The systolic blood pressure (BP) higher than 180 mmHg or diastolic blood pressure higher than 120 mmHg with the presence of acute target organ damage is termed as a hypertensive emergency. Hypertensive emergencies can be observed under various conditions. Thus, the current article describes the management of hypertensive emergencies in conditions such as pulmonary edema, myocardial ischemia or angina pectoris, acute renal failure, eclampsia, etc. Effective and rapid-acting medications should be administered to manage elevated blood pressure safely, protect target organ function, reduce symptoms and complications as well as improve clinical outcomes.
Acute Aortic Dissection Drug of choice - IV Esmolol loading dose - 500–1,000 mcg/kg/min administered over 1 min followed by a 50 mcg/kg/min infusion rate. The maximum infusion rate is 200 mcg. If the BP remains elevated even after treatment…
