Control of blood pressure in hypertensive neurological emergencies

Lisa Manning, Thompson Robinson, Craig Anderson

    Research output: Contribution to journalArticle

    14 Citations (Scopus)

    Abstract

    Neurological hypertensive emergencies cause significant morbidity and mortality. Most occur in the setting of ischaemic stroke, spontaneous intracerebral hemorrhage (ICH), or subarachnoid hemorrhage (SAH), but other causes relate to hypertensive encephalopathy and reversible cerebral vasoconstriction syndrome (RCVS). Prompt and controlled reduction of blood pressure (BP) is necessary, although there remains uncertainty as to the optimal rate of decline and ideal antihypertensive agent. There is probably no single treatment strategy that covers all neurological hypertensive emergencies. Prompt diagnosis of the underlying disorder, recognition of its severity, and appropriate targeted treatment are required. Lack of comparative-effectiveness data leaves clinicians with limited evidence-based guidance in management, although significant developments have occurred recently in the field. In this article, we review the management of specific neurological hypertensive emergencies, with particular emphasis on recent evidence.

    Original languageEnglish
    Article number436
    Number of pages11
    JournalCURRENT HYPERTENSION REPORTS
    Volume16
    Issue number6
    DOIs
    Publication statusPublished - 2014

    Keywords

    • Critical care
    • Emergencies
    • Encephalopathy
    • Hypertension
    • Intracerebral hemorrhage
    • Neurological
    • Stroke
    • Subarachnoid hemorrhage

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