Clinical Manifestations of Hypertension

 The symptoms of high blood pressure vary from person to person. Early symptoms may be asymptomatic or unobvious. The common ones are dizziness, headache, tight neck, fatigue, and palpitations. Blood pressure rises only after fatigue, mental stress, and mood swings, and it returns to normal after rest. As the course of the disease is prolonged, blood pressure will continue to rise significantly, and various symptoms will gradually appear. At this time it is called chronic hypertension. The common clinical symptoms of chronic hypertension include headache, dizziness, inattention, memory loss, numbness of the limbs, increased nocturia, palpitations, chest tightness, fatigue and so on. Symptoms of hypertension are related to blood pressure levels. Most symptoms can be aggravated after nervousness or fatigue. Blood pressure can rise rapidly after morning activities. Early morning hypertension occurs, leading to cardiovascular and cerebrovascular events mostly in the early morning.

When the blood pressure suddenly rises to a certain level, symptoms such as severe headache, vomiting, palpitations, and dizziness may occur. In severe cases, confusion and convulsions may occur. This is a rapidly progressive type of hypertension and a critically ill hypertensive disease. Severe damage and pathological changes of heart, brain, kidney and other organs occur within, such as stroke, myocardial infarction, renal failure, etc. There is no consistent relationship between symptoms and elevated blood pressure levels. The clinical manifestations of secondary hypertension are mainly related to the symptoms and signs of the primary disease, and hypertension is only one of its symptoms. The increase in blood pressure in patients with secondary hypertension may have its own characteristics. For example, the hypertension caused by aortic constriction may be limited to the upper extremities; the increase in blood pressure caused by pheochromocytoma is paroxysmal.