Observational studyClinical research in cardiology : official journal of the German Cardiac Society2013
Heart rate differentiates urgency and emergency in hypertensive crisis.
Observational study in Clinical research in cardiology : official journal of the German Cardiac Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Pulse pressure as an independent predictor of stroke: a systematic review and a meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2016Pooled it
- Trial
- Characteristics, treatment, and outcome of patients with hypertensive crisis admitted to University of Gondar Specialized Hospital, northwest Ethiopia: A cross-sectional study.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Association Between Hospital Anxiety Depression Scale and Autonomic Recovery Following Exercise.Journal of clinical psychology in medical settings · 2020Article
- Hypertensive crisis in children and adolescents.Pediatric nephrology (Berlin, Germany) · 2019Review
- Hypertensive crisis: clinical characteristics of patients with hypertensive urgency, emergency and pseudocrisis at a public emergency department.Einstein (Sao Paulo, Brazil) · 2019Article
- Cardiovascular Hypertensive Crisis: Recent Evidence and Review of the Literature.Frontiers in cardiovascular medicine · 2016Review
- Cardiovascular hypertensive emergencies.Current hypertension reports · 2015Review
- Comparison of epinephrine and felypressin pressure effects in 1K1C hypertensive rats treated or not with atenolol.Journal of anesthesia · 2015Article
- Novel and nonpharmacologic approaches to cardio-protection in hypertension.Current hypertension reports · 2014Review
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo study the clinical significance of presenting blood pressure parameters and heart rate in patients with hypertensive crisis.
methodsIn patients admitted with hypertensive crisis between January 2011 and May 2011, demography, mode of presentation, co-morbidities, blood pressure readings, and heart rate at presentation were documented. Further clustering of hypertensive crisis into emergency or urgency was based on the presence or absence of target organ involvement. The relationship between blood pressure parameters, heart rate, and other variables was analyzed.
results189 patients in sinus rhythm were enrolled in this pilot study. The rate of hypertensive urgency was 56 %, whereas the rate of hypertensive emergency was 44 %, respectively. Subjects with hypertensive emergency had a higher mean heart rate (93 ± 22.7 bpm) than those with urgency (81 ± 11.5 bpm) (P = 0.015). Women had higher heart rates (92 ± 18.5 bpm) than men (86 ± 17.6 bpm) (P = 0.014). Heart rates below 100 bpm had a specificity of 94 %, classifying patients as hypertensive urgency. Tachycardia had a powerful statistical association with hypertensive left ventricular failure (P < 0.0001). Other hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, pulse pressure, and mean blood pressure relates neither to urgency nor to emergency. Diabetic patients with HBA1c levels of more than 53 mmol/mol had a heart rate of more than 100 bpm (P = 0.015) during hypertensive crisis.
conclusionsNormal heart rate is characteristic of hypertensive urgency. Tachycardia in this setting is an ominous sign and denotes hypertensive complications in particular left ventricular failure. Among diabetics, elevated heart rate is associated with poor glycemic control.
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