Hypertensive Emergencies

Brathwaite, Latoya; Reif, Max C.

doi:10.1016/j.ccl.2019.04.003

Cited by 28 publications

(60 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…7 HMOD (hypertension-mediated organ damage) refers to structural and functional changes in arteries or end organs such as the heart, brain, eyes, kidneys, and blood vessels. 5 HMOD has been associated with an increased risk of mortality and CV events; the incidence of cardiac death, CHD, ischaemic and hemorrhagic stroke was also significantly higher in HMOD patients. 6 Manifestations of cardiac organ damage include typical chest discomfort indicating myocardial infarction; back pain may indicate aortic dissection; and dyspnoea may indicate pulmonary edema or congestive heart failure.…”

Section: Discussionmentioning

confidence: 86%

“…Less than one-third of CPTHA patients experience "mixed headaches, " which are symptoms of the various forms of headaches that overlap. 4,5 It is coded as a secondary headache related to the trauma or injury (post-traumatic headache) when a new headache develops for the first time in close temporal proximity to trauma or injury to the head and/or neck. This still applies whether the newly developed headache resembles any of the primary headache diseases listed in Section 1 of ICHD-3.…”

Section: Discussionmentioning

confidence: 99%

“…Hypertension is a heterogeneous group of disorders characterized by sustained high blood pressure. 5 It is often associated with other risk factors such as diabetes mellitus or dyslipidemia.6…”

Section: Discussionmentioning

confidence: 99%

“…The average age of patients admitted to hospital with hypertensive emergency is between 55 and 60 years old. 5 A hypertensive emergency is a sudden increase in systolic blood pressure above 180 mmHg and/or diastolic blood pressure above 120 mmHg with the presence of acute target organ damage. 7 HMOD (hypertension-mediated organ damage) refers to structural and functional changes in arteries or end organs such as the heart, brain, eyes, kidneys, and blood vessels.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Non-ST Elevation Acute Coronary Syndrome (NSTEACS) as Hypertension-Mediated Organ Damage (HMOD) in Hypertensive Emergencies

Puspaseruni¹,

Rizka²,

Sakulat³

2023

Cermin Dunia Kedokteran

View full text Add to dashboard Cite

Hypertensive emergencies are characterized by severe increases in blood pressure with evidence of hypertension-mediated organ damage (HMOD) and are associated with an increased risk of cardiovascular events, i.e. coronary heart disease (CHD) and mortality. Case: A 75-year-old man with typical chest pain with nausea and vomiting 1 hour before admission. Blood pressure was 200/100 mmHg, ECG showed T inversion in leads II, III, AVF, V1-V6 and prolonged QT interval, cardiomegaly on chest x-ray, and leukocytosis, hyperglycemia, and hypokalemia. The diagnoses were non-ST elevation acute coronary syndrome (NSTE-ACS), hypertensive emergency, and T2DM. Treatment in the ICCU consists of intravenous antihypertensive, antiplatelet, anticoagulant, statin, nitrate, insulin, and potassium chloride for electrolyte correction. The patient was admitted to the ICCU for further observation and management. Hipertensi emergensi ditandai dengan kenaikan tekanan darah yang sangat disertai bukti kerusakan organ yang progresif (hypertension-mediated organ damage - HMOD). Keadaan ini berkaitan dengan peningkatan risiko kejadian penyakit kardiovaskular, seperti penyakit jantung koroner bahkan kematian. Kasus: Seorang laki-laki usia 75 tahun dengan nyeri dada tipikal sejak 1 jam sebelum datang ke rumah sakit disertai mual dan muntah. Tekanan darah 200/100 mmHg, pada EKG didapatkan inversi T pada lead II, III, AVF, V1-V6, dan pemanjangan interval QT. Pada pemeriksaan X-ray dada didapatkan kardiomegali, hasil laboratorium menunjukkan leukositosis, hiperglikemi, dan hipokalemi. Pasien didiagnosis non-ST elevation acute coronary syndrome (NSTE-ACS), hipertensi emergensi, dan diabetes melitus tipe 2. Tata laksana di ICCU menggunakan anti-hipertensi intravena, anti-platelet, anti-koagulan, statin, nitrat, insulin, dan kalium klorida untuk koreksi elektrolit. Pasien dirawat di ICCU untuk observasi dan tata laksana lebih lanjut.

show abstract

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Non-ST Elevation Acute Coronary Syndrome (NSTEACS) as Hypertension-Mediated Organ Damage (HMOD) in Hypertensive Emergencies

Puspaseruni¹,

Rizka²,

Sakulat³

2023

Cermin Dunia Kedokteran

View full text Add to dashboard Cite

show abstract

“…La PA subóptima es el factor de riesgo atribuible número uno ( 1 3 ) para la mortalidad en todo el mundo . Las estadísticas en algunos países del mundo indican que (14) la HTA puede alcanzar hasta un 40 % de prevalencia . Debido a esta alta prevalencia, a su característica clínica asintomática (asesino silencioso) y a las temibles consecuencias de la crisis hipertensivas, hemos analizado las medidas preventivas, y el manejo diagnóstico y terapéutico de la HTA y de las crisis hipertensivas en este artículo de revisión.…”

unclassified

Preventive measures and diagnostic and therapeutic management of arterial hypertension and hypertensive crises

García

Centurión

2020

Rev. salud publica Parag

View full text Add to dashboard Cite

Medidas preventivas y manejo diagnóstico y terapéutico de la hipertensión arterial y las crisis hipertensivasRESUMENIntroducción: La hipertensión arterial (HTA) es definida por algunos como una enfermedad, aunque también se la considera como factor de riesgo c a r d i o v a s c u l a r. H o y c o n o c e m o s c o m o l a senfermedades cardiovasculares dependen más de la influencia simultánea de varios factores de riesgo que de la acción aislada de uno de ellos. Por ello, toda actividad preventiva en este campo, debe ser multifactorial y dirigida en diversos sentidos. Desarrollo: Cuando la HTA no es controlada se triplica la probabilidad de accidente cerebrovascular e insuficiencia cardiaca, con menor incidencia de enfermedad coronaria y arterial periférica. El propio aumento de la masa del ventrículo izquierdo, así como los cambios estructurales que tienen lugar a nivel del miocardio y de los vasos coronarios pueden desencadenar episodios de cardiopatía isquémica. El remodelado intersticial y el aumento de la masa del ventrículo izquierdo son factores predisponentes a la aparición de arritmias ventriculares y muerte súbita. Es importante evaluar y tratar a los pacientes recién diagnosticados con HTA con medicamentos adecuados y seguimiento para prevenir la progresión de la hipertensión no controlada a crisis hipertensivas, es decir, urgencia o emergencia hipertensiva. Conclusión: El reconocimiento inmediato de una emergencia hipertensiva con las pruebas de diagnóstico apropiadas conducirá a una reducción adecuada de la presión arterial, aliviando la incidencia de consecuencias negativas a los órganos diana. El tratamiento adecuado ayudará a aliviar la progresión de la enfermedad y mejorar los resultados a largo plazo.

show abstract

Contrast-enhanced CT in the differential diagnosis of bladder cancer and paraganglioma

Liang,

Yin,

Gao

et al. 2024

Abdom Radiol

View full text Add to dashboard Cite

Hypertensive Emergencies

Cited by 28 publications

References 43 publications

Non-ST Elevation Acute Coronary Syndrome (NSTEACS) as Hypertension-Mediated Organ Damage (HMOD) in Hypertensive Emergencies

Non-ST Elevation Acute Coronary Syndrome (NSTEACS) as Hypertension-Mediated Organ Damage (HMOD) in Hypertensive Emergencies

Preventive measures and diagnostic and therapeutic management of arterial hypertension and hypertensive crises

Contrast-enhanced CT in the differential diagnosis of bladder cancer and paraganglioma

Contact Info

Product

Resources

About