Open AccessHypertensive emergencies in Asia: A brief review
Author(s) -
Kotruchin Praew,
Tangpaisarn Thanat,
Mitsungnern Thapanawong,
Sukonthasarn Apichard,
Hoshide Satoshi,
Turana Yuda,
Siddique Saulat,
Buranakitjaroen Peera,
Van Huynh Minh,
Chia YookChin,
Park Sungha,
Chen ChenHuan,
Nailes Jennifer,
Tay Jam Chin,
Wang JiGuang,
Kario Kazuomi
Publication year - 2022
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.14547
Subject(s) - medicine , epidemiology , emergency department , observational study , multinational corporation , stroke (engine) , hypertensive emergency , emergency medicine , intensive care medicine , medical emergency , family medicine , blood pressure , psychiatry , mechanical engineering , political science , law , engineering
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.