CASE DISCUSSION
Approach to Hypertensive Emergencies
Presented from India by Dr. Nikhilesh JainViews
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Case Description
Approaching hypertensive emergencies requires swift action to prevent life-threatening complications. The first step involves assessing the severity of hypertension, including signs of end-organ damage such as headache, blurred vision, chest pain, or altered mental status. In severe cases,...
Case Summary
- Hypertensive emergencies are defined by significantly elevated blood pressure (systolic ≥ 180 and/or diastolic ≥ 120) accompanied by signs and symptoms of acute target organ damage. Initial assessment involves checking for traumatic brain injuries, neurological symptoms, chest discomfort, back pain, dyspnea, or pregnancy, along with potential drug use. Common workups include ECG, chest x-ray, urine analysis, serum electrolytes, cardiac biomarkers, and brain imaging.
Speaker Profile
Dr. Nikhilesh Jain
Alumni - Royal College of PhysiciansDirector and Consultant Dept of Critical Care at CHL Hospitals, Indore
Dr. Nikhilesh Jain is a distinguished Physician Intensivist with over 20 years of experience in critical care medicine. He currently serves as Director and Operational Head of the Department of Critical Care Services at CARE CHL Hospitals, Indore. He completed his MBBS from Gandhi Medical College, Bhopal, followed by DNB (Medicine) from Apollo Hospitals, Chennai, and MRCP (Ireland). He also holds IDCCM, FCCCM, and FIECMO qualifications. His special interests include Hemodynamic Monitoring, ECMO, Infectious Diseases and Sepsis, Critical Care Ultrasound, and Multi-Organ Transplants. He has over 65 national and international publications, book chapters, and serves as a journal reviewer for Cureus and Neurocritical Care Society. He is a DNB teacher in Critical Care, has served as Past Secretary and President of ISCCM (Indore Chapter), and is a member of prestigious societies including SCCM (USA), ESICM, ISCCM, NCS, and ATS. He is also involved with ROTTO and SOTTO, India\'s premier organ transplant organizations.
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