Journal
EUROPEAN HEART JOURNAL-CARDIOVASCULAR PHARMACOTHERAPY
Volume 5, Issue 1, Pages 37-46Publisher
OXFORD UNIV PRESS
DOI: 10.1093/ehjcvp/pvy032
Keywords
Hypertensive crisis; Hypertensive emergency; Malignant hypertension; Hypertensive urgency; Hypertensive encephalopathy
Funding
- Medical Research Council [MC_PC_13090] Funding Source: Medline
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Hypertensive emergencies are those situations where very high blood pressure (BP) values are associated with acute organ damage, and therefore, require immediate, but careful, BP reduction. The type of acute organ damage is the principal determinant of: (i) the drug of choice, (ii) the target BP, and (iii) the timeframe in which BP should be lowered. Key target organs are the heart, retina, brain, kidneys, and large arteries. Patients who lack acute hypertension-mediated end organ damage do not have a hypertensive emergency and can usually be treated with oral BP-lowering agents and usually discharged after a brief period of observation.
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