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Rev Med Inst Mex Seguro Soc. 2016;54 Suppl 1:s67-74.

[Cardiovascular complications of hypertensive crisis].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

1
División de Investigación en Salud, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. mrosas_peralta@hotmail.com.

Abstract

in English, Spanish

It is inexorable that a proportion of patients with systemic arterial hypertension will develop a hypertensive crisis at some point in their lives. The hypertensive crises can be divided in hypertensive patients with emergency or hypertensive emergency, according to the presence or absence of acute end-organ damage. In this review, we discuss the cardiovascular hypertensive emergencies, including acute coronary syndrome, congestive heart failure, aortic dissection and sympathomimetic hypertensive crises (those caused by cocaine use included). Each is presented in a unique way, although some patients with hypertensive emergency report non-specific symptoms. Treatment includes multiple medications for quick and effective action with security to reduce blood pressure, protect the function of organs remaining, relieve symptoms, minimize the risk of complications and improve patient outcomes.

KEYWORDS:

Acute coronary syndrome; Emergencies; Heart failure; Hypertension; Myocardial infarction

PMID:
27284845
[Indexed for MEDLINE]

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