Hypertensive urgencies-emergencies are important and common events. They are defined as a severe elevation in BP, higher than 180/120 mmHg, associated or not with the evidence of new or worsening organ damage for emergencies and urgencies respectively. Anamnestic information, physical examination and instrumental evaluation determine the following management that could need oral (for urgencies) or intravenous (for emergencies) anti-hypertensives drugs. The choice of the specific drugs depend on the underlying causes of the crisis, patient's demographics, cardiovascular risk and comorbidities. For emergencies a maximum BP reduction of 20-25% within the first hour and then to 160/110-100 over next 2-6 h, is considered appropriate with a further gradual decrease over the next 24-48 h to reach normal BP levels. In the case of hypertensive urgencies, a gradual lowering of BP over 24-48 h with an oral medication is the best approach and an aggressive BP lowering should be avoided. Subsequent management with particular attention on chronic BP values control is important as the right treatment of the acute phase

Maloberti, A., Cassano, G., Capsoni, N., Gheda, S., Magni, G., Azin, G., et al. (2018). Therapeutic Approach to Hypertension Urgencies and Emergencies in the Emergency Room. HIGH BLOOD PRESSURE & CARDIOVASCULAR PREVENTION, 25(2), 177-189 [10.1007/s40292-018-0261-4].

Therapeutic Approach to Hypertension Urgencies and Emergencies in the Emergency Room

Maloberti, Alessandro
Primo
Membro del Collaboration Group
;
CASSANO, GIULIO ALESSANDRO
Secondo
;
CAPSONI, NICOLO';GHEDA, SILVIA;AZIN, GIULIA MARIA;ZACCHINO, MASSIMO;ROSSI, ADRIANO;CAMPANELLA, CARLO;Giannattasio, Cristina
Ultimo
2018

Abstract

Hypertensive urgencies-emergencies are important and common events. They are defined as a severe elevation in BP, higher than 180/120 mmHg, associated or not with the evidence of new or worsening organ damage for emergencies and urgencies respectively. Anamnestic information, physical examination and instrumental evaluation determine the following management that could need oral (for urgencies) or intravenous (for emergencies) anti-hypertensives drugs. The choice of the specific drugs depend on the underlying causes of the crisis, patient's demographics, cardiovascular risk and comorbidities. For emergencies a maximum BP reduction of 20-25% within the first hour and then to 160/110-100 over next 2-6 h, is considered appropriate with a further gradual decrease over the next 24-48 h to reach normal BP levels. In the case of hypertensive urgencies, a gradual lowering of BP over 24-48 h with an oral medication is the best approach and an aggressive BP lowering should be avoided. Subsequent management with particular attention on chronic BP values control is important as the right treatment of the acute phase
Articolo in rivista - Review Essay
Emergency department; Hypertensive emergencies; Hypertensive urgencies; Therapeutic approach
English
177
189
13
Maloberti, A., Cassano, G., Capsoni, N., Gheda, S., Magni, G., Azin, G., et al. (2018). Therapeutic Approach to Hypertension Urgencies and Emergencies in the Emergency Room. HIGH BLOOD PRESSURE & CARDIOVASCULAR PREVENTION, 25(2), 177-189 [10.1007/s40292-018-0261-4].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/197908
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