Emergencias hipertensivas

How Should Hypertensive Emergencies Be Managed?
From: The Hospitalist, August 2010 - By Alexis Shanahan, MD, Stuart Linas, MD, and Mel Anderson III, MD

"KEY POINTS

• Hypertensive emergencies are defined as severe elevations in BP (>180/120 mmHg), with evidence of impending or progressive end-organ damage.
• Patients with hypertensive emergencies should be admitted to an ICU and started on parenteral antihypertensive agents to halt progression of end-organ damage.
• In general, the initial therapeutic goal is to reduce the MAP by no more than 25% within the first hour and then gradually lower the BP to the patients’ baseline over the ensuing 24 to 48 hours; more precipitous declines in BP can worsen target organ ischemia.
• Choice of therapeutic agent should be individualized based on pharmacologic properties, patient comobordities, and end-organ(s) involved."

http://www.the-hospitalist.org/details/article/764887/How_Should_Hypertensive_Emergencies_Be_Managed.html