Hypertensive emergencies crisis and the choice of therapy in prehospital treatments

Abstract

People with arterial blood pressure >140/90 mmHg (hypertension) have accelerated development of atherosclerosis and changes in blood vessels and other organs of the body, therefore, such arterial blood pressure must be treated. A hypertensive crisis is defined as an extreme increase in arterial blood pressure with a systolic blood pressure over 180 mmHg and diastolic blood pressure over 120 and 130 mmHg, respectively, and poses an immediate danger to the patient's life. At the heart of each hypertensive crisis is severe hypertension. In the Emergency medicine center Zivinice has been carried out a prospective study ehich include four study groups were formed as a sequential sample of 160 participants of both sexes. By administering a combination of furosemide amp. And diazepam amp. The mean systolic blood pressure in all observed groups decreased from 186.25 mmHg to 167.5 mmHg, and the mean diastolic blood pressure decreased from 120.53 mmHg to 97.5 mmHg. By prescribing a combination of nifedipine tab., furosemide amp. and diazepam amp., the average systolic blood pressure all observed groups was reduced from 186.25 mmHg to 152 mmH, and the average diastolic blood pressure was reduced from 120.53 mmHg to 91.2 mmHg.