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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

My Heart is Racing! Select Cardiac Arrhythmias and Practice Updates

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viernes, 26 de abril de 2013

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."