Highlights the necessity of tailoring drug therapy to the specific clinical presentation in hypertensive emergencies.
Supports presentation-specific drug selection in hypertensive emergencies; extends literature but remains hypothesis-generating pending randomized data.
SummaryMalignant hypertension and hypertensive crisis remain serious clinical situations necessitating vigourous emergency treatment.Each of the clinical pictures:— severe hypertension with encephalopathy and/or fundoscopic abnormalities,— acute lung edema and/or myocardial infarction,— dissecting aneurysm of the aorta,— renal failure,— eclampsia,— postoperative bleeding,asks for a different management.The use of one single drug for the treatment of all hypertensive emergencies is no longer tenable.Table 3 provides a guideline for the use of the different drugs in hypertensive emergencies.These data are derived from our own experience and from the current medical litterature (December 1980).
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Rutsaert et al. (1980) studied this question.
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