<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Hypertensive emergencies (HE) represent critical conditions in which extremely high blood pressure values are accompanied by acute hypertension-mediated organ damage. In this clinical setting, the main therapeutic goal is represented by the immediate reduction of blood pressure, in order to limit the extension or promote the regression of target organ damage. At present, HE are classified according to the condition or target organ involved, into: (1) malignant hypertension with or without thrombotic microangiopathy; (2) coronary ischemia or acute cardiogenic pulmonary edema; (3) acute stroke or hypertensive encephalopathy; (4) acute aortic dissection or aneurysm; and (5) eclampsia or severe preeclampsia/HELLP syndrome. The management of these conditions is different in relation to the complex pathophysiology involved in each of these types. This mini-review presents the main characteristics and management strategy for different forms of HE, revealing the particularities of management strategy for each of them.</p></abstract>

Hypertensive emergencies (HE) represent critical conditions in which extremely high blood pressure values are accompanied by acute hypertension-mediated organ damage. In this clinical setting, the main therapeutic goal is represented by the immediate reduction of blood pressure, in order to limit the extension or promote the regression of target organ damage. At present, HE are classified according to the condition or target organ involved, into: (1) malignant hypertension with or without thrombotic microangiopathy; (2) coronary ischemia or acute cardiogenic pulmonary edema; (3) acute stroke or hypertensive encephalopathy; (4) acute aortic dissection or aneurysm; and (5) eclampsia or severe preeclampsia/HELLP syndrome. The management of these conditions is different in relation to the complex pathophysiology involved in each of these types. This mini-review presents the main characteristics and management strategy for different forms of HE, revealing the particularities of management strategy for each of them.

Modern Management of Hypertensive Emergencies

Department of Anesthesiology and Critical Care, Swedish Medical Center

Journal of Cardiovascular Emergencies

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Modern Management of Hypertensive Emergencies"}

Hypertensive emergencies (HE) represent critical conditions in which extremely high blood pressure values are accompanied by acute hypertension-mediated organ...

Modern Management of Hypertensive Emergencies

Published Online: Jan 21, 2020

Page range: 126 - 130

Received: Nov 17, 2019

Accepted: Dec 16, 2019

DOI: https://doi.org/10.2478/jce-2019-0020

Keywords
hypertension, blood pressure, target organ damage

© 2019 Monica Marton-Popovici, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Modern Management of Hypertensive Emergencies

Published Online: Jan 21, 2020

Page range: 126 - 130

Received: Nov 17, 2019

Accepted: Dec 16, 2019

DOI: https://doi.org/10.2478/jce-2019-0020

Keywordshypertension, blood pressure, target organ damage

© 2019 Monica Marton-Popovici, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
hypertension, blood pressure, target organ damage