Are there any clear symptoms for the hypertension?? -

Hypertension is usually found incidentally - quot;case findingquot; - by healthcare professionals during a routine checkup. The only test for hypertension is a blood pressure measurement. Hypertension in isolation usually produces no symptoms although some people report headaches, fatigue, facial flushing or tinnitus. Malignant hypertension (or accelerated hypertension) is distinct as a late phase in the condition, and may present with headaches, blurred vision and end-organ damage. It is recognized that stressful situations can increase the blood pressure; Hypertension is often confused with mental tension, stress and anxiety. While chronic anxiety is associated with poor outcomes in people with hypertension, it alone does not cause it. Accelerated hypertension is associated with somnolence, confusion, visual disturbances, and nausea and vomiting (hypertensive encephalopathy).

Most people with hypertension experience no symptoms, and as a result the condition may go undetected for many years. The only symptom I m aware of is headaches.

A. SYMPTOMS Mild to moderate primary (essential) hypertension is largely asymptomatic for many years. The most frequent symptom, headache, is also very nonspecific. Suboccipital pulsating headaches, occurring early in the morning and subsiding during the day, are said to be characteristic, but any type of headache may occur. Accelerated hypertension is associated with somnolence, confusion, visual disturbances, and nausea and vomiting (hypertensive encephalopathy). Hypertension in patients with pheochromocytomas that secrete predominantly norepinephrine is usually sustained but may be episodic. The typical attack lasts from minutes to hours and is associated with headache, anxiety, palpitation, profuse perspiration, pallor, tremor, and nausea and vomiting. Blood pressure is markedly elevated, and angina or acute pulmonary edema may occur. In primary aldosteronism, patients may have muscular weakness, polyuria, and nocturia due to hypokalemia; malignant hypertension is rare. Chronic hypertension often leads to left ventricular hypertrophy, which may be associated with diastolic or, in late stages, systolic dysfunction. Exertional and paroxysmal nocturnal dyspnea may result, and ischemic heart disease is more common (especially when concomitant coronary artery disease is present). Cerebral involvement causes (1) stroke due to thrombosis or (2) small or large hemorrhage from microaneurysms of small penetrating intracranial arteries. Hypertensive encephalopathy is probably caused by acute capillary congestion and exudation with cerebral edema. The findings are usually reversible if adequate treatment is given promptly. There is no strict correlation of diastolic blood pressure with hypertensive encephalopathy; but it usually exceeds 130 mm Hg. B. SIGNS Like symptoms, physical findings depend on the cause of hypertension, its duration and severity, and the degree of effect on target organs. 1. Blood pressure - On initial examination, pressure is taken in both arms and, if lower extremity pulses are diminished or delayed, in the legs to exclude coarctation of the aorta. An orthostatic drop is present in pheochromocytoma. Older patients may have falsely elevated readings by sphygmomanometry because of noncompressible vessels. This may be suspected in the presence of Osler s sign - a palpable brachial or radial artery when the cuff is inflated above systolic pressure. Occasionally, it may be necessary to make direct measurements of intra-arterial pressure, especially in patients with apparent severe hypertension who do not tolerate therapy. 2. Retinas - Narrowing of arterial diameter to less than 50% of venous diameter, copper or silver wire appearance, exudates, hemorrhages, or papilledema are associated with a worse prognosis. 3. Heart and arteries - Left ventricular enlargement with a left ventricular heave indicates severe or long-standing hypertrophy. Older patients frequently have systolic ejection murmurs resulting from calcific aortic sclerosis, and these may evolve to significant aortic stenosis in some individuals. Aortic insufficiency may be auscultated in up to 5% of patients, and hemodynamically insignificant aortic insufficiency can be detected by Doppler echocardiography in 10-20%. A presystolic (S4) gallop due to decreased compliance of the left ventricle is quite common in patients with sinus rhythm. 4. Pulses - The timing of upper and lower extremity pulses should be compared to exclude coarctation of the aorta. All major peripheral pulses should be evaluated to exclude aortic dissection and peripheral atherosclerosis, which may be associated with renal artery involvement.

no, why do u think they call it the silent killer

Drowsiness, confusion, headache, nausea, and loss of vision,mild chest discomfort(not pain but a feeling of stuffiness,or heaviness)If you feel pain find a doctor immediately It is called a silent killer but anyone with it can tell you what the symptoms are. Good luck.