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Cardiol Clin. 2012 Nov;30(4):533-43. doi: 10.1016/j.ccl.2012.07.011. Epub 2012 Oct 2.

Hypertension crisis in the emergency department.

Author information

1
Division of Cardiology, Hypertension Section, University of Maryland School of Medicine, 419 W. Redwood St, Suite 620, Baltimore, MD 21201, USA. WJohnson@medicine.umaryland.edu

Abstract

Hypertensive crises, which include hypertensive emergencies and urgencies, are frequently encountered in the emergency department, and require immediate attention as they can lead to irreversible end-organ damage. Normal blood pressure (BP) regulation is altered during acute rises in BP, leading to end-organ damage. Multiple organs can be injured. Special considerations should be given to hypertensive pregnant patients and patients with postoperative hypertension. Treatment should be individualized to each patient based on the type and extent of end-organ damage, degree of BP elevation, and the specific side effects that each medication could have on a patient's preexisting comorbidities.

PMID:
23102030
DOI:
10.1016/j.ccl.2012.07.011
[Indexed for MEDLINE]

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