Labile hypertension is a situation in which a person experiences fluctuations in blood pressure. In this case, a person may experience dramatic change in the blood pressure shifting from low to high. There are a number of factors of which are associated with this change in pressure and include anxiety, non compliance with treatment, physical exertion and phaeochromocytom. Labile hypertension is also known as borderline hypertension and it involves fluctuations of blood pressure from lows to highs.
The fluctuation may cause a ringing in the ears and headaches and mainly stems from emotional stress. Labile hypertension requires close and persistent monitoring in order to examine how it behaves within a day or several. Much like white coat hypertension, borderline hypertensive people will need to be monitored closely.
A day-long monitoring could mean that the patient takes home an ambulatory kit that is able to measure the pressure after every 20 minutes in the day and after every 30 minutes at night. Upon examination of the time when the patient had high blood pressure, then an appropriate treatment is initiated.
In most cases, regular exercise is seen as an effective way of managing this condition. Since the condition may arise due to emotional stress, physical exercise could help drain away any bad feelings, which could create emotional imbalances. Since this form of hypertension is quite volatile in nature, it is not usually as receptive to medications as other treatment and therapies.
Therefore, instead of a patient being administered with anti-hypertension medications, stress relieving drugs may be prescribed in order to bring down the stress levels. Although a person suffering from labile hypertension may show asymptomatic situations, there are times when the patients experience headaches, and tinnitus.
Fluctuations in pressure are the major signs though it requires a person to undertake blood pressure test. By asymptomatic it means that the patient may not show any signs when suffering from the disorder. The symptoms of labile high blood pressure may be different from those of other hypertensions and this is because of the underlying causes of the condition.
Tinnitus or ringing in ears is one peculiar sign about this condition. In addition, persons with the condition do not experience or feel heart palpitations. At times, labile hypertension is asymptomatic and there are no any palpable symptoms. This is quite serious because it could silently be causing damage to vital organs without a person realizing the effects.
Treatment of labile hypertension is aimed at countering the situations and conditions, which are leading to such abnormal changes in the blood pressure. Anti-anxiety medications are used to help in managing anxiety and this could be a relieving factor for the changes in pressure. In addition, the treatment may be done to get rid of other underlying causes such as hormone secreting tumors.
Education is very essential when dealing labile hypertension. This is because; this condition may be quite complex compared to secondary or essential hypertension. Its medication should be used after a very close and thorough testing coupled with keen examination and recommendations from a doctor. In addition, a patient suffering from the condition needs to adapt to new lifestyle changes.
A low weight for the overweight and obese people is a pre-requisite in order to respond well in the management of this condition. Salt intake should also be minimized. Sodium is one of the major factors which interfere with the blood pressure. A patient needs to follow up a strict Dietary Approaches to Stop Hypertension- DASH diet.
Moreover, people experiencing the abnormal changes and fluctuations in blood pressure should also indulge in more exercises and avoid alcohol. It is good for the patient to quit smoking. Stress management therapies are used in managing the condition. Massage, relaxation therapy and biofeedback may be used as part of the therapy strategies in people experiencing labile hypertension.
Anti-hypertensive medications may be administered if the patient is not responding to other therapies. In normal cases, blood pressure is a very labile parameter and this means that it is never constantly in the body of a person and is influenced by environmental and health factors. Therefore, to some extent, hypertension is regarded as labile in every person who is hypertensive.
Nonetheless, a patient is considered to be experiencing labile or borderline hypertension when he or she has a blood pressure over 140/90 mmHg and which falls below these values as a result of physical and emotional rest or changes. This is a condition which affects about 20-30% of adult population. Some patients experience labile hypertension prior to acquiring the fixed hypertension.
Other patients remain with labile hypertension for the rest of their life meaning that the hypertensive condition does not progress to stable or established hypertension. One challenge with labile hypertension is that it adds nothing to the ability of the mean blood pressure to be able to determine the risk of cardiovascular diseases.
Category: Labile Hypertension