ArticleEinstein (Sao Paulo, Brazil)2019
Hypertensive crisis: clinical characteristics of patients with hypertensive urgency, emergency and pseudocrisis at a public emergency department.
Article in Einstein (Sao Paulo, Brazil), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07461415 (CONNECT-HTN Trial - Coaching and Navigation by CHWs Through Telehealth for High-risk Hypertension), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
CONNECT-HTN Trial - Coaching and Navigation by CHWs Through Telehealth for High-risk Hypertension
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Clinical Outcomes in Hypertensive Emergency: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2023Pooled it
- The Role of the Renin-Angiotensin-Aldosterone System in Hypertensive Emergencies.Biomedicines · 2026Review
- Treatment of Hypertensive Crisis in Primary Care Health Facilities in Peru, 2019-2024.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026Article
- Prevalence and associated factors of hypertensive emergency among hypertensive crisis patients admitted to the emergency department at Hawassa University Comprehensive Specialized Hospital, Ethiopia.International journal of emergency medicine · 2025Article
- Cost effectiveness of mono, dual, and triple therapy of antihypertensive drugs: a retrospective cohort study.Cost effectiveness and resource allocation : C/E · 2025Article
- Review
- Assessing the impact of acute severe hypertension in the emergency department: A prospective cohort study in Karachi, Pakistan.PLOS global public health · 2024Article
- Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults.Cadernos de saude publica · 2024Article
- Proposal of a Modified Classification of Hypertensive Crises: Urgency, Impending Emergency, and Emergency.Current vascular pharmacology · 2024Review
- Article
- Determinants of hypertensive crisis among hypertensive patients at adult emergency departments of public hospitals in Addis Ababa, Ethiopia, 2021: a case-control study.International journal of emergency medicine · 2023Article
- Symptoms in Hypertensive Patients Presented to the Emergency Medical Service: A Comprehensive Retrospective Analysis in Clinical Settings.Journal of clinical medicine · 2023Article
- Article
- Gender Disparities in Hypertensive Emergency Admissions: A National Retrospective Cohort Study.Cureus · 2023Article
- Clinico-epidemiological profile and risk factors of hypertensive crisis among patients attended at a tertiary care hospital in Somalia.Scientific reports · 2023Article
- Inflammatory cytokines are associated to lower glomerular filtration rate in patients with hypertensive crisis.Frontiers in cardiovascular medicine · 2022Article
- Low serum corin levels predict end-organ damage in patients with hypertensive crisis.Anatolian journal of cardiology · 2021Article
- Brazilian Guidelines of Hypertension - 2020.Arquivos brasileiros de cardiologia · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess patients with hypertensive crisis, classified as urgency, emergency or pseudocrisis, and identify the associated variables.
methodsWe evaluated a total of 508 patients (57% women; 56.3±13.8 years old) with hypertensive crisis (diastolic blood pressure of 120mmHg), aged 18 years or over, seen at the emergency department of a public general hospital.
resultsThe prevalence of hypertensive crises was 6/1,000; in that, 71.7% presented hypertensive urgency, 19.1% hypertensive emergency, and 9.2% hypertensive pseudocrisis. In the multinominal logistic regression, pseudocrisis and urgency conditions were compared to hypertensive emergency. Therefore, the presence of pain (OR: 55.58; 95%CI: 10.55-292.74) except chest pain and headache, and emotional problems (OR: 17.13; 95%CI: 2.80-104.87) increased the likelihood of hypertensive pseudocrisis. Age >60 years (OR: 0,32; 95%CI: 0.10-0.96) and neurologic problems (OR: 1.5.10-8; 95%CI: 1.5.10-8-1.5.10-8) protected against hypertensive pseudocrisis. The comparison of hypertensive urgency with hypertensive emergency showed that age >60 years (OR: 0.50; 95%CI: 0.27-0.92), neurologic (OR: 0.09; 95%CI: 0.04-0.18) and emotional problems (OR: 0.06; 95%CI: 4.7.10-3-0.79) protected against hypertensive urgency. Moreover, only headache (OR: 14.28; 95%CI: 3.32-61.47) increased the likelihood of hypertensive urgency.
conclusionAdvanced age and neurological problems were associated to hypertensive emergency. Headache was associated with hypertensive urgency. Pain and emotional problems were associated with hypertensive pseudocrisis. Our results can contribute to identifying patients with hypertensive crisis who seek emergency services.
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