Hypertensive Emergencies

@article{Tuncel2003HypertensiveE,
  title={Hypertensive Emergencies},
  author={Meryem Tuncel and Venkata S. Ram},
  journal={American Journal of Cardiovascular Drugs},
  year={2003},
  volume={3},
  pages={21-31}
}
  • M. Tuncel, V. Ram
  • Published 1 January 2003
  • Medicine
  • American Journal of Cardiovascular Drugs
Although systemic hypertension is a common clinical disorder, hypertensive emergencies are unusual in clinical practice. Situations that qualify as hypertensive emergencies include accelerated or malignant hypertension, hypertensive encephalopathy, acute left ventricular failure, acute aortic dissection, pheochromocytoma crisis, interaction between tyramine-containing foods or drugs and monoamine oxidase inhibitors, eclampsia, drug-induced hypertension and possibly intracranial hemorrhage. It… Expand
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TLDR
Intravenous nicardipine is effective for the treatment of hypertensive neurological emergencies and has no adverse effect on PbtO(2) during treatment of acute hypertensive emergencies. Expand
Spontaneous rupture of pheochromocytoma and its clinical features: a case report.
TLDR
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Intravenous Nicardipine
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References

SHOWING 1-10 OF 21 REFERENCES
New approaches for the treatment of hypertensive urgencies and emergencies.
TLDR
This discussion will be limited to the use of new therapeutic agents in the management of hypertensive crises, including labetalol, a drug that possesses both alpha-blocking and beta-blocking properties and effectively lowers the blood pressure when given parenterally or by oral route. Expand
Emergency Room Management of Hypertensive Urgencies and Emergencies
  • D. Vidt
  • Medicine
  • Journal of clinical hypertension
  • 2001
TLDR
Although therapy with parenteral antihypertensive agents may be initiated in the emergency department, patients with severe hypertension warrant prompt admission to an intensive care unit where continuous monitoring of blood pressure can be assured during therapy. Expand
The diagnosis and management of hypertensive crises.
TLDR
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. Expand
Management of hypertensive emergencies: changing therapeutic options.
  • C. Ram
  • Medicine
  • American heart journal
  • 1991
TLDR
Nicardipine, a new dihydropyridine calcium antagonist, produces significant antihypertensive effects, and when given intravenously, results in a rapid fall in blood pressure. Expand
Malignant hypertension and hypertensive emergencies.
TLDR
In hypertensive emergencies, BP should be lowered within minutes with parenteral agents to prevent critical end-organ damage, but can be lowered more slowly over several hours, often with oral agents, to avoid a detrimental fall in BP. Expand
Hypertensive Encephalopathy: Recognition and Management
TLDR
There are few medical emergencies in which the objective response to therapy is so strikingly apparent as in hypertensive encephalopathy, and the physician should immediately search for alternate diagnoses. Expand
Hypertensive crisis.
TLDR
In the treatment of postoperative hypertension the choices best suited are labetalol, enalapril, nitroprusside, and nitroglycerin, which are nonsedating and rapid in onset and all can be administered intravenously. Expand
Hypertensive encephalopathy: recognition and management.
  • C. Ram
  • Medicine
  • Archives of internal medicine
  • 1978
TLDR
There are few medical emergencies in which the objective response to therapy is so strikingly apparent as in hypertensive encephalopathy, and the physician should immediately search for alternate diagnoses. Expand
HEMODYNAMIC CEREBRAL INFARCTION TRIGGERED BY EXCESSIVE BLOOD PRESSURE REDUCTION IN HYPERTENSIVE EMERGENCIES
TLDR
The present population-based study shows that 27% of the oldest old used benzodiazepines, which represents an up to 15-fold increased risk of recurrent falls, and confirms that polypharmacy and its sequelae exist in the oldestOld. Expand
Fenoldopam: a new parenteral antihypertensive: consensus roundtable on the management of perioperative hypertension and hypertensive crises.
TLDR
It was concluded that fenoldopam offers significant advantages as a parenterally administered agent for the management of blood pressure in both hypertensive emergencies and in the perioperative setting. Expand
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