Hypertensive emergencies in the Emergency Department (ED) are characterized by severely elevated blood pressure (typically >180/120 mmHg) with evidence of acute target organ damage, such as encephalopathy, myocardial infarction, pulmonary edema, or renal failure. Immediate but controlled blood pressure reduction is critical to prevent further organ damage. Intravenous antihypertensives like labetalol, nicardipine, or nitroprusside are commonly used, tailored to the specific clinical scenario. Continuous monitoring and individualized treatment goals are essential, typically aiming to reduce mean arterial pressure by no more than 25% within the first hour. Prompt recognition and appropriate management significantly reduce morbidity and mortality in these patients.
Head of the Department, Metro Hospital, Noida, Uttar Pradesh
Dr. Ramit Singh Sambyal, Head of the Department, Metro Hospital, Noida, Uttar Pradesh