Hypertensive Crisis
Definition
BP > 180/120 mmHG
Emergency when there’s end organ damage.
Hypertensive Emergency
Treatment
Decrease MAP by 25% in first 1-2hrs.
After that decrease to BP of <160/100mmHg in the next 2-6 hours.
Then, to normal over the next 24-48hrs.
Strongest predictors is mortality in TIMI Score
> 75yrs old
SBP < 100mmHg
3 points each