Crisis hipertensivas: seudocrisis, urgencias y emergencias

Blanco, C. Albaladejo; Martínez, J. Sobrino; González, S.

doi:10.1016/j.hipert.2014.04.001

Cited by 11 publications

(36 citation statements)

References 27 publications

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“…Mcg: Microgram; IMSS: Instituto Mexicano del Seguro Social; UMF: Unidad de Medicina Familiar; ARBs: Angiotensin II Receptor Blockers dominantly in the parietal occipital region, this can be reversible by having an effective and rapid management of the elevation of pressure [9].…”

Section: • Dizzinessmentioning

confidence: 99%

“…It is recommended in stroke in case of systolic BP figures greater than or equal to 220 mmHg and/or diastolic blood pressure equal to or greater than 120 mmHg, the figures should be reduced by 10-15% within the first 24 hours, If the patient is also a candidate for fibrinolytic treatment, antihypertensive treatment should be indicated to keep the BP below 185/110 mmHg, the intravenous antihypertensive recommended in case of having a figure greater than 220 mmHg of the systolic or 121-140 mmHg of the diastolic it is labetalol, and in case of maintaining a diastolic blood pressure greater than 140 mmHg sodium nitroprusside [9].…”

Section: Ischemic Stroke In Acute Phasementioning

confidence: 99%

“…A progressive decrease in pressure should be carried out when BP figures are above 180 mmHg for systolic and above 105 mmHg for diastolic or MAP greater than 130-150 mmHg. In this type of hypertensive emergency, the antihypertensive treatment of choice is Labetalol as the first option, followed by sodium nitroprusside [9].…”

Section: Intracranial Hemorrhage In Acute Phasementioning

confidence: 99%

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2021

Int Arch Cardiovasc Dis

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Introduction: Hypertensive crisis is one of the main complications of systemic arterial hypertension, which is defined as severe elevation of blood pressure, with figures of more than 220/130 mmHg, these in turn are divided into urgency and emergency, which occurs when there is damage to a target organ. According to the literature, the majority of hypertensive crises that occur are of an urgency type, reported in up to 80% of cases, the latter do not require a rapid decrease in blood pressure, taking up to 72 hours to control them, so they must be treated in a first-level care unit, however, a high number of referrals to the emergency department for hypertensive crisis of an urgency type have been detected, which have no justification for their referral. Primary objective:To determine the frequency of unjustified referrals of adult patients with hypertensive crisis to the emergency department of a second-level hospital.

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Section: • Dizzinessmentioning

confidence: 99%

Section: Ischemic Stroke In Acute Phasementioning

confidence: 99%

Section: Intracranial Hemorrhage In Acute Phasementioning

confidence: 99%

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2021

Int Arch Cardiovasc Dis

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“…Una crisis hipertensiva se define con valores ≥180 mmHg de presión sistólica y un valor ≥ de 120 mmHg de presión diastólica según la "Guía Europea de las Sociedades de Hipertensión Arterial y Cardiología", y según la Sociedad Catalana de Hipertensión Arterial valores de ≥190/110mmHg [3,4], con el potencial de provocar anomalías anatómicas o fisiológicas en los órganos diana: corazón, cerebro, riñones, retina, arterias y venas [4].…”

Section: Introductionunclassified

“…Se puede clasificar a las crisis hipertensivas como: urgencias y emergencias hipertensivas; la primera sin daño de órgano diana y en la segunda existe afectación neurológica, miocárdica, renal o retiniana entre otras, presentando un deterioro que en algunos casos es irreversible [4]. Estas crisis son idiosincráticas, es decir dependen de cada paciente y presentan diversos factores asociados como: sexo, edad, etnia, sedentarismo y adherencia al tratamiento, entre otros factores [5].…”

Section: Introductionunclassified

Caracterización de las Crisis Hipertensivas en adultos de la Emergencia del Hospital José Félix Valdivieso, Enero 2016 a Diciembre 2018

et al. 2020

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BACKGROUND: Hypertensive crisis is considered an acute complication of Hypertension, causing 9.4 million deaths annually. Another important problem is the resulting morbidity. Locally, data is limited, that is the importance of presenting the clinical and epidemiological characteristics of hypertensive crisis. The aim of this study was characterizing hypertensive crisis in adults, in Hospital José Félix Valdivieso, Santa Isabel, from January 2016 to December 2018. METHODS: Descriptive, cross-sectional study, the study universe were 151 patients diagnosed with hypertensive crisis in Hospital José Félix Valdivieso from January 2016 to December 2018, by simple random sampling we picked 122 patients. The information was obtained from the patient’s medical chart. The data was processed using Excel 2016, and later interpreted using tables and charts. RESULTS: 57% of the sample were female, 49% had between 40 to 65 years of age, 67% had primary education, 65% came from rural areas. About risk factors; 50% of the population was overweight, 70% had previous diagnosis of hypertension. About the type of hypertensive crisis; 93% were hypertensive urgencies, the most commonly affected organ in hypertensive emergencies was the brain, in 89% of the cases. Headache, was the most frequent symptom(59%), followed by neurological symptoms. Captopril was used as initial treatment in 61% of the cases. CONCLUSION: The majority of affected patients were female, middle aged adults. Most of the sample had overweight or obesity. 70% of the population had previous diagnosis of hypertension, of this patients only 80% had hypertensive treatment. Most of the crisis were hypertensive urgencies, in hypertensive emergencies the most commonly affect organ was the brain. Captopril was used in most of the cases for initial treatment. This study didn’t registered any deaths.

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