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

Corresponding author: LIU Gangqiong, wyhdoctor29@163.com

DOI: 10.12201/bmr.202508.00052

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  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.

  Submit time: 29 August 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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