hypertension crisis 1

Community lifestyle today is a luxury lifestyle and sometimes far away from health considerations. So many health problems that arise as a result of it. One of them is hypertension.
Until now hypertension still remains a problem for several reasons, among others, increasing prevalence, is still the number of hypertension patients who had received treatment or been treated, but her blood pressure has not reached the target, as well as the accompanying diseases and complications that can increase morbidity and mortality.
Epidemiological data show that with the increasing elderly population, the number of patients with hypertension will likely increase, in which both systolic hypertension or a combination of systolic and diastolic hypertension often occurs in more than half of people aged> 65 years. In addition, blood pressure control rate of the former continue to increase, in the last decade shows no progress anymore (horizontal curve pattern), and blood pressure control was achieved only 34% of all hypertensive patients. Until now, data are incomplete hypertension most come from countries - countries that have been developed.
Hypertension of unknown cause was defined as essential hypertension, or by some doctors prefer the term primary hypertension. This is to distinguish with other hypertension secondary cause - for the unknown. Essential hypertension itself is 95% of the total cases of hypertension.

According to The Seventh Report of the Jonit National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7), the classification of blood pressure in adults are divided into:
Classification TDS (mmHg) TDD (mmHg)
Normal <120> 160 or> 100

Hypertension can cause organ damage, either directly or indirectly. Disturbances in the organ - a common target organ in patients with hypertension found among others:
 Heart
 left ventricular hypertrophy
 angina or myocardial infarction
 Heart failure
 Brain
 stroke or transient ischemic attack
 Dementia
 chronic kidney disease
Peripheral arterial disease 
 retinopathy
The evaluation of hypertension in patients aims to:
1. assess and identify lifestyle factors - other cardiovascular risk factors or to assess the existence of an accompanying disorder that affects the prognosis and determine treatment.
2. find the cause of an increase in blood pressure.
3. determine the presence or absence of target organ disorders and cardiovascular disease.
Of all of the above, there is a situation where an increase in blood pressure is very high with the possibility of occurrence or interference / damage to the target organ. The situation is called hypertensive crisis. In general, hypertensive crisis occurs in patients with hypertension who do not or neglects to take antihypertensive drugs. Such conditions can cause disability or even death to the person who attacked them.
Problems that often occur during the handling of this crisis of hypertension patients are not quite right. Often, patients with blood pressure high blood pressure-lowering drugs are given directly by large doses in the hope that lowering blood pressure immediately. This is tantamount to overcome a problem but it adds another problem, as it can possible happen hipoperfusi organs - organs that targets can lead to occurrence of ischemic and infarction.