title: Malignant hypertension: a preventable emergency.
abstract: The Waitemata Hypertension Clinic Database 2009-2012 (Auckland, New Zealand) was searched for patients meeting the definition of Malignant Hypertension. Eighteen of 565 patients met the criteria. All patients had essential hypertension which was either undiagnosed, untreated or undertreated. Most cases responded satisfactorily to standard drug therapy, but a number were left with significant chronic kidney disease. Malignant hypertension is a life-threatening disease which should be entirely preventable with regular blood pressure checks in primary care.
authors.affiliation: Renal Service, North Shore Hospital, Private Bag 93-503 Takapuna, Auckland 0740, New Zealand. walter.vandermerwe@waitematadhb.govt.nz.
authors.forename: Walter
authors.initials: W
authors.lastname: van der Merwe
authors.forename: Veronica
authors.initials: V
authors.lastname: van der Merwe
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001795:Blood Pressure Determination; D018450:Disease Progression; D004630:Emergencies; D005260:Female; D006801:Humans; D006974:Hypertension, Malignant / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009520:New Zealand / Q000453:epidemiology; D017410:Practice Guidelines as Topic
chemical_list: D000959:Antihypertensive Agents