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Related Experiment Videos

Hypertensive crisis.

E B Rubenstein1, C Escalante

  • 1Section of General Internal Medicine, M.D. Anderson Cancer Center, Houston, Texas.

Critical Care Clinics
|July 1, 1989
PubMed
Summary
This summary is machine-generated.

Hypertensive crisis requires immediate medical intervention. This review outlines effective drug choices for managing malignant hypertension with complications like heart failure, aortic dissection, and pregnancy.

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Area of Science:

  • Cardiology
  • Nephrology
  • Emergency Medicine

Background:

  • Hypertensive crisis is an acute medical emergency.
  • While incidence has decreased, it remains prevalent.
  • Effective management strategies are crucial.

Purpose of the Study:

  • To review past and present treatment regimens for hypertensive crisis.
  • To provide recommendations for managing specific hypertensive emergencies.

Main Methods:

  • Review of existing literature on hypertensive crisis treatments.
  • Analysis of drug efficacy in various clinical scenarios.

Main Results:

  • Sodium nitroprusside and nitroglycerin are recommended for malignant hypertension with CHF.

Related Experiment Videos

  • Trimethophan camsylate or nitroprusside/labetalol for aortic dissection.
  • Nitroglycerin or labetalol for myocardial ischemia.
  • Hydralazine or labetalol for hypertension in pregnancy.
  • Nitroprusside, nitroglycerin, and labetalol for cerebral ischemia.
  • Labetalol, enalapril, nitroprusside, and nitroglycerin for postoperative hypertension.

    • Conclusions:

    • Specific antihypertensive agents are recommended based on the clinical presentation of hypertensive crisis.
    • Nonsedating and rapid-onset medications are preferred for cerebral ischemia.
    • Intravenous administration is suitable for postoperative hypertension management.