scholarly journals Hypertensive Crisis in the Elderly Patients

Kardiologiia ◽  
2020 ◽  
Vol 60 (5) ◽  
pp. 128-135
Author(s):  
O. N. Tkacheva ◽  
Yu. V. Kotovskaya ◽  
K. A. Eruslanova
Keyword(s):  
Elderly Patients ◽  
Clinical Symptoms ◽  
Target Organ Damage ◽  
Hypertensive Crisis ◽  
The Elderly ◽  
Organ Damage ◽  
Target Organ ◽  
Sudden Increase ◽  
Chronic Therapy ◽  
High Level

A hypertensive crisis is a sudden increase in blood pressure (BP) to an individually high level associated with clinical symptoms and target organ damage, in which BP must be reduced immediately. Since 2018 in Europe and since 2020 in Russia, an uncomplicated hypertensive crisis is recommended to be considered as a part of malignant (uncontrolled) arterial hypertension. The clinical picture of increased BP in elderly patients is characterized by nonspecific symptoms even in target organ damage. Management of this group of patients requires a physician to know the patient’s comorbidities and the drugs taken on a regular basis to minimize development of side effects of the administered drugs and their undesirable interaction with the chronic therapy.

scholarly journals Association of asymptomatic target organ damage with secreted frizzled related protein 5 in the elderly: the Northern Shanghai Study

2018 ◽  
Vol Volume 13 ◽  
pp. 389-395 ◽  
Author(s):  
Jiadela Teliewubai ◽  
Bin Bai ◽  
Yiwu Zhou ◽  
Yuyan Lu ◽  
Shikai Yu ◽  
...  
Keyword(s):  
Target Organ Damage ◽  
The Elderly ◽  
Organ Damage ◽  
Target Organ ◽  
Related Protein

scholarly journals A descriptive study on the hypertensive crisis in Visakhapatnam, Andhra Pradesh, India

2020 ◽  
Vol 8 (6) ◽  
pp. 386-391
Author(s):  
Dr. Salla Surya Prakasa Rao ◽  
◽  
Dr. Salla Sweta Ramani ◽  
Dr. Pudi Venkat Sai Kiran ◽  
Dr. Siddanati Kiran Prasad ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Andhra Pradesh ◽  
Adverse Outcome ◽  
Target Organ Damage ◽  
Hypertensive Crisis ◽  
Descriptive Study ◽  
Organ Damage ◽  
Target Organ ◽  
Elevated Blood ◽  
Presenting Symptoms

Objective: The objective of the present study, A Descriptive study on Hypertensive Crisis inVisakhapatnam, India was to evaluate the modes of presentations, clinical profile, and spectrum oftarget organ damage in patients with hypertensive emergencies. Material and Methods: The studypopulation included patients admitted in this hospital with severely elevated blood pressure withclinical or laboratory evidence of acute target organ damage. Result: The clinical and laboratoryprofile of 50 of these patients were evaluated. Males had higher chances of developing ahypertensive emergency compared to females. The commonest presenting symptoms were chestpain, dyspnoea, and neurological deficit. The majority of the patients have known hypertensives.Higher levels of blood pressure at presentation were associated with an adverse outcome. Acute LVFwas the commonest target organ damage observed. In-hospital mortality of 14% was observed inthe present study. Conclusion: Known hypertensives are at a higher risk of presenting with acutetarget organ damage associated with chest pain. Acute LVF is the commonest form of target organdamage encountered in the present study.

scholarly journals Clinical research on target organ damage in elderly patients with metabolic syndrome

Heart ◽  
2011 ◽  
Vol 97 (Suppl 3) ◽  
pp. A200-A201
Author(s):  
G. Zhang ◽  
X. Cao ◽  
Y. Cui ◽  
Y. Ma ◽  
J. Wang ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Elderly Patients ◽  
Clinical Research ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Target Organ

scholarly journals Low Level of 25(OH)D Aggravates Target Organ Damage of Elderly Type 2 Diabetes

2020 ◽  
Vol 12 (7) ◽  
pp. 1
Author(s):  
Hongfeng Jiang ◽  
Shaorong Peng ◽  
Zhangqiang Guo ◽  
Caihua Huang ◽  
Jie Zhang
Keyword(s):  
Type 2 Diabetes ◽  
Vitamin D ◽  
Regression Analysis ◽  
Elderly Patients ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Target Organ ◽  
Low Level ◽  
Deficiency Group

BACKGROUND: It is unclear about the association between vitamin D level and target organ damage in elderly patients with type 2 diabetes in China. Aim of this study was to investigate the relationship between vitamin D level and target organ damage in elderly patients with type 2 diabetes of Chinese population. METHODS: A retrospective study was performed on 254 elderly patients with type 2 diabetes (148 males and 106 females). According to assay of 25-hydroxy vitamin D [25(OH)D], the participants were divided into a deficiency group (n=129), an insufficiency group (n=77) and a sufficiency group (n=48). The clinical indicators of target organ damages among these groups were analyzed, and multivariate logistic regression analysis was performed to predict the target organ damage. RESULTS: Approximately 81.1% of patients were the low level of 25(OH)D with mean 25(OH)D below 30ng/ml. When compared with those in the sufficiency group, the level of left ventricular absolute mass index (LVMI), the morning urine albumin/uric creatinine ratio (ACR) and carotid intimal medial thickness (cIMT) increased significantly and creatinine clearance rate (CcR) decreased significantly in the deficiency group (P<0.05). The level of ACR and cIMT in the insufficiency group also increased significantly (P<0.05). There was a higher proportion in kidney, brain, artery and total target organ damage in the deficiency group or insufficiency group than those in the sufficiency group (P<0.05). Logistic regression analysis showed that low-level 25(OH)D  (< 30ng/ml) was independently associated with total target organ damage in patients with elderly type 2 diabetes (OR = 3.58; 95%CI: 1.60-8.02,P =0.002) CONCLUSIONS: A condition of hypovitaminosis D is commonly present in Chinese patients with elderly type 2 diabetes. The low level of 25(OH)D may contribute to aggravate target organ damage of elderly type 2 diabetes.

scholarly journals An Updated Review of Hypertensive Emergencies and Urgencies

2018 ◽  
Vol 4 (2) ◽  
pp. 73-83 ◽  
Author(s):  
Katalin Makó ◽  
Corina Ureche ◽  
Zsuzsanna Jeremiás
Keyword(s):  
Target Organ Damage ◽  
Hypertensive Crisis ◽  
Organ Damage ◽  
Secondary Hypertension ◽  
Sudden Increase ◽  
End Organ Damage ◽  
Hypertensive Emergencies ◽  
Arterial Blood ◽  
Assessment And Treatment ◽  
Hypertensive Urgencies

Abstract A hypertensive crisis is an abrupt and severe rise in the arterial blood pressure (BP) occurring either in patients with known essential or secondary hypertension, or it may develop spontaneously. The most frequent cause for the severe and sudden increase in BP is inadequate dosing or stopping antihypertensive treatment in hypertensive patients. Severe hypertension can be defined as either a hypertensive emergency or an urgency, depending on the existence of organ damage. In hypertensive urgencies, there are no signs of acute end-organ damage, and orally administered drugs might be sufficient. In hypertensive emergencies, signs of acute end-organ damage are present, and in these cases, quickly-acting parenteral drugs must be used. The prompt recognition, assessment, and treatment of hypertensive urgencies and emergencies can decrease target organ damage and mortality. In this review, the definitions and therapeutic recommendations in a hypertensive crisis are presented in the light of the 2017 ACC/AHA Hypertension Guidelines.

MODERN EMERGENCY CARE STRATEGY FOR HYPERTONIC CRISIS

2021 ◽  
Vol Special issue (2) ◽  
pp. 9-18
Author(s):  
Nizomiddin Xalilov ◽  
◽  
Temur Jurakulov ◽  
Gyosiddin Xursandov ◽  
Xumoyun Nematov ◽  
...  
Keyword(s):  
Antihypertensive Drugs ◽  
Target Organ Damage ◽  
Hypertensive Crisis ◽  
Organ Damage ◽  
Target Organ ◽  
Medical Associations ◽  
Clinical Hypertension ◽  
Reflex Tachycardia ◽  
Wide Range ◽  
Skin Redness

The article is devoted to discussing modern approaches todiagnosis andtreatment in complicated anduncomplicated hypertensive crises.The options for antihypertensive drugs are considereddepending on thenature of target organ damage ina hypertensive crisis.The data on themost frequently prescribed drugs for complicated anduncomplicated hypertensive crisis increases the volumetric velocity of coronary andcerebral blood flowand reduces the pressure inthe pulmonary artery system.It is usually used to relieve the mild uncomplicated hypertensive crisis. Still, a wide range of side effects, including reflex tachycardia, periorbital andperipheral edema, skin redness, pruritus,limits its use.Keywords: cerebral blood flow, routine clinical, hypertension, medical associations, hypertensive crisis

Sign in / Sign up

Export Citation Format

Share Document