CHANGING PERCEPTIONS OF TACTICS IN ACUTE MARKED INCREASE IN BLOOD PRESSURE IN THE ABSENCE OF DAMAGE TO TARGET ORGANS
https://doi.org/10.21886/2712-8156-2020-1-1-33-37
Abstract
In 2019, the group of experts on the treatment of hypertension of the European society of cardiology proposed to abandon the term «hypertensive urgency», retaining the concept of ha only for cases of «hypertensive emergency», in which hospitalization is required and, as a rule, the immediate start of intravenous antihypertensive therapy. Experts of the European society of cardiology, when detecting a high level of blood pressure, but in the absence of damage to target organs, suggest formulating the diagnosis as «inefficiently treated hypertension». It should be taken into account that only captopril is widely available in the Russian Federation for faster blood pressure reduction in patients. You should avoid taking short-acting nifedipine at high blood pressure, especially in the elderly, due to the unpredictability of the response, manifested in an excessive decrease in blood pressure.
About the Author
S. R. Gilyarevsky
Russian Medical Academy of Continuing Postgraduate Education
Russian Federation
Dr. Sci. (Med.)
Moscow
Russian Federation
Dr. Sci. (Med.)
Moscow
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Review
For citations:
Gilyarevsky S.R. CHANGING PERCEPTIONS OF TACTICS IN ACUTE MARKED INCREASE IN BLOOD PRESSURE IN THE ABSENCE OF DAMAGE TO TARGET ORGANS. South Russian Journal of Therapeutic Practice. 2020;1(1):33-37. (In Russ.) https://doi.org/10.21886/2712-8156-2020-1-1-33-37
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