
CASE DISCUSSION
Management of Hypertensive Emergency in ED
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Case Description
Hypertensive emergency is defined as a severe elevation in blood pressure (typically ≥180/120 mmHg) accompanied by acute target-organ damage such as encephalopathy, stroke, myocardial ischemia, acute heart failure, aortic dissection, or acute kidney injury. Management requires immediate...
Case Summary
- Hypertensive emergencies are defined by severely elevated blood pressure (typically >180/120 mmHg) accompanied by evidence of acute target organ damage. Common examples of such damage include hypertensive encephalopathy, acute stroke, acute heart failure/pulmonary edema, aortic dissection, acute kidney injury, and retinopathy. Differentiating hypertensive emergencies from hypertensive urgencies (similar blood pressure levels but without acute organ damage) is crucial, as emergencies require immediate intervention.
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