Transcription of Hypertensive Urgency and Emergency - ACMC
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Hypertensive Urgency and Emergency - ACMC
hospital Physician March 2007 43 Hypertension is an extremely common dis-order in modern Western societies, with an age- and sex-adjusted prevalence of approxi-mately 28% in North Physicians in clinical practice are likely to encounter patients with Hypertensive Urgency and Emergency . Although im-proved management of chronic hypertension has de-creased the lifetime incidence of Hypertensive crisis to less than 1%, patients presenting with severe hyperten-sion represent up to 25% of all patients presenting to urban Emergency One-year and 5-year mortality following untreated Hypertensive Emergency are 70% to 90% and 100%, With ad-equate blood pressure control, these mortality rates decrease to 25% and 50%, This article reviews the approach to appropriately diagnosing and managing Hypertensive Urgency and Emergency (crisis) is characterized by a se-vere elevation in blood pressure (> 180/120 mm Hg)
Saint Mary’s Hospital, Waterbury, CT, and a clinical instructor, Yale University School of Medicine, New Haven, CT. Dr. Ouellette is associate program director, Internal Medicine Residency Program, Saint Mary’s Hospital, Waterbury, CT, and a clinical instructor, Yale University School of Medicine, New Haven, CT.
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