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By ULY CLINIC
Hypertensive urgency
Introduction
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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