Tags

Type your tag names separated by a space and hit enter

Care of the hypertensive urgencies and emergencies in the emergency departement.
Tunis Med. 2019 Mar; 97(3):468-475.TM

Abstract

INTRODUCTION

Hypertension is a major public health concern leading to multiple acute complications. The purpose of our work was to present the distribution of high blood pressure (BP) measurements in an emergency department, and their significance.

METHODS

Our study was prospective, observational and descriptive over a period of one month conducted in the general emergency department. We included non-traumatic patients within 24 hours from the triage. We divided the population into three groups according to the blood pressure measurements at admission; the first group with transient elevation of BP, the second group with hypertensive urgencies and the third group was the group of hypertensive emergencies.

RESULTS

We screened 2011 patients, 460 were included, and the frequency of initial (T0) high blood pressure was 22.8%, controlled at 18.5% after 10 minutes of rest (T10). The mean age was 63.2 ± 13.2 years, the sex ratio was 0.77. The mean blood pressure BP (T0) was 182.1 ± 24.4mmHg [150-280] mmHg for systolic (S) BP, and 86.8 ± 14.7mmHg [60-160] mmHg for diastolic (D) BP. At T10, the mean SBP was 165.1 ± 28.6 mmHg, and DBP was 82.8 ± 12.1mmHg. We started treatment for 32.4% of patients after the third BP control (T30): oral captopril (45.5%), intravenous nicardipine (IV) (27.2%), furosemide (23.9%). During the second BP measurement, there was a significant decrease in average SBP: 21 ± 11mmHg (p <0.001), as well as a significant decrease in average PAD: 3.6 ± 2.4 mmHg (p <0.001). At T30, the decrease was also significant for SBP : 16.5mmHg (p = 0.001), and for BPD : 2.5 mmHg (p = 0.001). The decrease was significant after treatment for SBP : 33.3 mmHg and for DBP: 10.4 mmHg (p = 0.001).

CONCLUSION

High blood pressure figures are a relatively common in emergencies. The treatment must be chosen according to organ faillure.

Authors

Maghraoui H
No affiliation info available
Zaouche K
No affiliation info available
Yahya Y
No affiliation info available
Mghirbi A
No affiliation info available
Ben Hamida G
No affiliation info available
Majed K
No affiliation info available

MeSH

AdultAgedAged, 80 and overEmergenciesEmergency Service, HospitalFemaleHumansHypertensionIncidenceMaleMiddle AgedPatient AdmissionRisk FactorsYoung Adult

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

31729722

Citation

Maghraoui, Hamida, et al. "Care of the Hypertensive Urgencies and Emergencies in the Emergency Departement." La Tunisie Medicale, vol. 97, no. 3, 2019, pp. 468-475.
Maghraoui H, Zaouche K, Yahya Y, et al. Care of the hypertensive urgencies and emergencies in the emergency departement. Tunis Med. 2019;97(3):468-475.
Maghraoui, H., Zaouche, K., Yahya, Y., Mghirbi, A., Ben Hamida, G., & Majed, K. (2019). Care of the hypertensive urgencies and emergencies in the emergency departement. La Tunisie Medicale, 97(3), 468-475.
Maghraoui H, et al. Care of the Hypertensive Urgencies and Emergencies in the Emergency Departement. Tunis Med. 2019;97(3):468-475. PubMed PMID: 31729722.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Care of the hypertensive urgencies and emergencies in the emergency departement. AU - Maghraoui,Hamida, AU - Zaouche,Khédija, AU - Yahya,Yosra, AU - Mghirbi,Abdelwaheb, AU - Ben Hamida,Ghada, AU - Majed,Kamel, PY - 2019/11/16/entrez PY - 2019/11/16/pubmed PY - 2020/4/30/medline SP - 468 EP - 475 JF - La Tunisie medicale JO - Tunis Med VL - 97 IS - 3 N2 - INTRODUCTION: Hypertension is a major public health concern leading to multiple acute complications. The purpose of our work was to present the distribution of high blood pressure (BP) measurements in an emergency department, and their significance. METHODS: Our study was prospective, observational and descriptive over a period of one month conducted in the general emergency department. We included non-traumatic patients within 24 hours from the triage. We divided the population into three groups according to the blood pressure measurements at admission; the first group with transient elevation of BP, the second group with hypertensive urgencies and the third group was the group of hypertensive emergencies. RESULTS: We screened 2011 patients, 460 were included, and the frequency of initial (T0) high blood pressure was 22.8%, controlled at 18.5% after 10 minutes of rest (T10). The mean age was 63.2 ± 13.2 years, the sex ratio was 0.77. The mean blood pressure BP (T0) was 182.1 ± 24.4mmHg [150-280] mmHg for systolic (S) BP, and 86.8 ± 14.7mmHg [60-160] mmHg for diastolic (D) BP. At T10, the mean SBP was 165.1 ± 28.6 mmHg, and DBP was 82.8 ± 12.1mmHg. We started treatment for 32.4% of patients after the third BP control (T30): oral captopril (45.5%), intravenous nicardipine (IV) (27.2%), furosemide (23.9%). During the second BP measurement, there was a significant decrease in average SBP: 21 ± 11mmHg (p <0.001), as well as a significant decrease in average PAD: 3.6 ± 2.4 mmHg (p <0.001). At T30, the decrease was also significant for SBP : 16.5mmHg (p = 0.001), and for BPD : 2.5 mmHg (p = 0.001). The decrease was significant after treatment for SBP : 33.3 mmHg and for DBP: 10.4 mmHg (p = 0.001). CONCLUSION: High blood pressure figures are a relatively common in emergencies. The treatment must be chosen according to organ faillure. SN - 2724-7031 UR - https://www.unboundmedicine.com/medline/citation/31729722/Care_of_the_hypertensive_urgencies_and_emergencies_in_the_emergency_departement_ DB - PRIME DP - Unbound Medicine ER -