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Hypertension in the emergency department
1Emergency Department, South Chicago Community Hospital, Illinois.
Emergency Medicine Clinics of North America
|May 1, 1988
Summary
Hypertensive emergencies require prompt treatment with sodium nitroprusside. Hypertensive urgencies, while more common, can be effectively managed with agents like nifedipine, as they lack end-organ damage.
Area of Science:
- Cardiology
- Nephrology
- Emergency Medicine
Background:
- Hypertensive emergencies are rare but characterized by end-organ damage.
- Hypertensive urgencies are more common, defined by high diastolic pressure without organ damage.
Purpose of the Study:
- To differentiate between hypertensive emergencies and urgencies.
- To outline appropriate treatment strategies for both conditions.
Main Methods:
- Clinical review of hypertensive crisis management.
- Analysis of diagnostic criteria and treatment protocols.
Main Results:
- Sodium nitroprusside is the preferred treatment for hypertensive emergencies.
- Nifedipine is an effective option for managing hypertensive urgencies.
Conclusions:
- Prompt and appropriate treatment is crucial for managing hypertensive crises.
- Distinguishing between emergencies and urgencies guides therapeutic choices.