Hypertensive Urgency – Symptoms, Diagnosis, Treatment and Prevention.

Blood pressure measurement. (photo credit: wikipedia)

Hypertensive urgency usually occurs when the blood pressure spikes but not a single damage occurs to the other organs of the body. Proper kind of blood pressure medication can lower the raised blood pressure level. When blood pressure increases, people can face different kind of complications of serious nature such as swelling of brain, rupture of blood vessels, kidney failure and others. However, when blood pressure surges up and there are no other serious symptoms, then the above-mentioned condition develops.

Diagnosis of  Hypertensive Urgency

People should be very clear about the distinction between hypertensive emergency and hypertensive urgency. It is crucial to analyze the difference between the two conditions because the management process differs. The history as well as the physical examination of the patient becomes very important in order to determine the seriousness of the hypertensive syndrome and steps for further management process. The results of various diagnostic tests and laboratory data can provide important information related to possible damages to the end-organ. Such tests include chest radiograph, electrocardiogram and others.


Normally, there are no symptoms associated with hypertensive urgency. It becomes hypertensive emergency if symptoms like difficulty in breathing, chest pain, visionary problems or headaches develop.

Treatment of Hypertensive Urgency

The basic goal of treatment of hypertensive urgency is to bring down the blood pressure level before any further complications develop. However, unfortunately, there is no clear consensus that how fast the blood pressure should be dropped. The severity of the illness determines it, though the goal is to lower the blood pressure from hours to days.

But care should be taken that the blood pressure does not decrease too quickly as this may cut off the blood flow to the brain, which in turn, might even lead to death or might lead to brain damage. While the process of lowering the blood pressure depends on the patient, the treatment usually involves:

•    Intake of oral medicines
•    Careful monitoring of the patient
•    Moving the patient to a calm, quiet and dark environment

In general, oral antihypertensive agents can manage this condition. This treatment starts by using very small doses of oral agents. Doses are increased, if required. However, incremental amount of doses are avoided in the start of the treatment as it may result in excessive level of reduction of blood pressure. This kind of excessive reduction should be avoided in cases of such patients who are prone to hypertensive complications such as aged patients, people with severe atherosclerotic cardiovascular and intracranial diseases, and patients with serious degree of peripheral vascular related diseases.

The primary goal should be to reduce the increased blood pressure to 160/110 mm Hg by using conventional form of therapy, which is oral in nature. Mean arterial pressure should be reduced to a maximum of twenty-five percent in the first twenty-four hours.


The most important thing that one can do in order to prevent hypertensive urgency condition is that they have to follow religiously their prescriptions and take their blood pressure medication without fail and go for regular checkups.

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One Comment

  1. Peter July 31, 2013 9:41 am Reply

    Trandate is used to treat hypertension (high blood pressure). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.

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