Hello,
My mother recently had a hypertensive crisis, diagnosed as heart attack and
mini-stroke. Her symptoms were:
-Headache night before
-Continuing headache next morning, plus dizziness, nausea, chest pain, and
seizure-like cramping of the right (yes) arm and neck.
– When the ambulance arrived, her blood pressure was 220/190; she was in
hypertensive crisis.
– When they gave her meds to relieve blood pressure, she
was basically fine, and went to the hospital.
– Her blood levels were all fine except for minor increase in muscle enzymes.
At hospital, they examined old MRI (from Carotid artery surgery 6 months ago)
and compared to new MRI and discovered 2 new very small brain infarcts
indicating mini-stroke. They think the strokes came as a result of the
attack, i.e., that they were not the cause of the hypertensive crisis. They
then did an angiogram, and found a minor constriction in only one vein leading
to a small chamber. (I’m not saying this quite right, but it was almost
undetectable, because they removed the angiogram equipment and saw the
constriction on photos and went back in next day to angioplasty that one
spot.) Anyway, the cardiologist told my dad that that constriction probably
did not cause the hypertensive crisis.
Now. Here’s the problem. So we’ve learned my mom has a healthy heart, no
detectable tissue death, and no arterial constrictions, and 2 ministroke spots
caused by the hypertensive crisis … but we don’t know what caused the
hypertensive crisis.
Here’s the question:
What else can cause a hypertensive crisis besides heart attack and stroke?
My dad will be taking her to endocrinologist, next. She’s been very cranky
since the carotid surgery – is this a clue? Is she terrified of things to
come and stressed out by that? Could she be exhausted by getting up and back
in the swing right after the carotid surgery? Also, her sister died one month
after the carotid surgery, and I’m not sure she’s fully grieved…
Any and all comments will be most appreciated. Please e-mail.
Sincerely,
Pat