title: [Management of hypertension recorded as at least 180/110 mmHg].
abstract: Stage 3 hypertension (severe) is far from rare. It may be part of a previous hypertension condition which is difficult to control, or occur more acutely, in which case it will be harder for the patient to bear. When it is symptomatic and a fortiorione or more organs targeted by hypertension are affected, management must be fast and appropriate. It may take the form of a hypertensive urgency, in which case the investigations and treatment usually take place in outpatients, with oral treatment. it may also be a hypertensive emergency for which treatment involves hospitalization in an intensive care unit with intravenous anti-hypertensive treatment. A reduction in blood pressure must be obtained rapidly but not suddenly; it must be more or less significant depending on the clinical situation, and also progressive.
authors.affiliation: Unité d'hypertension artérielle, clinique de cardiologie, CHU de Grenoble, 38043 Grenoble Cedex 09, France. jpbaguet@chu-grenoble.fr
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Baguet
mesh_terms: D000208:Acute Disease; D001794:Blood Pressure / Q000502:physiology; D003937:Diagnosis, Differential; D003935:Diagnostic Techniques, Cardiovascular; D004632:Emergency Medical Services / Q000379:methods; D006801:Humans; D006974:Hypertension, Malignant / Q000145:classification / Q000175:diagnosis / Q000628:therapy*; D012720:Severity of Illness Index