Malignant hypertension (MAH)

va noninfectious pandemic
determining the stascture of the cardiovascular morbidity and mortality.




By malignant hypertension
(Primary, secondary) to understand high blood pressure over
220 to 130 mm. Hg. Art. in conjunction with retinopathy 3 - 4 tbsp.
by Keith and fibrinoid arteriolonecrosis, revealed by
microscopy of renal biopsies. Kidney biopsy is not considered
compulsory, given the trauma and incomplete correspondence between
morphological changes in the kidney, retina, brain.



To avoid false
testimony must observe the asles
blood pressure measurement, precise data
obtained by ABPM.



                
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
  
  
Table 1. Basic safety regulations
BP measurements
1 for measuring blood pressure should use calibrated
Devices
2 measurement of blood pressure produced in
calm conditions after at least a 5-minute
Rest patient
3 for 1 hour prior to the measurement of blood pressure patient should not
smoking and
drink coffee
4 size cuff tonometer
must match the circumference of the shoulder:
cover not less than 80% of the circumference and at least 40% of the patient's shoulder
5 Mid balloon cuff should be just above
palpable
brachial artery. The bottom edge of the cuff should be at 2.5 cm above
cubital fossa. Between the cuff and the surface of the shoulder should be held
finger
6 Mid cuff should
located at the 4 th intercostal space patient
in a sitting position, or at the secondary level axillary line in the position
Lying
7 diaphragm stethoscope should be fully fit snugly
surface
shoulder at the site of maximum pulsation of the brachial artery. Head
stethoscope should not touch the cuff or tubing
8 air to the cuff
should be quick, deflation -
slow (2 mm Hg in 1)
9 BP measurements performed at least 2 times every 2
min. When the difference
more than 5 mm Hg or arrhythmias should be expressed
additional measurement of blood pressure. The average value of two (or three)
measurements
10 your first visit to the measurement
BP produced on both hands. Difference
BP levels when measured at different hands can bemorethan 10 mm Hg
Art. The higher value corresponds exactly to intraarterial BP
and the hand should be used for subsequent measurements and further
BP control
11 elderly patients and diabetic patients blood pressure
necessary to measure blood pressure
standing and lying down



Table 2. Factors influencing blood pressure



                
                      
    
                
Table 2.1. Technical
factors affecting blood pressure
Factor SBP, mm Hg,       
      
      
      
       DBP, mm Hg,
      
In a prone position against the sitting
|Views: 86