<abstract xmlns="http://www.w3.org/1999/xhtml"><p>A hypertensive crisis is an abrupt and severe rise in the arterial blood pressure (BP) occurring either in patients with known essential or secondary hypertension, or it may develop spontaneously. The most frequent cause for the severe and sudden increase in BP is inadequate dosing or stopping antihypertensive treatment in hypertensive patients. Severe hypertension can be defined as either a hypertensive emergency or an urgency, depending on the existence of organ damage. In hypertensive urgencies, there are no signs of acute end-organ damage, and orally administered drugs might be sufficient. In hypertensive emergencies, signs of acute end-organ damage are present, and in these cases, quickly-acting parenteral drugs must be used. The prompt recognition, assessment, and treatment of hypertensive urgencies and emergencies can decrease target organ damage and mortality. In this review, the definitions and therapeutic recommendations in a hypertensive crisis are presented in the light of the 2017 ACC/AHA Hypertension Guidelines.</p></abstract>

A hypertensive crisis is an abrupt and severe rise in the arterial blood pressure (BP) occurring either in patients with known essential or secondary hypertension, or it may develop spontaneously. The most frequent cause for the severe and sudden increase in BP is inadequate dosing or stopping antihypertensive treatment in hypertensive patients. Severe hypertension can be defined as either a hypertensive emergency or an urgency, depending on the existence of organ damage. In hypertensive urgencies, there are no signs of acute end-organ damage, and orally administered drugs might be sufficient. In hypertensive emergencies, signs of acute end-organ damage are present, and in these cases, quickly-acting parenteral drugs must be used. The prompt recognition, assessment, and treatment of hypertensive urgencies and emergencies can decrease target organ damage and mortality. In this review, the definitions and therapeutic recommendations in a hypertensive crisis are presented in the light of the 2017 ACC/AHA Hypertension Guidelines.

An Updated Review of Hypertensive Emergencies and Urgencies

Journal of Cardiovascular Emergencies

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"An Updated Review of Hypertensive Emergencies and Urgencies"}

A hypertensive crisis is an abrupt and severe rise in the arterial blood pressure (BP) occurring either in patients with known essential or secondary...

An Updated Review of Hypertensive Emergencies and Urgencies

Publicado en línea: 17 jul 2018

Páginas: 73 - 83

Recibido: 24 abr 2018

Aceptado: 09 jun 2018

DOI: https://doi.org/10.2478/jce-2018-0013

Palabras clave
hypertensive urgencies, hypertensive emergencies, antihypertensive treatment

© 2018 Katalin Makó et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

An Updated Review of Hypertensive Emergencies and Urgencies

Publicado en línea: 17 jul 2018

Páginas: 73 - 83

Recibido: 24 abr 2018

Aceptado: 09 jun 2018

DOI: https://doi.org/10.2478/jce-2018-0013

Palabras clavehypertensive urgencies, hypertensive emergencies, antihypertensive treatment

© 2018 Katalin Makó et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
hypertensive urgencies, hypertensive emergencies, antihypertensive treatment