ArticleEuropean journal of internal medicine2020
Diagnosis and treatment of hypertensive emergencies and urgencies among Italian emergency and intensive care departments. Results from an Italian survey: Progetto GEAR (Gestione dell'Emergenza e urgenza in ARea critica).
Article in European journal of internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Aortic Remodeling in Patients with Arterial Hypertension: Pathophysiological Mechanisms, Therapeutic Interventions and Preventive Strategies-A Position Paper from the Heart and Hypertension Working Group of the Italian Society of Hypertension.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025Guideline
- Prevalence, clinical features and emergency department blood pressure management of hypertensive emergencies and uncontrolled hypertension: a retrospective multi-centre study.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- The Role of the Renin-Angiotensin-Aldosterone System in Hypertensive Emergencies.Biomedicines · 2026Review
- "Short-term prognosis of hypertensive emergencies and urgencies: second preliminary report of the ongoing Italian multicenter ERIDANO study".Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Effects and mechanisms of probiotics supplement on hypertension.Journal of hypertension · 2026Review
- Deviations in the diagnostic and management approach of hypertensive urgencies and emergencies in routine clinical practice as compared to the guidelines: a survey of physicians in tertiary hospitals.Journal of human hypertension · 2026Observational
- Article
- Preliminary results of an ongoing multicentric prospective study on hypertensive emergencies and urgencies in Italy.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- Hypertensive emergencies and urgencies: a preliminary report of the ongoing Italian multicentric study ERIDANO.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- A nomogram for predicting echocardiogram prescription in outpatients: an analysis of the NAMCS database.Frontiers in cardiovascular medicine · 2023Article
- Clinical characteristics and prognosis of patients with very severe acute hypertension visiting the emergency department.Clinical hypertension · 2022Article
- Comparison of midazolam versus captopril in patients with uncomplicated hypertensive urgency in emergency ward: Double-blind randomized clinical trial.ARYA atherosclerosis · 2022Article
- Differences in Diagnosis and Management of Hypertensive Urgencies and Emergencies According to Italian Doctors from Different Departments Who Deal With Acute Increase in Blood Pressure-Data from Gear (Gestione Dell'emergenza e Urgenza in ARea Critica) Study.Journal of clinical medicine · 2022Article
- Case report: Area of focus in a case of malignant hypertension.Frontiers in cardiovascular medicine · 2022Article
- Hypertensive urgencies during the first wave of the COVID-19 pandemic in a tertiary hospital setting: a U-shaped alarming curve.Archives of medical science : AMS · 2022Article
- Clinical Characteristics of Hospitalized Pediatric Patients With Hypertensive Crisis-A Retrospective, Single-Center Study in China.Frontiers in cardiovascular medicine · 2022Article
- Cardiovascular Hypertension-Mediated Organ Damage in Hypertensive Urgencies and Hypertensive Outpatients.Frontiers in cardiovascular medicine · 2022Article
- How should we treat very high blood pressure until we distinguish between hypertensive emergency and urgency?Hypertension research : official journal of the Japanese Society of Hypertension · 2020Article
- Hypertension Urgencies and Emergencies: The GEAR Project.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2020Review
- Immediate Prescription of Oral Antihypertensive Agents in Hypertensive Urgency Patients and the Risk of Revisits with Elevated Blood Pressure.Open access emergency medicine : OAEM · 2020Article
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Authors and funding
12 authors at 11 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hypertensive emergencies (HE) and urgencies (HU) are frequent causes of patients referral to Emergency Department (ED) and the approach may be different according to local clinical practice. Our aim was to explore awareness, management, treatment and counselling after discharge of HE and HU in Italy, by mean of an on-line survey. The young investigator research group of the Italian Society of Hypertension developed a 23-item questionnaire spread by e-mail invitation to the members of Italian Scientific societies in the field of Hypertension. 665 questionnaires were collected from EDs, Emergency and Urgency Medicine, Cardiology or Coronary Units, Internal Medicines, Intensive care, Stroke units. Symptoms considered suspicious of acute organ damage were: chest pain (89.0%), visual disturbances (89.8%), dyspnoea (82.7%), headache (82.1%), dizziness (52.0%), conjunctival haemorrhages (41.5%), tinnitus (38.2%) and epistaxis (34.4%). Exams more frequent prescribed were: electrocardiogram (97.2%), serum creatinine (91.4%), markers of cardiomyocyte necrosis (66.2%), echocardiography (65.1%). The use of intravenous or oral medications to treat HEs was 94.7% and 3.5%, while for HUs 24.4% and 70.8% respectively. Of note, a surprisingly high percentage of physicians (22 % overall, 24.5% in North Italy) used to prescribe sublingual nifedipine. After discharge, home blood pressure monitoring and general practitioner re-evaluation were more frequently suggested, while ambulatory blood pressure monitoring and hypertension specialist examination were less prescribed. The differences observed across the different macro-areas, regarded prescription of diagnostic test and drug administration. This survey depicts a complex situation of shades and lights in the real-life management of HE and HU in Italy.
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