Hypertensive crises

Primary Care
Christopher J Hebert, Donald G Vidt

Abstract

The key points of this article are: (1) A hypertensive crisis is present when markedly elevated blood pressure is accompanied by progressive or impending acute target organ damage. (2) Most instances of very elevated blood pressure encountered in the office setting will not be crises and will not require acute reduction of blood pressure. (3) Hypertensive crises are largely preventable and often result from inadequate management of hypertension or poor adherence to therapy. (4) Effective triage of patients into categories of severe hypertension, hypertensive urgency, and hypertensive emergency through an expeditious history, examination, and testing should guide therapy. (5) Hypertensive urgency is managed with oral medications and usually on an outpatient basis; a hypertensive emergency warrants intensive care unit admission and parenteral therapy. (6) Ensuring adequate follow-up after treatment of very elevated blood pressure is a critical step that is often mishandled.

References

Oct 25, 1990·The New England Journal of Medicine·D A Calhoun, S Oparil
Oct 1, 1989·Archives of Internal Medicine·K R ZellerC Matthews
Sep 15, 2004·The Journal of Clinical Hypertension·Donald G Vidt
Dec 6, 2005·Cardiology Clinics·Monica Aggarwal, Ijaz A Khan
Jan 13, 2006·The Journal of Clinical Hypertension·Seth R BenderJohn D Bisognano

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Citations

Apr 30, 2013·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Rashed Al BannayAysha Husain
Sep 28, 2010·Plastic and Reconstructive Surgery·Jeffrey D ConeDavid J Smith
Jan 15, 2014·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Geovedy Martínez GarcíaJuliana Vassuelela Gomes
Dec 21, 2010·Optometry : Journal of the American Optometric Association·Richard E Meetz, Tiffenie A Harris
Sep 6, 2011·Paediatric Drugs·Christopher A Thomas
Sep 15, 2016·Asian Journal of Sports Medicine·Leila VakiliZahra Alizadeh
Jul 30, 2020·The Journal of Clinical Endocrinology and Metabolism·Annika M A BerendsHenri J L M Timmers

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