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Hypertensive emergency: what to do?

pressione

Hypertensive emergency is characterized by an acute rise in blood pressure to dangerous values or in patients at risk. The most frequent emergency situations are related to several symptoms:

  • Hypertensive encephalopathy
  • Malignant hypertension
  • Eclampsia
  • Clonidine suspension
  • Acute or chronic glomerulonephritis
  • Head trauma
  • Pheochromocytoma
  • Cerebral or subarachnoid hemorrhage
  • Dissecting aneurysm of the aorta
  • Acute left ventricular failure

Regarding therapy, the drugs used to treat hypertensive crisis are: nitroprusside, diazepoxide, hydralazine, methyldopa, trimethophone, phentolamine, and labetalol.

Source: Medical Guard Handbook edited by Piercarlo Salari

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