Hypertensive Crisis

  title={Hypertensive Crisis},
  author={Maria Alexandra Rodriguez and Siva K. Kumar and M. De Caro},
  journal={Cardiology in Review},
Hypertension is a common chronic medical condition affecting over 65 million Americans. Uncontrolled hypertension can progress to a hypertensive crisis defined as a systolic blood pressure >180 mm Hg or a diastolic blood pressure >120 mm Hg. Hypertensive crisis can be further classified as a hypertensive urgency or hypertensive emergency depending on end-organ involvement including cardiac, renal, and neurologic injury. The prompt recognition of a hypertensive emergency with the appropriate… 
Hypertensive crisis in children and adolescents
Intensive continuous infusions rather than intravenous boluses of antihypertensive medications should be the preferable mode of initial treatment of children with hypertensive emergency.
Pharmacological blood pressure control and outcomes in patients with hypertensive crisis discharged from the emergency department
Pharmacological intervention for BP was significantly associated with a 11% and 11% reduced risk of hospital revisits within 30 or 60 days of discharge from ED, respectively, particularly among patients with polypharmacy.
Prevalence of Hypertensive Emergency and Associated Factors Among Hospitalized Patients with Hypertensive Crisis: A Retrospective Cross-Sectional Study
The prevalence of hypertensive emergency was found to account for a significant proportion of patients and promoting screening programs could reduce the risk of target organ damage.
Malignant hypertension: does this still exist?
The proposed new definition presents MHT as a group of disorders with out of range elevation in blood pressure with the concomitant damage of at least three different target organs to increase the detection and estimate the real prevalence of this hypertensive emergency.
Treatment of Acute Heart Failure in Hypertensive Crisis
  • O. Gheorghe-Fronea
  • Medicine, Engineering
    Updates in Hypertension and Cardiovascular Protection
  • 2019
Hypertensive crisis can trigger the onset of an acute heart failure (AHF) episode through the steep increase in afterload that occurs as a result of the increase in blood pressure (BP) levels per se,
Profile of patients with hypertensive urgency and emergency presenting to an urban emergency department of a tertiary referral hospital in Tanzania
In this cohort of adult patients with elevated blood pressure, hypertensive crisis was associated with substantial morbidity and mortality, with the most vulnerable being those with hypertensive emergency.
Calcium Channel Blockers in Acute Care: The Links and Missing Links Between Hemodynamic Effects and Outcome Evidence
The hemodynamic effects and outcome evidence for CCBs, the links and missing links between these two domains, and the directions that merit future investigations are discussed.
A rare case of malignant hypertension with splenic rupture and thrombotic microangiopathy
Spontaneous splenic rupture could be a rare and critical complication associated with MHT-induced TMA, and it requires careful clinical attention.


The Diagnosis and Treatment of Hypertensive Crises
  • J. Varon
  • Medicine
    Postgraduate medicine
  • 2009
Patients with hypertensive emergencies are best treated in an intensive care unit (ICU) with titratable IV hypotensive agents, and nifedipine, nitroglycerin, and hydralazine should not be considered first-line therapies in the management of hypertensive crises because these agents are associated with significant toxicities and/or side effects.
Hypertensive crises: challenges and management.
The definitions, current concepts, common misconceptions, and pitfalls in the diagnosis and management of patients with acutely elevated BP as well as special clinical situations in which BP must be controlled are reviewed.
Treatment of acute severe hypertension: current and newer agents.
Hydralazine, nifedipine, nitroglycerin and hydralazine should not be considered first-line therapies in the management of hypertensive crises because these agents are associated with significant toxicities and/or adverse effects.
The diagnosis and management of hypertensive crises.
A wide range of pharmacologic alternatives are available to the practitioner to control severe hypertension, and nitroprusside is commonly used to treat severe hypertension but is an extremely toxic drug that should only be used in rare circumstances.
Management of Hypertensive Urgencies and Emergencies
Because angiotensin‐converting enzyme (ACE) inhibitors generally cause cerebral vasodilatation, enalaprilat may be particularly beneficial for patients who are at high risk of developing cerebral hypotensive episodes secondary to impaired cerebral circulation.
Management of hypertensive crises.
While there is agreement about the need for urgent hypotensive treatment in patients with aortic dissection, there is no information with which to base rational decisions in the management of high arterial pressure in the acute phase of stroke or subarachnoid hemorrhage.
Management of hypertensive crises: the scientific basis for treatment decisions.
Hypertensive crisis.
Clinical review: The management of hypertensive crises
Current concepts, and common misconceptions and pitfalls in the diagnosis and management of patients with acutely elevated blood pressure are reviewed.