ESC Council on hypertension position document on the management of hypertensive emergencies

Bert-Jan H van den Born, Gregory Y H Lip, Jana Brguljan-Hitij, Antoine Cremer, Julian Segura, Enrique Morales, Felix Mahfoud, Fouad Amraoui, Alexandre Persu, Thomas Kahan, Enrico Agabiti Rosei, Giovanni de Simone, Philippe Gosse, Bryan Williams

Research output: Contribution to journalJournal articleResearchpeer-review

149 Citations (Scopus)

Abstract

Hypertensive emergencies are those situations where very high blood pressure (BP) values are associated with acute organ damage, and therefore, require immediate, but careful, BP reduction. The type of acute organ damage is the principal determinant of: (i) the drug of choice, (ii) the target BP, and (iii) the timeframe in which BP should be lowered. Key target organs are the heart, retina, brain, kidneys, and large arteries. Patients who lack acute hypertension-mediated end organ damage do not have a hypertensive emergency and can usually be treated with oral BP-lowering agents and usually discharged after a brief period of observation.

Original languageEnglish
JournalEuropean heart journal. Cardiovascular pharmacotherapy
Volume5
Issue number1
Pages (from-to)37-46
Number of pages10
ISSN2055-6837
DOIs
Publication statusPublished - Jan 2019

Keywords

  • Hypertensive crisis
  • Hypertensive emergency
  • Hypertensive encephalopathy
  • Hypertensive urgency
  • Malignant hypertension
  • Antihypertensive Agents/administration & dosage
  • Humans
  • Risk Factors
  • Emergencies
  • Hypertension/complications
  • Treatment Outcome
  • Consensus
  • Disease Progression
  • Blood Pressure/drug effects

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