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Hypertensive Emergency

Hypertensive  Emergency is a marked elevation blood pressure with following
  • Evidence of end organ damage
  • Demanding prompt rapid control of BP
Sudden increase in systolic and/or diastolic blood pressure is associated with following clinical features
Central nervous system
  • Hypertensive encephalopathy
  • Acute left ventricular failure
  • Acute coronary syndrome
  • Dissecting aurtric aneurysm
  • Acute renal failure
  • Eclampsia
  • Symptomatic microangiopathic hemolytic anemia
Hypertensive emergencies management
25% reduction in blood pressure in 1 hour
Target BP of 160/100 mm Hg to be attained in 6 hours
Parenteral drug treatment (Nitroglycerine, sodium nitroprusside, labetalol, enalaprilat) is often re-