HT emergency & HT urgency..?? - amit_k_m
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HT emergency & HT urgency..?? - amit_k_m
|
06-03-2009, 01:00 PM
How to treat HT Emergency and HT Urgency.? What is the difference?
Is papillidema an essential criteria for labelling the case of HT emergency or HT urgency as MALIGNANT HT..?? Anyone pls explain. I'm a bit confused.
06-03-2009, 01:10 PM
220 over 125 without end organ damage is urgency, with with emergency, plus papilledema is HTN malignancy
I guess control BP is the same with nitroprusside with no more than 25% in first hour and 2-6 hour to 160/100
06-03-2009, 01:39 PM
Swanson has some clearly stated points on HT emerg vs. HT urgency. In emerg, one has to lower the BP immediately to prevent/limit end organ damage.e.g. malignant HT, acute MI, acute pulm edema, eclampsia, pheochromocytoma, acute intracranial events. IN urgency,we can reduce the BP over 24-48 hours e.g. accelerated HT, HT with CCF, stable angina pectoris, transient cerebral ischaemic attacks, periop HT.
Check pgs 122-123 of latest edition Swanson. Drugs of choice vary with the conditions... |
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