Hypertensive Crisis: Do we treat Hypertensive Urgencies?
Nov 15, 2024
The term 'hypertensive urgency' is a misnomer. It implies that there is an urgent need to treat. Treating asymptomatic hypertensive patients is the exception to, rather than the rule. Intensive treatment of elevated blood pressure without end organ damage has been found to result in harm.
It is important to identify those patients with hypertensive emergencies where there is an accelerated rise in blood pressure, causing end organ damage and differentiate them from those patients who have a longstanding poorly controlled blood pressure, but are symptomatic. It is also important to differentiate those patients who have transient elevation in blood pressure due to pain or anxiety.
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