Arterial hypotension (hypotension) – a condition that is characterized by a decrease in blood pressure below 100/60 mm Hg in patients up to twenty-five years and 105/60 in patients over twenty-five years. Hypotension is a variant of the norm, if not cause any subjective sensations and, in this case, treatment is not required.
Causes arterial hypotension
Hypotension often manifests at a young age, it can occur under the influence of acute and chronic infections, allergies, physical and emotional tension. Hypotension may be a manifestation of some diseases (for example, anemia, peptic ulcer, chronic hepatitis, neuro-circulatory dystonia). The immediate cause arterial hypotension, a violation of the blood vessels.
Physiological hypotension is often hereditary in nature and depends on the human Constitution. It occurs in healthy people performing normal work. Periodically the occurrence of hypotension happens in athletes. It can also develop when moving person in conditions of high altitude or in space with subtropical and tropical climates. It is connected with reduction of atmospheric pressure in these areas, with air temperature (very low or high), with extreme solar activity. Manifestations of hypertensive disease in these cases are temporary and disappear after adaptation to these factors.
Pathological hypotension may be primary or secondary, acute and chronic. It can also be called as a vascular dystonia on hypotonic type. This is the primary arterial hypotension. It develops as a result of dysregulation of vascular tone the Central nervous system. The flow rate of blood through the vessels remains normal, the heart begins to increase the blood, but it is not sufficient and normalize blood pressure does not occur. In the development of the disease play an important role hormones. The kidneys and adrenal glands produce several hormones involved in the regulation of blood pressure. In addition, patients may be changed amount of sodium and potassium in the blood (a reduced amount of sodium and increased potassium content). Important reasons leading to the occurrence of this disease include stress, psychological trauma, nervous condition, industrial hazard, alcohol abuse. One of the modern theories hypotonic disease is a neurosis vasomotor centers of the brain.
Secondary arterial hypotension occur in various diseases. Among them thyroid disease, peptic ulcer, anemia, inflammation of the liver cells, tumors, and the effects on the body of some medications.
Symptoms of arterial hypotension
Typical symptoms of hypotension include weakness, dizziness, fatigue, headache, drowsiness and lethargy, tendency to fainting, sickness, increased sensitivity to changes in temperature and atmospheric pressure, menstrual irregularities in women and sexual function in men.
Most often patients complain of weakness (especially in the morning), lethargy, rapid onset of fatigue during usual activities, headaches, a feeling of shortness of breath, insomnia, pain in the heart, heaviness in the stomach, loss of appetite. In addition, often when there are violations of the chair (usually constipation), menstrual irregularities in women, and lower potency in men.
Let us look more closely at heart ache and headaches. The predominance of one or another sense to distinguish between heart and brain variant of hypertensive disease.
Pain in the heart is usually a dull, aching, does not extend to the left arm and shoulder, in contrast to pain with ischemic heart disease. It fails when taking nitroglycerin, which may even worsen the condition. Pain may occur at rest, after a morning of sleep, sometimes she appears with too much physical activity. Pain attack can last for hours and even days or occur repeatedly during the day. Some easy physical exercises usually reduce pain and improve health.
Patients may complain only on frequent headaches (brain form) that appear after work, sleep, when the weather changes, after excessive eating. The pain is concentrated more in the forehead and temples and can last a long time. Sometimes joined by dizziness, nausea and vomiting. When stroke patients have an increased sensitivity to loud sounds, bright light, the condition is made worse by being in a stuffy room and duty vertical position of the body. Being in the fresh air and exercise can usually reduce painful symptoms. Often the main complaints joined by temporary pain in different joints and muscles.
In some cases, when a patient abruptly gets up from the bed, systolic pressure may be reduced to 50 mm RT. Art.; loss of consciousness occurs. When moving in the horizontal position, the human condition is normalized.
Outwardly in patients with hypotonic disease pallor, sweating feet. When hearing and determining of the pulse detected fickle heart rate and palpitations. Body temperature in the morning below 36 °C, blood pressure is reduced.
Illness occurs most often in spring and summer, after the transfer of colds and infectious diseases.
Treatment reduced pressure (hypotension)
The basis for the treatment of arterial hypotension is the use of tonics (coffee, strong tea), exercise, proper rest. As tools recommended caffeine or medications containing caffeine (often they exist in combination with antipyretic and analgesics, are usually assigned when caused by hypotension headache). Used as a tonic herbal drugs – the so-called adaptogens.
Drug treatment of hypotension by prescription:
-Preparations containing caffeine (Otolorin, Algona, ASKO-Hairdryer-P, Acepar, Pentalgin-N.With Perdolan, Saridon, Sedal-M, Tramal, Citramonum P, Chitrapur, Exedrin)
-Drugs that increase blood pressure
-Tincture of ginseng, schisandra Tincture, Tincture of Siberian ginseng