Skip to main content

Hypertensive Emergencies

  • Chapter
  • First Online:
  • 2339 Accesses

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Abbreviations

BUN:

Blood urea nitrogen

CT:

Computerised tomography

CTVS:

Cardiothoracic and vascular surgery

CXR:

Chest x-ray

DBP:

Diastolic blood pressure

ED:

Emergency department

EKG:

Electrocardiogram

ICP:

Intracranial pressure

LMWH:

Low molecular weight heparin

MAP:

Mean arterial pressure

MRI:

Magnetic resonance imaging

PCI:

Percutaneous coronary intervention

PP:

Pulse pressure

SAH:

Subarachnoid haemorrhage

SBP:

Systolic blood pressure

UFH:

Unfractionated heparin

References

  1. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365(9455):15.

    Article  Google Scholar 

  2. Pinna G, Pascale C, Fornengo P, Arras S, Piras C, Panzarasa P, Carmosino G, Franza O, Semeraro V, Lenti S, Pietrelli S, Panzone S, Bracco C, Fiorini R, Rastelli G, Bergandi D, Zampaglione B, Musso R, Marengo C, Santoro G, Zamboni S, Traversa B, Barattini M, Bruno G. Hospital admissions for hypertensive crisis in the emergency departments: a large multicenter Italian study. PLoS One. 2014;9(4):e93542.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hypertensive crisis, American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/AboutHighBloodPressure/Hypertensive-Crisis_UCM_301782_Article.jsp.

  4. Shantsila A, Dwivedi G, Shantsila E, Butt M, Beevers DG, Lip GY. Persistent macrovascular and microvascular dysfunction in patients with malignant hypertension. Hypertension. 2011;57:490–6.

    Article  CAS  PubMed  Google Scholar 

  5. Chobanian AV, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206.

    Article  CAS  PubMed  Google Scholar 

  6. Grossman E, Ironi AN, Messerli FH. Comparative tolerability profile of hypertensive crisis treatments. Drug safety 1998;19(2):99–122.

    Google Scholar 

  7. Kim KH, Moon IS, Park JS, et al. Nicardipine hydrochloride injectable phase IV open-label clinical trial: study on the anti-hypertensive effect and safety of nicardipine for acute aortic dissection. J Int Med Res. 2002;30:337–45.

    Article  CAS  PubMed  Google Scholar 

  8. Mimoun L, Detaint D, Hamroun D, et al. Dissection in Marfan syndrome: the importance of the descending aorta. Eur Heart J. 2011;32:443–9.

    Article  PubMed  Google Scholar 

  9. Wako E, LeDoux D, Mitsumori L, et al. The emerging epidemic of methamphetamine-induced aortic dissections. J Card Surg. 2007;22:390–3.

    Article  PubMed  Google Scholar 

  10. Nieminen MS, Böhm M, Cowie MR, et al. Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology. ESC Committee for Practice Guideline (CPG). Eur Heart J. 2005;26:384–416.

    Article  PubMed  Google Scholar 

  11. Gheorghiade M, Abraham WT, Albert NM, et al. Systolic blood pressure at admission, clinical characteristics, and outcomes in patients hospitalized with acute heart failure. JAMA. 2006;296:2217.

    Article  CAS  PubMed  Google Scholar 

  12. Hollander JE. Management of cocaine associated myocardial ischemia. N Engl J Med. 1995;333:1267.

    Article  CAS  PubMed  Google Scholar 

  13. Baumann BM, Perrone J, Hornig SE, et al. Randomized controlled double blind placebo controlled trial of diazepam, nitroglycerin or both for treatment of patients with potential cocaine associated acute coronary syndromes. Acad Emerg Med. 2000;7:878.

    Article  CAS  PubMed  Google Scholar 

  14. Pearce CJ, Wallin JD. Labetalol and other agents that block both alpha- and beta-adrenergic receptors. Cleve Clin J Med. 1994;61:59.

    Article  CAS  PubMed  Google Scholar 

  15. Scardo JA, Vermillion ST, Newman RB, et al. A randomized, double-blind, hemodynamic evaluation of nifedipine and labetalol in preeclamptic hypertensive emergencies. Am J Obstet Gynecol. 1999;181:862.

    Article  CAS  PubMed  Google Scholar 

  16. Neutel JM, Smith DH, Wallin D, et al. A comparison of intravenous nicardipine and sodium nitroprusside in the immediate treatment of severe hypertension. Am J Hypertens. 1994;7:623.

    CAS  PubMed  Google Scholar 

  17. Rose JC, Mayer SA. Optimizing blood pressure in neurological emergencies. Neurocrit Care. 2004;1:287.

    Article  PubMed  Google Scholar 

  18. Naval NS, Stevens RD, Mirski MA, Bhardwaj A. Controversies in the management of aneurysmal subarachnoid hemorrhage. Crit Care Med. 2006;34:511.

    Article  PubMed  Google Scholar 

  19. Broderick J, Connolly S, Feldmann E, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Circulation. 2007;116:e391.

    Article  PubMed  Google Scholar 

  20. Adams Jr HP, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: The American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Circulation. 2007;115:e478.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ashish Nandy MBBS, FAEM, MEM, MMSC-EM .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer India

About this chapter

Cite this chapter

Nandy, A., Dutta, S. (2016). Hypertensive Emergencies. In: David, S. (eds) Clinical Pathways in Emergency Medicine. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2710-6_11

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-2710-6_11

  • Published:

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2708-3

  • Online ISBN: 978-81-322-2710-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics