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SM ISO690:2012 MELNICOV, Victoria, CIOBANU, Gheorghe. Comorbidities and target organ involvement in patients with hypertensive emergencies. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 189. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 189-189 | ||||||
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Rezumat | ||||||
Background. Hypertensive emergency is a severe clinical condition in which a sudden increase in arterial blood pressure can lead to acute vascular damage of vital organs, timely detection and adequate treatment being crucial to protect target organ function and improve clinical outcomes. Objective of the study. The aim of this study was to evaluate the hypertensive emergencies in the Emergency medical services in relation to clinical presentation, comorbidities, and target organ involvement. Material and Methods. A retrospective study was conducted in the Emergency medical services in Chișinău, Republic of Moldova from January 01,2020 to December 31,2020, and included 630 subjects of both sexes, aged 28-92 with a diagnosis of hypertensive crises. All medical records with a diagnosis of hypertensive emergencies were identified based on the ICD, R10. Results. The study results indicate that hypertensive emergencies frequently presented with chest pain (30,4%), dyspnea (28.6%) and neurological deficit (29.4%). Types of end-organ damage associated with hypertensive emergencies include cerebral infarction (26.4%), acute pulmonary edema (24.8%) and hypertensive encephalopathy (28.6%), as well as cerebral hemorrhage (4.5%) and congestive heart failure (12%). Other clinical presentations associated with hypertensive emergencies include aortic dissection (0.8%), renal failure (1.02%), peeclampsia and eclampsia (2,6%), as well as acute coronary syndromes (20.4%). Conclusion. Patients with hypertensive emergencies require immediate reduction in elevated blood pressure to prevent and arrest progressive end-organ damage which can include hypertensive encephalopathy, cerebral hemorrhage, cute pulmonary edema, aortic dissection, acute coronary syndromes and eclampsia. |
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Cuvinte-cheie hypertensive emergency, target organ, comorbidities, urgență hipertensivă, organe țintă, comorbidități |
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