Diagnostic and therapeutic approach to the hypertensive crisis

Med Clin (Barc). 2018 Apr 23;150(8):317-322. doi: 10.1016/j.medcli.2017.09.027. Epub 2017 Nov 24.
[Article in English, Spanish]

Abstract

High blood pressure is a problem with elevated prevalence in the world population. The acute forms of presentation are "hypertensive crises," which represent a frequent cause for emergency room and primary care consultations. Hypertensive crises are divided into hypertensive emergencies and hypertensive urgencies, depending on whether or not there is acute damage to the target organ, respectively. Each situation has a different prognosis and treatment. More specifically, hypertensive emergencies are potentially serious and usually require rapid reductions in blood pressure, whereas hypertensive urgencies can be treated as outpatients by reducing blood pressure in hours or days. A significant number of patients who consult medical professionals regarding a hypertensive crisis do not have a prior diagnosis of hypertension; therefore, it is important to periodically monitor blood pressure levels in the community.

Keywords: Crisis hipertensiva; Emergencia hipertensiva; High blood pressure; Hipertensión arterial; Hypertensive crises; Hypertensive emergency; Hypertensive urgency; Urgencia hipertensiva.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / drug therapy*