Hypertensive urgency vs. emergency

Hypertensive urgency vs.emergency

Urgency 

-There is no end organ damage

especially in brain, heart or kidney 

-systolic BP > 180 

-diastolic BP > 120

How to deal with it ?

-reduce BP from hrs to days

-Quite reduction

Emergency 

-end organ damage 

ex. Encephalopathy 

-CHF

-Retinal hemorrhage we see papilledema by the fundoscope 

-stabbing back pain in patient with dissection

How to deal with it?

25% reduction in BP in min/hrs

IV NTG, nitroprusside 

( it cause VD to the veins > decreasing the pre and after load > decrease the resistance in the arteries > decrease the BP)