Urgent Management of Uncontrolled Hypertensive Crisis in Emergency Department

Alenazi, Ahmad Awad R, Alsomali, Hassan Mohammed I, Alsomali, Matar Mahmoud Y, Numan, Mohammad Saud S, Zein Elabidin, Mohammad Radi, Alanazi, Khaled Alnashmi F, Alanazi, Raed Khalid R, Alanazi Saad Madallah T, Alanazi , Yasir Wadi A

Abstract: Hypertension, if uncontrolled, can lead to hypertensive crisis and very life threatening condition, therefore this review aim to determine the prevalence of hypertensive crisis, emergency management of uncontrolled hypertensive crisis in Emergency department. Detailed searched was performed through MEDLINE/PUBMED, and EMBASE databases search was conducted using the following Mesh terms; “hypertensive crisis”, “hypertensive urgency”, hypertensive emergency”, “uncontrolled hypertension”, and “malignant hypertension” AND “Treatment” and “Emergency medicine” and “Emergency department”. We then retrieved the references of all the articles and searched the for additional relevant articles. Searched of published studies were included all dates up to January,2016. Restriction to English language was applied with human subjects. Patients with hypertensive crises may need immediate decrease in elevated high blood pressure to prevent and apprehend progressive end-organ damage. The best medical setting in which to achieve this high blood pressure control is in the intensive care unit, with the use of titratable intravenous hypotensive representatives. There are a number of antihypertensive agents offered for this function, including esmolol, fenoldopam, labetalol, and nicardipine. Keywords: Hypertension, Treatment” and “Emergency. Title: Urgent Management of Uncontrolled Hypertensive Crisis in Emergency Department Author: Alenazi, Ahmad Awad R, Alsomali, Hassan Mohammed I, Alsomali, Matar Mahmoud Y, Numan, Mohammad Saud S, Zein Elabidin, Mohammad Radi, Alanazi, Khaled Alnashmi F, Alanazi, Raed Khalid R, Alanazi Saad Madallah T, Alanazi , Yasir Wadi A International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

Vol. 4, Issue 2, October 2016 – March 2017

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Urgent Management of Uncontrolled Hypertensive Crisis in Emergency Department by Alenazi, Ahmad Awad R, Alsomali, Hassan Mohammed I, Alsomali, Matar Mahmoud Y, Numan, Mohammad Saud S, Zein Elabidin, Mohammad Radi, Alanazi, Khaled Alnashmi F, Alanazi, Raed Khalid R, Alanazi Saad Madallah T, Alanazi , Yasir Wadi A