[Hypertensive crisis: problems of diagnostics and paradigm of the treatment].
А. Н. Фурсов, N. P. Potekhin, Sergey A. Chernov, A V Vereshchagina, Е. Г. Захарова, N N Olondar'
Abstract
А. Н. Фурсов, N. P. Potekhin, Sergey A. Chernov, A V Vereshchagina, Е. Г. Захарова, N N Olondar'
Abstract
Analysis of causes of increase of the uncomplicated hypertensive crisis (HC) from 46 to 61% indicates that in the half of cases the cause was only high ABP with minimal clinical symptomatology. To refer all cases of the catadrome of hypertensive disease to hypertensive crisis is inappropriately. It is recommended to use with such concepts as "complicated" and "uncomplicated" HC also term "catadrome of hypertensive disease (instability of ABP)". It allows to except the hyperdiagnosis of HC and to optimize indication for hospital admission. There are recommendations for medical actions in case of complicated and uncomplicated HC and catadrome of hypertensive disease.
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Analysis of causes of increase of the uncomplicated hypertensive crisis (HC) from 46 to 61% indicates that in the half of cases the cause was only high ABP with minimal clinical symptomatology. To refer all cases of the catadrome of hypertensive disease to hypertensive crisis is inappropriately. It is recommended to use with such concepts as "complicated" and "uncomplicated" HC also term "catadrome of hypertensive disease (instability of ABP)". It allows to except the hyperdiagnosis of HC and to optimize indication for hospital admission. There are recommendations for medical actions in case of complicated and uncomplicated HC and catadrome of hypertensive disease.
Key concepts: Hypertensive crisis, Hypertensive disease, Medicine, Disease, Intensive care medicine, Internal medicine, Cardiology, Pediatrics