From this article you will learn: what blood pressure indicators need to be perceived, how low pressure, why it happens and how it threatens How it is possible to raise the pressure to normal figures.
Contents of the article:
- What are the low pressure indices
- Causes of the problem
- Possible symptoms
- Algorithm for the care of patients
- Forecast of the effectiveness of treatment
Low pressure indices are less than 100/60 mm Hg. Art. With such parameters, blood circulation in blood vessels sharply decreases, which leads to blood circulation disorders in all internal organs, primarily vitally important - the heart and the brain. This phenomenon is called a hypotension.
Indices of the norm and blood pressure deviations If the decrease in blood pressure is an emergency, symptoms of critical abnormalities in the body that threaten human life arise. About 15-25% of people live with hypotension for years, and sometimes for decades, without feeling any manifestations and complaints.
Emergency medical assistance in emergency situations of lowering blood pressure is the responsibility of any physician. In all other cases, it is best to contact a therapist or family doctor. These specialists will be able to fully assess the situation and determine the most likely reason why it arose.
Depending on the cause of the problem, patients are referred to other specialists: a cardiologist, a surgeon, an endocrinologist, a neuropathologist. The required volume and effectiveness of treatment are very unpredictable: from elementary techniques that will bring pressure back to normal in a few minutes, before surgical intervention with admission to the intensive care unit, or lifelong observance of treatment recommendations that will not always bring the desired result.
Which pressure indicators are considered low
The answer to the question: low pressure is how much, is ambiguous. The generally accepted safe lower limit of the norm of arterial pressure for systolic and diastolic indices is 100/60 mm Hg. Art. But in practice you have to deal with situations where they are much lower, but the person does not feel any discomfort and leads an active lifestyle.
According to the classical ideas, hypotension is accompanied by circulatory disorders in the form of:
- Slowing of blood flow velocity in large vessels.
- Reduction of microcirculation by capillaries.
This worsens the delivery of nutrients and oxygen to all internal organs, which breaks their normal functioning. The brain and heart are the most vulnerable to hypoxia( oxygen starvation).
Thanks to the adaptive reactions of the body, lowering blood pressure is not always accompanied by signs of microcirculation and oxygen starvation, but only under certain circumstances.
Physiological or pathological hypotension - all individually
If a person has blood pressure below 100/60 mmHg, Art.does not cause any symptoms and signs of impaired blood circulation, it can be perceived as a variant of the norm - physiological hypotension. It is an individual characteristic and is more often observed in young women( from adolescence to 40-45 years) for many years.
Types of arterial hypotension Therefore, some experts for the lower limit of the norm of pressure recommend to perceive 90/60 mm Hg. Art. Correctly or not, it's hard to judge. After all, it is established that, despite the absence of pathological manifestations, people with persistent hypotension throughout life are more susceptible to various diseases: anemia, decreased immunity, neurogenic disorders, arrhythmia. About 85% of them after 45 years become hypertensive patients with a strong increase in pressure, which is resistant to medication.
Removing habitual hypotension can be extremely difficult and not always safe. This is due to the fact that all the body systems that regulate blood pressure( nervous, vegetative, hormonal), for a long time have adapted to keep it low. They established among themselves such an equilibrium, in which the organism does not experience any significant changes. If it is artificial to try to increase pressure, this balance breaks down and in the hypotonic person there are expressed disorders even at the indices of 100/60 mm Hg. Art., not to mention the higher.
Pathological hypotension is considered if it is accompanied by complaints and characteristic disorders. This happens more often in people with normal or elevated blood pressure, when there are changes in the direction of decrease. The brain and heart at the same time experience oxygen starvation, which causes the main symptoms of hypotension.
Causes of the problem
Low pressure is always caused by a violation of the mechanisms of its regulation. In the table they are described with the indication of the causes and diseases.
| Mechanisms of depression of pressure | Causes and diseases |
|---|---|
| Reduction of the amount and volume of blood | Bleeding: gastrointestinal, uterine, wound |
| Dehydration: insufficient intake of water and salt, diarrhea, vomiting, overheating, excessive sweating | |
| Reduction of pumping function of the heart | Heart attackinsufficiency, arrhythmia, myocarditis, cardiomyopathy |
| Decreased hormonal activity of the endocrine glands | Thyroid gland - hypothyroidism |
| Adrenal glands - hypokorticism( Add's disease | |
| Pituitary and hypothalamus | |
| Violation of the nervous regulation of the vascular tone | Condition after nervous shock and psychosis, change in body position( if very abruptly rise from lying or sitting), stay in stuffy, cramped or indoors with poor airing |
| Vegetosovascular dystonia, hereditaryfeatures of regulation of vascular tone | |
| Stroke and cerebral hemorrhage, craniocerebral trauma, tumor | |
| Redistribution of blood in the body - excessive expansion of small vessels | Otravand intoxication on the background of infections, ulcers, injuries and burns, alcohol abuse, work with toxic substances |
| Overdose of antihypertensive medications: Nitroglycerin, ACE inhibitors, diuretics, spasmolytics( no-shpa, dibazol), beta-blockers, calcium inhibitors. | |
| Allergic reactions | Home, food allergens, treatment with any medications |
Causes of low pressure The extreme reduction in pressure( below 80-90 / 50-60 mm Hg), accompanied by very severe disturbances of microcirculation is called shock. It can be:
- hemorrhagic - result of blood loss;
- cardiogenic - impaired cardiac function;
- infectious-toxic - poisoning, intoxication;
- traumatic - a consequence of severe trauma;
- anaphylactic is an allergic reaction.
It is important to understand that low pressure is not only a consequence of various pathological processes and influences. The hypotonia( less than 90/60 mm Hg), which has arisen for one of the possible reasons, can cause critical circulatory disturbances in the heart and brain, which will further lower the indices.
Possible symptoms of
A person whose blood pressure has decreased can mark such symptoms and complaints:
- dizziness;
- headache;
- impaired coordination of movements, general weakness;
- pallor of the skin, sweating;
- frequent or rare pulse;
- feeling of palpitations;
- fainting, retardation;
- nausea, vomiting.
If hypotension is not an independent pathological condition, but only one of the symptoms of various diseases, it is accompanied by other signs characteristic of them( they are described in more detail in the table of the section "algorithm for helping patients").
Algorithm for the care of patients
The primary task in the treatment of low blood pressure is to determine what condition it is. If it is urgent, there is no time to think - to such a person it is necessary to call an ambulance( telephone 103) and before starting to arrive first aid. In any case, patients should be examined by different specialists: therapist, cardiologist, surgeon, neuropathologist, endocrinologist.
By differentiating the most dangerous causes of lowering blood pressure in view of the existing symptoms, you can find the true cause. It can take only a few minutes to remove it, a surgical operation, or it may be that the treatment will be required throughout life.
The general algorithm of help in any case of low pressure looks like this:
- Lay the man's back, raise his legs, slightly lower his head.
- Ensure that the patient has free access to fresh air.
- Measure blood pressure, do not remove the cuff for dynamic monitoring of its indices.
- If the person is unconscious, determine if there is breathing and pulse on the vessels of the neck( carotid arteries).If not, start artificial respiration and heart massage.
- If possible, identify comorbid complaints and symptoms described in the table. This will help determine the most likely cause of hypotension, and further assistance is provided in a differentiated manner.
Click on photo to enlarge | What to look for | Probable causes of hypotension | What to do with low pressure |
|---|---|---|
| Cyanosis, puffiness of face, shortness of breath, chest pain | Pulmonary infarction or thromboembolism | Give under tongue Aspirin( Cardiomagnum), nitroglycerin( ifpressure not less than 90/60) |
| Blood vomiting, black feces | Gastrointestinal or intestinal bleeding | Cold on the abdomen, haemostatic drugs( Etamsilate, Dicycin, Sanger), Omez |
| Brain signs( weakness of the pki and legs, loss of speech and vision, distortion of the face) | Stroke, hemorrhage, traumatic brain injury, swelling, inflammation of the brain | Do not let your head down, lay on your side, put cold on, make sure that the person does not choke on vomiting |
| Periodic or suddenepisodes of depression of pressure without any additional manifestations | Vegetosovascular dystonia, hormonal imbalance, sudden change in body position, overheating, stressful situations | Provide rest, give a drink strong coffee or drug: Tsitramon, caffeine, kordiamin. If there is no effect - injections Dexamethasone, Prednisolone |
| Constant low pressure | If there are no complaints - body features | Treatment by a specialist, general tonic for long-term use( months): Eleutherococcus, Tonginal, Pantocrin. |
| Presence of complaints - endocrine or neurovegetative disorders | ||
| Very pronounced( less than 80-90 / 50-60) acute hypotension, disturbing the general condition of | Any type of shock, including anaphylactic( allergy) | Common measures in combination with intravenous administration of drugs:
|
In all cases of sudden lowering of blood pressure, be sure to call an ambulance( phone 103).This symptom can hide a dangerous disease!
Forecast of treatment effectiveness
If pressure reduction is a symptom of severe acute illnesses, it should be raised only by specialists in a hospital setting. In this case, the forecast is unpredictable( 50% of patients in a state of shock die).The usual causeless hypotension carries no danger to life, but in 60-70% it is impossible to eliminate it, despite the treatment.
Low blood pressure due to chronic diseases of the internal organs and hormonal insufficiency is normalized on their own against the background of their treatment. The best are treated and the least dangerous are periodic episodes of mild hypotension against a background of vegetovascular dystonia, changes in the position of the body, meteosensitivity and other factors.
