Diagnosis, And Management Of Hypertension Crisis

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Abstract: Hypertensive crisis is when blood pressure increases very rapidly. Blood pressure rises to 180mmHg/120mmHg or greater. A drastic increase in blood pressure can damage the blood vessels. Some vessels may become inflamed and others may leak fluid or blood. Due to damage of blood vessels, the heart may not pump blood effectively. Hypertension crisis can present as hypertension urgency or as hypertension emergency. This article will review the clinical features, diagnosis, and management of Hypertension crisis.
Hypertension is a common disorder in modern Western societies, with an age- and sex-adjusted prevalence of approximately 28% in North America. Physicians in clinical practice will encounter patients with hypertensive urgency and emergency. The improved management of chronic hypertension has decreased the lifetime incidence of hypertensive crisis to less than 1%. Although there has been improved management of chronic hypertension, patients presenting with severe hypertension represent up to 25% of all patients presenting to urban emergency departments.
A blood pressure reading of 180mmHg/120mmHg or higher is considered a hypertensive crisis. Hypertensive crisis is divided in to two categories. The two categories are hypertensive urgency and hypertensive emergency. In hypertension emergency, the blood pressure is extremely high and there is damage to the organs. Organs that are damaged are the brain, heart, kidneys, and eyes.

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