Hypertensive emergencies in Asia: A brief review

Kotruchin, Praew and Tangpaisarn, Thanat and Mitsungnern, Thapanawong and Sukonthasarn, Apichard and Hoshide, Satoshi and Turana, Yuda and Siddique, Saulat and Buranakitjaroen, Peera and Van Huynh, Minh and Chia, Yook-Chin and Park, Sungha and Chen, Chen-Huan and Nailes, Jennifer and Tay, Jam Chin and Wang, Ji-Guang and Kario, Kazuomi (2022) Hypertensive emergencies in Asia: A brief review. Journal of Clinical Hypertension, 24 (9, SI). pp. 1226-1235. ISSN 1524-6175, DOI https://doi.org/10.1111/jch.14547.

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Hypertensive emergency is one of the most challenging conditions to treat in the emergency department (ED). From previous studies, about 1%-3% of hypertensive individuals experienced hypertensive emergencies. Its prevalence varied by country and region throughout Asia. Asian populations have more different biological and cultural backgrounds than Caucasians and even within Asian countries. However, there is a scarcity of research on clinical features, treatment, and outcomes in multinational Asian populations. The authors aimed to review the current evidence about epidemiology, clinical characteristics and outcomes, and practice guidelines in Asia. Five observational studies and nine clinical practice guidelines across Asia were reviewed. The prevalence of hypertensive emergencies ranged from .1% to 1.5%. Stroke was the most common target organ involvement in Asians who presented with hypertensive emergencies. Although most hypertensive emergency patients required hospitalization, the mortality rate was low. Given the current lack of data among Asian countries, a multinational data repository and Asian guidelines on hypertensive emergency management are mandatory.

Item Type: Article
Funders: Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University
Uncontrolled Keywords: Asia; Emergency; Hypertension; Hypertensive crisis
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 07 Sep 2023 07:53
Last Modified: 07 Sep 2023 07:53
URI: http://eprints.um.edu.my/id/eprint/41139

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