[Diagnosis and treatment of hypertensive emergencies].
In hospital as well as in the office, the physician is often confronted with clinical situations in which blood pressure values are very high. In each case, he will have to evaluate rapidly the degree of emergency and the need for immediate antihypertensive therapy. In the last few years, the therapeutic approach to some hypertensive emergencies has changed. The purpose of the present article is to review: 1) the clinical situations where immediate control of blood pressure is necessary, 2) the present therapeutic approaches and 3) the cardiac and cerebral risks linked to an excessive and too rapid fall in blood pressure.
Division d'hypertension, Centre hospitalier universitaire vaudois, Lausanne.
M
M
Burnier
B
B
Waeber
H R
HR
Brunner
D000310:Adrenal Gland Neoplasms / Q000503:physiopathology; D000328:Adult; D000959:Antihypertensive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D004630:Emergencies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000503:physiopathology; D011225:Pre-Eclampsia / Q000503:physiopathology; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy; D012307:Risk Factors
D000959:Antihypertensive Agents
Diagnostic et traitement des urgences hypertensives.