• Crit Care · Oct 2003

    Review

    Clinical review: the management of hypertensive crises.

    • Joseph Varon and Paul E Marik.
    • Pulmonary and Critical Care Section, Baylor College of Medicine, The University of Texas Health Science Center, Houston, USA.
    • Crit Care. 2003 Oct 1; 7 (5): 374384374-84.

    AbstractHypertension is an extremely common clinical problem, affecting approximately 50 million people in the USA and approximately 1 billion individuals worldwide. Approximately 1% of these patients will develop acute elevations in blood pressure at some point in their lifetime. A number of terms have been applied to severe hypertension, including hypertensive crises, emergencies, and urgencies. By definition, acute elevations in blood pressure that are associated with end-organ damage are called hypertensive crises. Immediate reduction in blood pressure is required only in patients with acute end-organ damage. This article reviews current concepts, and common misconceptions and pitfalls in the diagnosis and management of patients with acutely elevated blood pressure.

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