During his stay in Bahawal Victoria Hospital, he was monitored regularly in Paediatric ICU (intensive care unit), where he was found to have episodic hypertension
(HTN) with BP fluctuating between 140/90 to 80/50.
Patients with chemical sensitivity can develop a variety of symptoms due to inflammation that accompanies neural sensitization: sinus, ear and/or throat pain; congestion; coughing, wheezing, and/or shortness of breath; migraines, easy bruising; episodic hypertension
with increased blood pressure (when exposed to trigger chemicals); angina with increased anginal pain (when exposed to triggers); irritable bowel; nausea; acid-reflux-like symptoms; diarrhea and abdominal discomfort, burning and/or irritation of the urethra, vulva, seminal vesicles, and other urinary lining tissue; burning/ irritated eyes; skin rash and/or burning sensation.
(10) It is a potentially life-threatening episodic hypertension
that develops in 50-90% of people with tetraplegia or high paraplegia.
"Persistent hypertension is a major cause of vascular disease and must be treated appropriately, but episodic hypertension
is at least as common and should no longer be ignored," says Dr.
But variability and episodic hypertension is very common and matters much more than mean blood pressure in some patients."
Both stable and episodic hypertension can lead not only to strokes, but to heart attacks, peripheral artery disease, and congestive heart failure.
First, determine whether or not you have either stable or episodic hypertension. Then discuss your options with your doctor.
A 33-year-old gravida-5, para-3 woman at 36 weeks gestation presented to a large peripheral hospital with a severe headache and associated episodic hypertension. Her past history included radio-frequency ablation for Wolff-Parkinson-White syndrome and a spontaneous right parietal subarachnoid haemorrhage (SAH) two years prior.
Presenting features include episodic hypertension, headaches, anxiety, palpitations and tachycardia.
Those patients aware that their blood pressures are lower outside the office should be considered for ambulatory blood pressure monitoring.(10) The latest Joint National Committee report (JNC VII) indicates that ambulatory blood pressure monitoring may be useful to detect white-coat hypertension among patients with hypertension and no target organ damage, and those with episodic hypertension
In June 2000, Spacelabs Medical requested that ABPM be approved for coverage for five indications: white coat hypertension, apparent resistance to antihypertensive drugs, hypotensive symptoms with antihypertensive medications, episodic hypertension
, and autonomic dysfunction.
We report an unusual case of invasive paraganglioma presenting with severe episodic hypertension
; mislabelled as HOCM on the basis of echocardiographic findings, which led to a delay in establishing the correct diagnosis.