Key result
The current definition of hypertensive emergency is suboptimal and lacks consensus regarding the concept and treatment of impending hypertension-mediated organ damage.
Why the study?
Emergency department presentations for hypertensive urgencies and emergencies remain constant, prompting an analysis of the precision of the HTN-E definition regarding impending or progressive HMOD.
The paper highlights the need for a consensus definition and treatment principles for 'impending hypertension-mediated organ damage' in emergency settings.
May prompt reappraisal of hypertensive emergency criteria; leaves open consensus on impending organ damage thresholds and treatment.
BACKGROUND: The number of patients with hypertension urgencies (HTN-Us) and emergencies (HTN-Es) in the emergency department is relatively constant despite improved detection, awareness and control of arterial hypertension. OBJECTIVE: This study analyses the precision of the often-used definition of HTN-E, particularly the phrase 'with the evidence of impending or progressive hypertension-mediated organ damage (HMOD)'. We then provide a rationale for the concept of impending HMOD. METHODS: The databases PubMed, Science Direct, Springer, Oxford Press, Wiley, SAGE and Google Scholar were searched and the relevant definition has been analyzed. RESULTS: The definition of HTN-E is suboptimal and requires a consensus on whether to include the phrase 'impending hypertensive HMOD' in the definition. CONCLUSION: A consensus on the principles of treating the 'impending hypertensive HMOD' does not exist, making its use inconsistent in emergency departments worldwide. In this paper, we present a rationale for the concept of 'impending HMOD'.
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Koraćević et al. (2022) conducted a review in Hypertension urgencies and emergencies. Concept of impending hypertension-mediated organ damage (HMOD) was evaluated on Precision of the definition of hypertensive emergency. The current definition of hypertensive emergency is suboptimal and lacks consensus regarding the concept and treatment of impending hypertension-mediated organ damage.
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