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ESC Council on hypertension position document on the management of hypertensive emergencies.
Eur Heart J Cardiovasc Pharmacother. 2019 01 01; 5(1):37-46.EH

Abstract

Hypertensive emergencies are those situations where very high blood pressure (BP) values are associated with acute organ damage, and therefore, require immediate, but careful, BP reduction. The type of acute organ damage is the principal determinant of: (i) the drug of choice, (ii) the target BP, and (iii) the timeframe in which BP should be lowered. Key target organs are the heart, retina, brain, kidneys, and large arteries. Patients who lack acute hypertension-mediated end organ damage do not have a hypertensive emergency and can usually be treated with oral BP-lowering agents and usually discharged after a brief period of observation.

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Authors+Show Affiliations

van den Born BH
Department of Internal Medicine, Division of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Lip GYH
Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK. Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Faculty of Health, Aalborg University, Aalborg, Denmark.
Brguljan-Hitij J
Hypertension Division, University Medical Centre Ljubljana, Department of Internal Medicine, Dr. Peter Držaj Hospital, Ljubljana, Slovenia.
Cremer A
Hypertension Unit, Department of Cardiology, Hopital Saint André and University Hospital of Bordeaux, Bordeaux, France.
Segura J
Hypertension Unit, Department of Nephrology, Hospital 12 de Octubre, Madrid, Spain.
Morales E
Hypertension Unit, Department of Nephrology, Hospital 12 de Octubre, Madrid, Spain.
Mahfoud F
Department for Internal Medicine III, Cardiology, Angiology, and Intensive Care Medicine, Saarland University, Homburg/Saar, Germany.
Amraoui F
Department of Internal Medicine, Division of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Persu A
Division of Cardiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, and Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.
Kahan T
Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Cardiovascular Medicine, Stockholm, Sweden.
Agabiti Rosei E
Clinica Medica Generale, Department of Clinical and Experimental Sciences, University of Brescia, and Department of Medicine, Azienda Spedali Civili di Brescia, Brescia, Italy.
de Simone G
Hypertension Research Center, Department of Translational Medical Sciences, Federico II University Hospital, Naples, Italy.
Gosse P
Hypertension Unit, Department of Cardiology, Hopital Saint André and University Hospital of Bordeaux, Bordeaux, France.
Williams B
University College London (UCL) and UCL Hospitals, London, UK.

MeSH

Antihypertensive AgentsBlood PressureConsensusDisease ProgressionEmergenciesHumansHypertensionRisk FactorsTreatment Outcome

Pub Type(s)

Journal Article
Practice Guideline
Review

Language

eng

PubMed ID

30165588

Citation

van den Born, Bert-Jan H., et al. "ESC Council On Hypertension Position Document On the Management of Hypertensive Emergencies." European Heart Journal. Cardiovascular Pharmacotherapy, vol. 5, no. 1, 2019, pp. 37-46.
van den Born BH, Lip GYH, Brguljan-Hitij J, et al. ESC Council on hypertension position document on the management of hypertensive emergencies. Eur Heart J Cardiovasc Pharmacother. 2019;5(1):37-46.
van den Born, B. H., Lip, G. Y. H., Brguljan-Hitij, J., Cremer, A., Segura, J., Morales, E., Mahfoud, F., Amraoui, F., Persu, A., Kahan, T., Agabiti Rosei, E., de Simone, G., Gosse, P., & Williams, B. (2019). ESC Council on hypertension position document on the management of hypertensive emergencies. European Heart Journal. Cardiovascular Pharmacotherapy, 5(1), 37-46. https://doi.org/10.1093/ehjcvp/pvy032
van den Born BH, et al. ESC Council On Hypertension Position Document On the Management of Hypertensive Emergencies. Eur Heart J Cardiovasc Pharmacother. 2019 01 1;5(1):37-46. PubMed PMID: 30165588.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - ESC Council on hypertension position document on the management of hypertensive emergencies. AU - van den Born,Bert-Jan H, AU - Lip,Gregory Y H, AU - Brguljan-Hitij,Jana, AU - Cremer,Antoine, AU - Segura,Julian, AU - Morales,Enrique, AU - Mahfoud,Felix, AU - Amraoui,Fouad, AU - Persu,Alexandre, AU - Kahan,Thomas, AU - Agabiti Rosei,Enrico, AU - de Simone,Giovanni, AU - Gosse,Philippe, AU - Williams,Bryan, PY - 2018/08/14/received PY - 2018/08/16/accepted PY - 2018/8/31/pubmed PY - 2019/3/21/medline PY - 2018/8/31/entrez SP - 37 EP - 46 JF - European heart journal. Cardiovascular pharmacotherapy JO - Eur Heart J Cardiovasc Pharmacother VL - 5 IS - 1 N2 - Hypertensive emergencies are those situations where very high blood pressure (BP) values are associated with acute organ damage, and therefore, require immediate, but careful, BP reduction. The type of acute organ damage is the principal determinant of: (i) the drug of choice, (ii) the target BP, and (iii) the timeframe in which BP should be lowered. Key target organs are the heart, retina, brain, kidneys, and large arteries. Patients who lack acute hypertension-mediated end organ damage do not have a hypertensive emergency and can usually be treated with oral BP-lowering agents and usually discharged after a brief period of observation. SN - 2055-6845 UR - https://www.unboundmedicine.com/medline/citation/30165588/ESC_Council_on_hypertension_position_document_on_the_management_of_hypertensive_emergencies_ DB - PRIME DP - Unbound Medicine ER -