Therapies to Reduce Blood Pressure Acutely.
Recommended Citation
Miller JB, Kinni H, Amer A, and Levy PD. Therapies to reduce blood pressure acutely. Curr Hypertens Rep 2016; 18(6):43.
Document Type
Article
Publication Date
6-1-2016
Publication Title
Current hypertension reports
Abstract
Clinicians make frequent treatment decisions regarding acute blood pressure reduction for the critically ill. Key to the decision making process is a balance between reducing arterial wall stress and maintaining perfusion to vital organs. In this article, we review the physiological considerations underlying acute blood pressure management, including the concept of cerebral autoregulation and its adaptations to chronic hypertension. We then discuss available pharmacological interventions suited for reducing blood pressure acutely. We also discuss specific blood pressure targets in common critical illnesses and consider future directions in this therapeutic area.
Medical Subject Headings
Antihypertensive Agents; Blood Pressure; Clinical Decision-Making; Critical Illness; Humans; Hypertension
PubMed ID
27125389
Volume
18
Issue
6
First Page
43
Last Page
43