Abaisser la pression arterielle: urgent ou pas urgent? [How urgent is it to decrease high blood pressure?]

Details

Serval ID
serval:BIB_5E53B33C2ECA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Abaisser la pression arterielle: urgent ou pas urgent? [How urgent is it to decrease high blood pressure?]
Journal
Praxis
Author(s)
Ardigo S., Rutschmann O., Waeber B., Pechère-Bertschi A.
ISSN
1661-8157
Publication state
Published
Issued date
2008
Volume
97
Number
8
Pages
431-436
Language
french
Abstract
Severe hypertension represents a frequent problem for the general practitioner. One has to decide if the blood pressure needs to be decreased immediately (hypertensive emergency), or if the blood pressure maybe progressively decreased in a few hours and normalized in a few days (hypertensive crisis). Thus it is crucial to identify on the basis of the clinical history and a careful physical examination, the patients for whom the arterial blood pressure elevation represents an acute danger for organ damage or a vital threat in the absence of immediate blood pressure control. In the case of hypertensive crisis, oral medication is usually sufficient (slow release or GITS nifedipine, nitroglycerin, labetalol, captopril). The hypertensive emergency sometimes requires an oral medication before the admission to the emergency room, then followed by intravenous drug administration (sodium nitroprussiate, nitroglycerin, labetalol).
Keywords
Antihypertensive Agents, Emergencies, Humans, Hypertension, Malignant, Hypertensive Encephalopathy, Patient Admission, Risk Factors
Pubmed
Create date
06/03/2009 12:00
Last modification date
20/08/2019 14:16
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