Article
Peripheral Vascular Disease
Antonio A. Giaimo, Angela J. Kang, Stephen J. Huot
Summary: Coordinated referral between the emergency department and primary care can provide safe and timely care for high ASCVD risk populations, leading to sustained reductions in blood pressure and emergency department utilization.
AMERICAN JOURNAL OF HYPERTENSION
(2021)
Article
Emergency Medicine
Mohammed Uddin, Tanveer Mir, Sarvani Surapaneni, Anupamdeep Mehar, Tawseef Dar, Khalid Changal, Waqas Ullah, Prateek Lohia, Zeenat Bhat, Mujeeb Sheikh, Mark Burket
Summary: This study analyzed the mortality rate of scleroderma renal crisis (SRC) among systemic sclerosis (SSc) patients in US emergency departments. The study found that SRC is a relatively rare medical emergency, and although the incidence rate has increased significantly, the mortality rate remains steady. Compared to non-SRC patients, those with SRC have more complications, particularly congestive heart failure. Therefore, SSc patients with congestive heart failure should be considered for early admission to inpatient services.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Review
Neurosciences
Mariagiovanna Cantone, Giuseppe Lanza, Valentina Puglisi, Luisa Vinciguerra, Jaime Mandelli, Francesco Fisicaro, Manuela Pennisi, Rita Bella, Rosella Ciurleo, Alessia Bramanti
Summary: Hypertensive crisis can cause significant damage to cerebrovascular health, especially in emergency department patients with acute cerebrovascular events. Controversies exist regarding the management of high blood pressure in stroke patients, where outcomes depend on various factors including blood pressure values, treatment regimens, and drug dosages.
Review
Pharmacology & Pharmacy
Fabio Angeli, Paolo Verdecchia, Gianpaolo Reboldi
Summary: Hypertension is common in COVID-19 hospitalized patients and high blood pressure during hospitalization may independently predict adverse outcomes. Immediate reduction of blood pressure is essential for hypertensive emergencies, while oral treatment may suffice for hypertensive urgencies. Utilizing various pharmacotherapies may benefit COVID-19 patients with elevated blood pressure.
EXPERT OPINION ON PHARMACOTHERAPY
(2022)
Article
Medicine, General & Internal
Jeong-Hun Shin, Byung Sik Kim, Minhyung Lyu, Hyun-Jin Kim, Jun Hyeok Lee, Jin-kyu Park, Young-Hyo Lim, Jinho Shin
Summary: This study investigated the characteristics and predictors of all-cause mortality in Korean emergency patients with hypertensive urgency, finding a 3-year all-cause mortality rate of 12.1% along with higher rates of emergency department revisits and readmission among non-survivors. Age over 60, male sex, history of chronic kidney disease, and proteinuria were identified as independent predictors of 3-year all-cause mortality.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Joseph E. Ebinger, Yunxian Liu, Matthew Driver, Hongwei Ji, C. Noel Bairey Merz, Florian Rader, Christine M. Albert, Susan Cheng
Summary: Despite improvements in overall hypertension control, hospitalization rates for hypertensive crises, especially among men, have steadily increased, along with an increase in the burden of cardiovascular conditions.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Peripheral Vascular Disease
Lucas Lauder, Sebastian Ewen, Julius Glasmacher, Frank Lammert, Wolfgang Reith, Naemi Schreiber, Dominic Kaddu-Mulindwa, Christian Ukena, Michael Boehm, Markus R. Meyer, Felix Mahfoud
Summary: Male sex, higher number of prescribed antihypertensive drugs, and treatment with diuretics and/or calcium channel blockers were associated with nonadherence to prescribed antihypertensive medications. Specific psychosocial characteristics associated with nonadherence were not identified.
JOURNAL OF HYPERTENSION
(2021)
Review
Cardiac & Cardiovascular Systems
Tariq Jamal Siddiqi, Muhammad Shariq Usman, Ahmed Mustafa Rashid, Syed Sarmad Javaid, Aymen Ahmed, Donald Clark III, John M. Flack, Daichi Shimbo, Eunhee Choi, Daniel W. Jones, Michael E. Hall
Summary: This study investigates the prevalence and types of hypertension-mediated organ damage in patients with hypertensive emergencies presenting to the emergency department. The findings reveal that the prevalence of hypertensive emergencies in the ED is 0.5%, with ischemic stroke and pulmonary edema/acute heart failure being the most common. The in-hospital mortality rate among patients with hypertensive emergency is 9.9%.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Medicine, General & Internal
Sho Hamaguchi, Hitoshi Suzuki, Maki Hamaguchi, Masako Iwasaki, Hiromitsu Fukuda, Hisatsugu Takahara, Shigeki Tomita, Yusuke Suzuki
Summary: The case reports a 28-year-old male patient with hypertensive emergency and alveolar hemorrhage. By controlling blood pressure with combination therapy, improvements were observed in alveolar hemorrhage and proteinuria.
Article
Cardiac & Cardiovascular Systems
Days O. Andrade, Franciana L. Aguiar, Ana Luiza P. Mansor, Flavia M. Valente, Doroteia R. S. Souza, Valquiria da Silva Lopes, Leticia B. Fernandes, Moacir F. Godoy, Juan C. Yugar-Toledo, Luciana N. Cosenso-Martin, Jose F. Vilela-Martin
Summary: There is a relationship between renal function and inflammatory cytokines in hypertensive crisis, suggesting that the inflammatory process is involved in the pathogenesis of acute elevations of blood pressure.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Medicine, General & Internal
Bibek Dhungana, Sajog Kansakar, Palak Paudel, Bibek Kc, Ashish Guragain
Summary: NSAIDs, commonly prescribed for pain relief, can have side effects such as elevated blood pressure, with indomethacin being particularly associated with this. We present a case of a 58-year-old woman who experienced a hypertensive crisis after taking a single dose of prescription indomethacin.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Review
Peripheral Vascular Disease
T. Michael Farley
Summary: The purpose of this review is to discuss parenteral therapeutic choices for hypertensive crises and summarize recent literature on the management of hypertensive emergencies. Recent data have shown that hypertensive emergencies occur in 0.5% of all emergency room visits, with ischemic stroke and heart failure/pulmonary edema being the most common forms of organ damage. There are various therapeutic choices available for treating hypertensive crises, although large randomized controlled trials are still lacking in this field. However, recent data support the safety and efficacy of labetalol and nicardipine.
CURRENT HYPERTENSION REPORTS
(2023)
Article
Medicine, General & Internal
Woohyeun Kim, Byung Sik Kim, Hyun-Jin Kim, Jun Hyeok Lee, Jinho Shin, Jeong-Hun Shin
Summary: Cardiac troponin-I (cTnI) levels can predict all-cause mortality in patients with hypertensive crisis. Even detectable but normal range cTnI levels have a prognostic impact comparable to elevated cTnI levels.
ANNALS OF MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Hongjun Ba, Huimin Peng, Lingling Xu, Youzhen Qin, Huisheng Wang
Summary: This study analyzed the clinical characteristics of pediatric hypertensive crisis patients in China. The major symptoms of hypertensive crisis were headache, followed by visual symptoms and dizziness. The incidence of convulsions was significantly higher in patients with hypertensive emergency compared to those with hypertensive urgency. Renal disease was the leading underlying cause of hypertensive crisis, and secondary diseases were more common. Most patients required combined antihypertensive therapy.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Medicine, General & Internal
Julie R. Whittington, Ann Marie Mercier, Abigail M. Ramseyer, Songthip Ounpraseuth, Everett F. Magann
Summary: This study demonstrated improved treatment for peripartum hypertensive emergencies through bundled care and simulation. The training reduced the time to first medication given and improved the selection process for preferred hypertensive medication. Additionally, it decreased the time from nurse care to physician assessment.
SOUTHERN MEDICAL JOURNAL
(2022)