Therapies to Reduce Blood Pressure Acutely

Authors

Joseph B. Miller MD, Henry Ford HospitalFollow
Harish Kinni, Henry Ford HealthFollow
Ahmed AmerFollow
Phillip D. Levy

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