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Related Concept Videos

Introduction Cardiac Emergencies01:30

Introduction Cardiac Emergencies

Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
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Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

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Related Experiment Videos

Cardiological hypertensive emergencies: Real word data compared to guidelines indications.

Filippo Brucato1, Chiara Tognola2, Lorenzo De Censi1

  • 1School of Medicine and surgery, University of Milano-Bicocca, Milan, Italy.

European Journal of Internal Medicine
|June 10, 2026
PubMed
Summary

Cardiological Hypertensive Emergencies (CHE) management shows a persistent gap between guidelines and practice. Lower target achievement in 2019 indicates incomplete adoption of aggressive blood pressure goals in emergency care.

Keywords:
Acute coronary syndromeAcute heart failureCardiological hypertensive emergencyEmergency departmentHypertensive emergency

Related Experiment Videos

Area of Science:

  • Cardiology
  • Emergency Medicine
  • Hypertension Management

Background:

  • Cardiological Hypertensive Emergencies (CHE) involve severely high blood pressure with acute cardiac damage.
  • Evaluating CHE prevalence, clinical features, and real-world blood pressure management is crucial.

Purpose of the Study:

  • To assess the prevalence, clinical features, and blood pressure management of CHE.
  • To compare emergency department (ED) practice adherence to guidelines before and after 2017.

Main Methods:

  • Retrospective analysis of adult patients with severe hypertension and cardiac damage in 2017 and 2019.
  • Defined target achievement based on SBP reduction (2017) and specific BP thresholds (2019).

Main Results:

  • 282 CHE cases analyzed, representing half of all hypertensive emergencies.
  • Nitroglycerin was the primary IV therapy; short-acting nifedipine use decreased.
  • Lower target achievement in 2019 due to more stringent BP goals.

Conclusions:

  • A gap persists between CHE guideline recommendations and clinical practice.
  • Reduced target achievement in 2019 suggests incomplete adoption of aggressive BP targets.
  • Potential reasons include hypoperfusion concerns, limited guideline dissemination, or documentation differences.