Abstract

CALDEVILLA BERNARDO, David et al. Hypertensive crises. Rev Clin Med Fam [online]. 2008, vol.2, n.5, pp.236-243. ISSN 2386-8201.

Hypertensive crises are a frequent motive for consultation in the emergency services. Approximately 1-2% of hypertensive patients develop a hypertensive crisis at some time of their lives. The present work aims to review the most recent clinical manuals for management of this condition, in order to propose some clinical recommendations. The subject of this study is usually treated in the consensus documents published on the management of arterial hypertension. The clinical manuals evaluated have very similar contents and recommendations, almost all of them including an introduction section, classification, definitions and general management. Differences appear, however, in hypertensive urgencies and emergencies depending on the absence or presence of acute lesion of target organs of the arterial hypertension. There are few published randomised clinical trials that have compared different drugs or management strategies for hypertensive crises. Manuals have been found on the management of AHT that base their recommendations on evidence, but similar manuals for hypertensive crises do not exist, except for the management of pre-eclampsia/eclampsia.

Keywords : Hypertension; Practice Guidelines; Pre-eclampsia; Eclampsia; Emergencies.

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