Hypertensive emergency - Hypertensive encephalopathy

High urgency
-Very severe
This is a life-threatening situation secondary to high blood pressure which affects the functioning of different organs. The precipitating causes could be a cerebrovascular accident, heart failure, coronary disease, aortic aneurysm, kidney disease, traumatic brain injury, intracranial hemorrhage, etc. The most common symptoms are chest pain, shortness of breath, impaired consciousness, dizziness, headache, nosebleed, vertigo, nausea and vomiting, etc. It is diagnosed by taking the medical history, performing a full physical examination (including the fundus of the eye), laboratory tests, electrocardiogram, chest X-ray and computed tomography or magnetic resonance imaging. It must be monitored and treated in an intensive care unit and intravenous drugs are used in the early stages.
Bibliographic references
  1. William J Elliott, Joseph Varon. Evaluation and treatment of hypertensive emergencies in adults. UpToDate. Aug 16, 2016.
  2. Padilla Ramos A, Varon J. Current and newer agents for hypertensive emergencies. Curr Hypertens Rep 2014; 16:450.
  3. Mayer SA, Kurtz P, Wyman A, et al. Clinical practices, complications, and mortality in neurological patients with acute severe hypertension: the Studying the Treatment of Acute hyperTension registry. Crit Care Med 2011; 39:2330.
  4. Johnson W, Nguyen ML, Patel R. Hypertension crisis in the emergency department. Cardiol Clin 2012; 30:533.
  5. Anderson CS, Heeley E, Huang Y, et al. Rapid blood-pressure lowering in patients with acute intracerebral hemorrhage. N Engl J Med 2013; 368:2355.
  6. José A. García-Donaire, Juan F. Cantero Bengochea, J. Ignacio García Sánchez. Hipertensión arterial. Manual de diagnóstico y terapéutica médica Hospital Universitario 12 de octubre. 6ª edición. 2007. 750:764.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Diastolic blood pressure greater than or equal to 110 mmHg


    Diminished state of consciousness


    Chest pain


    Tingling feeling in your hand


    Short of breath