Ocorrência e preditores clínicos de pseudocrise hipertensiva no atendimento de emergência

Abstract

SummaryObjectives: To describe the prevalence of hypertensive pseudocrisis in patients treated in emergency rooms with substantially elevated blood pressure levels. To compare this prevalence in private and public hospitals. To describe the frequency of wrong treatment for this condition. To identify, during triage, independent predictors of pseudocrisis. To evaluate the prognosis of patients with pseudocrisis. Methods Results: vs vs vsConclusions: There is a high prevalence of hypertensive pseudocrisis in patients when hypertensive crisis is suspected, particularly in the private hospital. The frequency of wrong treatment was similar for both the private and public pseudocrisis has a low rate of lethality.

Hypertensive crisis: clinical characteristics of patients with hypertensive urgency, emergency and pseudocrisis at a public emergency department

“…The analysis of the Brazilian literature revealed two studies published over a decade ago that analyzed the clinical management in situations of hypertensive crisis, including pseudocrisis ( 18 ) and the prevalence and clinical characteristics of patients with hypertensive pseudocrisis. ( 19 ) In Brazil, the lack of studies on clinical characteristics of patients, including hypertensive pseudocrisis, emphasizes the importance of our data. In addition to being unprecedented, our study simultaneously analyzed hypertensive urgency, hypertensive emergency and hypertensive pseudocrisis.…”

“…A análise da literatura nacional revelou dois estudos publicados há cerca de uma década, que analisaram a conduta médica em situações de crise hipertensiva, incluindo a pseudocrise ( 18 ) e a prevalência e características clínicas de pacientes com pseudocrise hipertensiva. ( 19 ) Portanto, em função da escassez de estudos, em nosso meio, dentre as análises de características clínicas de pacientes, incluindo a pseudocrise hipertensiva, ressalta-se a importância dos nossos dados que, além de inéditos, analisaram simultaneamente a urgência, a emergência e a pseudocrise hipertensiva.…”

Pharmacological blood pressure control and outcomes in patients with hypertensive crisis discharged from the emergency department

“…This phenotype of HTN-C has occasionally been described as hypertensive pseudocrisis. Nonetheless, there has not been a consensus on the diagnosis of this phenomenon [ 18 , 19 ]. Another spectrum of HTN-C is referred to as severe symptomless hypertension (SSH); yet, whether to medically treat SSH remains controversial [ 20 , 21 ].…”

Emergências hipertensivas

“…9 In Brazil, Sobrinho et al, comparing data from public and private hospitals assessed independent predictors for pseudo hypertensive crises. 10 Prevalence was of 48% (95% CI = 39%-58%) and higher in private hospitals (59% versus 37%, p = 0.02); frequency of incorrect diagnosis was similar between the hospitals (94% versus 95%, p = 0.87).…”