Authors: Jason M Kendall / Editor: Martin Dore, Tajek B Hassan / Reviewer: Emma Everitt, Rafeeq Ahmed Sulaiman / Codes: A5 / Published: 24/08/2023
This session covers the pathophysiology, clinical presentation and management of hypertensive emergencies.
By the end of this session you will be able to:
- Define the term hypertensive emergency
- Distinguish the patient with a hypertensive urgency from the patient with a hypertensive emergency
- Describe the pathophysiology of hypertensive emergencies
- Clinically assess a patient with elevated blood pressure to determine whether urgent blood pressure control is is indicated
- Recognise and manage the patient presenting with a hypertensive emergency
- Choose the appropriate intravenous antihypertensive agent for a given hypertensive emergency
References
- Vaughan CJ, Delanty N. Hypertensive emergencies. Lancet. 2000 Jul 29;356(9227):411-7.
- Zampaglione, B., Pascale, C., Marchisio, M., et al. (2003) Hypertensive urgencies and emergencies. Prevalence and clinical presentation. Hypertension, 42(6), pp. 1206-52.
- Gallagher EJ. Hypertensive urgencies: treating the mercury? Ann Emerg Med. 2003 Apr;41(4):530-1.
- Wardlaw JM, Murray V, Berge E, del Zoppo GJ. Thrombolysis for acute ischaemic stroke. Cochrane Database Syst Rev. 2014 Jul 29;2014(7):CD000213.
- National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995 Dec 14;333(24):1581-7.
- Perez MI, Musini VM. Pharmacological interventions for hypertensive emergencies: a Cochrane systematic review. J Hum Hypertens. 2008 Sep;22(9):596-607.
