Hypertensive Emergencies: Guidelines and Best-Practice Recommendations (Pharmacology CME) | Points & Pearls
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Hypertensive Emergencies: Guidelines and Best-Practice Recommendations (Pharmacology CME)

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Points and Pearls Excerpt

  • Hypertensive urgency, hypertensive crisis, and malignant hypertension are terms that have historically been used to describe severely elevated blood pressure (BP) with no evidence of end-organ damage.
  • Hypertensive emergency is a clinical syndrome of significantly elevated BP that is associated with end-organ damage.
  • Hypertensive emergencies are more likely among patients aged >60 years, male, Black, underinsured or uninsured, and/or living in lower socioeconomic areas.21 These factors should be considered in disposition.
  • The patient history should include any pre-existing end-organ dysfunction, so it can be differentiated from an acute process.
  • The mnemonic, BARKH (brain, arteries, retina, kidney, heart), summarizes the most likely locations of end-organ damage. (See Figure 4.)
  • Choose fast-acting, easily titratable, and reliable IV antihypertensive drugs. (See Table 1.)
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Publication Information
Authors

Ari B. Davis, DO; Kyle Hughes, MD; Jonathan Pun, MD; Scott Goldstein, DO, FACEP, FAEMS, EMT-PHP

Peer Reviewed By

Aman Pandey, MD; Christopher R. Tainter, MD, RDMS, FACEP, FCCM

Publication Date

June 1, 2023

CME Expiration Date

June 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits.

Pub Med ID: 37207312

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