4) Hypertensive crisis
Hypertensive crisis (180/120mm Hg or higher):
This stage represents an emergency state, and you need to see your doctor immediately to control your blood pressure and avoid multi-organ damage.
If your blood pressure is 180/120mm Hg or higher, you should wait 5 minutes and measure again. If you find the same high level in the second take, you should see your doctor immediately, especially if you have organ damage-associated symptoms, such as blurred vision, chest pain, difficulty breathing, and back pain. It’s a hypertensive emergency case which may have a poor prognosis if not attended immediately.
Some complications may occur at this stage:
- Heart failure
- Angina pectoris (chest pain)
- Loss of consciousness
- Decreased vision or even a complete loss
- Renal failure
- Eclampsia (toxemia of pregnancy) in pregnant females
You should check your blood pressure regularly to detect any abnormal increase and seek the treatment to avoid these complications.
At this stage, doctors should strengthen the treatment plan and monitor their patients until their blood pressure returns to acceptable levels. Doctors may need to admit their patients into the intensive care unit (ICU) if there is multi-organ damage to control high blood pressure and prevent further organ failure.