseptic inflammation, directly or indirectly stimulating the cervical sympathetic ganglia or vertebral artery to cause blood vessels Sudden systolic dysfunction, intracerebral ischemia, resulting in central blood pressure abnormalities. Increasing incidence of cervical spondylosis.

2. Go to the first hypertension: patients with alcoholic cardiomyopathy have high blood pressure, especially the increase in diastolic blood pressure and normal or low systolic blood pressure, which is called "to the first high blood pressure", which is different from the primary dilatation type. cardiac disease. Alcoholic cardiomyopathy refers to the relationship between the onset and long-term large amount of alcohol intake. It has hemodynamic changes, symptoms, signs and imaging findings of typical dilated cardiomyopathy, and the condition can be relieved or healed after alcohol withdrawal. a type of myocardial disease.

3. Outpatient hypertension: also known as white coat hypertension (English name: white coat hypertension; alias: white coat hypertension) refers to some people go to the hospital for treatment, blood pressure is increased when measuring blood pressure in the doctor's office, but return to yourself At home, blood pressure or 24-hour ambulatory blood pressure monitoring (the blood pressure device is carried by the patient himself, and no medical staff are present) has normal blood pressure. This is the patient's nervousness after seeing the white coat doctor, the catecholamines that accelerate the heartbeat appear in the blood, and also cause some blood vessels to contract, increasing peripheral resistance, which leads to an increase in blood pressure. In the past, this kind of "white coat hypertension" was only mentally stressed, and my blood pressure was normal. It has now been found that this "white coat hypertension" may be an intermediate state between normal blood pressure and apparent persistent hypertension. Because the hypertension in early hypertensive patients has the characteristics of fluctuations, high blood pressure and normal alternation can occur. Therefore, this "white coat hypertension" should be followed up.

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