Treatment of hypertension in the emergency department

被引：30

作者：

Baumann, Brigitte M. ^{[1
]}

Cline, David M. ^{[2
]}

Pimenta, Eduardo ^{[3
,4
]}

机构：

[1] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Cooper Univ Hosp, Dept Emergency Med, Camden, NJ 08103 USA

[2] Wake Forest Univ, Baptist Med Ctr, Hypertens & Vasc Res Ctr, Dept Emergency Med, Winston Salem, NC 27109 USA

[3] Univ Queensland, Sch Med, Princess Alexandra Hosp, Hypertens Unit,Endocrine Hypertens Res Ctr, Brisbane, Qld, Australia

[4] Univ Queensland, Sch Med, Princess Alexandra Hosp, Hypertens Unit,Clin Ctr Res Excellence Cardiovasc, Brisbane, Qld, Australia

来源：

JOURNAL OF THE AMERICAN SOCIETY OF HYPERTENSION | 2011年 / 5卷 / 05期

关键词：

Emergency medicine; blood pressure; antihypertensive agents; ELEVATED BLOOD-PRESSURE; AMERICAN-COLLEGE; CLINICAL POLICY; RISK-FACTORS; TASK-FORCE; MANAGEMENT; NITROPRUSSIDE; FENOLDOPAM; GUIDELINES; URGENCIES;

D O I：

10.1016/j.jash.2011.05.002

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

This review updates concepts of hypertension evaluation and management in patients presenting to the emergency department. It outlines the current challenges faced by emergency physicians in the identification and management of hypertensive patients: In spite of published emergency care guidelines, identification and referral rates remain low in patients presenting to the emergency department with moderate blood pressure (BP) elevations. In patients with severely elevated BP, the evaluation for acute end organ damage remains inconsistent and is symptom-based. Using current consensus guidelines, this review provides an algorithm for the management of the hypertensive emergency department patient. The final section of this review outlines management strategies for specific hypertensive emergencies. J Am Soc Hypertens 2011;5(5):366-377. (C) 2011 American Society of Hypertension. All rights reserved.

引用

页码：366 / 377

页数：12

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