The diagnostic approach and management of hypertension in the emergency department.

Diagnosis Hypertension emergency Hypertension urgency Treatment

Journal

European journal of internal medicine
ISSN: 1879-0828
Titre abrégé: Eur J Intern Med
Pays: Netherlands
ID NLM: 9003220

Informations de publication

Date de publication:
11 Dec 2023
Historique:
received: 26 01 2023
revised: 21 11 2023
accepted: 28 11 2023
medline: 13 12 2023
pubmed: 13 12 2023
entrez: 13 12 2023
Statut: aheadofprint

Résumé

Hypertension urgency and emergency represents a challenging condition in which clinicians should determine the assessment and/or treatment of these patients. Whether the elevation of blood pressure (BP) levels is temporary, in need of treatment, or reflects a chronic hypertensive state is not always easy to unravel. Unfortunately, current guidelines provide few recommendations concerning the diagnostic approach and treatment of emergency department patients presenting with severe hypertension. Target organ damage determines: the timeframe in which BP should be lowered, target BP levels as well as the drug of choice to use. It's important to distinguish hypertensive emergency from hypertensive urgency, usually a benign condition that requires more likely an outpatient visit and treatment.

Identifiants

pubmed: 38087668
pii: S0953-6205(23)00425-9
doi: 10.1016/j.ejim.2023.11.028
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023. Published by Elsevier B.V.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None declared

Auteurs

A J Manolis (AJ)

Metropolitan Hospital, 2nd Department of Cardiology, Ethnarchou Makariou 9, Praeus, Greece.

M S Kallistratos (MS)

Metropolitan Hospital, 2nd Department of Cardiology, Ethnarchou Makariou 9, Praeus, Greece. Electronic address: ekallistratos@metropolitan-hospital.gr.

M Koutsaki (M)

Asklepeion General Hospital, Cardiology Department, Vasileos Pavlou 1 street, Voula Greece.

M Doumas (M)

Second Propedeutic Department of Internal Medicine, Aristotle University, Thessaloniki, Greece.

L E Poulimenos (LE)

Asklepeion General Hospital, Cardiology Department, Vasileos Pavlou 1 street, Voula Greece.

J Parissis (J)

Second Department of Cardiology, National and Kapodistrian University of Athens, Attikon General Hospital, Athens, Greece.

E Polyzogopoulou (E)

Second Department of Cardiology, National and Kapodistrian University of Athens, Attikon General Hospital, Athens, Greece.

A Pittaras (A)

Metropolitan Hospital, 2nd Department of Cardiology, Ethnarchou Makariou 9, Praeus, Greece.

M L Muiesan (ML)

Department of Clinical and Experimental Sciences, University of Brescia & 2a Medicina ASST Spedali Civili di Brescia, 25121 Brescia, Italy.

G Mancia (G)

University of Milano-Bicocca (Emeritus Professor), Milan, Italy.

Classifications MeSH