Hypertension of panic attacks
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Hypertension associated with panic attacks: Pathophysiological mechanisms and clinical implications Panic attacks are episodic, intense, strong anxiety, often accompanied by a variety of physical symptoms. One of these symptoms is a sudden increase in blood pressure, which may be referred to as a reactive high blood pressure (or stress-related high blood pressure). Pathophysiology The increase in blood pressure during a panic attack is mainly due to the activation of the sympathetic nervous system. During a panic attack is triggered by a massive release of stress hormones, especially epinephrine and norepinephrine,. These hormones act on α‑ and β‑Adrenoceptors, and lead to the following physiological reactions: Vasoconstriction of peripheral blood vessels (→ increase in the peripheral vascular resistance); Increase in heart rate (→ increase in Cardiac output); Increased force of contraction of the heart. The us leads to a rapid and significant increase in both the systolic as well as diastolic blood pressure. Studies show that the systolic blood pressure may rise during a panic attack to 20-40 mmHg and diastolic by 10-20 mmHg. Clinical Observations In patients with recurrent panic attacks (panic disorder) ends of such a reactive increase in blood pressure can cause the following problems: Long-term changes in blood pressure: Regular panic attacks can lead to chronic Overload of the cardiovascular system and the risk for the development of essential hypertension increase. Perception of symptoms: sudden increase in blood pressure and associated symptoms (headache, palpitations, dizziness) can reinforce the fear, and a vicious circle of anxiety and physical reactions. Differential diagnosis: A strong increase in blood pressure may be confused sometimes with other cardiovascular emergencies (e.g., hypertensive emergencies, Pheochromocytoma). Therefore, a careful history and examination is required. Diagnostics and Management The diagnostics includes: Measurement of blood pressure during and outside of panic attacks; Long-Term Blood Pressure Monitoring (24‑Hour Blood Pressure Monitoring); psychiatric/psychological Evaluation for confirmation of panic disorder; To the exclusion of other possible causes for high blood pressure. The therapeutic approach should be multimodal and may include the following elements: Psychotherapy: Cognitive-behavioral therapy (CBT) for the treatment of panic disorder. Drug therapy: antidepressants (SSRI) or, if necessary, in the short term, benzodiazepines. Blood pressure-lowering drugs: Only in the case of persistent hypertension after clarification of the cause (e.g., beta-blockers, in addition, can reduce the physical symptoms of panic attacks). Stress management: relaxation techniques (Progressive muscle relaxation, Meditation), and regular physical activity. Conclusion High blood pressure during panic attacks is a common and pathophysiologically well-established phenomenon. Although he is usually transient, it may have if this happens repeatedly, long-term effects on the cardiovascular System. Early diagnosis and integrated treatment approach that addresses both the mental and the physical component, are crucial for a favorable prognosis.
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Cardio Balance helps reduce blood fat levels by reducing the production of cholesterol and triglycerides in the body and improving the transportation of fats in the bloodstream. Constant high levels of stress can disturb the blood flow and blood pressure and can damage vessels, and you may experience dizziness, extreme fatigue, or body aches with no wish to get out of bed. This stress-induced fatigue can make your blood pressure high and needs to be monitored.