通讯作者: 刘刚琼, wyhdoctor29@163.com

DOI：10.12201/bmr.202508.00052

A Case Report and Clinical Considerations of Recurrent Hypertensive Emergency Caused by Psychological Factors

• 摘要：高血压急症以血压显著升高并伴有靶器官损害为特征,需及时识别和干预。常见诱因包括肾脏疾病、嗜铬细胞瘤及肾血管异常等器质性病因。本文报道一例中年女性,反复出现突发血压升高伴急性心力衰竭表现,常规检查未发现器质性异常,最终由精神心理科明确为焦虑障碍。患者接受抗焦虑治疗后症状缓解,六年随访未再发作。该病例对临床实践具有一定启示意义。

  关键词： 高血压急症; 心力衰竭; 精神障碍; 嗜铬细胞瘤

   

  Abstract: Hypertensive emergencies are characterized by a significant increase in blood pressure accompanied by target organ damage and require timely identification and intervention. Common triggers include organic causes such as kidney disease, pheochromocytoma, and renal vascular abnormalities. This case report describes a middle-aged woman who experienced recurrent episodes of sudden blood pressure elevation accompanied by acute heart failure symptoms. Conventional examinations did not reveal any organic abnormalities, and the condition was ultimately diagnosed as anxiety disorder by the Department of Psychiatry and Psychology. After receiving anti-anxiety treatment, the patients symptoms improved, and no further episodes occurred during a six-year follow-up period. This case has certain implications for clinical practice.

  Key words: Hypertensive Emergencies; Heart Failure; Mental Disorders; Pheochromocytoma.

  提交时间：2025-08-29

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-08-01	bmr.202508.00052V1	下载

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