Dr. Akhil 🇮🇳
Dr. Akhil 🇮🇳

@DrAkhilX

6 Tweets 31 reads May 30, 2024
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A🧵 on management of hypertensive emergencies.
The 𝗕𝗔𝗥𝗞𝗛 algorithm for management of hypertensive emergencies and end-organ damage
𝗕 - Brain
𝗔 - Arteries
𝗥 - Retina
𝗞 - Kidney
𝗛 - Heart
#MedTwitter #MedEd #MedX
Read on 👇 for BP Lowering rate and goals.
Hypertensive urgency, hypertensive crisis & malignant hypertension are terms that have been used to describe severely elevated BP with no evidence of end-organ damage.
Hypertensive emergency is a clinical syndrome of significantly elevated BP that is assoc with end-organ damage.
Precipitous BP reduction can upset the cerebral and renal autotegulation and can have catastrophic outcomes.
Overall, there is an agreement in all international guidelines that the aim in the first 6–24 h is a controlled but only partial reduction of the MAP.
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But there are certain Hypertensive emergencies that require immediate reduction in BP to prevent furthur damage.
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Esmolol remains the drug of choice for lowering BP in Aortic Dissection due to its quick onset and accurate ability for BP control.
Nitroglycerin is prefered in Hypertensive heart failure and ACS
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