hypertensive crises

• Hypertensive emergency:

  • ↑ BP (usually SBP >180 or DBP >120) → target-organ damage
    • Neurologic damage:
      • encephalopathy,
      • hemorrhagic or ischemic stroke,
      • papilledema
    • Cardiac damage:
      • ACS,
      • HF/pulmonary edema, aortic dissection
    • Renal damage:
      • proteinuria,
      • hematuria,
      • acute renal failure;
      • scleroderma renal crisis
    • Microangiopathic hemolytic anemia;
      • preeclampsia-eclampsia

• Hypertensive urgency:

  • SBP >180 or DBP >120 (? 110) w/o target-organ damage
  • Precipitants-hypertensive crises
  • Treatment-hypertensive crises – tailor to clinical condition

• also: HELLP