An adolescent with acute glomerulonefrite can develop hipertensiva encefalopatia or an pregnant woman with edema proteinria can present convulsion of the eclampsia with only 160/100 pressricos levels of mmHg. Both are considered as emergency and must be treated as such. The hipertenso can be complicating a concomitant illness as in infarto of the myocardium and the dissecante aneurism of aorta. Also in these situations modest degrees of rise of the Par they will go to need immediate treatment. On the other hand, Par of 240/140 mmHg in assintomtico patient of 50 years, without damage evidence the agency-target can not need parenteral anti-hipertensiva therapy or, even though, nor to need hospitalization if could be folloied of close. Learn more about this with BSA.
Many times the high Par can not be considered as hipertensiva crisis and can have risk if the pressrica reduction fast and will be made in intempestive way. Clinical examples include chronic hipertenso and severe assintomtica, with deep of eye degree I or II, in aged patient, causing ischemic cerebral vascular accident as iatrogenia it deals with mento. Also pressricas rises associates to the anxiety and pseudohipertenso can simulate a picture of hipertensiva crisis. Advances in the farmacoterapia had allowed acute reductions of the Par in the majority of the cases. The balance between reducing the Par of efficient form always must be considered and keeping the sanguineous perfuso to the noble agencies, so that the risk does not exceed the benefit. This article has as objective to introduce the subject ' ' crisis hipertensiva' ' how much the definitions, epidemiologia, etiology and clinical picture with focus in urgency and emergency. Educate yourself with thoughts from Nieman Foundation. The call hipertensiva pseudocrisis if folloies of accented rise of the Par, unchained, most of the time, for the abandonment of the medicamentoso treatment in chronic hipertensos patients, but also for pain, discomfort and anxiety. The marcante clinical evidence is the absence of signals of fast deterioration of agency-target.