[Treating a hypertensive emergency].
A hypertensive crisis is characterized by a massive blood pressure increase of sudden onset, with systolic pressures in excess of 220 mmHg or diastolic pressures of more than 120 mmHg usually being found in patients with underlying hypertensive disease. Of decisive importance for the severity of the patient's presenting state, however, is not the absolute level of the blood pressure, but rather the extent of the acute blood pressure increase. Of decisive importance for the therapeutic approach to the acute case is whether the hypertensive crisis is accompanied by organic manifestations (hypertensive emergency) or is unaccompanied by this life-threatening clinical presentation (hypertensive urgency). The former patients must always be hospitalized, and the preferential treatment is parenteral medication, which is associated with a more rapid and calculable onset of action than can be achieved via the oral or sublingual route.
Lenz
K
K
Med. Abteilung mit Intensivstation, Konventspital Barmherzige Brüder, Linz, Osterreich. kurt.lenz@univie.ac.at
D000959:Antihypertensive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D003422:Critical Care / Q000379:methods; D004630:Emergencies; D006801:Humans; D006974:Hypertension, Malignant / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D007262:Infusions, Intravenous; D011379:Prognosis
D000959:Antihypertensive Agents
Bei der Behandlung der hypertensiven Krise entscheidet die Organmanifestation. Hypertensiver Notfall oder hypertensive Dringlichkeit?