Dtsch Med Wochenschr 2017; 142(19): 1437-1445
DOI: 10.1055/s-0043-105516
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© Georg Thieme Verlag KG Stuttgart · New York

Der hypertensive Notfall

Hypertensive emergencies
Gerd Bönner
Further Information

Publication History

Publication Date:
22 September 2017 (online)

Abstract

Hypertensive urgency and hypertensive emergency are associated with sudden, massive rise in blood pressure. An acute increase in blood pressure to values above 180/120 mmHg is considered critical. If not treated in time, it can quickly enter a life-threatening hypertensive emergency. The symptoms or organ damage determine the assessment as a crisis or an emergency. Rapid action is required. The therapy depends on the severity and the organ involvement. However the general principal is to avoid therapeutically induced hypotension.

Hypertensive Krise und hypertensiver Notfall gehen mit einem plötzlichen, massiven Blutdruckanstieg einher. Wird eine hypertensive Krise nicht rechtzeitig behandelt, kann sie schnell in einen lebensgefährlichen hypertensiven Notfall übergehen. Deshalb ist rasches Handeln erforderlich. Der folgende Artikel erläutert die richtige Behandlung der hypertensiven Krise sowie des hypertensiven Notfalles bei unterschiedlicher Organbeteiligung.

 
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