Hypertensive Crisis

Rodriguez, Maria Alexandra; Kumar, Siva; De, Matthew

doi:10.1097/crd.0b013e3181c307b7

Cited by 139 publications

(127 citation statements)

References 62 publications

(56 reference statements)

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“…It is estimated that 1% to 2% will develop severe acute elevations of BP requiring immediate medical therapy. 1 Elevations of systolic BP greater than 179 mm Hg or diastolic BP greater than 109 mm Hg are usually referred to as hypertensive crisis. 2 Such elevations are classified as hypertensive emergencies when target organ damage is present and as hypertensive urgencies when it is absent.…”

Section: Discussionmentioning

confidence: 99%

48-Year-Old Man With Cough and Leg Swelling

Odunukan

Abudiab

Sinak

2012

Mayo Clinic Proceedings

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A 48-year-old man with no remarkable medical history was sent to the emergency department from a local urgent care facility because of cough, dyspnea, mild chest discomfort, lower extremity edema, and a blood pressure (BP) of 210/150 mm Hg. He had no fever, constitutional symptoms, blurry vision, headaches, back pain, weakness, palpitations, or tremors and no personal or family history of hypertension. He did not use alcohol, tobacco, or illicit drugs.Physical examination at the emergency department revealed an overweight man with a BP of 222/ 167 mm Hg, pulse rate of 123 beats/min, temperature of 36.7°C, respiratory rate of 16 breaths/min, and oxygen saturation of 91% while the patient received 2 L/min of oxygen by nasal cannula. Peripheral pulses were equal and synchronous. Findings on cardiac examination were notable for a sustained laterally displaced apical impulse and a third heart sound with no murmurs. Pulmonary examination revealed bibasilar crackles and reduced breaths sounds at the right lung base. No masses or bruits were noted on abdominal examination. Pitting lower extremity edema was present to the knees bilaterally. There were no focal neurologic deficits. A funduscopic examination was not performed.Initial laboratory studies yielded the following results (reference ranges shown parenthetically): hemoglobin, 16 g/dL (13.5-17.5 g/dL); creatinine, 2.0 mg/dL (0.8-1.3 mg/dL); sodium, 137 mEq/L (135-145 mEq/L); potassium, 3.8 mEq/L (3.6-5.2 mEq/L); and serum urea nitrogen, 38 mg/dL (8-24 mg/dL). The N-terminal pro-B-type natriuretic peptide level was 12,629 pg/mL (Յ56 pg/mL). The troponin T value was 0.4 ng/mL at baseline, 0.2 ng/mL at 3 hours, and 0.3 ng/mL at 6 hours after presentation (Ͻ0.01 ng/mL). Urinalysis revealed no abnormalities. Findings on electrocardiography included sinus tachycardia, rightward axis, left atrial enlargement, and left ventricular hypertrophy with secondary ST-T abnormalities. Chest radiography showed notable cardiac enlargement as well as mild pulmonary vascular congestion and a small right pleural effusion.

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Section: Discussionmentioning

confidence: 99%

48-Year-Old Man With Cough and Leg Swelling

Odunukan

Abudiab

Sinak

2012

Mayo Clinic Proceedings

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“…In 2010 hypertension was believed to have been a factor in 18% (9.4 million) deaths. [7][8][9][10][11][12] Lifestyle measures are standard first-line treatment for hypertension, although doctors will prescribe medication alongside lifestyle measures to lower blood pressure in people with a level above 140 over 90. Drugs are usually started as monotherapy (just one drug) and at a low dose.…”

Section: Introductionmentioning

confidence: 99%

A Market Survey of Amlodipine (Antihypertensive) in Moradabad City

Jahan

Sahu

2017

Curr. Res. Pharm. Sci.

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A market survey of Amlodipine (Antihypertensive drug) was conducted at several medical shops in Moradabad City. The various brands of Amlodipine are Citanil-T, Amlokind, Omletime, Amodep, Angicam, Lupidip, Amlogen, Amlip etc. are available in selected areas. The Amlokind is more prescribed by doctors. The highest selling brand of Amlodipine is Amlokind. According to medical survey it has been shown that Amlokind (Mankind Pharmaceuticals Pvt Ltd.) is highest selling brand in Moradabad city. Amlodipine is good Antihypertensive drug.

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“…A hypertensive crisis can be further classified as a hypertensive urgency or a hypertensive emergency, depending on an end-organ involvement which includes cardiac, renal, and neurologic injuries [1]. The seriousness of the emergency, the rapidity with which the BP should be lowered and the selection of the drug, are the keys.…”

Section: Introductionmentioning

confidence: 99%

The Role of a Single Dose of Sublingual Nifedipine in Managing Hypertensive Emergencies in the Patients who Undergo Haemodialysis

Singh¹

2012

JCDR

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Introduction: The hypertensive emergencies in haemodialysis require immediate therapy, usually by parenteral drug administration; however, sublingual medications may have a potential in this special condition. Methods:A prospective, non randomized, case control study was carried out to know the effectiveness and the safety of a single dose of 5mg Nifedipine (sublingual) in this subset of patients. About 100 patients were studied, who were on maintained haemodialysis and were having high Blood Pressure (BP) during the haemodialysis. The patients were monitored for about 5 hours. Results:The patients who had chronic renal failure, who were maintained on regular haemodialysis, who had high systolic and diastolic blood pressure of >220 (systolic) and >125 (diastolic) respectively, were subjected to the study. These patients were of the 20-70 years age group, who visited our hospital between January 2010 to January 2011. Out of the 100 patients 30% were females and the rest (70%) were males. A single dose of nifedipine (5 mg by the sublingual route) was prescribed to determine its effectiveness and safety in the treatment of hypertensive emergencies during haemodialysis.

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Hypertensive Crisis

Cited by 139 publications

References 62 publications

48-Year-Old Man With Cough and Leg Swelling

48-Year-Old Man With Cough and Leg Swelling

A Market Survey of Amlodipine (Antihypertensive) in Moradabad City

The Role of a Single Dose of Sublingual Nifedipine in Managing Hypertensive Emergencies in the Patients who Undergo Haemodialysis

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