52  Hypertensive Crises

TODO

• BP should be decreased by no more than 20 to 25% during the first hour and then to 160/100-110 mmHg during the ensuing 2-6 hours.
• 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines (link)
• NEJM paper: ‘Acute Severe Hypertension’ (Peixoto 2019)
  • Faced some criticism on #medtwitter as it contradicts established guidelines (Josh Farkas thread; Dan Kim thread)

Peixoto, Aldo J. 2019. “Acute Severe Hypertension.” Edited by Caren G. Solomon. New England Journal of Medicine 381 (19): 1843–52. https://doi.org/10.1056/nejmcp1901117.