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High blood pressure (hypertension) occurs due to the tightening or stiffness of very small arteries called arterioles. As a result, the heart pumps harder through the stiff or narrow arterioles, leading to elevated pressure inside the vessels. Hypertension is known as 'the silent killer' because it often goes unnoticed and may cause serious complications such as kidney diseases, heart diseases, heart failure, and stroke.

Chest pain is a common complaint by a patient in the ER. Causes of chest pain include broken or bruised ribs, pleurisy, pneumothorax, shingles, pneumonia, pulmonary embolism, angina, heart attack, costochondritis, pericarditis, aorta or aortic dissection, and reflux esophagitis. Diagnosis and treatment of chest pain depends upon the cause and clinical presentation of the patient's chest pain.

Heart disease (coronary artery disease) occurs when plaque builds up in the coronary arteries, the vessels that supply blood to the heart. Heart disease can lead to heart attack. Treatment of heart disease involves control of heart disease risk factors through lifestyle changes, medications, and/or stenting or bypass surgery. Heart disease can be prevented by controlling heart disease risk factors.

High blood pressure (hypertension) means high pressure (tension) in the arteries. Treatment for high blood pressure include lifestyle modifications (alcohol, smoking, coffee, salt, diet, exercise), drugs and medications such as ACE inhibitors, angiotensin receptor blockers, beta blockers, diuretics, calcium channel blockers (CCBs), alpha blockers, clonidine, minoxidil, and Exforge.

Raynaud's phenomenon (disease) occurs due to spasms of blood vessels. Raynaud's phenomenon is a type of vascular disease characterized by color changes of the skin, most commonly after exposure to cold. The cause of Raynaud's phenomenon is unknown, although abnormal nerve control of blood-vessel diameter and nerve sensitivity to cold is suspected of being involved.

Preeclampsia is a condition in pregnant women marked by high blood pressure and a high level of protein in the urine. Eclampsia occurs when preeclampsia goes untreated. Eclampsia can cause coma and death of the mother and baby. Preeclampsia symptoms include rapid weight gain, abdominal pain, headaches, blood in the urine, dizziness, and excessive vomiting and nausea. The only real cure for preeclampsia and eclampsia is the birth of the baby.

Classic angina symptoms are described as chest pressure that radiates down the arm, into the neck or jaw and is associated with shortness of breath and sweating. Typical angina symptoms should be made worse with activity and should resolve or get better with rest. Angina may not have any pain and instead may present as shortness of breath with exercise, malaise, fatigue, or weakness.

Scleroderma is an autoimmune disease of the connective tissue. It is characterized by the formation of scar tissue (fibrosis) in the skin and organs of the body, leading to thickness and firmness of involved areas. Scleroderma is also referred to as systemic sclerosis, and the cause is unknown.