Hypertensive crisis: Difference between revisions

Latest revision as of 10:10, 2 August 2020

Emergency if BP >180/120 associated with new or worsening target organ damage
Urgency if stable without target organ damage; they can be managed as outpatients

If aortic dissection, severe preeclampsia, pheochromocytoma crisis: lower to <140 within the first hour
- Or to <120 for aortic dissection
Otherwise: decrease by no more than 25% in first hour, then to 160/100 over the next 6 hours, then to normal over next day

@@ Line 1: / Line 1: @@
-== Definition ==
+==Definition==
-* Emergency if BP &gt;180/120 associated with new or worsening target organ damage
+*Emergency if BP &gt;180/120 associated with new or worsening target organ damage
-* Urgency if stable without target organ damage; they can be managed as outpatients
+*Urgency if stable without target organ damage; they can be managed as outpatients
-== Management ==
+==Management==
-=== Acute Care ===
+===Acute Care===
-==== Target ====
+====Target====
-* If aortic dissection, severe preeclampsia, pheo crisis: lower to &lt;140 within the first hour
+*If [[aortic dissection]], severe [[preeclampsia]], [[pheochromocytoma]] crisis: lower to &lt;140 within the first hour
-** Or to &lt;120 for aortic dissection
+**Or to &lt;120 for aortic dissection
-* Otherwise: decrease by no more than 25% in first hour, then to 160/100 over the next 6 hours, then to normal over next day
+*Otherwise: decrease by no more than 25% in first hour, then to 160/100 over the next 6 hours, then to normal over next day
-==== Pharmacotherapy ====
+====Pharmacotherapy====
-* Labetalol
+*[[Labetalol]]
-** Preferred for aortic dissection and acute MI
+**Preferred for aortic dissection and acute MI
-* Sodium nitroprusside or nitroglycerin
+*Sodium [[nitroprusside]] or [[nitroglycerin]]
-* Hydralazine
+*[[Hydralazine]]
-* Nicardipine and enalaprilat, if you can find them
+*[[Nicardipine]] and [[enalaprilat]], if you can find them
 [[Category:Cardiology]]