• Med. Clin. North Am. · May 2017

    Review

    Hypertensive Emergency.

    • Manish Suneja and M Lee Sanders.
    • 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.
    • Med. Clin. North Am. 2017 May 1; 101 (3): 465-478.

    AbstractA 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.Copyright © 2017 Elsevier Inc. All rights reserved.

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