After a hypertensive crisis, you feel dizzy, what to do?

A hypertensive crisis is characterized by a sudden jump in blood pressure to critical levels.

If you do not help a person in time, an attack will lead to tragic consequences - a stroke, heart attack or cerebral edema.

Often after a hypertensive crisis, the patient complains of dizziness. These symptoms are a common manifestation of the consequences of GC.

You can cope with unpleasant consequences and avoid a recurrence of a crisis situation if you follow all the doctor’s prescriptions.

Letters from our readers

Topic: Grandma's blood pressure has returned to normal!

From: Christina ( [email protected] )

To: Administration otgipertonii.ru

Christina, Moscow

My grandmother’s hypertension is hereditary - most likely, I will have the same problems as I get older.

I accidentally found an article on the Internet that literally saved my grandmother. She was tormented by headaches and had a repeated crisis. I bought the course and monitored the correct treatment.

After 6 weeks she even started talking differently. She said that her head no longer hurts, but she still takes pills for blood pressure. I am sending a link to the article

Causes of dizziness after a hypertensive crisis

At first, in the post-crisis period, the patient needs to monitor his health: eat right, avoid stress and overexertion. The risk of relapse can be reduced if the patient follows several rules:

• If possible, avoid physical activity. Physical therapy is permitted as prescribed by a doctor.
• Complete peace. The patient needs to avoid stressful situations and not conflict.
• Quit alcohol and nicotine. Coffee can be replaced with chicory.

Medical sources describe several causes of dizziness after a hypertensive crisis. The main reason is caused by the body’s reaction to changes in blood pressure: the walls of blood vessels become denser, and their permeability decreases.

As a result, the blood supply to the brain is disrupted and oxygen starvation occurs. This is what causes dizziness. Basically, after a hypertensive crisis, a person becomes lethargic, experiences fatigue, and apathy.

Another cause of dizziness is a rapid decrease in blood pressure with the help of medications. A reduction in pressure of 30 units per hour is acceptable.

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Concomitant diseases in the patient can lead to sudden illness. For example, pathologies of the cardiovascular system, peripheral musculoskeletal system, diabetes mellitus.

Other causes of dizziness after GC include:

• adverse reaction of the body to medications;
• menopause in women;
• stress.

Hypertensive patients are sensitive to meteorological changes. A sudden change in weather can cause pressure to rise or fall.

Dizziness can also be triggered by changes in climatic conditions, bad habits of the patient, disruptions at the hormonal level, excessive consumption of coffee, physical and nervous exhaustion of the body.

What to worry about after a crisis

A hypertensive crisis is always a vegetative storm when many systems are involved, especially choline and histamine. At the peak of the crisis, there may be pinpoint hemorrhages in various organs, visual disturbances, tinnitus, nausea, and headache. All these manifestations are reversible and can go away completely without a trace. In order for a person to recover after a crisis, a certificate of temporary incapacity for work is issued.

After a crisis, a person may be bothered by:

• low pressure;
• dull headache;
• dizziness;
• severe weakness;
• lack or decreased appetite;
• increased urination;
• drowsiness;
• reduced performance.

As a rule, during a crisis, all efforts of doctors are aimed at reducing blood pressure as quickly as possible. The result - not always, but quite often - is an overdose of antihypertensive drugs. Therefore, the first few days after a crisis, blood pressure may be lower than usual, which immediately worsens your health. You need to take this calmly. One or two days will pass and everything will return to normal. The medications will be removed, vascular tone will return to normal, and life will move on calmly.

Read also: Hypertension Strelnikov technique

After a crisis, drug therapy is in most cases revised. The doctor can leave the basic medications, adding to them those that a person should always have on hand in case of a recurrence of the crisis. All these issues are resolved individually with the doctor, sometimes after additional examination.

Complications

Dizziness is not the only complication after a hypertensive crisis.

Scientists have identified the so-called target organs that will suffer the most if the patient is not given timely help during an attack, such as:

• Brain. Consequences of impaired blood circulation for the brain: stroke, memory loss.
• Heart. Possible complications are heart attack, angina pectoris, heart failure.
• Kidneys. A crisis can affect kidney function (renal failure).
• Vessels. There is a high risk of aortic rupture and death.
• Eyes. Damage to the retina, decreased visual acuity.

Most often, the consequences of a hypertensive crisis affect the functioning of the brain and cardiovascular system.

Consequences and possible complications

A hypertensive crisis, the consequences of which are very dangerous, requires prompt emergency care. Drug therapy is especially important for severe cases of the disease, as well as inpatient medical supervision. The following consequences of a hypertensive crisis are possible:

• myocardial infarction;
• cerebral edema;
• stroke;
• pulmonary edema;
• heart failure;
• coma;
• encephalopathy;
• liver failure;
• angina pectoris;
• ischemia of renal tissue;
• deterioration of hearing and visual acuity;
• aortic aneurysm dissection.

Complications after a hypertensive crisis are associated with a rise in blood pressure. In severe cases it increases significantly. In the uncomplicated form, low pressure is often observed, with a gradual increase. The most common effects are those that occur in the brain and myocardium.

Types of dizziness after GC

Sudden movements of a person can provoke dizziness after a hypertensive crisis. For example, if the patient suddenly stood up, turned his head, bent over, sat down, or simply closed his eyes. Therefore, it is important for patients to remain calm. Any overexertion can trigger new dizziness.

In medicine, there are two types of dizziness. In the first case, a person has a feeling of moving objects or the body. When your head position changes, dizziness may worsen. In the second case, dizziness is not accompanied by a sensation of moving objects or the body.

Causes of pathology

The main cause of the development of a hypertension crisis is considered to be nervous tension and stress. A person suffering from hypertension simply needs to be nervous about work issues to provoke hypertension. In addition, the causes of pathology include:

• "Withdrawal syndrome." Occurs if you stop taking medications that normalize your blood pressure.
• Sudden changes in weather conditions.
• Alcohol abuse, drug use.
• Violation of diet, consumption of foods high in salt.
• Exacerbation of concomitant diseases, for example, diabetes, pyelonephritis, atherosclerosis, etc.

Diagnostic measures

What to do if dizziness does not go away? To treat the patient, the doctor prescribes complex treatment: drug and non-drug therapy.

During dizziness, it is necessary to alleviate the patient's condition. To do this, you need to lay him on his back, free him from unnecessary restraining accessories - unfasten the buttons on his shirt or his belt.

In this state, the body requires more oxygen. Therefore, you need to open a window in the room. If a person begins to feel sick, diuretics can be used to relieve an attack of nausea or vomiting. The tablets can be replaced with mint chewing gum or candy.

How does dizziness manifest?

Clinically, during a hypertensive crisis and hypertension itself, dizziness is accompanied by cerebral, cardiovascular, and renal symptoms.

In the central nervous system, symptoms are characterized by encephalopathy with headache, confusion, impaired consciousness, dizziness, coma. Sometimes nausea, vomiting, and convulsions occur. Visual disturbances are present with changes in the fundus of the eye. Other complications of a hypertensive crisis, also manifested by dizziness, emanating from the brain - cerebral or subarachnoid bleeding.

Dizziness during a hypertensive crisis is often accompanied by psychological and neurovegetative disorders, such as:

• nausea,
• vomit,
• pallor,
• muscle hypertonicity,
• sweating,
• feeling of uncertainty in space.

These manifestations are explained by the connection between the vestibular and autonomic systems. Any disturbance in the vestibular apparatus causes ongoing autonomic disorders. Regardless of the feeling of fear that accompanies almost any dizziness, this symptom in itself does not pose a danger to human life.

Medicines

Dizziness after a hypertensive crisis will not go away on its own. Drug treatment in the post-crisis period is based on 3 groups of drugs. These are diuretics (Hypothiazide, Furosemide), ACE inhibitors (Captopril, Lisinopril) and antispasmodics (No-shpa, Papaverine).

To improve the functioning of the circulatory system, Caviton or Betaserc are prescribed. They weaken the harmful effects of amino acids. Cinnarizine and Flunarizine improve blood circulation and reduce the risk of oxygen starvation of the brain.

If dizziness occurs due to stress, the patient needs to take a sedative. It’s good if these are medicines made from herbal ingredients (valerian or motherwort).

The patient should not self-medicate. Only a specialist will be able to choose the right drug, determine the course of administration and its dosage.

Causes

Typically, hypertension makes itself felt after 40 years of age; women are more likely to suffer from it.
The disease develops slowly, but over time the increase in pressure occurs more and more often. And various reasons can lead to the development of a hypertensive crisis. A hypertensive crisis is a sharp increase in blood pressure that differs from normal, everyday pressure. Moreover, a sharp jump in blood pressure can occur in people not only with hypertension, but also in people with normal blood pressure, but with weak blood vessels, which is also very dangerous in its consequences.

The following factors can trigger a sudden increase in blood pressure:

• strong emotional excitement, stress;
• increased weather sensitivity;
• eating foods with a lot of salt;
• alcohol abuse;
• abrupt withdrawal of antihypertensive drugs.

Of all the reasons, the most common is still strong anxiety and stressful situations.

A hypertensive crisis, in addition to hypertension, can be a symptom of diseases such as:

• traumatic brain injuries;
• stroke;
• kidney diseases (pyelonephritis, glomerulonephritis, kidney stones, renal failure);
• diabetes mellitus and hyperthyroidism;
• hormonal disorders, especially in women during menopause.

The main cause of the development of a hypertension crisis is considered to be nervous tension and stress. A person suffering from hypertension simply needs to be nervous about work issues to provoke hypertension. In addition, the causes of pathology include:

• "Withdrawal syndrome." Occurs if you stop taking medications that normalize your blood pressure.
• Sudden changes in weather conditions.
• Alcohol abuse, drug use.
• Violation of diet, consumption of foods high in salt.
• Exacerbation of concomitant diseases, for example, diabetes, pyelonephritis, atherosclerosis, etc.

ethnoscience

Drug treatment of the effects of GC can be combined with the use of folk remedies. Herbal decoctions will help relieve dizziness.

Rose hips have a beneficial effect on the cardiovascular system. For 1 liter of water you will need 100 grams of dried berries. The broth is poured with boiling water and infused. After 20 minutes you can drink it like tea.

Herbalists recommend drinking vegetable juice with honey and lemon. It is made from carrots, beets, honey and lemon. Beets help improve blood flow. The vitamins and carotene contained in carrots have a beneficial effect on the cardiovascular system. Some healers advise adding horseradish to the mixture. You need to take 1 spoon per day after meals.

Clover infusion or lingonberry tea will help you cope with dizziness. Clover flowers are infused in a herbal bath for about 40 minutes. Lingonberry tea is prepared according to the same recipe as rose hip decoction. For 1 spoon of dried berries you will need 1 liter of boiling water. The berries are boiled for 5 minutes, and then left for another 20 minutes.

Traditional healers advise making a decoction of dill seeds. It not only helps improve digestion, but also reduces blood pressure, strengthens the heart muscle, and has a diuretic effect.

The healing properties of hawthorn, toad grass and mistletoe are used to reduce blood pressure.

Physical exercise

The most effective and efficient remedy for recovery after a crisis is gymnastics or physical education. Physical activity should be feasible, regular and daily. You need to start with 15-20 minutes a day, gradually increasing the complexity and duration of classes. Exercise will not only have a positive effect on the myocardium and blood pressure, but will also help you lose extra pounds, build muscle definition and improve overall well-being.

During training, it is necessary to monitor your pulse and breathing, and avoid overwork or severe physical fatigue. You can do physical therapy, yoga, cardio exercises, and breathing exercises. Swimming and aqua gymnastics, hippotherapy, and walks in the fresh air have a good effect.

Lifestyle: diets, rest

Doctors recommend giving up your previous lifestyle, avoiding stressful situations and overexertion. If possible, patients should refrain from any mental activity: be it working on a computer or reading.

Do light exercise to the best of your ability, but do not overexert yourself. Physical therapy classes are best suited for this.

To restore the body, the patient should take more time to walk and reconsider his diet. Control your weight. Avoid salty foods and eat more fruits and vegetables.

Prevention

The state of hypertensive crisis, as a rule, occurs against the background of the development of persistent hypertension. Therefore, a person needs to follow the doctor’s recommendations and observe basic preventive measures.

People suffering from high blood pressure should follow the following recommendations:

• If you have problems with excess weight, it is advisable to correct the situation with the help of a therapeutic diet and moderate physical activity;
• Stop drinking alcoholic beverages and smoking;
• Follow a diet, reduce salt intake to a minimum;
• Constantly see a therapist or cardiologist. Be examined at least once every 5-6 months;
• Take all necessary medications prescribed by your doctor and follow other recommendations he gives;
• Measure your blood pressure daily. If there are any concomitant diseases, be sure to treat them.

Thus, to avoid complications of a hypertensive crisis, you should always monitor your lifestyle!

Avoid the development of persistent hypertension and its consequences.
Only an integrated approach to the problem will help save lives and prevent disability. Author of the article Svetlana Anatolyevna Ivanova, general practitioner