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Hypertensive Emergencies in Pregnancy
Critical Care Clinics, 2016The prevalence of hypertensive disorders in pregnancy is increasing. The etiology and pathophysiology of hypertensive disorders in pregnancy remain poorly understood. Hypertensive disorders are a major cause of maternal and perinatal morbidity and mortality.
Courtney, Olson-Chen, Neil S, Seligman
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Enalaprilat in Hypertensive Emergencies
The Journal of Clinical Pharmacology, 1986Enalaprilat (MK‐422), an intravenously administered angiotensin‐converting enzyme inhibitor, which is the parent compound of the oral angiotensin‐converting enzyme inhibitor enalapril (MK‐421), was studied in 11 patients with asymptomatic accelerated hypertension. Each patient received an initial intravenous dose of 1 mg, followed at one‐hour intervals
R, Strauss +3 more
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Captopril in hypertensive emergencies. [PDF]
A 4-year-old girl is presented suffering from severe hypertension due to hemolytic-uremic syndrome. Injection of reserpine and hydralazine was ineffective. Captopril, an oral angiotensin I-converting enzyme inhibitor, showed the dramatic hypotensive effect in our patient.
Sakano, Takashi +7 more
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Hypertension in the Emergency Department
Current Hypertension Reports, 2016Hypertension is the leading risk factor for the global burden of disease, yet more than 20% of adults with hypertension are unaware of their condition. Underlying hypertension affects over 25% emergency department attendees, and the condition is more commonly encountered in emergency departments than in primary care settings.
Stewart Siu-Wa, Chan +2 more
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Hypertensive Emergencies in Children
The Indian Journal of Pediatrics, 2011Hypertensive emergencies, though uncommon in children, are potentially life threatening. While targeting blood pressure reduction to below the 90th percentile for age, gender and height, mean arterial blood pressure should be gradually lowered by one-fourth of the planned reduction over 8-12 h, a further fourth over the next 8-12 h, and the final 50 ...
Pankaj, Hari, Aditi, Sinha
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Hypertensive Urgencies and Emergencies
Primary Care: Clinics in Office Practice, 2006Hypertension management is a common reason for visits to primary care physicians. One third of patients with hypertension do not have controlled blood pressure, and may present to the physician's office with hypertensive urgencies or emergencies. How to define severely elevated blood pressure, appropriate triage, and the clinical evaluation of those ...
David L, Stewart +2 more
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Hypertensive Emergencies of Pregnancy
Obstetrics and Gynecology Clinics of North America, 2013Hypertension is commonly encountered in pregnancy and has both maternal and fetal effects. Acute hypertensive crisis most commonly occurs in severe preeclampsia and is associated with maternal stroke, cardiopulmonary decompensation, fetal decompensation due to decreased uterine perfusion, abruption, and stillbirth. Immediate stabilization of the mother
James M, Alexander, Karen L, Wilson
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Hypertension in the Emergency Department
Emergency Medicine Clinics of North America, 1988Hypertensive emergencies are now rare and are recognized by the deleterious effect on end-organs. Prompt, efficacious treatment is critical, and the current drug of choice for most episodes is sodium nitroprusside. Hypertensive urgencies are more common than are emergencies, and are distinguished by diastolic pressures greater than 115 mm Hg without ...
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Hypertensive Emergencies in Pregnancy
Clinical Obstetrics & Gynecology, 2014Hypertensive disorders of pregnancy complicate 7% to 10% of pregnancies and are among the major causes of maternal and perinatal morbidity and mortality. Recently American College of Obstetricians and Gynecologists Taskforce on Hypertension during Pregnancy modified the diagnosis and management of hypertension in pregnancy, recommending prompt ...
Rakesh B, Vadhera, Michelle, Simon
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The treatment of hypertensive emergencies∗
The American Journal of Cardiology, 1962Abstract Prompt, skillful, parenteral administration of hypotensive agents may be lifesaving when hypertension acutely threatens the integrity of the cardiovascular system. Reserpine given intramuscularly is effective in most hypertensive emergencies. Because of its soporific effect it should be avoided when lesions of the central nervous system make
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