Malignant Hypertension Treatment & Monitoring
These are medications to treat malignant hypertension using drugs, below:
- diuretics effect, such as hydrochlorothiazide/triamterene or furosemide.
- beta-blockers, such as propranolol or atenolol.
- angiotensin-converting enzyme (ACE) inhibitors, such as lisinopril
- angiotensin II receptor blockers, such as losartan or valsartan
- vasodilators, such as hydralazine
- centrally acting nervous system medications, such as clonidine
Calcium channel blockers, such as diltiazem, nifedipine, or verapamil, have been used more than 20 years to treat malignant hypertension acute. However, the findings of several recent studies show that people who take a calcium channel blocker have a much higher incidence of complications than people taking other medications for high blood pressure. The findings of one study, for example, showed that the risk of heart attack was 27% greater, and the risk of congestive heart failure was 26% higher. This means this drugs must used with careful supervision and strict by expert doctor to treat this malignant hypertension.
The choice of medication for malignant hypertension depending on the person’s medical history. Beta- blockers usually are not prescribed for someone who has breathing problems such as asthma or emphysema. ACE inhibitors and diuretics to reduce fluid buildup are especially useful for an individual with kidney disease or diabetes. A person with high blood pressure may be on multiple medications.
The successfull of treatment is to keep the top number of the blood pressure below 140 and the bottom number below 90. In a person with diabetes, the goal is to keep the top number below 130 and the bottom number below 85. For an individual with heart disease or kidney disease, the target is to get the malignant hypertension as low as can be tolerated.
Any side effects of the treatments?
Side effects depending to the medications used. Beta- blockers can worsen asthma. Diuretics can cause dehydration and salt imbalance. Calcium channel blockers can cause swelling of the legs.Maybe patient have a higher risk of heart attack and congestive heart failure. ACE inhibitors may bring to chronic dry cough.
What happens after treatment for the disease?
A person who has malignant hypertension must continue taking the prescribed medications every day without lost. Blood pressure may return to normal with weight loss, increased physical activity, reduction of alcohol intake, and a diet low in sodium. In most cases a person will need to continue to take blood pressure medications for life especially this patient still not change their lifestyle.
How is the disease monitored?
Malignant hypertension is monitored through frequent visits to a healthcare professional. A person with high blood pressure often records blood pressure readings in between office visits. Any new or worsening symptoms should be reported to the healthcare provider.