Rapid Reduction of blood pressure is indicated in :
Answer is D (All of the above) Acute Aoic Dissection, Hypeensive Encephalopathy and Intracerbral haemorrhage are all hypeensive emergenices that require rapid reduction of blood pressure Indications for rapid reduction of BP Rapid reduction of blood pressure is indicated in hypeensive emergencies and hypeensive urgencies(Braunwald) Hypeensive emergencies require very rapid reduction or immediate reduction in blood pressure preferably within minutes (within 1 hour) Hypeensive urgencies also require rapid reduction but, reduction required is not immediate and can be achieved more slowly over hours (or over days) Clinical Circumstances requiring rapid reduction of BP (Braunwald 8th/1045) (Hypeensive Emergencies and Hypeensive Urgencies) Accelerated-malignant hypeension with papilledema Cerebrovascular - Hypeensive encephalopathy - Atherothrombotic brain infarction with severe hypeension - lntracerebral hemorrhage - Subarachnoid hemorrhage Cardiac - Acute aoic dissection - Acute left ventricular failure - Acute or impending myocardial infarction - After coronary bypass surgery Renal - Acute glomerulonephritis - Renal cries from collagen-vascular diseases - Severe hypeension after kidney transplantation Excessive circulating catecholamines - Pheochromocytoma crisis - Food or drug interactions with monoaime oxidase inhibitors - Sympathomimetic drug use (cocaine) - Rebound hypeension after sudden cessation of antihypeensive drugs Eclampsia Surgical - Severe hypeension in patients requiring immediate surgery - Postoperative hypeension - Postoperative bleeding from vascular suture lines Severe body burns Severe epistaxis - Thrombotic thrombocytopenic purpura
Acute Aoic Dissection
Hypeensive Encephalopathy
Intracercbral haemorrhage
All of the above