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"Hypertensive emergency"

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https://read.qxmd.com/read/30770942/-comments-on-the-guidelines-2018-of-the-european-society-of-cardiology-esc-and-the-european-society-of-hypertension-esh-on-the-management-of-arterial-hypertension
#1
REVIEW
F Mahfoud, M Böhm, C M Bongarth, R Bosch, R E Schmieder, H Schunkert, C Stellbrink, P Trenkwalder, O Vonend, J Weil, R Kreutz
Arterial hypertension represents one of the most frequent chronic diseases that can lead to complications, such as stroke, dementia, heart attack, heart failure and renal failure. By 2025 the number of hypertensive patients will increase to approximately 1.6 billion people worldwide. The new guidelines of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH) on the management of arterial hypertension replace the guidelines of the ESC/ESH from 2013. The 2018 guidelines of the ESC/ESH were adopted by the German Cardiac Society and the German Hypertension League...
February 15, 2019: Der Internist
https://read.qxmd.com/read/30770057/incidence-and-risk-factors-of-hypoxaemia-after-preoxygenation-at-induction-of-anaesthesia
#2
C Baillard, M Boubaya, E Statescu, M Collet, A Solis, J Guezennec, V Levy, O Langeron
BACKGROUND: The incidence of hypoxaemia related to airway management is still a matter of concern. Our aim was to determine the factors that contribute to hypoxaemia during induction of anaesthesia after a standardised preoxygenation procedure. METHODS: The study was a multicentre and prospective observational trial. It evaluated the incidence of hypoxaemia at induction of anaesthesia in adult patients. The primary endpoint was the incidence of hypoxaemia defined as pulse oximetry of arterial oxyhaemoglobin saturation (SpO2 ) <95%...
March 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/30736939/acute-and-chronic-hypertension-what-clinicians-need-to-know-for-diagnosis-and-management
#3
REVIEW
Sherry L Rivera, Jennifer Martin, Jessica Landry
Hypertension is the most common primary diagnosis in the United States. Multiple sequelae of disease states are attributable to hypertension. Minimal to modest improvements in blood pressure can result in improved cardiovascular-related health outcomes. Despite the wealth of information available regarding the management and treatment of hypertension, the widespread control of hypertension continues to be an elusive challenge. A collaborative effort between patient and clinician using a balance of pharmacologic and nonpharmacologic interventions is essential to effectively manage and treat hypertension to avoid target organ damage...
March 2019: Critical Care Nursing Clinics of North America
https://read.qxmd.com/read/30717732/incorporating-selected-non-communicable-diseases-into-facility-based-surveillance-systems-from-a-resource-limited-setting-in-africa
#4
A O Mocumbi, D C Langa, S Chicumbe, A E Schumacher, W K Al-Delaimy
BACKGROUND: As Mozambique faces a double burden of diseases, with a rise of Non Communicable Diseases (NCD) superimposed to uncontrolled communicable diseases (CD), routine disease surveillance system does not include NCD. The objectives of our study were to i) upgrade of the current surveillance system by adapting the data collection tools to NCD; ii) describe the occurrence and profile of selected NCD using these data collection tools. METHODS: Workshops were implemented in a first referral urban hospital of Mozambique to train clinical staff, administrative workers and nurses on NCD surveillance, as well as select conditions to be prioritized...
February 4, 2019: BMC Public Health
https://read.qxmd.com/read/30715723/diagnoses-made-in-an-emergency-department-in-rural-sub-saharan-africa
#5
Elisante Mchomvu, Geoffrey Mbunda, Noemi Simon, Faradji Kitila, Yvan Temba, Isaiac Msumba, Jabir Namamba, Said Kilindimo, Hellen Mgubike, Winfrid Gingo, Christoph Hatz, Daniel H Paris, Maja Weisser, Martin Rohacek
BACKGROUND: Information on diagnoses made in emergency departments situated in rural sub-Saharan Africa is scarce. The aim was: to evaluate the frequency of different diagnoses made in a new emergency department to define relevant healthcare requirements; and to find out if in-hospital mortality rates would decrease after the implementation of the emergency department. METHODS: In this observational study, we prospectively collated diagnoses of all patients presenting to the emergency department of the St Francis Referral Hospital in Ifakara, Tanzania during 1 year...
January 28, 2019: Swiss Medical Weekly
https://read.qxmd.com/read/30713300/diffuse-alveolar-hemorrhaging-with-hypertensive-emergency-a-rare-but-important-cause-of-hemoptysis
#6
Ayana Suzuki, Naoki Nakagawa, Keisuke Maruyama, Motoki Matsuki, Naoyuki Hasebe
Hypertensive emergency, which occurs even in young adults, induces systemic organ damage and results in a poor prognosis. We herein report the case of a 27-year-old man who developed alveolar hemorrhaging with hypertensive emergency. He presented with bloody sputum, renal failure, and extremely high blood pressure (200/128 mmHg). Chest computed tomography revealed diffuse bilateral alveolar infiltrates suggestive of diffuse alveolar hemorrhaging. After intensive therapy with anti-hypertensive drugs, the alveolar hemorrhaging disappeared...
February 1, 2019: Internal Medicine
https://read.qxmd.com/read/30693055/hypertensive-emergency-presenting-with-acute-spontaneous-subdural-hematoma
#7
Faris Haddadin, Alba Munoz Estrella, Eyal Herzog
Hypertensive crisis is a serious medical condition defined as severely elevated blood pressure; typically the systolic blood pressure is above 180 mmHg, and/or the diastolic blood pressure is above 120 mmHg. Hypertensive crises are divided into two categories: hypertensive urgency and hypertensive emergency. Hypertensive urgency is asymptomatic while hypertensive emergency presents with end-organ damage requiring more aggressive blood-pressure lowering. The common presentations for neurological end-organ dysfunction in conjunction with hypertensive emergency include ischemic strokes, intracranial hemorrhage, subarachnoid hemorrhage, head trauma, and hypertensive encephalopathy...
January 2019: Journal of Cardiology Cases
https://read.qxmd.com/read/30687445/assessing-adequacy-of-emergency-provider-documentation-among-interhospital-transferred-patients-with-acute-aortic-dissection
#8
Mark Rose, Carina Newton, Benchaa Boualam, Nancy Bogne, Adam Ketchum, Umang Shah, Jordan Mitchell, Safura Tanveer, Tucker Lurie, Walesia Robinson, Rebecca Duncan, Stephen Thom, Quincy Khoi Tran
BACKGROUND: Acute aortic dissection (AoD) is a hypertensive emergency often requiring the transfer of patients to higher care hospitals; thus, clinical care documentation and compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA) is crucial. The study assessed emergency providers (EP) documentation of clinical care and EMTALA compliance among interhospital transferred AoD patients. METHODS: This retrospective study examined adult patients transferred directly from a referring emergency department (ED) to a quaternary academic center between January 1, 2011 and September 30, 2015...
2019: World Journal of Emergency Medicine
https://read.qxmd.com/read/30683492/nicardipine-associated-risk-of-short-term-mortality-in-critically-ill-patients-with-ischemic-stroke
#9
Mahsa Sadeghi, Hamidreza Saber, Azara Singh, Claudia Hanni, Dennis Parker, Aaron Desai, Wazim Mohamed
BACKGROUND: Hypertensive emergency is commonly associated with acute ischemic stroke and can be a predictor of poor outcome in these patients. Nicardipine and labetalol are commonly administered for the treatment of acute hypertension following stroke. Yet, data are lacking on the safety of these agents in this setting. OBJECTIVE: This study aimed to determine all-cause in-hospital mortality, medication-related hypotensive episodes, development of hospital acquired infections and hospital length of stay between nicardipine and labetalol use for the management of hypertension after acute ischemic stroke...
January 22, 2019: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/30681541/acog-committee-opinion-no-767-summary-emergent-therapy-for-acute-onset-severe-hypertension-during-pregnancy-and-the-postpartum-period
#10
(no author information available yet)
Acute-onset, severe systolic hypertension; severe diastolic hypertension; or both can occur during the prenatal, intrapartum, or postpartum periods. Pregnant women or women in the postpartum period with acute-onset, severe systolic hypertension; severe diastolic hypertension; or both require urgent antihypertensive therapy. Introducing standardized, evidence-based clinical guidelines for the management of patients with preeclampsia and eclampsia has been demonstrated to reduce the incidence of adverse maternal outcomes...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30669866/prevalence-and-risk-factors-for-hypertensive-crisis-in-a-predominantly-african-american-inner-city-community
#11
Frederick A Waldron, Irina Benenson, Shelley A Jones-Dillon, Shreni N Zinzuwadia, Adedamola M Adeboye, Ela Eris, Nkechi E Mbadugha, Natali Vicente, Alexandra Over
PURPOSE: A 3-year case control study was conducted to determine the prevalence of hypertensive crisis and its subtypes, hypertensive emergency and hypertensive urgency. The secondary objectives were to identify risk factors for hypertensive emergencies and to determine the odds of developing acute target organ damage among predominantly African American patients with a confirmed diagnosis of hypertension. MATERIALS AND METHODS: Using emergency department medical records, patients with a confirmed diagnosis of hypertension were identified...
January 22, 2019: Blood Pressure
https://read.qxmd.com/read/30649580/-european-guidelines-for-the-management-of-arterial-hypertension-2018-what-has-changed
#12
REVIEW
S Jung, R E Schmieder
BACKGROUND: In November 2017, the latest American guidelines for the management of arterial hypertension were published. With these guidelines lowering the threshold for hypertension to 130/80 mm Hg, the latest European guidelines were expected with excitement. OBJECTIVES: This article gives an overview on the European Society of Cardiology (ESC) and European Society of Hypertension (ESH) 2018 guidelines for the management of arterial hypertension, thereby identifying the most relevant changes in comparison to previous guidelines...
January 16, 2019: Der Internist
https://read.qxmd.com/read/30575639/acog-committee-opinion-no-767-emergent-therapy-for-acute-onset-severe-hypertension-during-pregnancy-and-the-postpartum-period
#13
(no author information available yet)
Acute-onset, severe systolic hypertension; severe diastolic hypertension; or both can occur during the prenatal, intrapartum, or postpartum periods. Pregnant women or women in the postpartum period with acute-onset, severe systolic hypertension; severe diastolic hypertension; or both require urgent antihypertensive therapy. Introducing standardized, evidence-based clinical guidelines for the management of patients with preeclampsia and eclampsia has been demonstrated to reduce the incidence of adverse maternal outcomes...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30571571/rehospitalization-rates-in-hypertensive-emergency
#14
EDITORIAL
Rajiv Agarwal
No abstract text is available yet for this article.
January 2019: Hypertension
https://read.qxmd.com/read/30571563/thirty-day-readmissions-after-hospitalization-for-hypertensive-emergency
#15
Nilay Kumar, Shawn Simek, Neetika Garg, Muthiah Vaduganathan, Farah Kaiksow, James H Stein, Gregg C Fonarow, Ambarish Pandey, Deepak L Bhatt
Hypertensive emergency is a clinical entity with potentially serious health implications and high healthcare utilization. There is a lack of nationally representative data on incidence, causes, and predictors of 30-day readmission after hospitalization for hypertensive emergency. We used the 2013 to 2014 Nationwide Readmissions Database to identify index hospitalizations for hypertensive emergency. Primary outcome was all-cause unplanned 30-day readmission. Multivariable hierarchical logistic regression was used to identify independent predictors of readmission...
January 2019: Hypertension
https://read.qxmd.com/read/30543742/-a-case-report-fdg-uptake-to-brown-adipose-tissue-activated-by-elevated-serum-catecholamine-in-a-patient-with-pheochromocytoma
#16
Yoko Koh, Toshihisa Asakura, Kinzo Katayama, Norihide Tei, Yasunori Harada, Kensaku Nishimura
A 69-year-old woman was admitted to the previous hospital because of a right adrenal tumor detected by a medical checkup. Although the tumor was diagnosed as non-functional adrenal adenoma, abdominal computed tomography (CT) revealed a left renal mass which was suspected to be renal cell carcinoma. Chest CT seeking for metastatic lesions revealed lung cancer of the left lung. First, laparoscopic radical nephrectomy was performed. After the surgery, 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) CT performed for staging of the lung cancer demonstrated FDG uptake to the left lung mass, the heart, the right adrenal mass and perirenal regions of the right kidney...
November 2018: Hinyokika Kiyo. Acta Urologica Japonica
https://read.qxmd.com/read/30522561/relationship-between-the-administration-of-nicardipine-hydrochloride-and-the-development-of-delirium-in-patients-on-mechanical-ventilation
#17
Y Zamami, Y Kouno, T Niimura, M Chuma, T Imai, M Mitsui, T Koyama, M Kayano, N Okada, H Hamano, M Goda, M Imanishi, K Takechi, Y Horinouchi, Y Kondo, H Yanagawa, Y Kitamura, T Sendo, Y Ujike, K Ishizawa
A history of hypertension is a known risk factor for delirium in patients in intensive care units, but the effect of antihypertensive agents on delirium development is unclear. Nicardipine, a calcium channel blocker, is widely used in ICU as a treatment agent for hypertensive emergency. This study investigated the relationship between the administration of nicardipine hydrochloride and delirium development in patients under mechanical ventilation. We conducted a medical chart review of 103 patients, who were divided into two groups according to the use of nicardipine hydrochloride...
December 1, 2018: Die Pharmazie
https://read.qxmd.com/read/30515939/nonadherence-in-patients-with-hypertensive-emergency-or-hypertensive-urgency
#18
Bernhard K Krämer, Robert M Krämer, Urs Benck, Bernd Krüger
No abstract text is available yet for this article.
December 5, 2018: Journal of Clinical Hypertension
https://read.qxmd.com/read/30480568/drug-nonadherence-is-a-common-but-often-overlooked-cause-of-hypertensive-urgency-and-emergency-at-the-emergency-department
#19
Naomi Overgaauw, Jelmer Alsma, Anniek Brink, Edon Hameli, Soma Bahmany, Laura E J Peeters, Anton H Van Den Meiracker, Stephanie C E Schuit, Birgit C P Koch, Jorie Versmissen
OBJECTIVES: Over 70% of patients who visit the emergency department with a hypertensive emergency or a hypertensive urgency have previously been diagnosed with hypertension. Drug nonadherence is assumed to play an important role in development of hypertensive urgency and hypertensive emergency, but exact numbers are lacking. We aimed to retrospectively compare characteristics of patients with hypertensive urgency and hypertensive emergency and to prospectively quantify the attribution of drug nonadherence...
January 7, 2019: Journal of Hypertension
https://read.qxmd.com/read/30464406/hydralazine-hcl-rapidly-disintegrating-sublingual-tablets-simple-dosage-form-of-higher-bioavailability-and-enhanced-clinical-efficacy-for-potential-rapid-control-on-hypertensive-preeclampsia
#20
Samar Genedy, Ahmed Khames, Amal Hussein, Hatem Sarhan
Background: Hypertensive disorders are the most common complication in pregnancy which can even lead to maternal mortality. Hydralazine hydrochloride (HHC), a direct-acting vasodilator, is intravenously used as the first-line therapy in controlling hypertension in pregnancy (preeclampsia). It suffers poor oral bioavailability (26%-50%) due to first-pass metabolism. Objective: This work aims for the preparation of HHC rapidly disintegrating sublingual tablets of higher absorption rate, short onset of action, and higher bioavailability for rapid control on blood pressure (BP) in hypertensive emergencies especially preeclampsia...
2018: Drug Design, Development and Therapy
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