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Hypertensive emergencies: guidelines and best-practice recommendations

Ari B Davis1, Kyle Hughes1, Jonathan Pun1

  • 1Department of Emergency Medicine, Einstein Medical Center, Philadelphia, PA.

Emergency Medicine Practice
|May 19, 2023
PubMed

Insights

Hypertensive emergencies are rising, requiring clinicians to understand current guidelines for managing high blood pressure diseases. Clearer protocols are needed to distinguish hypertension from emergencies for better patient care.

Area of Science:

  • Cardiology
  • Public Health
  • Emergency Medicine

Background:

  • Emergency department visits for hypertensive emergencies have significantly increased due to demographic and public health trends.
  • Clinicians require a clear understanding of current treatment guidelines and definitions for hypertensive disease spectrum.
  • Existing diagnostic and management strategies for hypertensive emergencies show differences in expert opinions.

Purpose of the Study:

  • To review current evidence on identifying and managing hypertensive emergencies.
  • To highlight discrepancies in expert opinions regarding the diagnosis and management of hypertensive emergencies.
  • To emphasize the need for clear protocols differentiating hypertension from hypertensive emergencies.

Main Methods:

  • Literature review of current evidence on hypertensive emergencies.
  • Analysis of expert opinions on diagnosis and management.
  • Assessment of existing protocols for hypertensive disease management.

Main Results:

  • Increased incidence of emergency department visits for hypertensive emergencies.
  • Variability in expert consensus on diagnosis and treatment.
  • Lack of clear protocols for differentiating hypertension from hypertensive emergencies.

Conclusions:

  • Urgent need for standardized definitions and diagnostic criteria for hypertensive emergencies.
  • Development of clear protocols is essential for appropriate patient management.
  • Enhanced clinician understanding of hypertensive disease spectrum is critical.

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