ESC Council on hypertension position document on the management of hypertensive emergencies

European Heart Journal. Cardiovascular Pharmacotherapy
Bert-Jan H van den BornBryan Williams

Abstract

Hypertensive emergencies are those situations where very high blood pressure (BP) values are associated with acute organ damage, and therefore, require immediate, but careful, BP reduction. The type of acute organ damage is the principal determinant of: (i) the drug of choice, (ii) the target BP, and (iii) the timeframe in which BP should be lowered. Key target organs are the heart, retina, brain, kidneys, and large arteries. Patients who lack acute hypertension-mediated end organ damage do not have a hypertensive emergency and can usually be treated with oral BP-lowering agents and usually discharged after a brief period of observation.

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Citations

Nov 7, 2019·The New England Journal of Medicine·Aldo J Peixoto
Oct 23, 2019·Journal of Human Hypertension·Magdalena DomekAlena Shantsila
Feb 20, 2019·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Giuseppe MulèGiovanni Cerasola
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Mar 23, 2020·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Massimo SalvettiMaria Lorenza Muiesan
Dec 17, 2019·European Heart Journal. Cardiovascular Pharmacotherapy·Renata CífkováGiovanni de Simone
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Oct 13, 2021·Expert Opinion on Pharmacotherapy·Fabio AngeliGianpaolo Reboldi
Nov 10, 2021·European Journal of Preventive Cardiology·Isabella Sudano
Nov 24, 2021·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Gian Paolo RossiTeresa M Seccia

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