Hypertensive Emergency

Hypertensive  Emergency is a marked elevation blood pressure with following

• Evidence of end organ damage
• Demanding prompt rapid control of BP

Sudden increase in systolic and/or diastolic blood pressure is associated with following clinical features
Central nervous system

• Hypertensive encephalopathy

Heart

• Acute left ventricular failure
• Acute coronary syndrome
• Dissecting aurtric aneurysm

Kidney

• Acute renal failure

Miscellaneous

• Eclampsia
• Symptomatic microangiopathic hemolytic anemia

Hypertensive emergencies management
25% reduction in blood pressure in 1 hour
Target BP of 160/100 mm Hg to be attained in 6 hours
Parenteral drug treatment (Nitroglycerine, sodium nitroprusside, labetalol, enalaprilat) is often re-
quired.