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By ULY CLINIC

Hypertensive urgency

Introduction

Hypertensive urgency
Hypertensive urgency
Hypertensive urgency

Symptomatic severe hypertension SBP 180mmHg and/or DBP >110 mmHg with evidence of Target Organ Damage or grade III/IV Retinopathy with no immediate life–threatening neurological or cardiac complication such seen in emergencies

Note: All patients with hypertensive urgency should be treated in hospital

Sign and Symptoms

Diagnostic Criteria

Investigation

Treatment

  • Pharmacological

    The goal is to lower DBP to 100mmHg slowly over 48–72 hours. This can be achieved with two or more oral agents preferably

    • Long acting calcium channel blocker
    AND
    • ACE inhibitor (use in low dosage initially)
    OR
    • Beta -blocker if not contraindicated with compelling indication
    AND/OR
    • Diuretic – Thiazide or Loop diuretics (i.e. furosemide)- beneficial in renal insufficient pulmonary oedema and potentiate above other classes
  • Non-Pharmacological

Prevention

Updated on,

5 Novemba 2020 10:27:04

References

    1. STG
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