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| Cholesterol-heart and circulatory diseases Properties of the flow disorders of the cardiovascular System The level of cardiovascular diseases | 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. |
| Diuretics for high blood pressure | 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. |
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Hypertension as a possible cause of headache disorders: Pathophysiological correlations and clinical implications
Hypertension, also known as arterial hypertension, or high blood pressure is referred to, constitute a worldwide health problem and is considered an important risk factor for cardiovascular disease. A frequent, but not always immediately recognizable symptoms associated with hypertension are headaches.
Pathophysiology of headache and hypertension
A headache in the context of hypertension can be triggered by a number of pathophysiological mechanisms. A Central aspect is the walls of the increased tension in the vessel due to the increased blood pressure. In the case of a systolic blood pressure over 180 mmHg and/or diastolic 110 mmHg (so-called hypertensive crisis) may cause vasodilation of the cerebral vessels. This Dilatation is irritating to the pain-sensitive structures in the Skull, especially the meningeal vessels and the resulting mechanical irritation that leads to headache.
Furthermore, the Autoregulation of cerebral blood flow plays an important role. In chronic hypertension, the cerebrovascular System adapts to the high pressure. Sudden fluctuations in blood pressure, in particular, increases, however, can overwhelm the auto-regulatory mechanisms, which may lead to an above-average bleeding or local ischemia and also trigger headache.
Clinical Appearance
The headache and hypertension are typical characteristics:
Localization: often bilaterally, in the back of the head (occipital), or in the forehead region.
Character: vibrant or dull-pressing.
Time of occurrence: often in the morning after getting Up, when the blood pressure rises naturally.
Complaints may be accompanied by Nausea, vision problems, or dizziness, especially in the case of severe blood pressure increases.
However, it is important to note that not every Patient with hypertension developed a headache. Many people have over the years increased blood pressure, without feeling any of these symptoms. Therefore, hypertension is considered to be the Silent killer (silent killer).
Diagnostic Approach
In the case of a patient with headache should always be a blood pressure measurement is performed. The diagnosis of a hypertensive cause of the headache required:
blood again repeated pressure measurements (on an ambulatory basis or daily self-measurements),
Exclusion of other possible causes of headache (such as migraine, tension headache, space occupying lesions in the brain),
if necessary, additional investigations such as laboratory parameters (serum electrolytes, renal function), ECG and ultrasound of the kidney areas.
Therapeutic Strategies
The primary measure for the relief of headaches caused by hypertension, the effective reduction in blood pressure. This can be achieved by the following measures:
Style changes: reduction of salt intake, weight reduction in Overweight, regular physical activity, avoiding Smoking, and reduction of alcohol consumption life.
Pharmacological therapy: the use of antihypertensive medications such as ACE inhibitors, AT1‑receptor blockers, calcium channel blockers, beta-blockers or diuretics, depending on the individual patient profile.
Adequate blood pressure control often leads to a significant reduction or even complete relief of headache.
Conclusion
Headaches can be a Symptom of a hypertension, especially if they occur in conjunction with a significant increase in blood pressure. The early detection and treatment of hypertension is of crucial importance in order to alleviate only the headache, but also to prevent long-term cardiovascular complications. An individually tailored therapy, which includes style-based measures of life, as well as a necessary medication, is the key to a successful long-term therapy.

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.
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