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Management of severe hypertension in the ICU 

Management of severe hypertension in the ICU
Chapter:
Management of severe hypertension in the ICU
Author(s):

Jerrold H. Levy

DOI:
10.1093/med/9780199600830.003.0163
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date: 30 November 2020

Hypertensive urgencies and emergencies have not been sufficiently studied, but are important clinical problems in critically-ill patients. A hypertensive emergency episode can lead to further end-organ dysfunction or death. One of the biggest challenges in managing a hypertensive emergency is determining and maintaining the ideal range of blood pressure (BP), and avoiding overshoot for each individual patient. Haemodynamic instability including overshoot hypotension may also lead to organ ischaemia and adverse outcomes—to avoid these problems, appropriate and careful BP control is critical. This notion has always been perceived as important, but increasing evidence supports the role for appropriate therapy.

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