Hypertensive crisis: recent evidence and review of the literature

Authors: Khoroshikh L.V.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation

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Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2020-14-1-58-70

For citation: Khoroshikh L.V. Hypertensive crisis: recent evidence and review of the literature. Creative Cardiology. 2020; 14 (1): 58–70 (in Russ.). DOI: 10.24022/1997-3187-2020-14-1-58-70

Received / Accepted:  10.03.2020 / 18.03.2020

Keywords: arterial hypertension hypertensive crisis classification treatment.

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Abstract

Hypertension is a global public health problem and the most common cardiovascular disease. It is one of the main causes of the development of heart failure, strokes and chronic kidney disease, thus leading to an increase in premature mortality and disability of the population. One of the most severe types of hypertension, are hypertensive crises. According to the definition of Russian clinical recommendations from 2020: hypertensive crisis – a condition caused by a significant increase in blood pressure, associated with acute damage to target organs, often lifethreatening, requiring immediate qualified actions aimed at lowering blood pressure, usually with the help of intravenous therapy. The development and prognosis of hypertensive crises depends on volume and accuracy of first-aid hours of the disease, since at this time the highest mortality rate is observed. The aim of this narrative review is to summarize the recent evidence in order to improve the awareness, recognition, risk stratification, and treatment of hypertensive crisis.

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About Authors

L'udmila V. Khoroshikh, Resident Physician, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery