title: Hypertensive Emergency.
abstract: A rapid and severe increase in blood pressure resulting in new or progressive end-organ damage is defined as hypertensive emergency. Clinicians should effectively use the patient interview, physical examination, and additional testing to differentiate hypertensive emergency from nonemergent hypertension. Patients with evidence or high suspicion for end-organ damage should be expediently referred from the outpatient setting to a higher level of care. Knowledge of appropriate hypertensive emergency management and the ability to initiate this care in the clinic could help reduce patient morbidity in certain situations. Patients presenting with nonemergent hypertension can continue to be safely managed in the clinic.
authors.affiliation: Division of Nephrology and Hypertension, Department of Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA. Electronic address: manish-suneja@uiowa.edu.
authors.forename: Manish
authors.initials: M
authors.lastname: Suneja
authors.affiliation: Division of Nephrology and Hypertension, Department of Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.
authors.forename: M Lee
authors.initials: ML
authors.lastname: Sanders
mesh_terms: D001794:Blood Pressure; D001795:Blood Pressure Determination; D001810:Blood Volume; D002318:Cardiovascular Diseases / Q000209:etiology / Q000503:physiopathology; D004630:Emergencies; D004700:Endocrine System Diseases / Q000150:complications; D006439:Hemodynamics; D006706:Homeostasis / Q000502:physiology; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology*; D007674:Kidney Diseases / Q000209:etiology / Q000503:physiopathology; D009422:Nervous System Diseases / Q000209:etiology / Q000503:physiopathology; D063305:Organ Dysfunction Scores
keywords: Autoregulation; Hypertensive crisis; Hypertensive emergency; Hypertensive urgency