OBJECTIVE: To analyze the prevalence and characteristics of patients with hypertensive crises and to know the clinical differences between patients with hypertensive urgencies and patients with hypertensive emergencies. PATIENTS AND METHODS: Three-months prospective study in which all patients attended at the Emergency Department with an hypertensive crisis (arterial blood pressure of at least 210/120 mmHg) were included. From each patient, a clinical history, physical examination, eye fundus examination, blood analysis, electrocardiogram, and a chest X-ray were obtained. RESULTS: A total of 118 patients were included in the study, representing 0.65% of all attended emergencies. Twenty-two percent of them had an emergency hypertensive crisis. Coronary heart disease was the most common cause for this emergency crisis. Hypertension was unknown to 12.7% of patients and 12.6% of patients aware of their condition were not taking any medication. Twenty-four percent of patients were diabetic. Patients with hypertensive emergencies had more involvement of target organs. Twenty-four percent of crises resolved with no therapy, and captopril was the most commonly used drug. CONCLUSIONS: Hypertensive crises accounted for 0.65% of attended emergencies at our institution. Coronary heart disease was the most common condition for hypertensive emergencies. Patients with hypertensive emergencies had a more severe involvement of target organs. Twenty four percent of crisis resolved with rest alone.
OBJECTIVE: To analyze the prevalence and characteristics of patients with hypertensive crises and to know the clinical differences between patients with hypertensive urgencies and patients with hypertensive emergencies. PATIENTS AND METHODS: Three-months prospective study in which all patients attended at the Emergency Department with an hypertensive crisis (arterial blood pressure of at least 210/120 mmHg) were included. From each patient, a clinical history, physical examination, eye fundus examination, blood analysis, electrocardiogram, and a chest X-ray were obtained. RESULTS: A total of 118 patients were included in the study, representing 0.65% of all attended emergencies. Twenty-two percent of them had an emergency hypertensive crisis. Coronary heart disease was the most common cause for this emergency crisis. Hypertension was unknown to 12.7% of patients and 12.6% of patients aware of their condition were not taking any medication. Twenty-four percent of patients were diabetic. Patients with hypertensive emergencies had more involvement of target organs. Twenty-four percent of crises resolved with no therapy, and captopril was the most commonly used drug. CONCLUSIONS:Hypertensive crises accounted for 0.65% of attended emergencies at our institution. Coronary heart disease was the most common condition for hypertensive emergencies. Patients with hypertensive emergencies had a more severe involvement of target organs. Twenty four percent of crisis resolved with rest alone.
Authors: Clovis Nkoke; Ahmadou Musa Jingi; Jean Jacques Noubiap; Denis Teuwafeu; Cyrille Nkouonlack; Ronald Gobina; Siddikatou Djibrilla; Ali Abas; Anastase Dzudie Journal: Int J Hypertens Date: 2022-06-28 Impact factor: 2.434
Authors: Daniel Grassi; Martin O'Flaherty; Marcelo Pellizzari; Mario Bendersky; Pablo Rodriguez; Domingo Turri; Pedro Forcada; Keith C Ferdinand; Carol Kotliar Journal: J Clin Hypertens (Greenwich) Date: 2008-09 Impact factor: 3.738
Authors: Héctor González Pacheco; Neisser Morales Victorino; Juan Pablo Núñez Urquiza; Alfredo Altamirano Castillo; Ursulo Juárez Herrera; Alexandra Arias Mendoza; Francisco Azar Manzur; Jose Luis Briseño de la Cruz; Carlos Martínez Sánchez Journal: J Clin Hypertens (Greenwich) Date: 2013-01-09 Impact factor: 3.738