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Acute Severe Hypertension
The New England Journal of Medicine ( IF 70.670 ) Pub Date : 2020-02-13 , DOI: 10.1056/nejmc1916851


This article has no abstract; the first 100 words appear below. To the Editor: In his Clinical Practice article, Peixoto (Nov. 7 issue)1 recommends immediate lowering of blood pressure in patients who present with “hypertensive urgency” (acute severe hypertension without acute target-organ damage). We are concerned that this recommendation is not consistent with current emergency medicine practice.2,3 This approach has not been shown to reduce adverse short-term outcomes, including repeat visits to the emergency department, major adverse cardiovascular events, and death,4,5 but it may result in unpredictable changes in blood pressure6 and unnecessary referrals to the emergency department from primary care physicians.4 Evidence is lacking to show that minor symptoms, including . . .
更新日期:2020-02-13

 

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