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The term hypertensive emergency is primarily used as a specific term for a hypertensive crisis with a diastolic blood pressure greater than or equal to 120 mmHg or systolic blood pressure greater than or equal to 180 mmHg. [10] Hypertensive emergency differs from hypertensive urgency in that, in the former, there is evidence of acute organ ...
Hypertensive crisis; Other names: Malignant hypertension, accelerated hypertension: A systolic hypertensive crisis as measured on a home automated arm blood pressure monitor, showing an extremely elevated systolic blood pressure of 227, a mildly elevated diastolic blood pressure of 93 and a very fast tachycardic heart rate of 162 beats per minute.
Hypertensive heart disease includes a number of complications of high blood pressure that affect the heart.While there are several definitions of hypertensive heart disease in the medical literature, [1] [2] [3] the term is most widely used in the context of the International Classification of Diseases (ICD) coding categories.
Hypertensive encephalopathy is most commonly encountered in young and middle-aged people who have hypertension. [ 7 ] [ 8 ] [ 9 ] Overall, the condition is rare even among people with hypertension. Studies report that from 0.5 to 15% of people with malignant hypertension develop hypertensive encephalopathy.
In a hypertensive emergency, there is evidence of direct damage to one or more organs. [30] [31] The most affected organs include the brain, kidney, heart, and lungs, producing symptoms that may include confusion, drowsiness, chest pain, and breathlessness. [29] In a hypertensive emergency, the blood pressure must be reduced more rapidly to ...
For patients with long-standing hypertension, patient education on the importance of consistently taking prescribed medications and keeping blood pressure well-controlled is critical. [2] Additionally, future treatments may focus not only on blood pressure control but also the reduction of local inflammation that can lead to end organ damage.
A "show code" is the practice of faking the response altogether for the sake of the person's family. [157] Such practices are ethically controversial [158] and are banned in some jurisdictions. The European Resuscitation Council Guidelines released a statement in 2021 that clinicians are not suggested to participate/take part in "slow codes". [156]
Serotonin syndrome, in which an excess of serotonin in the synapses causes a similar crisis of hypertension and mental confusion, could be confused with an adrenergic storm. Serotonin, being a tryptamine (non-catecholamine) involved in higher brain functions, can cause dangerous hypertension and tachycardia from its effects on the sympathetic ...