Document Detail


Hypertensive crises: challenges and management.
MedLine Citation:
PMID:  17565029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hypertension affects > 65 million people in the United States and is one of the leading causes of death. One to two percent of patients with hypertension have acute elevations of BP that require urgent medical treatment. Depending on the degree of BP elevation and presence of end-organ damage, severe hypertension can be defined as either a hypertensive emergency or a hypertensive urgency. A hypertensive emergency is associated with acute end-organ damage and requires immediate treatment with a titratable short-acting IV antihypertensive agent. Severe hypertension without acute end-organ damage is referred to as a hypertensive urgency and is usually treated with oral antihypertensive agents. This article reviews definitions, current concepts, common misconceptions, and pitfalls in the diagnosis and management of patients with acutely elevated BP as well as special clinical situations in which BP must be controlled.
Authors:
Paul E Marik; Joseph Varon
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Chest     Volume:  131     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-13     Completed Date:  2007-08-16     Revised Date:  2007-12-05    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1949-62     Citation Subset:  AIM; IM    
Affiliation:
Department of Pulmonary and Critical Care, Thomas Jefferson University, Philadelphia, PA USA. paul.marik@jefferson.edu
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aneurysm, Dissecting / etiology,  physiopathology
Antihypertensive Agents / therapeutic use*
Blood Pressure / physiology
Emergency Treatment / methods*
Humans
Hypertension / complications,  diagnosis,  drug therapy*,  physiopathology
Stroke / etiology,  physiopathology
Terminology as Topic
Chemical
Reg. No./Substance:
0/Antihypertensive Agents
Comments/Corrections
Erratum In:
Chest. 2007 Nov;132(5):1721

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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