Hypertensic crisis — clinical interpretation of the term

Abstract

The term «hypertensic crisis» is used to describe a condition that develops over time, and the outcomes depend on both, timing and completeness of medical care and the initial clinical status of the patient. The term «uncontrollable arterial hypertension» in ESC and RSC recommendations (2018–2020) cannot replace the concept of “uncomplicated HC” completely . It is advisable to adhere to the recommendations of the Russian Medical Society for Arterial Hypertension (RMSAH) developed in 2019, in which the division into complicated and uncomplicated HC still remains. In clinical practice, three variants of a signifi cant increase in blood pressure in patients with arterial hypertension should be distinguished: an isolated increase in blood pressure, uncomplicated and complicated HC. It is necessary to stratify patients with uncomplicated HC according to the degree of risk of cardiovascular complications development in order to determine the indications for their hospitalization. The rapid relief of a significant increase in blood pressure should lead to a safe level of patient’s pressure, taking into account the risk of hypotension and hypoperfusion of vital organs and systems.