Therapies to Reduce Blood Pressure Acutely
Miller JB, Kinni H, Amer A, and Levy PD. Therapies to reduce blood pressure acutely. Curr Hypertens Rep 2016; 18(6):43.
Current hypertension reports
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