A clinical study of hypertensive emergencies


  • Sridhar Reddy Konuganti Department of Orthopaedics, Area Hospital, TVVP, Zaheerabad, Sangareddy District, Telangana, India
  • Narsimha Swamy Department of General Medicine, Area Hospital, TVVP, Zaheerabad, Sangareddy District, Telangana, India




Hypertensive crisis, Hypertensive emergency, Hypertensive urgency, Chronic cardiovascular diseases


Background: Hypertensive crisis is characterized by high blood pressure that is highly likely to cause pressure against the arterial walls causing chronic cardiovascular diseases. It has caused higher mortality and morbidity rates in both adults and children in equal measures. Hypertensive emergency is scientifically believed to cause several vital organ failures. The current study aims to critically evaluate hypertensive emergencies and the spectrum of end-organ damage due to risk factors of hypertensive emergencies.

Methods: This prospective study was conducted on 150 patients with a severe arterial blood pressure of >180/120 mmHg) admitted at Area hospital, Zaheerabad. The doctors performed a detailed medical and clinical examination on the patients to assess organ damage. 120 patients met the hypertensive emergency (HTN-E), while 30 patients met the hypertensive urgency (HTN-U).

Results: Patients who reported signs of HTN-E were older adults who are more sedentary, highly intensive smokers, and non-adherent to all forms of hypertensive medications that those with HTN-U. Most of the HTC-U patients had a known history of hypertension than HTC-E. There is about 2% prevalence of hypertensive crisis while admitted at the ICU.

Conclusions: Early assessment of the level of organ damage is key in regulating severe complications of hypertension.

Author Biographies

Sridhar Reddy Konuganti, Department of Orthopaedics, Area Hospital, TVVP, Zaheerabad, Sangareddy District, Telangana, India

CAS,Department of Orthopedics

Narsimha Swamy, Department of General Medicine, Area Hospital, TVVP, Zaheerabad, Sangareddy District, Telangana, India

CAS, General Medicine Department


World Health Organisation 2013: A Global brief of hypertension; silent killer and global health crises. Accessed on 21 September 2020.

Guiga H, Decroux C, Michelet P, Loundou A, Cornand D, Silhol F et al. Hospital and out‐of‐hospital mortality in 670 hypertensive emergencies and urgencies. The Journal of Clinical Hypertension. 2017;19(11):1137-42.

Brokmann JC, Rossaint R, Müller M, Fitzner C, Villa L, Beckers SK et al. Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out‐of‐hospital. 2017

Astarita A, Covella M, Vallelonga F, Cesareo M, Totaro S, Ventre L et al. Hypertensive emergencies and urgencies in emergency departments: a systematic review and meta-analysis. Journal of Hypertension. 2020;38(7):1203-10.

Elliott WJ. Hypertensive emergencies and urgencies. Hypertension: A Companion to Braunwald's Heart Disease E-Book. 2017;427.

Salvetti M, Bertacchini F, Saccà G, Muiesan ML. Hypertension urgencies and emergencies: The GEAR Project. High Blood Pressure & Cardiovascular Prevention. 2020;1-4.

Makó K, Ureche C, Jeremiás Z. An updated review of hypertensive emergencies and urgencies. Journal of Cardiovascular Emergencies. 2018;4(2):73-83.

Dunnsiri T, Kawashita T, Woo BK. Hypertensive emergencies and urgencies: a single-centre experience in Northern Italy 2008–2015. Journal of Hypertension. 2020;38(3):557.

Saladini F, Mancusi C, Bertacchini F, Spannella F, Maloberti A, Giavarini A, Pengo. 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). European Journal of Internal Medicine. 2020;71:50-56.

Giannattasio C, Maloberti A, Magni G, Cassano G, Capsoni N, Gheda S, Bergamaschi M. Hypertensive emergencies and urgencies: blood pressure management and its relationship with short- and medium-term outcome. Journal of Hypertension. 2019;37:e168.

Marton-Popovici M. Modern management of hypertensive emergencies. Journal of Cardiovascular Emergencies. 2019;5(4):126-130.

Paini A, Aggiusti C, Bertacchini F, Rosei CA, Maruelli G, Arnoldi C, Salvetti M. Definitions and epidemiological aspects of hypertensive urgencies and emergencies. High Blood Pressure & Cardiovascular Prevention. 2018;25(3):241-44.

Salagre SB, Itolikar SM, Gedam K. A prospective observational study to determine the prevalence and clinical profile of patients of hypertensive crisis in a tertiary care hospital. J Assoc Physicians India. 2017;65(6):14-21.




How to Cite

Konuganti, S. R., & Swamy, N. (2020). A clinical study of hypertensive emergencies. International Journal of Research in Medical Sciences, 9(1), 49–52. https://doi.org/10.18203/2320-6012.ijrms20205654



Original Research Articles