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Diagnostic and therapeutic approach to the hypertensive crisis

Guillermo Arbe1, Irene Pastor2, Jonathan Franco1

  • 1Servicio de Medicina Interna, Unidad de riesgo cardiovascular, Hospital universitario Quirón Dexeus, Barcelona, España.

Medicina Clinica
|November 28, 2017
PubMed

Insights

High blood pressure, or hypertension, can lead to hypertensive crises, requiring different treatments based on organ damage. Many patients presenting with crises are undiagnosed, highlighting the need for regular blood pressure monitoring.

Area of Science:

  • Cardiology
  • Public Health

Background:

  • Hypertension is a global health issue with high prevalence.
  • Hypertensive crises are common reasons for emergency and primary care visits.

Purpose of the Study:

  • To differentiate between hypertensive emergencies and urgencies.
  • To emphasize the importance of diagnosing hypertension in patients presenting with crises.

Main Methods:

  • Classification of hypertensive crises based on acute target organ damage.
  • Distinguishing treatment protocols for emergencies versus urgencies.

Main Results:

  • Hypertensive emergencies require rapid blood pressure reduction.
  • Hypertensive urgencies can be managed outpatient over hours to days.
  • A significant portion of patients with hypertensive crises lack a prior hypertension diagnosis.

Conclusions:

  • Prompt diagnosis and tailored treatment are crucial for managing hypertensive crises.
  • Regular community blood pressure monitoring is essential to identify undiagnosed hypertension.

Keywords:
Crisis hipertensivaEmergencia hipertensivaHigh blood pressureHipertensión arterialHypertensive crisesHypertensive emergencyHypertensive urgencyUrgencia hipertensiva

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