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Review
. 2023 Oct;37(10):863-879.
doi: 10.1038/s41371-022-00776-9. Epub 2022 Nov 22.

Management of hypertensive crisis: British and Irish Hypertension Society Position document

Affiliations
Review

Management of hypertensive crisis: British and Irish Hypertension Society Position document

Spoorthy Kulkarni et al. J Hum Hypertens. 2023 Oct.

Abstract

Patients with hypertensive emergencies, malignant hypertension and acute severe hypertension are managed heterogeneously in clinical practice. Initiating anti-hypertensive therapy and setting BP goal in acute settings requires important considerations which differ slightly across various diagnoses and clinical contexts. This position paper by British and Irish Hypertension Society, aims to provide clinicians a framework for diagnosing, evaluating, and managing patients with hypertensive crisis, based on the critical appraisal of available evidence and expert opinion.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1. A framework for diagnosis and management of hypertensive emergencies, malignant hypertension (accelerated hypertension), and acute severe hypertension.
a Approach and diagnosis of management of hypertensive emergencies, malignant hypertension (accelerated hypertension), and acute severe hypertension. b Management framework for acute severe hypertension. c Management framework for malignant hypertension and hypertensive emergencies.
Fig. 2
Fig. 2
Malignant hypertension/accelerated hypertension and hypertensive emergencies, mode of therapy.

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