Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về y học đề tài: Clinical review: The management of hypertensive crises. | Critical Care October 2003 Vol 7 No 5 Varon and Marik Review Clinical review The management of hypertensive crises Joseph Varon1 and Paul E Marik2 Associate Professor of Medicine Pulmonary and Critical Care Section Baylor College of Medicine Clinical Associate Professor The University of Texas Health Science Center Houston Texas USA 2Professor of Critical Care and Medicine Department of Critical Care Medicine University of Pittsburgh Pittsburgh Pennsylvania USA Correspondence Paul Marik maripe@ Published online 16 July 2003 Critical Care 2003 7 374-384 DOI cc2351 This article is online at http content 7 5 374 2003 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Hypertension is an extremely common clinical problem affecting approximately 50 million people in the USA and approximately 1 billion individuals worldwide. Approximately 1 of these patients will develop acute elevations in blood pressure at some point in their lifetime. A number of terms have been applied to severe hypertension including hypertensive crises emergencies and urgencies. By definition acute elevations in blood pressure that are associated with end-organ damage are called hypertensive crises. Immediate reduction in blood pressure is required only in patients with acute endorgan damage. This article reviews current concepts and common misconceptions and pitfalls in the diagnosis and management of patients with acutely elevated blood pressure. Keywords aortic dissection p-blockers calcium channel blockers fenoldopam hypertension hypertensive crises hypertensive encephalopathy labetalol nicardipine nitroprusside pregnancy Hypertension is an exceedingly common disorder in western societies and as such practitioners of most clinical specialties are likely to encounter patients with acute severe elevations in blood pressure. In particular hypertensive emergencies and hypertensive urgencies see the section on Teminology definitions and .
