Treatment and diagnostical approaches to curation of patients with acute arterial blood pressure elevation
DOI: https://dx.doi.org/10.18565/therapy.2019.6.105-113
Malimon V.V., Kokorin V.A., Gordeev I.G.
N.I. Pirogov Russian National research medical University of the Ministry of Healthcare of Russia, Moscow
Current review focuses on the aspects of diagnosis and management of patients with acute arterial blood pressure elevation (BP) in accordance with current clinical guidelines. The differences in approaches to the management of patients with complicated and uncomplicated hypertensive crisis in Russia and abroad are discussed. Special attention is paid to the choice of oral and intravenous antihypertensive drugs, the rate of decline and target values of blood pressure in various clinical situations, as well as possible errors in the treatment of urgent and emergency conditions in case of arterial hypertension.
Literature
- Верткин А.Л., Баранова Е.И., Кобалава Ж.Д., Конради А.О. Алгоритмы ведения пациента с гипертоническим кризом. Общероссийская общественная организация содействия профилактике и лечению артериальной гипертензии «Антигипертензивная Лига». С.-Петербург. 2015. 24 с.
- Всемирная организация здравоохранения (ВОЗ) https://www.who.int/ru/news-room/fact-sheets/detail/the-top-10-causes-of-death
- Ионов М.В., Звартау Н.Э., Конради А.О. Совместные клинические рекомендации ESH/ESC-2018 по диагностике и ведению пациентов с артериальной гипертензией: первый взгляд. Артериальная гипертензия. 2018; 24(3): 351–58.
- Клинические рекомендации. Артериальная гипертония у взрослых. 2016. http://cr.rosminzdrav.ru/#!/schema/687
- Островская Ю.И., Мелехов А.В. Гипертонический криз – тактика ведения и предотвращения. Атмосфера. Новости кардиологии. 2017; 3: 47–52.
- Подольская А.А., Ким З.Ф., Пальмова Л.Ю. Гипертонический криз: дифференцированный подход к терапии. Вестник современной клинической медицины. 2015; 8(1): 142–45.
- Руксин В.В., Гришин О.В., Чирицо М.М. Эффективность каптоприла, моксонидина и комбинаций этих препаратов с нифедипином при повышении артериального давления, не угрожающем жизни. Артериальная гипертензия. 2013; 19(1): 64–65.
- Смирнова М.Д. Артериальная гипертония «urgency» против «emergency»: вопросы терминологии, дифференциальной диагностики и лечения. РМЖ «Медицинское обозрение». 2019; 1(II): 77–82.
- Чазова И.Е., Ощепкова Е.В., Жернакова Ю.В. Клинические рекомендации. Диагностика и лечение артериальной гипертонии. Кардиологический вестник. 2015; 10(1): 3–30.
- Чазова И.Е., Ратова Л.Г., Бойцов С.А., Небиеридзе Д.В. Диагностика и лечение артериальной гипертензии (рекомендации Российского медицинского общества по артериальной гипертонии и Всероссийского научного общества кардиологов). Системные гипертензии. 2010; 3: 5–26.
- Aggarwal M., Khan I.A. Hypertensive crisis: hypertensive emergencies and urgencies. Cardiol clin. 2006; 24(1): 135–46.
- Ahmed N., Wahlgren N., Brainin M. et al. Relationship of blood pressure, antihypertensive therapy, and outcome in ischemic stroke treated with intravenous thrombolysis: retrospective analysis from Safe Implementation of Thrombolysis in Stroke-International Stroke Thrombolysis Register (SITS-ISTR). Stroke. 2009; 40(7): 2442–49.
- Roberts J.M., August P.A., Bakris G. American College of Obstetricians and Gynecologists (ACOG), task force on hypertension in pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ task force on hypertension in pregnancy. Obstet Gynecol. 2013; 122: 1122–31.
- Williams B., Mancia G. et al. ESC/ESH Guidelines for the management of arterial hypertension 2018. The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). European Heart Journal. 2018; 39(33): 3021–3104.
- Chobanian A.V., Bakris G.L., Cushman W.C. et al. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA. 2003; 289(19): 2560–72.
- Cockburn J., Moar V.A., Ounsted M., Redman C.W. Final report of study on hypertension during pregnancy: the effects of specific treatment on the growth and development of the children. Lancet. 1982; 1(8273): 647–49.
- Cremer A., Amraoui F., Lip G.Y. et al. From malignant hypertension to hypertension-MOD: a modern definition for an old but still dangerous emergency. J Hum Hypertens. 2016; 30(8): 463–66.
- Hiratzka L.F., Bakris G.L., Beckman J.A. et al. 2010 ACCF/ AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary. Circulation. 2010; 121: e266–369.
- James P.A., Oparil S., Carter B.L. et al. 2014 Evidence-based guideline for the management of high blood pressure in adults. Report from the panel members appointed to the 8th Joint National Committee (JNC 8). JAMA. 2014; 311: 507–20.
- Karakilic E., Buyukcam F., Kjcalar G., Gedik S., Atalar E. Same effect of sublingual and oral Captopril in hypertensive crisis. European Review for Medical and Pharmacological Sciences. 2012; 16: 1642–45.
- Kaya A., Tatlisu M.A., Kaplan Kaya T. Sublingual vs. oral captopril in hypertensive crisis. J Emerg Med. 2016; 50(1): 108–15.
- Kazerani H., Hajimoradi B., Amini A., Naseri M.H., Moharamzad Y. Clinical efficacy of sublingual captopril in the treatment of hypertensive urgency. Singapore Med J. 2009; 50(4): 400–02.
- Kolos I.P., Chazova I.E., Tereschenko S.N. et al. Risk razvitiya serdechno–sosudistyih oslojneniy u patsientov s chastyimi gipertonicheskimi krizami. Predvaritelnyie rezultatyi mnogotsentrovogo retrospektivnogo issledovaniya sluchay–kontrol OSADA. Terapevticheskiy arhiv. 2009; 9: 9–12.
- Koopmans C.M., Bijlenga D., Groen H. et al. Induction of labour versus expectant monitoring for gestational hypertension or mild pre-eclampsia after 36 weeks’ gestation (HYPITAT): a multicentre, open-label randomised controlled trial. Lancet. 2009; 374(9694): 979–88.
- Lee M., Ovbiagele B., Hong K.S. et al. Effect of blood pressure lowering in early ischemic stroke: meta-analysis. Stroke. 2015; 46(7): 1883–89.
- Lim S.S., Vos T., Flaxman A.D. et al. Сomparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859): 2224–60.
- Mendes Souza L., Riera R., Saconato H. et al. Oral drugs for hypertensive urgencies: systematic review and meta-analysis. Sao Paulo Med J. 2009; 127(6): 366–72.
- Mancia G., Fagard R., Narkiewicz K. et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J. 2013; 31(7): 1281–1357.
- Muiesan M.L., Salvetti M., Amadoro V. et al. An update on hypertensive emergencies and urgencies. J Cardiovasc Med. 2015; 16(5): 372–82.
- Pinna G., Pascale C., Fornengo P. et al. Hospital admissions for hypertensive crisis in the emergency departments: a large multicenter Italian study. PLoS One. 2014; 9(4): e93542.
- Redman C.W. Fetal outcome in trial of antihypertensive treatment in pregnancy. Lancet. 1976; 2(7989): 753–56.
- Rothwell P.M., Howard S.C., Dolan E. et al. Prognostic significance of visit-to-visit variability, maximum systolic blood pressure and episodic hypertension. Lancet 2010; 375(9718): 895–905.
- Benken S.T. Hypertensive Emergencies. CCSAP 2018. Medical Issues in the ICU. P. 7–30.
- Serrador J.M., Wood S.J., Picot P.A. et al. Effect of acute exposure to hypergravity on dynamic cerebral autoregulation. J Appl Physiol. 2001; 91: 1986–94.
- Sibai B.M. Hypertensive emergencies. In: Foley M.R., Strong T.H., Garite T.J., eds. Obstetric Intensive Care Manual, 4th ed. New York: McGraw-Hill, 2014: 55–66.
- Tereschenko S.N., Plavunova N.F. Gipertonicheskie krizyi [Hypertensive crises]. M: MEDpress–inform, 2013. 208 p.
- Tsivgoulis G., Katsanos A.H., Butcher K.S. et al. Intensive blood pressure reduction in acute intracerebral hemorrhage: a meta-analysis. Neurology. 2014; 83(17): 1523–29.
- Qureshi A.I., Palesch Y.Y., Barsan W.G. et al. Intensive blood-pressure lowering in patients with acute cerebral hemorrhage. N Engl J Med. 2016; 375(11): 1033–43.
- Vidaeff A.C., Carroll M.A., Ramin S.M. Acute hypertensive emergencies in pregnancy. Crit Care Med. 2005; 33: S307–12.
About the Autors
Valentin V. Malimon, resident physician of the Department of hospital therapy No. 1 of the faculty of common medicine of N.I. Pirogov Russian National research medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova Str. Tel.: +7 (915) 152-60-52. E-mail: malimon.1993@mail.ru
Valentin A. Kokorin, PhD, associate professor of the Department of hospital therapy No. 1, faculty of common medicine of N.I. Pirogov Russian National research medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova Str. E-mail: valentinkokorin@yahoo.com
Ivan G. Gordeev, MD, professor, head of the Department of hospital therapy №1 of the faculty of common medicine of N.I. Pirogov Russian National research medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow, 1 Ostrovityanova Str. E-mail: cardio-15@yandex.ru
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