ESC Council on hypertension position document on the management of hypertensive emergencies

Bert Jan H. Van Den Born; Gregory Y.H. Lip; Jana Brguljan-Hitij; Antoine Cremer; Julian Segura; Enrique Morales; Felix Mahfoud; Fouad Amraoui; Alexandre Persu; Thomas Kahan; Enrico Agabiti Rosei; Giovanni De Simone; Philippe Gosse; Bryan Williams

doi:https://doi.org/10.1093/ehjcvp/pvy032

ESC Council on hypertension position document on the management of hypertensive emergencies

Bert Jan H. Van Den Born, Gregory Y.H. Lip, Jana Brguljan-Hitij, Antoine Cremer, Julian Segura, Enrique Morales, Felix Mahfoud, Fouad Amraoui, Alexandre Persu, Thomas Kahan, Enrico Agabiti Rosei, Giovanni De Simone, Philippe Gosse, Bryan Williams

Research output: Contribution to journal › Review article › Academic › peer-review

149 Citations (Scopus)

Abstract

Hypertensive emergencies are those situations where very high blood pressure (BP) values are associated with acute organ damage, and therefore, require immediate, but careful, BP reduction. The type of acute organ damage is the principal determinant of: (i) the drug of choice, (ii) the target BP, and (iii) the timeframe in which BP should be lowered. Key target organs are the heart, retina, brain, kidneys, and large arteries. Patients who lack acute hypertension-mediated end organ damage do not have a hypertensive emergency and can usually be treated with oral BP-lowering agents and usually discharged after a brief period of observation.

Original language	English
Pages (from-to)	37-46
Number of pages	10
Journal	European Heart Journal - Cardiovascular Pharmacotherapy
Volume	5
Issue number	1
DOIs	https://doi.org/10.1093/ehjcvp/pvy032
Publication status	Published - 1 Jan 2019

Keywords

Hypertensive crisis
Hypertensive emergency
Hypertensive encephalopathy
Hypertensive urgency
Malignant hypertension

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Van Den Born, B. J. H., Lip, G. Y. H., Brguljan-Hitij, J., Cremer, A., Segura, J., Morales, E., Mahfoud, F., Amraoui, F., Persu, A., Kahan, T., Agabiti Rosei, E., De Simone, G., Gosse, P., & Williams, B. (2019). ESC Council on hypertension position document on the management of hypertensive emergencies. European Heart Journal - Cardiovascular Pharmacotherapy, 5(1), 37-46. https://doi.org/10.1093/ehjcvp/pvy032

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abstract = "Hypertensive emergencies are those situations where very high blood pressure (BP) values are associated with acute organ damage, and therefore, require immediate, but careful, BP reduction. The type of acute organ damage is the principal determinant of: (i) the drug of choice, (ii) the target BP, and (iii) the timeframe in which BP should be lowered. Key target organs are the heart, retina, brain, kidneys, and large arteries. Patients who lack acute hypertension-mediated end organ damage do not have a hypertensive emergency and can usually be treated with oral BP-lowering agents and usually discharged after a brief period of observation.",

keywords = "Hypertensive crisis, Hypertensive emergency, Hypertensive encephalopathy, Hypertensive urgency, Malignant hypertension",

author = "{Van Den Born}, {Bert Jan H.} and Lip, {Gregory Y.H.} and Jana Brguljan-Hitij and Antoine Cremer and Julian Segura and Enrique Morales and Felix Mahfoud and Fouad Amraoui and Alexandre Persu and Thomas Kahan and {Agabiti Rosei}, Enrico and {De Simone}, Giovanni and Philippe Gosse and Bryan Williams",

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Van Den Born, BJH, Lip, GYH, Brguljan-Hitij, J, Cremer, A, Segura, J, Morales, E, Mahfoud, F, Amraoui, F, Persu, A, Kahan, T, Agabiti Rosei, E, De Simone, G, Gosse, P & Williams, B 2019, 'ESC Council on hypertension position document on the management of hypertensive emergencies', European Heart Journal - Cardiovascular Pharmacotherapy, vol. 5, no. 1, pp. 37-46. https://doi.org/10.1093/ehjcvp/pvy032

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T1 - ESC Council on hypertension position document on the management of hypertensive emergencies

AU - Van Den Born, Bert Jan H.

AU - Lip, Gregory Y.H.

AU - Brguljan-Hitij, Jana

AU - Cremer, Antoine

AU - Segura, Julian

AU - Morales, Enrique

AU - Mahfoud, Felix

AU - Amraoui, Fouad

AU - Persu, Alexandre

AU - Kahan, Thomas

AU - Agabiti Rosei, Enrico

AU - De Simone, Giovanni

AU - Gosse, Philippe

AU - Williams, Bryan

PY - 2019/1/1

Y1 - 2019/1/1

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AB - Hypertensive emergencies are those situations where very high blood pressure (BP) values are associated with acute organ damage, and therefore, require immediate, but careful, BP reduction. The type of acute organ damage is the principal determinant of: (i) the drug of choice, (ii) the target BP, and (iii) the timeframe in which BP should be lowered. Key target organs are the heart, retina, brain, kidneys, and large arteries. Patients who lack acute hypertension-mediated end organ damage do not have a hypertensive emergency and can usually be treated with oral BP-lowering agents and usually discharged after a brief period of observation.

KW - Hypertensive crisis

KW - Hypertensive emergency

KW - Hypertensive encephalopathy

KW - Hypertensive urgency

KW - Malignant hypertension

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DO - https://doi.org/10.1093/ehjcvp/pvy032

M3 - Review article

C2 - 30165588

SN - 2055-6837

VL - 5

SP - 37

EP - 46

JO - European Heart Journal - Cardiovascular Pharmacotherapy

JF - European Heart Journal - Cardiovascular Pharmacotherapy

IS - 1

ER -

ESC Council on hypertension position document on the management of hypertensive emergencies

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Keywords

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