1,034 results match your criteria Hypertensive Emergencies


Serum Ang and CysC Levels in Essential Hypertension Complicated by Hypertensive Emergencies.

J Coll Physicians Surg Pak 2020 May;30(5):467-470

Department of Emergency, Hangzhou Hospital of Zhejiang Medical and Health Group, China.

Objective: To explore the value of serum angiotensin Ⅱ (Ang II) and cystatin C (CysC) levels in predicting hypertension emergency in patients with essential hypertension.

Study Design: Experimental study.

Place And Duration Of Study:  Hangzhou Hospital of Zhejiang Medical and Health Group, from January 2018 to February 2020. Read More

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http://dx.doi.org/10.29271/jcpsp.2020.05.467DOI Listing

Hypertensive emergencies and urgencies in emergency departments: a systematic review and meta-analysis.

J Hypertens 2020 Jul;38(7):1203-1210

Hypertension Unit, Division of Internal Medicine, Department of Medical Sciences, AO 'Città della Salute e della Scienza' University Hospital, Turin.

Objectives: The prevalence of hypertensive emergencies and urgencies and of acute hypertension-mediated organ damage (aHMOD) in emergency departments is unknown. Moreover, the predictive value of symptoms, blood pressure (BP) levels and cardiovascular risk factors to suspect the presence of aHMOD is still unclear. The aim of this study was to investigate the prevalence of hypertensive emergencies and hypertensive urgencies in emergency departments and of the relative frequency of subtypes of aHMOD, as well as to assess the clinical variables associated with aHMOD. Read More

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http://dx.doi.org/10.1097/HJH.0000000000002372DOI Listing

Hypertension Management in Emergency Departments.

Am J Hypertens 2020 Apr 20. Epub 2020 Apr 20.

Wayne State University, Detroit, MI, USA.

Elevated blood pressure is pervasive among patients that visit emergency departments for their care. In this review article, we outline the current approach to the management of these individuals and highlight the crucial role emergency medicine clinicians play in reducing the morbidity associated with elevated blood pressure. We highlight the critical importance of immediate treatment when elevated blood pressure contributes to new or worsening end-organ injury but emphasize that such hypertensive emergencies are rare. Read More

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http://dx.doi.org/10.1093/ajh/hpaa068DOI Listing

A Comparison of the Characteristics of Maternal Near-Misses and Maternal Deaths in Enugu, Southeast Nigeria: A 3-Year Prospective Study.

Int J Womens Health 2020 26;12:207-211. Epub 2020 Mar 26.

Department of Obstetrics and Gynaecology, College of Medicine, University of Nigeria, Nsukka, Nigeria.

Background: Maternal near-misses, also known as severe acute maternal morbidity, have become globally recognized as an appropriate indicator of obstetric care. Women experiencing maternal near-misses are more in number than maternal deaths, and can provide more specific and detailed evidence, as the patient herself can be a leading source of useful information.

Objective: To determine the frequency of maternal near-misses and maternal deaths in the University of Nigeria Teaching Hospital in Ituku-Ozalla, Enugu, document the primary determinant factor that caused these, and compare cases of maternal near-miss and maternal deaths. Read More

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http://dx.doi.org/10.2147/IJWH.S237221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105884PMC

Renal artery stenosis presenting as preeclampsia.

Clin Hypertens 2020 1;26. Epub 2020 Apr 1.

1Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, USA.

Background: Renal artery stenosis is a notorious cause of secondary hypertension which classically presents as chronic refractory hypertension, recurrent flash pulmonary edema or renal insufficiency after initiation of an angiotensin converting enzyme inhibitor. Rarely, there have been reported cases of pregnant patients presenting with new onset or superimposed preeclampsia secondary to renovascular hypertension. In this subset of patients, renovascular hypertension carries significantly higher risks including obstetric, fetal and medical emergencies and death. Read More

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http://dx.doi.org/10.1186/s40885-020-00140-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7110679PMC

Hypertension Urgencies and Emergencies: The GEAR Project.

High Blood Press Cardiovasc Prev 2020 Apr 21;27(2):129-132. Epub 2020 Mar 21.

Dipartimento di Scienze Cliniche e Sperimentali, Università di Brescia &Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, Brescia, Italy.

Acute elevations in blood pressure (BP), usually defined as ≥ 180/110 mmHg, may present with highly heterogeneous profiles ranging from absence of symptoms to life-threatening target organ damage. In most recent years the diagnostic approach and the treatment of hypertension have gained interest by patients and physicians. The GEAR project (Gestione delle Emergenze e urgenze in ARea critica, management of hypertensive emergencies and hypertensive urgencies in the emergency setting) was proposed by the group of Young Investigators of the Italian Society of Hypertension as a survey aimed to evaluate the awareness, diagnosis and treatment of hypertensive emergencies and urgencies in Italy. Read More

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http://dx.doi.org/10.1007/s40292-020-00372-3DOI Listing

Predictors of clinically relevant differences between noninvasive versus arterial blood pressure.

Am J Emerg Med 2020 Feb 24. Epub 2020 Feb 24.

Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States of America; Program In Trauma, The R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, United States of America. Electronic address:

Objective: Blood pressure (BP) measurements are important for managing patients with hypertensive emergencies (HE). Previous studies showed that there was significant difference between IABP and NIBP but no information whether these differences changed management. Our study investigated the factors associated with the differences affecting BP management of patients with HE. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.02.044DOI Listing
February 2020

Management of Common Cardiovascular Emergencies in Critically Ill Patients.

Heart Fail Clin 2020 Apr;16(2):153-166

Department of Internal Medicine, Texas Health Presbyterian Hospital of Dallas, 8200 Walnut Hill Lane, Dallas, TX, 75231, USA; Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, University of Texas Southwestern Medical Center, 7232 Greenville Avenue, Dallas, TX 75231, USA. Electronic address:

This article reviews treatment and management of common cardiovascular emergencies in critically ill patients, focusing on acute decompensated heart failure, cardiogenic shock, pulmonary embolism, and hypertensive crisis management with inotropes, vasopressors, diuretics, and antiarrhythmic drugs. Clinicians frequently come across challenging clinical scenarios, and there is a gap between evidence-based medicine and clinical practice. Inotropic and vasopressor agents are useful in the acute setting but must be weaned off or used as a bridge for mechanical circulation support devices. Read More

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http://dx.doi.org/10.1016/j.hfc.2019.11.001DOI Listing

Recurrent Catecholamine-Induced Cardiomyopathy and Hypertensive Emergencies: A presentation of Pheochromocytoma and Related Concerns.

S D Med 2020 Feb;73(2):78-80

University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

Catecholamine-induced cardiomyopathy (CIC) and pheochromocytoma are both rare entities, and their exact incidence and prevalence are unknown. Pheochromocytoma has been implicated as one of the causes of CIC or Takotsubo syndrome (TTS) by means of case reports and retrospective reviews. However, the evaluation of any patient with TTS and pheochromocytoma is often faced with multiple challenges due to its rarity and atypical presentations, which subsequently leads to delay in diagnosis. Read More

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February 2020

Identification of factors associated with delayed treatment of obstetric hypertensive emergencies.

Am J Obstet Gynecol 2020 Feb 15. Epub 2020 Feb 15.

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, NYU Winthrop Hospital, and NYU Long Island School of Medicine, Mineola, NY.

Background: Obstetric hypertensive emergency is defined as having systolic blood pressure ≥160 mm Hg or diastolic blood pressure ≥110 mm Hg, confirmed 15 minutes apart. The American College of Obstetricians and Gynecologists recommends that acute-onset, severe hypertension be treated with first line-therapy (intravenous labetalol, intravenous hydralazine or oral nifedipine) within 60 minutes to reduce risk of maternal morbidity and death.

Objective: Our objective was to identify barriers that lead to delayed treatment of obstetric hypertensive emergency. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.02.009DOI Listing
February 2020

Hypertensive emergencies and urgencies: a single-centre experience in Northern Italy 2008-2015.

J Hypertens 2020 Mar;38(3):557

Department of Psychiatry, Olive-View-University of California, Los Angeles (UCLA) Medical Center, Sylmar, California, USA.

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http://dx.doi.org/10.1097/HJH.0000000000002308DOI Listing

Anesthesia for Obstetric Disasters.

Anesthesiol Clin 2020 Mar;38(1):85-105

Department of Anesthesiology, Yale School of Medicine, 333 Cedar Street, PO Box 208051, New Haven, CT 06520-8051, USA.

Over the past 30 years, maternal mortality has increased in the United States to 18 deaths per 100,000 live births. Obstetric emergencies, including hemorrhage, hypertensive disorders in pregnancy, HELLP syndrome, and amniotic fluid embolism, and anesthesia complications, including high neuraxial blockade, local anesthetic systemic toxicity, and the difficult obstetric airway, contribute to maternal cardiac arrest and maternal and fetal morbidity and mortality. Expeditious intervention by the obstetric anesthesiologist is critical in these emergent scenarios, and knowledge of best practices is essential to improve maternal and fetal outcomes. Read More

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http://dx.doi.org/10.1016/j.anclin.2019.10.005DOI Listing

Maternal mycotoxin exposure and adverse pregnancy outcomes: a systematic review.

Mycotoxin Res 2020 May 27;36(2):243-255. Epub 2020 Jan 27.

Unit of Epidemiology and Biostatistics, Heidelberg Institute of Global Health, Heidelberg University, Im Neuenheimer Feld 324, 69120, Heidelberg, Germany.

Mycotoxin exposure from food occurs globally but is more common in hot humid environments, especially in low-income settings, and might affect pregnancy outcomes. This study aimed to synthesize the evidence from epidemiological studies on the relationship between maternal or fetal exposure to different mycotoxins and the occurrence of adverse pregnancy outcomes. Multiple databases were systematically searched up to December 2018 to identify studies that assessed the association between mycotoxin exposure in pregnant women or fetuses and at least one pregnancy outcome. Read More

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http://dx.doi.org/10.1007/s12550-019-00384-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182542PMC

The way to move beyond the numbers: the lesson learnt from the Italian Obstetric Surveillance System.

Ann Ist Super Sanita 2019 Oct-Dec;55(4):363-370

Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.

Objective: To describe the Italian Obstetric Surveillance System (ItOSS) investigating maternal death through incident case reporting and confidential enquiries.

Methods: All maternal deaths occurred in any public and private health facility in 8 Italian regions covering 73% of national births have been notified to the ItOSS. Every incident case is confidentially reviewed to assess quality of care and establish the cause and avoidability of the death. Read More

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http://dx.doi.org/10.4415/ANN_19_04_10DOI Listing

Peripartum management of hypertension. A position paper of the ESC Council on Hypertension and the European Society of Hypertension.

Eur Heart J Cardiovasc Pharmacother 2019 Dec 16. Epub 2019 Dec 16.

Hypertension Research Center & Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy.

Hypertensive disorders are the most common medical complications in the peripartum period associated with a substantial increase in morbidity and mortality. Hypertension in the peripartum period may be due to the continuation of pre-existing or gestational hypertension, de novo development of pre-eclampsia or it may be also induced by some drugs used for analgesia or suppression of postpartum haemorrhage. Women with severe hypertension and hypertensive emergencies are at high risk of life threatening complications, therefore, despite the lack of evidence-based data, based on expert opinion, antihypertensive treatment is recommended. Read More

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http://dx.doi.org/10.1093/ehjcvp/pvz082DOI Listing
December 2019

[Perinatal Emergencies in Emergency Medical Aid - Obstetric Emergencies Series, Part 4].

Z Geburtshilfe Neonatol 2019 Dec 4;223(6):337-349. Epub 2019 Dec 4.

Institut für Rettungs-und Notfallmedizin, Universitätsklinikum Schleswig-Holstein.

As far as prehospital but in part also clinical obstetrics is concerned, the acute nature of perinatal emergencies is overshadowed by limited diagnostic and therapeutic options. The need for acute and targeted intervention may result from both maternal and fetal indications. As common in emergency services for pregnant women, prehospital primary assessment and logistics management (e. Read More

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http://dx.doi.org/10.1055/a-1021-1873DOI Listing
December 2019

Cerebral Insufficiency Caused by Diazoxide in a Premature Neonate with Congenital Hyperinsulinism.

Neuropediatrics 2020 Jun 27;51(3):211-214. Epub 2019 Nov 27.

Department of Pediatrics, Saiseikai Shimonoseki General Hospital, Shimonoseki, Yamaguchi, Japan.

Diazoxide is a peripheral vasodilator that has been used for intravenous treatment of hypertensive emergencies. However, it is currently used mainly for hyperinsulinemic hypoglycemia in lower dose orally, and its major side effects are edema and pulmonary hypertension. Herein, we report the first association between periventricular leukomalacia (PVL) and intractable hypotension due to diazoxide. Read More

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http://dx.doi.org/10.1055/s-0039-3400975DOI Listing

Care of the hypertensive urgencies and emergencies in the emergency departement.

Tunis Med 2019 Mar;97(3):468-475

Introduction: Hypertension is a major public health concern leading to multiple acute complications. The purpose of our work was to present the distribution of high blood pressure (BP) measurements in an emergency department, and their significance.

Methods: Our study was prospective, observational and descriptive over a period of one month conducted in the general emergency department. Read More

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Hypertensive urgencies and emergencies: Misconceptions and pitfalls.

Eur J Intern Med 2020 Jan 6;71:15-17. Epub 2019 Nov 6.

Fondazione Umbra Cuore e Ipertensione-ONLUS and Division of Cardiology, Hospital S. Maria della Misericordia, Perugia Italy.

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http://dx.doi.org/10.1016/j.ejim.2019.10.031DOI Listing
January 2020

Diagnosis and treatment of hypertensive emergencies and urgencies among Italian emergency and intensive care departments. Results from an Italian survey: Progetto GEAR (Gestione dell'Emergenza e urgenza in ARea critica).

Eur J Intern Med 2020 Jan 2;71:50-56. Epub 2019 Nov 2.

Internal Medicine, University of Brescia-ASST Spedali Civili di Brescia, Italy.

Hypertensive emergencies (HE) and urgencies (HU) are frequent causes of patients referral to Emergency Department (ED) and the approach may be different according to local clinical practice. Our aim was to explore awareness, management, treatment and counselling after discharge of HE and HU in Italy, by mean of an on-line survey. The young investigator research group of the Italian Society of Hypertension developed a 23-item questionnaire spread by e-mail invitation to the members of Italian Scientific societies in the field of Hypertension. Read More

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http://dx.doi.org/10.1016/j.ejim.2019.10.004DOI Listing
January 2020

Blood pressure and the brain: the neurology of hypertension.

Pract Neurol 2020 Apr 26;20(2):100-108. Epub 2019 Sep 26.

Centre for the Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, Oxfordshire, UK.

Hypertension affects more than one in four adults. The brain is an early target of hypertension-induced organ damage, and may manifest as stroke, subclinical cerebrovascular abnormalities and dementia. Hypertension-related small vessel disease can cause vascular dementia and can potentiate Alzheimer's pathology, lowering the threshold at which signs and symptoms manifest. Read More

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http://dx.doi.org/10.1136/practneurol-2019-002269DOI Listing
April 2020
3 Reads

Blood pressure variability in the management of hypertensive emergency: A narrative review.

J Clin Hypertens (Greenwich) 2019 11 25;21(11):1684-1692. Epub 2019 Sep 25.

University of Illinois Medical Center, University of Illinois-Chicago College of Pharmacy, Chicago, Illinois.

Hypertensive emergencies (HTNe) primarily focus on decreasing the blood pressure to specific targets. However, there are emerging data surrounding the potential clinical effects of blood pressure variability (BPV) in patients with HTNe. This narrative review highlights the various definitions of BPV, the emerging role of BPV, and the clinical data surrounding BPV in the HTNe setting. Read More

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http://dx.doi.org/10.1111/jch.13694DOI Listing
November 2019
4 Reads

Hypertensive crisis: clinical characteristics of patients with hypertensive urgency, emergency and pseudocrisis at a public emergency department.

Einstein (Sao Paulo) 2019 Aug 29;17(4):eAO4685. Epub 2019 Aug 29.

Instituto Nacional de Câncer, Rio de Janeiro, RJ, Brazil.

Objective: To assess patients with hypertensive crisis, classified as urgency, emergency or pseudocrisis, and identify the associated variables.

Methods: We evaluated a total of 508 patients (57% women; 56.3±13. Read More

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http://dx.doi.org/10.31744/einstein_journal/2019AO4685DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6711750PMC

[Severe high blood pressure recently diagnosed in an urban milieu from Subsahelian Africa: Epidemiologic, clinical, therapeutic and evolutionary aspects].

Ann Cardiol Angeiol (Paris) 2019 Oct 27;68(4):241-248. Epub 2019 Aug 27.

Centre hospitalier et universitaire de Yaoundé, Cameroun; Faculté de médecine et de sciences biomédicales, université de Yaoundé I, Cameroun. Electronic address:

Objectives: High Blood Pressure (HBP) is a worldwide public health problem. It can be particularly severe in the Black race. Recent studies in Cameroon, showed an alarming prevalence, leading us to want to study the epidemiological, clinical, therapeutic and evaluative aspects of severe, (BP op to 180/110mmHg), recently diagnosed HBP in Yaounde. Read More

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http://dx.doi.org/10.1016/j.ancard.2019.07.014DOI Listing
October 2019
3 Reads

Spectrum, Pattern, and Clinical Outcomes of Adult Emergency Department Admissions in Selected Hospitals of Western Ethiopia: A Hospital-Based Prospective Study.

Emerg Med Int 2019 6;2019:8374017. Epub 2019 Aug 6.

Wollega University, Institute of Health Science, School of Nursing and Midwifery, Department of Psychiatry Nursing, Nekemte, Ethiopia.

Background: There has been a steady rise in the absolute number of emergency room admissions over the last few decades. The healthcare delivery system of a country is required to be adjusted to patterns of morbidity and mortality to mitigate the minimized prolonged ill health consequences and premature death of adults. The spectrum, patterns, morbidity, and mortality of health and health-related emergency conditions for which patients visit hospitals often reflect the magnitude of different health problems in a society. Read More

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http://dx.doi.org/10.1155/2019/8374017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701330PMC
August 2019
11 Reads

Hypertensive crises in sub-Saharan Africa: Clinical profile and short-term outcome in the medical emergencies department of a national referral hospital in Burkina Faso.

Ann Cardiol Angeiol (Paris) 2019 Oct 26;68(4):269-274. Epub 2019 Aug 26.

Department of Cardiology, Teaching Hospital of Yalgado Ouedraogo, PO Box 7022, Ouagadougou 03, Burkina Faso; Training and Research Unit of Health Sciences, University Ouaga I - Professor Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.

Background: Data on hypertensive crises (HC) are limited in sub-Saharan Africa (SSA). We aimed to characterize the pattern and short-term mortality of hypertensive emergencies (HE) and urgencies (HU).

Methods: This was a prospective cohort study. Read More

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http://dx.doi.org/10.1016/j.ancard.2019.07.007DOI Listing
October 2019
4 Reads

Hypertensive emergencies and urgencies: a single-centre experience in Northern Italy 2008-2015.

J Hypertens 2020 Jan;38(1):52-58

Department of Clinical & Experimental Sciences and Postgraduate School of Emergency & Urgency Medicine, University of Brescia - 2a Medicina-ASST Spedali Civili Brescia, Brescia, Italy.

Background: An increasing attention is given to emergency departments (EDs) admissions for an acute and severe rise in blood pressure (BP). Data on epidemiology and treatment of hypertensive emergencies and urgencies admitted to ED are still limited. The aim of our study was to evaluate the prevalence, clinical presentation and treatment of patients admitted for hypertensive emergencies or hypertensive urgencies. Read More

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http://dx.doi.org/10.1097/HJH.0000000000002213DOI Listing
January 2020
4 Reads
4.720 Impact Factor

Biodegradable Therapeutic Microneedle Patch for Rapid Antihypertensive Treatment.

ACS Appl Mater Interfaces 2019 Aug 19;11(34):30575-30584. Epub 2019 Aug 19.

Department of Hypertension and Vascular Disease , The First Affiliated Hospital, Sun Yat-sen University , 510080 Guangzhou , China.

A hypertensive emergency causes severe cardiovascular diseases accompanied by acute target organ damage, requiring rapid and smooth blood pressure (BP) reduction. Current medicines for treating hypertensive emergencies, such as sodium nitroprusside (SNP), require careful dose control to avoid side effects (e.g. Read More

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http://dx.doi.org/10.1021/acsami.9b09697DOI Listing
August 2019
3 Reads
6.723 Impact Factor

Status epilepticus in black African patients with hypertensive encephalopathy: a rare entity that must not be underrated.

Med Sante Trop 2019 May;29(2):170-174

Département d'anesthésie-réanimation CHU « Point G », Bamako, Mali.

The severity of a blood pressure spike is more closely associated with serious organ dysfunction, which can be life-threatening in the short term, than with the blood pressure level itself. A hypertensive emergency is defined as the presence of high blood pressure associated with acute organ dysfunction. The specific nature of high blood pressure in black patients may cause more frequent hypertensive emergencies. Read More

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http://dx.doi.org/10.1684/mst.2019.0893DOI Listing
May 2019
4 Reads

Hypertension and Stroke: Update on Treatment.

Eur Cardiol 2019 Jul 11;14(2):111-115. Epub 2019 Jul 11.

Neurology and Neurosurgery Department, Federal University of São Paulo Brazil.

Stroke is the second most common cause of mortality worldwide and the third most common cause of disability. Hypertension is the most prevalent risk factor for stroke. Stroke causes and haemodynamic consequences are heterogeneous which makes the management of blood pressure in stroke patients complex requiring an accurate diagnosis and precise definition of therapeutic goals. Read More

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http://dx.doi.org/10.15420/ecr.2019.11.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6659031PMC
July 2019
4 Reads

Sociodemographic Determinants of Caesarean Delivery in the Largest Public Maternity Hospital in Angola.

Acta Med Port 2019 Jun;32(6):434-440

Institute of Public Health. University of Porto. Porto. Department of Clinical Epidemiology, Predictive Medicine and Public Health. Medical School. University of Porto. Porto. Portugal.

Introduction: This study aimed to describe demographic, socioeconomic and pregnancy-related characteristics associated with a caesarean delivery in Luanda.

Material And Methods: We conducted a cross-sectional study which included 995 puerperal women and who were assessed between December 2012 and February 2013 at Lucrécia Paím maternity hospital in Luanda, Angola. Data was collected using a structured questionnaire administered by trained interviewers. Read More

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http://dx.doi.org/10.20344/amp.10409DOI Listing
June 2019
4 Reads

Hypertensive Emergencies: A Review of Common Presentations and Treatment Options.

Cardiol Clin 2019 Aug 14;37(3):275-286. Epub 2019 May 14.

University of Cincinnati Medical Center, Medical Sciences Building, Room 6102, 231 Albert Sabin Way, Cincinnati, OH 45267, USA.

Approximately 33% of adults in the United States have high blood pressure; approximately 1% will present with a hypertensive emergency. Hypertension emergency is typically defined as a blood pressure great than 180/120 mmHg leading to end organ damage. However, it is important to note that an acute rise in blood pressure may also lead to end organ damage before achieving the blood pressure threshold. Read More

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http://dx.doi.org/10.1016/j.ccl.2019.04.003DOI Listing
August 2019
8 Reads

Hemorrhagic stroke and renovascular hypertension with Grange syndrome arising from a novel pathogenic variant in YY1AP1.

J Hum Genet 2019 Sep 4;64(9):885-890. Epub 2019 Jul 4.

Department of Human Genetics, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.

Pediatric hypertension can cause hypertensive emergencies, including hemorrhagic stroke, contributing to rare but serious childhood morbidity and mortality. Renovascular hypertension (RVH) is one of the major causes of secondary hypertension in children. Grange syndrome (MIM#602531) is a rare disease characterized by multiple stenosis or occlusion of the renal, abdominal, coronary, and cerebral arteries, which can cause phenotypes of RVH and fibromuscular dysplasia (MIM#135580). Read More

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http://dx.doi.org/10.1038/s10038-019-0626-0DOI Listing
September 2019
7 Reads

Risk factors for hypertensive crisis in adult patients: a systematic review protocol.

JBI Database System Rev Implement Rep 2019 11;17(11):2343-2349

Rutgers University School of Nursing, Newark, USA.

Objective: The objective of this review is to conduct comprehensive appraisal and synthesis of evidence on risk factors for hypertensive crisis and, specifically, hypertensive emergencies among adult patients with hypertension.

Introduction: Hypertensive crisis is the most extreme form of poorly controlled hypertension that may lead to acute target organ damage (hypertensive emergency). Hypertensive crisis is associated with increased mortality, high utilization of health care and escalated healthcare costs. Read More

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http://dx.doi.org/10.11124/JBISRIR-2017-003996DOI Listing
November 2019
12 Reads

[Should all hypertensive emergencies be treated in the same way?]

Hipertens Riesgo Vasc 2019 Jul - Sep;36(3):119-121

Servicio de Nefrología. Hospital 12 de Octubre, Madrid, España.

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http://dx.doi.org/10.1016/j.hipert.2019.05.004DOI Listing
January 2020
8 Reads

Prevalence, patterns and factors associated with hypertensive crises in Mulago hospital emergency department; a cross-sectional study.

Afr Health Sci 2019 Mar;19(1):1757-1767

Department of Medicine, College of Health Sciences Makerere University, P. O. Box 7072 Kampala, Uganda.

Background: Hypertension is increasing in sub-Saharan Africa (SSA) and it's the single most important modifiable stroke risk factor, yet it's control is not routinely emphasized.The prevalence, pattern and factors associated with hypertensive urgencies and emergencies in Uganda is not well established. A cross-sectional study, was conducted between November 2015 and February 2016, using a complete clinical examination and pre-tested standardized questionnaire subjects were enrolled. Read More

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http://dx.doi.org/10.4314/ahs.v19i1.52DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6531930PMC
March 2019
18 Reads

Barriers to and facilitators of the development and utilization of context appropriate evidence based clinical algorithms to optimize clinical care and patient outcomes in the Tikur Anbessa emergency department: a multi-component qualitative study.

BMC Health Serv Res 2019 Mar 20;19(1):181. Epub 2019 Mar 20.

Department of Emergency Medicine and Critical Care, Addis Ababa University School of Medicine, Addis Ababa, Ethiopia.

Background: Evidence-based clinical algorithms (EBCA) are knowledge tools to promote evidence use by codifying evidence into action plans to facilitate appropriate care. However, their impact on process and outcomes of care varies considerably across practice settings and providers, highlighting the need for tailoring of both these knowledge tools and their implementation strategies to target end users and the setting in which EBCAs are to be employed. Leadership at the Tikur Anbessa Specialized Hospital emergency department (TASH-ED) in Addis Ababa, Ethiopia identified a need for context-appropriate EBCAs to improve evidence uptake to mitigate care gaps in this high volume, high acuity setting. Read More

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http://dx.doi.org/10.1186/s12913-019-4008-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425575PMC
March 2019
13 Reads

Acute blood pressure elevation associated with biological therapies for cancer: a focus on VEGF signaling pathway inhibitors.

Expert Opin Biol Ther 2019 05 8;19(5):433-442. Epub 2019 Apr 8.

a Department of Medicine , University of Perugia , Perugia , Italy.

Introduction: Treatment with biological agents interfering with mechanisms of angiogenesis, such as vascular endothelial growth factor (VEGF) signaling pathway (VSP) inhibitors, was associated with an enhanced risk of acute and severe blood pressure (BP) increase and development of hypertensive emergencies. Areas covered: The present article will review the scientific literature reporting hypertensive emergencies as a complication of biological treatment with VSP inhibitors. Hypertensive emergency is a life-threatening condition characterized by very high BP values (>180/110 mmHg) associated with acute organ damage. Read More

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http://dx.doi.org/10.1080/14712598.2019.1594770DOI Listing
May 2019
9 Reads

Stroke recurrence in pregnancy: Experience at a regional referral center.

Eur J Obstet Gynecol Reprod Biol 2019 May 12;236:75-78. Epub 2019 Mar 12.

Department of Neurological Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, United States.

Background: Although stroke is more common with advancing age, especially in the elderly, women of reproductive age may still suffer from stroke, and from its deleterious consequences. Women of reproductive age who suffer a stroke may do so either due to a specific predisposition, or due to pregnancy-related hypertensive emergencies.

Objective: To assess the risk of stroke recurrence in pregnancy and the postpartum period in women who have suffered a stroke before pregnancy. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.03.005DOI Listing
May 2019
11 Reads
1.627 Impact Factor

Preparedness and attitudes towards medical emergencies in the dental office among Polish dentists.

Int Dent J 2019 Aug 7;69(4):321-328. Epub 2019 Mar 7.

Lazarski University, Warsaw, Poland.

Background: Medical emergencies in dental offices are considered a problem in most countries owing to dentists' concerns about emergency preparedness, practical skills, lifesaving equipment and staff availability. The prevalence of medical emergencies in dental offices and dentists' preparedness have been analysed in several countries but have never been studied in Poland.

Aim: To assess the prevalence of medical emergencies in dental offices in Poland, as well as dentists' preparedness and attitudes towards medical emergencies. Read More

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http://dx.doi.org/10.1111/idj.12473DOI Listing
August 2019
9 Reads

[Hypertensive crisis].

Authors:
Walter Zidek

MMW Fortschr Med 2019 03;161(4):41-42

Med. Klinik IV, Charité Universitätsmedizin Berlin, Hindenburgdamm 30, D-12203, Berlin, Deutschland.

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https://www.springermedizin.de/doi/10.1007/s15006-019-0225-1
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http://dx.doi.org/10.1007/s15006-019-0225-1DOI Listing
March 2019
1 Read

Points & Pearls: Pediatric hypertension and hypertensive emergencies: recognition and management in the emergency department

Pediatr Emerg Med Pract 2019 03 1;16(3):e1-e2. Epub 2019 Mar 1.

Pediatric Emergency Medicine Ultrasound Fellow, Department of Emergency Medicine, Stanford University School of Medicine, Lucile Packard Children’s Hospital, Palo Alto, CA

Pediatric hypertension is increasing in incidence, but remains greatly underrecognized, despite its severe long-term health consequences. Often discovered as incidental to another complaint, pediatric patients with hypertension may be asymptomatic but with markedly abnormal blood pressure, or they may have a true hypertensive emergency. This issue provides strategies to ensure that the child with asymptomatic hypertension receives appropriate screening and referrals, and outlines a systematic approach for the evaluation and treatment of the critically ill child who presents with symptoms of severe hypertension. Read More

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March 2019
14 Reads

PERINATAL CARE IN A NORTHEASTERN BRAZILIAN STATE: STRUCTURE, WORK PROCESSES, AND EVALUATION OF THE COMPONENTS OF ESSENTIAL NEWBORN CARE.

Rev Paul Pediatr 2019 Apr-Jun;37(2):140-148. Epub 2019 Feb 25.

Universidade Federal de Sergipe, Aracaju, SE, Brazil.

Objective: To describe the structure and the processes of care for pregnant women/newborn infants, including the Essential Newborn Care (ENC), in maternity hospitals in Sergipe State, Brazil.

Methods: A cross-sectional study carried out between June 2015 and April 2016 in all maternity hospitals of Sergipe with more than 500 deliveries/year (n=11). A questionnaire on the existing structure and work processes was administered to the managers. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1984-0462/;2019;37;2;00003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6651313PMC
January 2020
18 Reads

Pediatric hypertension and hypertensive emergencies: recognition and management in the emergency department.

Authors:
Emily MacNeill

Pediatr Emerg Med Pract 2019 03 1;16(3):1-16. Epub 2019 Mar 1.

Associate Professor of Emergency Medicine, Carolinas Medical Center, Atrium Health, Charlotte, NC.

Pediatric hypertension is increasing in incidence, but remains greatly underrecognized, despite its severe long-term health consequences. Often discovered as incidental to another complaint, pediatric patients with hypertension may be asymptomatic but with markedly abnormal blood pressure, or they may have a true hypertensive emergency. This issue provides strategies to ensure that the child with asymptomatic hypertension receives appropriate screening and referrals, and outlines a systematic approach for the evaluation and treatment of the critically ill child who presents with symptoms of severe hypertension. Read More

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March 2019
9 Reads

The association between mean platelet volume and inflammation in geriatric patients with emergency hypertension.

Turk J Emerg Med 2019 Jan 28;19(1):16-20. Epub 2018 Mar 28.

Health Sciences University, Gazi Yasargil Research and Training Hospital, Emergency Department, Diyarbakir, Turkey.

Objectives: We aimed to investigate the role of inflammation parameters and platelet activation in geriatric patients with hypertension. Therefore, we compared the levels of those parameters in patients with hypertensive urgency and emergency. We also investigated the potential relationship between those parameters. Read More

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http://dx.doi.org/10.1016/j.tjem.2018.03.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370900PMC
January 2019
11 Reads

Risk of emergent carotid endarterectomy varies by type of presenting symptoms.

J Vasc Surg 2019 Jul 15;70(1):130-137.e1. Epub 2019 Feb 15.

Johns Hopkins Bayview Vascular and Endovascular Research Center, Baltimore, Md. Electronic address:

Background: The timing of carotid revascularization in symptomatic patients is a matter of ongoing debate. Current evidence indicates that carotid endarterectomy (CEA) within 2 weeks of symptoms is superior to delayed treatment. However, there is little evidence on the outcomes of emergent CEA (eCEA). Read More

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http://dx.doi.org/10.1016/j.jvs.2018.10.064DOI Listing
July 2019
2 Reads
3.021 Impact Factor

[Comments on the guidelines (2018) of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH) on the management of arterial hypertension].

Internist (Berl) 2019 Apr;60(4):424-430

Institut für Klinische Pharmakologie und Toxikologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, und Berlin Institute of Health, Charitéplatz 1, Berlin, 10117, Deutschland.

Arterial hypertension represents one of the most frequent chronic diseases that can lead to complications, such as stroke, dementia, heart attack, heart failure and renal failure. By 2025 the number of hypertensive patients will increase to approximately 1.6 billion people worldwide. Read More

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http://dx.doi.org/10.1007/s00108-019-0576-9DOI Listing
April 2019
11 Reads

Acute and Chronic Hypertension: What Clinicians Need to Know for Diagnosis and Management.

Crit Care Nurs Clin North Am 2019 Mar;31(1):97-108

PCFNP Concentration, LSU Health New Orleans School of Nursing, 1900 Gravier Street, New Orleans, LA 70112, USA.

Hypertension is the most common primary diagnosis in the United States. Multiple sequelae of disease states are attributable to hypertension. Minimal to modest improvements in blood pressure can result in improved cardiovascular-related health outcomes. Read More

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http://dx.doi.org/10.1016/j.cnc.2018.11.008DOI Listing
March 2019
26 Reads