Heart rate differentiates urgency and emergency in hypertensive crisis

Bannay, Rashed Al; Böhm, Michael; Husain, Aysha

doi:10.1007/s00392-013-0570-5

Cited by 25 publications

(13 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a recent study of 189 patients, normal heart rate was associated with hypertensive urgency, whereas tachycardia denoted a hypertensive complication in the setting of LV failure [28]. Imaging may include radiography or echocardiography.…”

Section: Clinical Presentation and Evaluationmentioning

confidence: 98%

Cardiovascular Hypertensive Emergencies

et al. 2015

View full text Add to dashboard Cite

Inevitably, a small proportion of patients with systematic hypertension will develop hypertensive crisis at some point. Hypertensive crises can be divided into hypertensive emergency or hypertensive urgency according to the presence or lack of acute target organ damage. In this review, we discuss cardiovascular hypertensive emergencies, including acute coronary syndrome, aortic dissection, congestive heart failure, and sympathomimetic hypertensive crises, including those caused by cocaine use. Each presents in a unique fashion, although some hypertensive emergency patients report nonspecific symptoms. Treatment includes several effective and rapid-acting medications to safely reduce the blood pressure, protect remaining end-organ function, relieve symptoms, minimize the risk of complications, and thereby improve patient outcomes.

show abstract

Section: Clinical Presentation and Evaluationmentioning

confidence: 98%

Cardiovascular Hypertensive Emergencies

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Uncontrolled ambulatory blood pressure is one of the known risk factors for the development of hypertensive crisis [42][43][44][45] . Hypertensive crisis carries high mortality and morbidity.…”

Section: Discussionmentioning

confidence: 99%

Blood Pressure Control and Predictors of Uncontrolled Hypertension

Bannay¹,

Husain²,

Böhm³

2014

BMB

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, heart rate less than 100 bpm had high specificity, classifying patients as hypertensive urgencies. However, other hemodynamic parameters such as systolic or DBP and pulse pressure were not able to classify hypertensive emergencies from hypertensive urgencies (12). This vital sign seems to be useful in the emergency department in the differentiation of hypertensive emergencies from hypertensive urgencies.…”

Section: Diagnosismentioning

confidence: 99%

Cardiovascular Hypertensive Crisis: Recent Evidence and Review of the Literature

Varounis

Katsi

Nihoyannopoulos³

et al. 2017

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

Despite the high prevalence of hypertension (HTN), only a small proportion of the hypertensive patients will ultimately develop hypertensive crisis. In fact, some patients with hypertensive crisis do not report a history of HTN or previous use of antihypertensive medication. The majority of the patients with hypertensive crisis often report non-specific symptoms, whereas heart-related symptoms (dyspnea, chest pain, arrhythmias, and syncope) are less common. Hypertensive crises can be divided into hypertensive emergencies or hypertensive urgencies according to the presence or absence of acute target organ damage, respectively. This differentiation is an extremely useful classification in clinical practice since a different management is needed, which in turn has a significant effect on the morbidity and mortality of these patients. Therefore, it is very crucial for the physician in the emergency department to identify the hypertensive emergencies and to manage them through blood pressure lowering medications in order to avoid further target organ damage or deterioration. The aim of this narrative review is to summarize the recent evidence in an effort to improve the awareness, recognition, risk stratification, and treatment of hypertensive crisis in patients referred to the emergency department.

show abstract

Heart rate differentiates urgency and emergency in hypertensive crisis

Abstract: Normal heart rate is characteristic of hypertensive urgency. Tachycardia in this setting is an ominous sign and denotes hypertensive complications in particular left ventricular failure. Among diabetics, elevated heart rate is associated with poor glycemic control.

Cited by 25 publications

References 35 publications

Cardiovascular Hypertensive Emergencies

Cardiovascular Hypertensive Emergencies

Blood Pressure Control and Predictors of Uncontrolled Hypertension

Cardiovascular Hypertensive Crisis: Recent Evidence and Review of the Literature

Contact Info

Product

Resources

About