Evaluation of Hypertensive crisis presenting to Emergency Room at a Tertiary Care Teaching Hospital focus on initial management

Abstract

Epidemiological data on the impact of hypertensive crises (emergencies and urgencies) on referral to the Emergency Departments (EDs) are lacking, in spite of the evidence that they may be life-threatening conditions. We performed a study to enroll all patients aged 18 years and over who were admitted to Emergency Department during March to May 2019 for hypertensive crises (systolic blood pressure ?220 mmHg and/or diastolic blood pressure ?120 mmHg). We classified patients as affected by either hypertensive emergencies or hypertensive urgencies depending on the presence or the absence of progressive target organ damage, respectively. Out of these 6614 patients admitted from ED during 3 months 462 patients admitted with uncontrolled hypertension, Out of these 114 patients with Hypertensive crisis. Men had higher frequency then women. Most of the patients had one or more Risk factors present. Almost half of patients were presented with Neurological deficit (43.8%), Dyspnoea (28.2%), Chest pain (19.2%), Headache (14.9%), Giddiness (13.1%). Per orally Calcium channel blocker most commonly used while intravenous Labetalol most commonly used.