Hypertensive Emergencies: Prehospital recognition & treatment of blood pressure diseases

2007 ◽  
Vol 32 (8) ◽  
pp. 76-80
Author(s):  
Gerald E. Maloney
Keyword(s):  
Blood Pressure ◽  
Hypertensive Emergencies

Hypertensive urgencies and emergencies

2010 ◽  
pp. 3074-3082
Author(s):  
Gregory Y.H. Lip ◽  
D. Gareth Beevers
Keyword(s):  
Blood Pressure ◽  
Connective Tissue ◽  
Organ Damage ◽  
Renal Diseases ◽  
Connective Tissue Disorders ◽  
Renovascular Disease ◽  
End Organ Damage ◽  
Hypertensive Emergencies ◽  
Hypertensive Urgencies

Hypertensive urgencies and emergencies occur most commonly in patients with previous hypertension, especially if inadequately managed. About 40% of cases have an underlying cause, most commonly renovascular disease, primary renal diseases, phaeochromocytoma, and connective tissue disorders. Hypertensive emergencies occur when severely elevated or sudden marked increase in blood pressure is associated with acute end-organ damage....

scholarly journals Oral nifedipine versus intravenous labetalol for acute blood pressure control in hypertensive emergencies of pregnancy: a randomized controlled trial

2019 ◽  
Vol 8 (5) ◽  
pp. 1921
Author(s):  
Anjuman Alam ◽  
S. M. A. Zakaria
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Urine Output ◽  
Gestational Hypertension ◽  
Controlled Trial ◽  
Pressure Control ◽  
Controlled Study ◽  
Randomized Controlled ◽  
Hypertensive Emergencies ◽  
To Receive

Background: To compare intravenous labetalol with oral nifedipine in terms of rapidity at which they control blood pressure in acute hypertensive emergencies of pregnancy.Methods: A randomized controlled study. Pregnant women with severe gestational hypertension with BP ≥160/110 mmHg after ≥20 weeks of gestation were randomized with computer generated numbers, either to receive IV labetalol with an escalating dose of 20, 40, 80, 80 and 80 mg or nifedipine capsule orally in a dose of 10 mg every 15 minutes (upto 5 doses) until a BP of ≤150/100 mmHg is achieved. Crossover treatment was to be effected if initial treatment regimen was unsuccessful. Primary outcome was time taken and number of doses required to achieve the target BP of ≤150/100 mmHg. Secondary outcomes were volume of urine output, maternal heart rate changes, fetal heart rate abnormality, perinatal and maternal outcome and side effects.Results: Oral nifedipine achieved the target BP (≤150/100 mmHg) more rapidly in (26.25±12.60) minutes in comparison to (32.62±12.19) minutes with IV labetalol (p= 0.024). Nifedipine group also took less number of doses to achieve the target BP of (≤150/100 mmHg) mmHg than IV labetalol (1.75±0.840 vs. 2.18±0.83), p= 0.024. Volume of urine output was also significantly more in nifedipine group (94.90±1.84 ml) at 1 hour and thereafter till 24 hour of treatment in comparison to IV labetalol (41.28±2.14 ml), p= 0.000. Side effects are few and not serious. No patient required crossover treatment.Conclusions: Both the drugs are equally effective in controlling acute hypertensive emergencies of pregnancy, however oral nifedipine is more rapid in controlling severe hypertension and also it is associated with significantly increased urine output.

scholarly journals NEUROLOGICAL HYPERTENSIVE EMERGENCIES: CORRELATION OF BLOOD PRESSURE VALUES WITH IN-HOSPITAL MORTALITY AND DISCHARGE DISABILITY

2021 ◽  
Vol 39 (Supplement 1) ◽  
pp. e181
Author(s):  
Valentina Giani ◽  
Alessandro Maloberti ◽  
Marco Biolcati ◽  
Sofia Bianchi ◽  
Gloria Magni ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Hospital Mortality ◽  
Hypertensive Emergencies

scholarly journals Peningkatan Pengetahuan Lansia tentang Hipertensi Emergensi melalui Pendidikan Kesehatan

2020 ◽  
Vol 1 (1) ◽  
pp. 58-63
Author(s):  
Isnaini Rahmawati ◽  
Dewi Suryandari ◽  
Noerma Shovie Rizqiea
Keyword(s):  
Blood Pressure ◽  
At Risk ◽  
Health Education ◽  
The Elderly ◽  
Good Knowledge ◽  
Hypertensive Emergencies ◽  
Self Knowledge

Background: Hypertension is a disease that not many people know before examining their blood pressure, so it is called with silent disease. Increased self-knowledge of this disease becomes the basis for individuals to make the decisions for the treatment. With good knowledge, we hope that the effects and complications of hypertension can be prevented. For this reason, health education is needed regarding hypertensive emergencies in elderly, because the elderly include in one of the groups at risk for hypertension, this is due to a decrease in physiology from increasing age. The purpose is to increase the elderly's knowledge about hypertensive emergencies, so as to prevent the occurrence of these events. Methods: Health education through counseling during posyandu activities was used in this activity, the knowledge was measure using questionnaire. Results: After this activity, the elderly understood about hypertensive emergencies and also knew what steps should be taken if such an event occurs. Conclusion: The increasing about knowledge in definition was 82,1%, the sign and symptom was 52%, and the treatment was 45%.

Use of diazoxide in hypertension

1972 ◽  
Vol 10 (1) ◽  
pp. 4.1-4
Keyword(s):  
Blood Pressure ◽  
Clinical Trial ◽  
Renal Failure ◽  
Intravenous Injection ◽  
Severe Hypertension ◽  
Hypertensive Emergencies ◽  
Trade Name ◽  
Oral Form

Commenting on our article on the emergency reduction of blood pressure (September 24, 1971 p. 80) Allen & Hanburys, the manufacturers of diazoxide, have asked us to point out that their trade-name Eudemine applies only to the oral form. They supply the solution for intravenous injection only for clinical trial in hypertensive emergencies (except in eclampsia or pre-eclampsia). How-ever, recent evidence suggests that oral diazoxide may be a useful adjunct to intravenous diazoxide in severe hypertension associated with renal failure.1

Sign in / Sign up

Export Citation Format

Share Document