Adverse events associated with aggressive treatment of increased blood pressure.

Abstract:

:Patients with severely increased blood pressure often present to the emergency department. Rapid lowering of blood pressure can precipitate or worsen end organ damage. We report two cases that developed cerebrovascular and cardiovascular adverse events associated with aggressive treatment of increased blood pressure by the use of sublingual nifedipine capsule. The first patient had developed ischaemic stroke; the second patient actually had acute left ventricular failure causing deteriorated, and required positive inotropic treatment for persistent hypotension. These cases emphasise that the pseudoemergency may rapidly progress into a real emergency when blood pressure is rapidly and aggressively reduced.

journal_name

Int J Clin Pract

authors

Yanturali S,Akay S,Ayrik C,Cevik AA

doi

10.1111/j.1368-5031.2004.00171.x

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

517-9

issue

5

eissn

1368-5031

issn

1742-1241

journal_volume

58

pub_type

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