Hypertensive emergencies and resistant hypertension

Lina Mackelaite, Eleanor D. Lederer

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


According to the American Heart Association (AHA), hypertensive emergency is defined as severely elevated blood pressure (>180/120 mmHg) with target organ damage [1], which includes left ventricular failure and pulmonary edema, acute myocardial infarction, ischemic stroke, intracranial hemorrhage, aortic dissection, acute kidney injury, encephalopathy, or eclampsia (Tables 44.1 and 44.2). Approximately 25 % of patients that present to the emergency department with hypertensive emergency have no previous history of hypertension [1]. The American Heart Association recommends a reduction of mean arterial blood pressure by not more than 25 % within the first hour and then, if clinically stable, to about 160/100 mmHg within next 2-6 h. Hypertensive emergencies are treated with intravenous blood pressure medications (Tables 44.3 and 44.4).

Original languageEnglish (US)
Title of host publicationClinical Decisions in Nephrology, Hypertension and Kidney Transplantation
PublisherSpringer New York
Number of pages12
ISBN (Electronic)9781461444541
ISBN (Print)1461444535, 9781461444534
StatePublished - Nov 1 2013
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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