[48F] With high blood pressure and anxiety symptoms

Patient Description

A 48-year-old female reports experiencing high blood pressure for approximately two months, with readings such as 155/101, 185/114, and 160/95. Symptoms include nausea, headache primarily in the front, temples, and behind the eyes, a sense of doom, sharp chest pain, air hunger, and dizziness. The patient has a family history of high blood pressure and a personal history of anxiety. There have been no recent changes in medications, lifestyle, diet, or hormone therapy. The patient denies swelling in legs or feet and is unsure about palpitations. There have been no recent follow-ups or treatments related to cervical cancer history, and thalassemia has been stable. Chronic conditions include thalassemia, cervical cancer, cholecystectomy, and sphincter of Oddi dysfunction. Allergies include Ambien and Spironolactone.

Arora's Assessment

What might be happening

Based on your symptoms of high blood pressure, nausea, headache, a sense of doom, chest pain, and dizziness, there are a few possibilities:

Hypertensive Crisis: Your blood pressure readings are quite high, which could indicate a hypertensive crisis. This is a serious condition that requires immediate medical attention to prevent complications like a stroke or heart attack.
Anxiety or Panic Attack: Given your history of anxiety, these symptoms could also be related to a severe anxiety or panic attack. However, the high blood pressure and chest pain are concerning and should be evaluated by a healthcare professional.
Cardiovascular Issues: The combination of high blood pressure, chest pain, and dizziness could suggest a cardiovascular problem that needs urgent assessment.

What you can do

Seek Immediate Medical Attention: Please go to the emergency room or call 911 immediately. It's important to rule out any life-threatening conditions.
Stay Calm: While waiting for medical help, try to stay as calm as possible. Deep breathing can sometimes help reduce anxiety.
Avoid Physical Activity: Rest and avoid any strenuous activities until you receive medical advice.
Inform Medical Staff: Make sure to inform the healthcare providers about your medical history, current medications, and any allergies.

Remember, it's crucial to get evaluated by a healthcare professional to determine the exact cause and receive appropriate treatment.

1

Hugs

0

Comments

Save

4 mo ago

Top picked over-the-counter products for High Blood Pressure: Best Drug-Free Solutions from the AHA