High blood pressure by itself does not cause symptoms. Headaches, fatigue, and dizziness are sometimes ascribed to hypertension, but nonspecific symptoms such as these are no more common in hypertensives than they are in normotensive controls.Instead, the condition is found out during routine screening or when patients seek medical advice for its issues. These issues are serious and potentially fatal.

 They include myocardial infarction, congestive heart failure, thrombotic and hemorrhagic strokes, hypertensive encephalopathy, and renal failure. This really is why higher blood pressure is generally known as "the silent killer".Physical findings are also absent in early high blood pressure, and observable alterations are generally discovered only in advanced severe cases. These may include hypertensive retinopathy (ie, narrowed arterioles seen on funduscopic examination) and, in more severe instances, retinal hemorrhages and exudates along with swelling from the optic nerve head (papilledema).


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