Treatment of hypertensive emergencies

Aronow, Wilbert S.

doi:10.21037/atm.2017.03.34

Cited by 38 publications

(40 citation statements)

References 20 publications

(35 reference statements)

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“…Stroke care remains difficult in Congo, due to a lack of equipments and drugs [9]. The treatment used in emergency, is a continuous IV infusion of calcium channel blockers or beta-blockers as indicated [13]. A very fast decrease of the blood pressure is associated with a poor prognosis [5].…”

Section: Discussionmentioning

confidence: 99%

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Hypertensive Emergencies in the Department of Cardiology at the Teaching University Hospital of Brazzaville (Republic of the Congo): Preliminary Study

Ngamami¹,

Mbolla²,

Ebinda³

et al. 2019

WJCD

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Section: Discussionmentioning

confidence: 99%

“…Mortality at one year remains high, 26.8% for Shao and 79% for Aronow [7] [13]. These deaths are attributed to the failure of the target organs, namely the heart, brain and kidney during hypertensive crises.…”

Section: Discussionmentioning

confidence: 99%

Hypertensive Emergencies in the Department of Cardiology at the Teaching University Hospital of Brazzaville (Republic of the Congo): Preliminary Study

Ngamami¹,

Mbolla²,

Ebinda³

et al. 2019

WJCD

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“…Tolerance to the hemodynamic effects of nitroglycerin may limit its clinical usefulness. 21 In the ECLIPSE trial, clevidipine was more effective compared with nitroglycerine (p = 0.0006) in sustaining BP in the target range. There was no difference between the nitroglycerin group and the clevidipine-and nitroprusside-treated patients regarding the rate of myocardial infarction, stroke, or renal failure.…”

Section: Intravenous Antihypertensive Medication In Hypertensive Emermentioning

confidence: 97%

“…Based on the physical examination, laboratory examinations, and imaging, the clinician is able to distinguish be-tween a hypertensive emergency and urgency, and to formulate a patient management plan for further diagnostic testing and therapeutic measures. 8,10,21…”

Section: Clinical Approachmentioning

confidence: 99%

An Updated Review of Hypertensive Emergencies and Urgencies

Makó

Ureche

Jeremiás

2018

Journal of Cardiovascular Emergencies

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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.

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“…Mechanisms for the erythropoietin-induced hypertension include increase in hematocrit and erythrocyte mass, increased sensitivity to endogenous vasopressors, dysregulation of production or responsiveness to endogenous vasodilatory factors, a direct vasopressor effect, and stimulation of vascular cell growth (19). A sympathomimetic hypertensive crisis may be induced by abruptly stopping clonidine or other sympatholytic drugs or by using cocaine, amphetamines, phencyclidine, or monoamine oxidase inhibitors (20).…”

mentioning

confidence: 99%