Hypertension Urgency/ Emergency

• Measure blood pressure in both arms in a narrow time interval while the patient is quietly resting. Check blood pressure several times before starting antihypertensive therapy.

Calssification of HTN

graph TD
    A[ Hypertension] --> B1[Prehypertension]
    A --> B2[Stage 1 Hypertension]
    A --> B3[Stage 2 Hypertension]

    A --> C[Hypertensive Crisis]
    C --> D1[Hypertensive Emergency]
    C --> D2[Hypertensive Urgency]

    D1 --> E1[BP >180/120 mmHg,
    +End-organ damage]

    E1 -- of --> F1[Brain, Heart, Aorta, Kidneys, Eyes]

    D2 --> G1[BP >180/120 mmHg,
    No acute end-organ damage]

Risk From Elevated BP

Hypertensive Emeregency End organ Damage Symptoms

MNg of HTN urgency

Goal in Stable pt - to prevent hypoperfusion

• reduce SBP no more than 25% in the first hour;
• then reduce to 160/100 mm Hg over the next 2 to 6 hours and
• then to normal over the following 24 to 48 hours.

Mng in HTN emergency

IV Drugs

Oral Drugs

Tinitinally HTN