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Hypertensive crisis

MedGen UID:
5701
Concept ID:
C0020546
Finding; Pathologic Function
Synonyms: Crises, Hypertensive; Crisis, Hypertensive; Emergencies, Hypertensive; Emergency, Hypertensive; Hypertensive Crises; Hypertensive Crisis; Hypertensive Emergencies; Hypertensive Emergency
SNOMED CT: Hypertensive crisis (706882009)
 
HPO: HP:0100735

Definition

A severe, acute increase in blood pressure that may result in stroke or myocardial ischemia. [from NCI]

Conditions with this feature

Multiple endocrine neoplasia type 2A
MedGen UID:
9958
Concept ID:
C0025268
Neoplastic Process
Multiple endocrine neoplasia type 2 (MEN2) includes the following phenotypes: MEN2A, familial medullary thyroid carcinoma (FMTC, which may be a variant of MEN2A), and MEN2B. All three phenotypes involve high risk for development of medullary carcinoma of the thyroid (MTC); MEN2A and MEN2B involve an increased risk for pheochromocytoma; MEN2A involves an increased risk for parathyroid adenoma or hyperplasia. Additional features of MEN2B include mucosal neuromas of the lips and tongue, distinctive facies with enlarged lips, ganglioneuromatosis of the gastrointestinal tract, and a marfanoid habitus. MTC typically occurs in early childhood in MEN2B, early adulthood in MEN2A, and middle age in FMTC.
Systemic lupus erythematosus 17
MedGen UID:
1804329
Concept ID:
C5676884
Disease or Syndrome
Systemic lupus erythematosus-17 (SLEB17) is an X-linked dominant autoimmune disorder characterized by onset of systemic autoinflammatory symptoms in the first decades of life. Only affected females have been reported. Features may include classic features of SLE, such as malar rash and arthralgias, or can include less common entities such as hemiplegia and neuromyelitis optica (NMO). Laboratory studies show the presence of autoantibodies and enhanced NFKB (164011) signaling, the latter being consistent with a gain-of-function effect (Brown et al., 2022). For a phenotypic description and a discussion of genetic heterogeneity of systemic lupus erythematosus (SLE), see 152700.

Professional guidelines

PubMed

Stewart MH
Curr Opin Cardiol 2023 Jul 1;38(4):311-317. Epub 2023 Mar 28 doi: 10.1097/HCO.0000000000001049. PMID: 37016936
Kulkarni S, Glover M, Kapil V, Abrams SML, Partridge S, McCormack T, Sever P, Delles C, Wilkinson IB
J Hum Hypertens 2023 Oct;37(10):863-879. Epub 2022 Nov 22 doi: 10.1038/s41371-022-00776-9. PMID: 36418425Free PMC Article
Taylor DA
Crit Care Nurs Clin North Am 2015 Dec;27(4):439-47. Epub 2015 Sep 26 doi: 10.1016/j.cnc.2015.08.003. PMID: 26567490

Recent clinical studies

Etiology

Stewart MH
Curr Opin Cardiol 2023 Jul 1;38(4):311-317. Epub 2023 Mar 28 doi: 10.1097/HCO.0000000000001049. PMID: 37016936
Van Why SK, Pan CG
Crit Care Clin 2022 Apr;38(2):375-391. doi: 10.1016/j.ccc.2021.11.016. PMID: 35369952
Benenson I, Waldron FA, Jadotte YT, Dreker MP, Holly C
JBI Evid Synth 2021 Jun;19(6):1292-1327. doi: 10.11124/JBIES-20-00243. PMID: 33555818
Dionne JM, Flynn JT
Arch Dis Child 2017 Dec;102(12):1176-1179. Epub 2017 Jul 24 doi: 10.1136/archdischild-2015-309740. PMID: 28739634
Taylor DA
Crit Care Nurs Clin North Am 2015 Dec;27(4):439-47. Epub 2015 Sep 26 doi: 10.1016/j.cnc.2015.08.003. PMID: 26567490

Diagnosis

Miller JB, Hrabec D, Krishnamoorthy V, Kinni H, Brook RD
BMJ 2024 Jul 26;386:e077205. doi: 10.1136/bmj-2023-077205. PMID: 39059997
Stewart MH
Curr Opin Cardiol 2023 Jul 1;38(4):311-317. Epub 2023 Mar 28 doi: 10.1097/HCO.0000000000001049. PMID: 37016936
Kulkarni S, Glover M, Kapil V, Abrams SML, Partridge S, McCormack T, Sever P, Delles C, Wilkinson IB
J Hum Hypertens 2023 Oct;37(10):863-879. Epub 2022 Nov 22 doi: 10.1038/s41371-022-00776-9. PMID: 36418425Free PMC Article
Arbe G, Pastor I, Franco J
Med Clin (Barc) 2018 Apr 23;150(8):317-322. Epub 2017 Nov 24 doi: 10.1016/j.medcli.2017.09.027. PMID: 29174704
Suneja M, Sanders ML
Med Clin North Am 2017 May;101(3):465-478. Epub 2017 Mar 2 doi: 10.1016/j.mcna.2016.12.007. PMID: 28372707

Therapy

Miller JB, Hrabec D, Krishnamoorthy V, Kinni H, Brook RD
BMJ 2024 Jul 26;386:e077205. doi: 10.1136/bmj-2023-077205. PMID: 39059997
Bohensky J, Daher N
JAAPA 2024 Jun 1;37(6):45-46. Epub 2024 May 28 doi: 10.1097/01.JAA.0000000000000026. PMID: 38985116
Stewart MH
Curr Opin Cardiol 2023 Jul 1;38(4):311-317. Epub 2023 Mar 28 doi: 10.1097/HCO.0000000000001049. PMID: 37016936
Kulkarni S, Glover M, Kapil V, Abrams SML, Partridge S, McCormack T, Sever P, Delles C, Wilkinson IB
J Hum Hypertens 2023 Oct;37(10):863-879. Epub 2022 Nov 22 doi: 10.1038/s41371-022-00776-9. PMID: 36418425Free PMC Article
Brathwaite L, Reif M
Cardiol Clin 2019 Aug;37(3):275-286. Epub 2019 May 14 doi: 10.1016/j.ccl.2019.04.003. PMID: 31279421

Prognosis

Miller JB, Hrabec D, Krishnamoorthy V, Kinni H, Brook RD
BMJ 2024 Jul 26;386:e077205. doi: 10.1136/bmj-2023-077205. PMID: 39059997
Siddiqi TJ, Usman MS, Rashid AM, Javaid SS, Ahmed A, Clark D 3rd, Flack JM, Shimbo D, Choi E, Jones DW, Hall ME
J Am Heart Assoc 2023 Jul 18;12(14):e029355. Epub 2023 Jul 8 doi: 10.1161/JAHA.122.029355. PMID: 37421281Free PMC Article
Peraçoli JC, Borges VTM, Ramos JGL, Cavalli RC, Costa SHAM, Oliveira LG, Souza FLP, Korkes HA, Brum IR, Costa ML, Corrêa Junior MD, Sass N, Diniz ALD, Prado CAC, Cunha Filho EVD
Rev Bras Ginecol Obstet 2019 May;41(5):318-332. Epub 2019 Jun 10 doi: 10.1055/s-0039-1687859. PMID: 31181585
Arbe G, Pastor I, Franco J
Med Clin (Barc) 2018 Apr 23;150(8):317-322. Epub 2017 Nov 24 doi: 10.1016/j.medcli.2017.09.027. PMID: 29174704
Means L, Benken ST, Tesoro EP
J Cardiovasc Pharmacol 2016 Nov;68(5):395-399. doi: 10.1097/FJC.0000000000000425. PMID: 27525576

Clinical prediction guides

de Lima Serrano P, de Mattos Lombardi Badia B, Barile JP, Mendes PM, Cavalheiro RBR, Peixoto KO, Farias IB, Machado RIL, Seneor DD, de Rezende Pinto WBV, Oliveira ASB, Sgobbi P
Med Sci (Basel) 2025 Feb 6;13(1) doi: 10.3390/medsci13010014. PMID: 39982239Free PMC Article
Stewart MH
Curr Opin Cardiol 2023 Jul 1;38(4):311-317. Epub 2023 Mar 28 doi: 10.1097/HCO.0000000000001049. PMID: 37016936
Kotruchin P, Tangpaisarn T, Mitsungnern T, Sukonthasarn A, Hoshide S, Turana Y, Siddique S, Buranakitjaroen P, Van Huynh M, Chia YC, Park S, Chen CH, Nailes J, Tay JC, Wang JG, Kario K
J Clin Hypertens (Greenwich) 2022 Sep;24(9):1226-1235. doi: 10.1111/jch.14547. PMID: 36196470Free PMC Article
Tanabe A, Naruse M
Hypertens Res 2020 Nov;43(11):1141-1151. Epub 2020 Aug 11 doi: 10.1038/s41440-020-0531-0. PMID: 32778780
Peraçoli JC, Borges VTM, Ramos JGL, Cavalli RC, Costa SHAM, Oliveira LG, Souza FLP, Korkes HA, Brum IR, Costa ML, Corrêa Junior MD, Sass N, Diniz ALD, Prado CAC, Cunha Filho EVD
Rev Bras Ginecol Obstet 2019 May;41(5):318-332. Epub 2019 Jun 10 doi: 10.1055/s-0039-1687859. PMID: 31181585

Recent systematic reviews

Vukadinović D, Lauder L, Kandzari DE, Bhatt DL, Kirtane AJ, Edelman ER, Schmieder RE, Azizi M, Böhm M, Mahfoud F
Circulation 2024 Nov 12;150(20):1599-1611. Epub 2024 Oct 2 doi: 10.1161/CIRCULATIONAHA.124.069709. PMID: 39355923Free PMC Article
Siddiqi TJ, Usman MS, Rashid AM, Javaid SS, Ahmed A, Clark D 3rd, Flack JM, Shimbo D, Choi E, Jones DW, Hall ME
J Am Heart Assoc 2023 Jul 18;12(14):e029355. Epub 2023 Jul 8 doi: 10.1161/JAHA.122.029355. PMID: 37421281Free PMC Article
Zhang L, Åkerström T, Mollazadegan K, Beuschlein F, Pacak K, Skogseid B, Crona J
Endocr Relat Cancer 2023 Jul 1;30(7) Epub 2023 Jun 2 doi: 10.1530/ERC-22-0354. PMID: 37185155Free PMC Article
Price LC, Martinez G, Brame A, Pickworth T, Samaranayake C, Alexander D, Garfield B, Aw TC, McCabe C, Mukherjee B, Harries C, Kempny A, Gatzoulis M, Marino P, Kiely DG, Condliffe R, Howard L, Davies R, Coghlan G, Schreiber BE, Lordan J, Taboada D, Gaine S, Johnson M, Church C, Kemp SV, Wong D, Curry A, Levett D, Price S, Ledot S, Reed A, Dimopoulos K, Wort SJ
Br J Anaesth 2021 Apr;126(4):774-790. Epub 2021 Feb 19 doi: 10.1016/j.bja.2021.01.005. PMID: 33612249
Benenson I, Waldron FA, Jadotte YT, Dreker MP, Holly C
JBI Evid Synth 2021 Jun;19(6):1292-1327. doi: 10.11124/JBIES-20-00243. PMID: 33555818

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