Recognizing and Responding to Hypertension Warning Signs

A Guide to Understanding High Blood Pressure Emergency Signals

Cardiology

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Last updated: Mar 24, 2025

Important Warning Signs of High Blood Pressure Crisis

Severe Symptoms Requiring Immediate Attention

  • Severe headache, particularly at the back of the head
  • Vision changes or blurred vision
  • Chest pain or pressure
  • Difficulty breathing or shortness of breath
  • Severe anxiety
  • Irregular heartbeat
  • Blood in urine
  • Confusion or difficulty speaking

Additional Warning Signs

  • Nosebleeds without apparent cause
  • Severe fatigue
  • Pounding in chest, neck, or ears
  • Facial flushing
  • Dizziness

When to Seek Emergency Care

Call 911 if:

  • Blood pressure reading exceeds 180/120 mmHg
  • You experience any severe symptoms listed above
  • Symptoms don't improve within 5 minutes

Prevention and Management

Daily Monitoring

  • Check blood pressure regularly
  • Keep a log of readings
  • Take medications as prescribed

Lifestyle Modifications

  • Maintain a healthy diet (DASH diet recommended)
  • Limit sodium intake (<2,300mg daily)
  • Exercise regularly
  • Manage stress
  • Limit alcohol consumption
  • Quit smoking

Follow-up Care

  • Schedule regular appointments with your healthcare provider
  • Bring blood pressure logs to appointments
  • Report any new or worsening symptoms
  • Review medications periodically

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