Hypertensive crisis
Hypertensive crisis | |
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Other names: Malignant hypertension, accelerated hypertension | |
File:227 over 93 hypertension.jpg | |
A systolic hypertensive crisis as measured on a home automated arm blood pressure monitor, showing an extremely elevated systolic blood pressure of 227, a mildly elevated diastolic blood pressure of 93 and a very fast tachycardic heart rate of 162 beats per minute. | |
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Specialty | Cardiology |
Types | Hypertensive emergencies, hypertensive urgencies |
Medication | Antihypertensives |
Hypertensive crisis, also known as acute severe hypertension, was a term previously used to refer to hypertensive emergencies and hypertensive urgencies.[1][2] The use of the term is no longer recommended as of 2019.[3]
It referred to any blood pressure equal to or greater than a systolic of 160 or diastolic of 110. A hypertensive emergency is when there is evidence of damage to one or more organs as a result of elevated blood pressure;[4] while, a hypertensive urgency is present when no end organ damage is present. In hypertensive emergencies, rapid reduction of blood pressure is required.[5] In contrast there is no evidence that blood pressure needs to be lowered rapidly in hypertensive urgencies and over aggressive reduction of blood pressure is associated with complications.[6] Use of medications by mouth to lower the BP gradually is recommended in this case.[5]
References
- ↑ Papadopoulos DP, Mourouzis I, Thomopoulos C, Makris T, Papademetriou V (December 2010). "Hypertension crisis". Blood Press. 19 (6): 328–36. doi:10.3109/08037051.2010.488052. PMID 20504242. S2CID 207471870.
- ↑ Jolly, Hannah; Freel, E Marie; Isles, Chris (19 May 2023). "Management of hypertensive emergencies and urgencies: narrative review". Postgraduate Medical Journal. 99 (1169): 119–126. doi:10.1136/postgradmedj-2021-140899.
- ↑ van den Born, Bert-Jan H; Lip, Gregory Y H; Brguljan-Hitij, Jana; Cremer, Antoine; Segura, Julian; Morales, Enrique; Mahfoud, Felix; Amraoui, Fouad; Persu, Alexandre; Kahan, Thomas; Agabiti Rosei, Enrico; de Simone, Giovanni; Gosse, Philippe; Williams, Bryan (1 January 2019). [10.1093/ehjcvp/pvy032 "ESC Council on hypertension position document on the management of hypertensive emergencies"]. European Heart Journal - Cardiovascular Pharmacotherapy. 5 (1): 37–46. doi:10.1093/ehjcvp/pvy032. ISSN 2055-6837.
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value (help) - ↑ Chobanian, AV; Bakris, GL; Black, HR; Cushman, WC; Green, LA; Izzo JL, Jr; Jones, DW; Materson, BJ; Oparil, S; Wright JT, Jr; Roccella, EJ; National High Blood Pressure Education Program Coordinating Committee (Dec 2003). "Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure". Hypertension. 42 (6): 1206–52. doi:10.1161/01.hyp.0000107251.49515.c2. PMID 14656957.
- ↑ 5.0 5.1 Marik PE, Varon J (June 2007). "Hypertensive crises: challenges and management". Chest. 131 (6): 1949–62. doi:10.1378/chest.06-2490. PMID 17565029.
- ↑ O'Brien, Eoin; Beevers, D. G.; Lip, Gregory Y. H. (2007). ABC of hypertension. London: BMJ Books. ISBN 978-1-4051-3061-5.