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    1 OF 19

    A trial of oral nifedipine and oral labetalol in preeclampsia hypertensive emergency treatment.
    J Obstet Gynaecol 2017 May 20:1-3. Epub 2017 May 20.
    c Department of Gynaecology and Obstetrics , Hospital Clinic, Universitat de Barcelona, IDIBAPS , Barcelona , Spain.
    This observational retrospective cohort study was conducted to compare oral nifedipine and labetalol for emergency treatment of hypertension in preeclamptic patients. Time (minutes) and necessary doses were outlined to achieve blood pressure lower than 150/95 mmHg. In 14 patients with preeclampsia, 55 hypertensive emergencies were identified (BP >150/95). Read More

    Severe Asymptomatic Hypertension: Evaluation and Treatment.
    Am Fam Physician 2017 Apr;95(8):492-500
    Womack Army Medical Center, Fort Bragg, NC, USA.
    Hypertension affects one-third of Americans and is a significant modifiable risk factor for cardiovascular disease, stroke, renal disease, and death. Severe asymptomatic hypertension is defined as severely elevated blood pressure (180 mm Hg or more systolic, or 110 mm Hg or more diastolic) without symptoms of acute target organ injury. The short-term risks of acute target organ injury and major adverse cardiovascular events are low in this population, whereas hypertensive emergencies manifest as acute target organ injury requiring immediate hospitalization. Read More

    Hypertensive Emergency.
    Med Clin North Am 2017 May 2;101(3):465-478. Epub 2017 Mar 2.
    Division of Nephrology and Hypertension, Department of Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.
    A 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. Read More

    Ocular fundus photography with a smartphone device in acute hypertension.
    J Hypertens 2017 Mar 16. Epub 2017 Mar 16.
    aDepartment of Medicine bDepartment of Ophtalmology, University of Brescia cEmergency Department Gardone Val Trompia, Spedali Civili of Brescia, Brescia, Italy *M. Lorenza Muiesan and Massimo Salvetti have contributed equally to the article.
    Background: The ocular fundus examination is infrequently and poorly performed in the emergency department (ED) clinical settings, placing patients at risk for missed diagnosis of hypertensive emergencies. The aim of this study was to investigate the feasibility of the ocular fundus photography with a smartphone small optical device in an ED setting and to compare it with a traditional ocular fundus examination.

    Methods: The study included 52 consecutive patients (mean age 69 ± 16 years, 50% women) presenting to a hospital ED with an acute increase in blood pressure (SBP > 180 and/or DBP > 100 mmHg). Read More

    Multidisciplinary In Situ Simulation-Based Training as a Postpartum Hemorrhage Quality Improvement Project.
    Mil Med 2017 Mar;182(3):e1762-e1766
    Department of Obstetrics and Gynecology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134.
    Background: Postpartum hemorrhage is a common obstetric emergency affecting 3 to 5% of deliveries, with significant maternal morbidity and mortality. Effective management of postpartum hemorrhage requires strong teamwork and collaboration. We completed a multidisciplinary in situ postpartum hemorrhage simulation training exercise with structured team debriefing to evaluate hospital protocols, team performance, operational readiness, and real-time identification of system improvements. Read More

    Early standardized treatment of critical blood pressure elevations is associated with a reduction in eclampsia and severe maternal morbidity.
    Am J Obstet Gynecol 2017 Apr 30;216(4):415.e1-415.e5. Epub 2017 Jan 30.
    Sacramento Maternal-Fetal Medicine Medical Group Inc, Sacramento, CA.
    Background: Hypertensive disorders of pregnancy result in significant maternal morbidity and mortality. State and national guidelines have been proposed to increase treatment of patients with hypertensive emergencies or critically elevated blood pressures. There are limited data available to assess the impact of these recommendations on maternal morbidity. Read More

    Cardiovascular Hypertensive Crisis: Recent Evidence and Review of the Literature.
    Front Cardiovasc Med 2016 10;3:51. Epub 2017 Jan 10.
    1st Department of Cardiology, Athens University Medical School, Hippokration Hospital , Athens , Greece.
    Despite the high prevalence of hypertension (HTN), only a small proportion of the hypertensive patients will ultimately develop hypertensive crisis. In fact, some patients with hypertensive crisis do not report a history of HTN or previous use of antihypertensive medication. The majority of the patients with hypertensive crisis often report non-specific symptoms, whereas heart-related symptoms (dyspnea, chest pain, arrhythmias, and syncope) are less common. Read More

    Posterior reversible encephalopathy syndrome.
    J Neurol 2017 Jan 4. Epub 2017 Jan 4.
    Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
    The posterior reversible encephalopathy syndrome (PRES) is a neurological disorder of (sub)acute onset characterized by varied neurological symptoms, which may include headache, impaired visual acuity or visual field deficits, disorders of consciousness, confusion, seizures, and focal neurological deficits. In a majority of patients the clinical presentation includes elevated arterial blood pressure up to hypertensive emergencies. Neuroimaging, in particular magnetic resonance imaging, frequently shows a distinctive parieto-occipital pattern with a symmetric distribution of changes reflecting vasogenic edema. Read More

    Hypertensive disease in pregnancy in Botswana: Prevalence and impact on perinatal outcomes.
    Pregnancy Hypertens 2016 Oct 7;6(4):418-422. Epub 2016 Oct 7.
    Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA, United States; Botswana-Harvard Partnership, Gaborone, Botswana; Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
    Objectives: Perinatal morbidity in sub-Saharan Africa has been attributed to infection, obstetric emergencies, and preterm birth, but less is known about hypertension in pregnancy. Our objective was to characterize the prevalence of hypertension in pregnancy and the impact of hypertension on perinatal outcomes in sub-Saharan Africa.

    Study Design: We performed surveillance of obstetric records at eight of the largest public hospitals in Botswana. Read More

    Trends in the Incidence of Hypertensive Emergencies in US Emergency Departments From 2006 to 2013.
    J Am Heart Assoc 2016 Dec 5;5(12). Epub 2016 Dec 5.
    Wayne State University School of Medicine, Detroit, MI.
    Background: The incidence of hypertensive emergency in US emergency departments (ED) is not well established.

    Methods And Results: This study is a descriptive epidemiological analysis of nationally representative ED visit-level data from the Nationwide Emergency Department Sample for 2006-2013. Nationwide Emergency Department Sample is a publicly available database maintained by the Healthcare Cost and Utilization Project. Read More

    Relationship between ambient temperature and frequency and severity of cardiovascular emergencies: A prospective observational study based on out-of-hospital care data.
    Int J Cardiol 2017 Feb 8;228:553-557. Epub 2016 Nov 8.
    Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Asklepios Klinikum Harburg, Eißendorfer Pferdeweg 52, 21075 Hamburg, Germany. Electronic address:
    Objective: To test the hypothesis that more cardiovascular emergencies occur at low rather than at high temperatures under moderate climatic conditions.

    Methods: This was a prospective observational study performed in a prehospital setting. Data from the Emergency Medical Service in Hamburg (Germany) and from the local weather station were evaluated over a 5-year period. Read More

    [Cardiovascular complications of hypertensive crisis].
    Rev Med Inst Mex Seguro Soc 2016 ;54 Suppl 1:s67-74
    División de Investigación en Salud, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
    It is inexorable that a proportion of patients with systemic arterial hypertension will develop a hypertensive crisis at some point in their lives. The hypertensive crises can be divided in hypertensive patients with emergency or hypertensive emergency, according to the presence or absence of acute end-organ damage. In this review, we discuss the cardiovascular hypertensive emergencies, including acute coronary syndrome, congestive heart failure, aortic dissection and sympathomimetic hypertensive crises (those caused by cocaine use included). Read More

    [Prevalence and severity of hypertensive emergencies and outbreaks in the hospital emergency department of CHU Timone at Marseille: Follow-up in three months of hospitalized patients].
    Ann Cardiol Angeiol (Paris) 2016 Jun 13;65(3):185-90. Epub 2016 May 13.
    Service de cardiologie, CHU La Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
    Goal: Evaluation of the prevalence and severity of hypertensive emergencies and crisis in an Emergency Service of Timone hospital in Marseille and follow-up of 3 months of hospitalized emergencies.

    Methods: This study was conducted in the Emergency Department between April 1 and June 30, 2015. All patients with BP>180 and/or 110mmHg was recorded and classified in true emergencies (presence of visceral pain) and hypertensive isolated crisis. Read More

    Laparoscopic Surgery for Pheochromocytoma and Paraganglioma Removal: A Retrospective Analysis of Anaesthetic Management.
    Curr Hypertens Rev 2016 ;12(3):222-227
    Department of Anaesthesiology, Pain medicine and critical care. Room Number 5013, All India Institute of Medical Sciences, Ansari nagar, Delhi, India.
    Introduction: Minimal invasive approaches to pheochromocytoma (PCC) and paraganglioma (PGL) removal may be complicated by the hemodynamic disturbances that are associated with the catecholamine secretion from the tumour. The anaesthetic and perioperative monitoring techniques need to be customized to handle these complications effectively. This retrospective analysis was undertaken to review the perioperative management of these patients handled by the same anaesthetic and surgical team. Read More

    Therapies to Reduce Blood Pressure Acutely.
    Curr Hypertens Rep 2016 06;18(6):43
    Department of Emergency Medicine, Wayne State University, Detroit, MI, USA.
    Clinicians make frequent treatment decisions regarding acute blood pressure reduction for the critically ill. Key to the decision making process is a balance between reducing arterial wall stress and maintaining perfusion to vital organs. In this article, we review the physiological considerations underlying acute blood pressure management, including the concept of cerebral autoregulation and its adaptations to chronic hypertension. Read More

    Evaluation and treatment of hypertensive crises in children.
    Integr Blood Press Control 2016 16;9:49-58. Epub 2016 Mar 16.
    Division of Nephrology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
    Hypertensive crises in children are medical emergencies that must be identified, evaluated, and treated promptly and appropriately to prevent end-organ injury and even death. Treatment in the acute setting typically includes continuous intravenous antihypertensive medications with monitoring in the intensive care unit setting. Medications commonly used to treat severe hypertension have been poorly studied in children. Read More

    [When should the nephrologist be called in the emergency room?].
    Rev Med Suisse 2016 Feb;12(507):398-403
    Nephrology emergencies are not the most frequent in the emergency room but they often generate some diagnostic and therapeutic problems. Most common renal emergencies are due most often to acute renal failure whatever the cause, electrolytes disturbances, hypertensive crisis and less frequently intoxications or acute decompensation of chronic kidney diseases. The goal of this paper is to review some of these clinical situations both in the diagnostic and therapeutic perspective but essentially to discuss when the nephrologist should be called in the emergency room so that the coordination of care is optimal for the patients. Read More

    Hypertensive emergencies: a new clinical approach.
    Clin Hypertens 2015 13;21:20. Epub 2015 Aug 13.
    Emergency & Accident Unit, Ospedale Santa Maria Nuova, ASL 10, Florence, Italy.
    The expression 'hypertensive urgencies' includes many diseases. The unifying features of these diseases are a high level of arterial pressure and acute distress of one or more organs. The aim of the review was to define the idea of the 'acute hypertension' as a new concept, different from 'chronic hypertension'. Read More

    Hypothesis: A single dose of an anxiolitic may prevent unnecessary visits to the emergency room during blood pressure elevations.
    Med Hypotheses 2016 Mar 23;88:35-7. Epub 2016 Jan 23.
    Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care, Israel. Electronic address:
    Blood pressure (BP) monitoring devices are very commonly used by the general public for self-measurement. Approximately 19% of people using these devises check their BP every day or almost every day and only one third use them because their doctor recommended it. Measurement often causes anxiety and anxiety increases blood pressure in the short term. Read More

    Hypertensive Urgencies and Emergencies in the Hospital Setting.
    Hosp Pract (1995) 2016 2;44(1):21-7. Epub 2016 Feb 2.
    a Harvard Medical School , Massachusetts General Hospital , Boston , MA , USA.
    The prevalence of hypertension in the general population has steadily climbed over the past several decades and hypertension is a primary or secondary diagnosis in nearly a fourth of hospitalized adults. Hospitalization is often a time of pertubation in a patient's usual blood pressure control, with pain, anxiety and missed medications all risk factors for severe hypertension. Hospitalists are often faced with severe hypertension in a patient not previously known to them and this presents a challenge of how best to assess the clinical importance of blood pressure elevation. Read More

    Incidence, aetiology and mortality secondary to hypertensive emergencies in a large-scale referral centre in Israel (1991-2010).
    J Hum Hypertens 2016 Aug 17;30(8):498-502. Epub 2015 Dec 17.
    Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    Hypertensive emergency (HE) is a life-threatening condition that requires immediate blood pressure (BP) reduction. Although it has been on the decline, the incidence of HE has recently increased in a few countries. The aim of the present retrospective study was to evaluate the incidence, aetiology and 1-year mortality of HE in a large medical centre over a 20-year period (1991-2010). Read More

    MRI in the Evaluation of Acute Visual Syndromes.
    Top Magn Reson Imaging 2015 Dec;24(6):309-24
    Michael E. DeBakey VA Medical Center Houston and Baylor College of Medicine, Houston, TX.
    Acute visual symptom emergencies occur commonly and present a challenge to both clinical and radiologic facets. Although most patients with visual complaints routinely require clinical evaluation with direct ophthalmologic evaluation, imaging is rarely necessary. However, there are highly morbid conditions where the prompt recognition and management of an acute visual syndrome (AVS) requires an astute physician to probe further. Read More

    Hypertensive Emergencies in Pregnancy.
    Crit Care Clin 2016 Jan 6;32(1):29-41. Epub 2015 Oct 6.
    Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Rochester Medical Center, 601 Elmwood Avenue, Box 668, Rochester, NY 14642, USA. Electronic address:
    The prevalence of hypertensive disorders in pregnancy is increasing. The etiology and pathophysiology of hypertensive disorders in pregnancy remain poorly understood. Hypertensive disorders are a major cause of maternal and perinatal morbidity and mortality. Read More

    From malignant hypertension to hypertension-MOD: a modern definition for an old but still dangerous emergency.
    J Hum Hypertens 2016 Aug 19;30(8):463-6. Epub 2015 Nov 19.
    Department of Cardiology/Hypertension, University hospital of Bordeaux, Bordeaux, France.
    The prevalence of malignant hypertension has clearly fallen with the advent of anti-hypertensive medication but has remained stable over the past 30-40 years in spite of progress in diagnosis and management of hypertension. A diagnosis of malignant hypertension is usually based on the association of severely elevated blood pressure with a Keith and Wagener stage III or IV retinopathy. We believe that this definition can be reconsidered for several reasons. Read More

    Hypertensive Crisis: A Review of Pathophysiology and Treatment.
    Crit Care Nurs Clin North Am 2015 Dec 26;27(4):439-47. Epub 2015 Sep 26.
    Department of Pharmacy and Clinical Nutrition, Grady Health System, 80 Jesse Hill Jr Drive SE, Atlanta, GA 30303, USA. Electronic address:
    Hypertensive crisis presents as hypertensive urgency or hypertensive emergency, the differences being the presence or absence of target organ damage (TOD) and the type of treatment the patient will receive. Patients with hypertensive urgency do not express TOD, which is seen only in hypertensive emergencies and can involve the heart, kidneys, or brain. Recognition of hypertensive crisis at initial assessment is crucial. Read More

    Prospective observational study of near-miss obstetric events at two tertiary hospitals in Mumbai, Maharashtra, India.
    Int J Gynaecol Obstet 2016 Feb 21;132(2):170-3. Epub 2015 Oct 21.
    Department of Obstetrics and Gynecology, Lokmanya Tilak Municipal General Hospital and Medical College Sion, Mumbai, India.
    Objective: To review the incidence and patterns of near-miss obstetric events (defined as "A woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy"), as well as studying the classification criteria for near-miss events.

    Methods: A prospective observational study was conducted in two tertiary hospitals in Mumbai. Women with near-miss obstetric events were interviewed during the period September 2012-August 2013. Read More

    Cardiothyreosis: Pathogenic Conjectures, Clinical Aspects and Surgical Approach.
    Chirurgia (Bucur) 2015 Jul-Aug;110(4):333-8
    Introduction: The presence of striking cardiovascular manifestations were noted in the first descriptions of hyperthyroidism owing to Parry (1825) and Basedow (1840) in his famous Merseburg triad. Hyperthyroidism may either cause cardiac complications in individuals with a normal myocardium (genuine form of disorder) or complicate preexisting cardiac troubles.

    Material And Method: An homogenous series of 49 cardiothyreosis, 11 males and 38 females, aged 12 - 78 (mean 45) years selected between 138 thyrotoxic patients operated on in a period of two decades is herein presented. Read More

    [Management of arterial hypertension].
    Herz 2015 Sep;40(6):929-40; quiz 941-2
    Deutsches Herzzentrum München, Lazarettstraße 36, 80636, München, Deutschland.
    Arterial hypertension is one of the most frequent diseases in the western world and is one of the three most important risk factors for heart diseases. The 2013 guidelines of the European Societies of Hypertension and Cardiology (ESH/ESC) provide a clear action plan for evidence-based diagnostics and therapeutic measures in hypertensive subjects and simplify target blood pressures across various patient groups. Non-pharmacological options play a central role in the treatment of arterial hypertension. Read More

    [Hypertensive emergencies and urgencies].
    Presse Med 2015 Jul-Aug;44(7-8):737-44. Epub 2015 Aug 3.
    Université Paris Descartes, AP-HP, hôpital Hôtel-Dieu, centre de diagnostic et de thérapeutique, unité hypertension artérielle, prévention et thérapeutique cardiovasculaires, place du Parvis-Notre-Dame, 75004 Paris, France. Electronic address:
    Hypertension is a common disease, the most common chronic disease. Hypertensive emergency is much less frequent and only affects 1 to 2 % of all hypertensive patients. The true hypertensive emergency is characterized by the serious damage of one hypertensive target organ and requires an urgent intravenous treatment. Read More

    Hypertensive Emergencies in the Emergency Department.
    Emerg Med Clin North Am 2015 Aug 30;33(3):539-51. Epub 2015 May 30.
    Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
    Hypertension affects approximately one-third of Americans. An additional 30% are unaware that they harbor the disease. Significantly increased blood pressure constitutes a hypertensive emergency that could lead to end-organ damage. Read More

    Cardiovascular Catastrophes in the Obstetric Population.
    Emerg Med Clin North Am 2015 Aug;33(3):483-500
    Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor Suite 200, Baltimore, MD 21201, USA.
    Pregnancy is a complex and dynamic physiologic state, in which the needs of the mother and fetus must achieve a fine balance with one another. Some of the most dreaded and deadly complications that can arise during this period affect the cardiovascular system are hypertensive emergencies (including preeclampsia and eclampsia), acute coronary syndrome, peripartum cardiomyopathy, dysrhythmias, dissection, thromboembolism, and cardiac arrest. This review provides emergency physicians, obstetricians, intensivists, and other health care providers with the most recent information on the diagnosis and management of these deadly cardiovascular complications of pregnancy. Read More

    EMERGENCY PERI PARTUM HYSTERECTOMY--A LIFE SAVING PROCEDURE.
    J Ayub Med Coll Abbottabad 2015 Jan-Mar;27(1):143-5
    Background: Sub-total abdominal hysterectomy is a surgical procedure in which body of the uterus is removed while ovaries and cervix are preserved. The study was done with the objectives of assessing the frequency of peripartum hysterectomies, common indications and risk factors associated with this surgery. The postoperative complications including the severity of andemia in these patients and need for blood transfusion and use of blood products like fresh frozen plasma and platelet concentrates were also studied. Read More

    [Hypertensive urgency and emergency].
    Ther Umsch 2015 Jun;72(6):405-11
    1 Medizinische Universitätsklinik, Kantonsspital Baselland, Liestal.
    European and North-American guidelines for the diagnosis and therapy of arterial hypertension refer to hypertensive crisis as an acute and critical increase of blood pressure>180/120 mmHg. Presence of acute hypertensive target organ damage, such as stroke, myocardial infarction or heart failure, in this situation defines a “hypertensive emergency”. In these patients, immediate lowering of blood pressure (about 25% within one to two hours) in an intensive care setting is mandatory to prevent further progression of target organ damage. Read More

    Drug induced hypertension--An unappreciated cause of secondary hypertension.
    Eur J Pharmacol 2015 Sep 19;763(Pt A):15-22. Epub 2015 Jun 19.
    Internal Medicine D and Hypertension Unit, The Chaim Sheba Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Hashomer 52621, Israel. Electronic address:
    Most patients with hypertension have essential hypertension or well-known forms of secondary hypertension, such as renal disease, renal artery stenosis, or common endocrine diseases (hyperaldosteronism or pheochromocytoma). Physicians are less aware of drug induced hypertension. A variety of therapeutic agents or chemical substances may increase blood pressure. Read More

    Clinical overview of hypertensive crisis in children.
    World J Clin Cases 2015 Jun;3(6):510-3
    Wen-Chieh Yang, Chun-Yu Chen, Division of Emergency Medicine, Department of Pediatrics, Changhua Christian Hospital, Changhua 500, Taiwan.
    Hypertensive emergencies and hypertensive urgencies in children are uncommonly encountered in the pediatric emergency department and intensive care units, but the diseases are potentially a life-threatening medical emergency. In comparison with adults, hypertension in children is mostly asymptomatic and most have no history of hypertension. Additionally, measuring accurate blood pressure values in younger children is not easy. Read More

    [Hypertension in scleroderma: A vital emergency].
    Ann Cardiol Angeiol (Paris) 2015 Jun 3;64(3):192-8. Epub 2015 Jun 3.
    Service de médecine interne, faculté de médecine, université d'Alger 1, Alger Centre, CHU Mustapha, place du 1(er) Mai, Alger, Algérie.
    Purpose: In systemic sclerosis, hypertension is feared because it is often heralding severe renal impairment. The objective of our study was to identify the frequency of arterial hypertension and clarify its etiologies in this condition.

    Patients/methods: Our study was prospective. Read More

    Posterior reversible encephalopathy syndrome in eclamptic patients: neuroradiological manifestation, pathogenesis and management.
    Med Pregl 2015 Jan-Feb;68(1-2):53-8
    Introduction: Eclampsia is one of the most serious complications of hypertensive disorders of pregnancy, defined as the occurrence of one or more convulsions superimposed on preeclampsia. Besides the ordinary course of the disease, ranging from a mild to a severe form, with culmination in eclamptic seizures, there is a significant percent of cases where eclampsia starts unexpectedly, without typical premonitory symptoms and signs, which makes it difficult to prevent. NEURORADIOLOGICAL CHARACTERISTICS AND PATHOGENESIS OF ECLAMPSIA. Read More

    A case of hypertensive urgency.
    J R Army Med Corps 2016 Aug 22;162(4):297-8. Epub 2015 May 22.
    A 41-year-old male Nepalese soldier presented to the primary care medical centre with a 1-week history of fatigue and muscle aches following a trip to Nepal. His BP was 164/98 but was otherwise normal. Four days later he presented with new symptoms of sweating and palpitations and a BP of 200/127 whereupon he was admitted to hospital with the diagnosis of hypertensive crisis. Read More

    [Maternal morbidity and mortality and risk factors related to an obstetric emergency].
    Ginecol Obstet Mex 2015 Feb;83(2):96-103
    Background: When studyng the risk factors associated to maternal morbidity and mortality due to an obstetric emergency, their causes can be identified

    Objective: To identify factors predisposing maternal morbidity and mortality in the Regional Hospital of Poza Rica in 2012.

    Material And Methods: A retrospective cross-sectional descriptive survey, was done based on a convenience obtained survey in patients. Percentages and contingency tables were used for each variable; calculating the prevailing global prevalence and that of exposed and unexposed to the risk factor studied. Read More

    Symplicity multi-electrode radiofrequency renal denervation system feasibility study.
    EuroIntervention 2015 May;11(1):104-9
    St. Vincent's Hospital, Melbourne, Australia.
    Aims: The aim of this study was to test the safety and performance of the Symplicity™ multi-electrode radio-frequency renal denervation system which was designed to reduce procedure time during renal denervation.

    Methods And Results: The multi-electrode radiofrequency renal denervation system feasibility study is a prospective, non-randomised, open label, feasibility study that enrolled 50 subjects with hypertension. The study utilises a new renal denervation catheter which contains an array of four electrodes mounted in a helical configuration at 90 degrees from each other to deliver radiofrequency energy simultaneously to all four renal artery quadrants for 60 seconds. Read More

    Hypertensive emergency presenting as blurry vision in a patient with hypertensive chorioretinopathy.
    Int J Emerg Med 2015 23;8:13. Epub 2015 Apr 23.
    Department of Ophthalmology and Visual Sciences, University of Michigan, 500 S State St, Ann Arbor, MI 48109 USA.
    A 42-year-old man presented with 3 weeks of blurry vision in the right eye. His exam was significant for decreased vision in the right eye, diffuse retinopathy in both eyes, and serous retinal detachment in the right eye. The patient was found to be hypertensive with blood pressure of 256/160 mmHg. Read More

    Posterior reversible encephalopathy syndrome after renal transplant: a simple solution for a complicated patient.
    Case Rep Nephrol Dial 2015 Jan-Apr;5(1):20-5. Epub 2014 Sep 19.
    Upstate Medical University, Syracuse, N.Y., USA.
    Background: Posterior reversible leukoencephalopathy syndrome (PRES) is characterized by an acute neurologic dysfunction coupled with characteristic findings on brain imaging. PRES occurs in the setting of hypertensive emergencies, eclampsia and as a neurotoxic effect of immunosuppressive agents. While overwhelmingly reversible without residual deficits when promptly recognized, vague symptomatology may delay the diagnosis of PRES. Read More

    Spontaneous iliopsoas haematoma: a complication of hypertensive urgency.
    BMJ Case Rep 2015 Feb 26;2015. Epub 2015 Feb 26.
    Department of Medicine, Interfaith Medical Center, Brooklyn, New York, USA.
    Iliopsoas haematoma is a rare clinical entity which can be life threatening in extreme cases. We are reporting a case of iliopsoas haematoma as a complication of hypertensive urgency. A 67-year old woman presented to emergency room with hypertensive urgency and hip pain. Read More

    Hemodynamic effects of intravenous nicardipine in severely pre-eclamptic women with a hypertensive crisis.
    Ultrasound Obstet Gynecol 2016 Jan;47(1):89-95
    Department of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
    Objective: Nicardipine permits rapid control of blood pressure in women with severe pre-eclampsia (PE) and hypertensive crisis. Our objective was to investigate its maternal and fetal hemodynamic effects.

    Methods: Ten severely pre-eclamptic pregnant women who required intravenous nicardipine for severe hypertension were included in this prospective observational trial. Read More

    [Rare forms of hypertension : From pheochromocytoma to vasculitis].
    Internist (Berl) 2015 Mar;56(3):255-62
    Hypertoniezentrum, Klinik für Nieren- und Hochdruckkrankheiten, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland,
    Secondary hypertension affects only 5-10 % of hypertensive patients. Screening is expensive and time-consuming and should be performed only in patients for whom there is a high clinical suspicion of secondary hypertension. Clinical signs of secondary forms of hypertension are new-onset hypertension in patients without other risk factors (i. Read More

    Cardiovascular hypertensive emergencies.
    Curr Hypertens Rep 2015 Feb;17(2)
    ESH Excellent Center of Hypertension, Department of Cardiology, "Laiko" General Hospital, Athens, Greece,
    Inevitably, a small proportion of patients with systematic hypertension will develop hypertensive crisis at some point. Hypertensive crises can be divided into hypertensive emergency or hypertensive urgency according to the presence or lack of acute target organ damage. In this review, we discuss cardiovascular hypertensive emergencies, including acute coronary syndrome, aortic dissection, congestive heart failure, and sympathomimetic hypertensive crises, including those caused by cocaine use. Read More

    Acute hypertension: a systematic review and appraisal of guidelines.
    Ochsner J 2014 ;14(4):655-63
    Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, LA ; Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.
    Background: Few clinical practice guidelines provide management recommendations for acute hypertensive episodes except in the context of specific conditions such as pregnancy and stroke.

    Methods: We performed a systematic search to identify guidelines addressing acute hypertension and appraised the guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE II) validated quality assessment tool. Two reviewers independently appraised and one extracted key recommendations. Read More

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