Hypertensive urgency or emergency? Spot the difference...
Practical GP
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Hypertensive urgency or emergency? Spot the difference...
6 279 просмотров · 2 г. назад
Practical GP
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6 279 просмотров · 2 г. назад
This video makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE.
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through the concept of Hypertensive Urgency as opposed to Hypertensive Emergency.
I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.
Tracks:
00:00 – Introduction and welcome
00:29 – Definitions
01:19 – Initial assessment of severe hypertension
02:39 – End organ damage red flags
04:03 – Same day specialist assessment
04:27 – Investigations for severe hypertension
05:04 – Fictitious case – presentation and symptoms
09:32 – Autoregulation
10:56 – Fictitious case - Investigations
11:40 – Fictitious case - Management
15:03 – Worcestershire flowchart
15:50 – Summary
16:39 – Thank you and goodbye
There is a podcast version of this and other videos that you can access here:
Primary Care guidelines podcast:
• Redcircle: https://redcircle.com/shows/primary-c...
• Spotify: https://open.spotify.com/show/5BmqS0O...
• Apple podcasts: https://podcasts.apple.com/gb/podcast...
There is a YouTube version of this and other videos that you can access here:
• The Practical GP YouTube Channel:
/ @practicalgp
The resources consulted can be found here:
Hypertension in adults: diagnosis and management - NICE guideline [NG136]:
• https://www.nice.org.uk/guidance/ng136
The NICE hypertension flowcharts can be found here:
• Website: https://www.nice.org.uk/guidance/ng13...
The Clinic BP targets tables can be downloaded here:
• https://1drv.ms/b/s!AiVFJ_Uoigq0mFtrs...
Worcestershire Acute Hospitals NHS Trust guideline on the Management of Hypertensive crises:
• https://www.bing.com/ck/a?!&&p=9b5fde...
The Worcestershire Acute Hospitals NHS Trust Hypertensive crisis flowchart can be downloaded here:
• https://1drv.ms/b/s!AiVFJ_Uoigq0mRX6n...
NICBH PUBMED
• https://www.ncbi.nlm.nih.gov/books/NB...
Slides MRCP
• https://www.bing.com/ck/a?!&&p=695818...
NEJM article: Acute severe hypertension:
• https://www.nejm.org/doi/full/10.1056...
Approach to HTN urgency in primary care setting
• https://journals.lww.com/tnpj/Fulltex...