It does not exist the necessity of if using medications for fast control of the Par, being enough the symptomatic medication use to introduce antihypertensives of chronic use. It would be cautious to hold back the patient for some hours and to reintroduce the anti-hipertensiva medication, will have necessity, before directing it for ambulatorial attendance. Until recently, malignant hipertenso was employed to assign hipertenso in the presence of edema of papila to the deep one of eye, retinopatia degree IV in the classification of KeithWagener-Barker or simply KW-IV. Sped up Hipertenso meant a malignant less serious gradation of, with the deep one of eye with hemorrhages and exsudatos or KW-III. Currently both must be considered as synonymous, therefore the difference in the fundoscopia does not represent clinical forms and diverse prognostics. Definitions hipertensiva Crisis if relate to the generic term where fast and symptomatic rise of the Par occurs, invariably with levels of diastlica pressure (the 120 PAD) superior mmHg, with potential risk of deterioration of agency-target or immediate life or in potential.
If it will have remote risk of deterioration of agency-target or life in potential the denomination is of hipertensiva urgency. The reduction of the Par can be made of slower form in up to 24 hours and generally the employed medication can imply formularizations for saw verbal. Hipertensiva emergency is used to define that carrying patient of high pressricos levels, with imminent risk of life or deterioration of agency-target, where the measures used for combat to the high levels must be immediate, in minutes or few hours, needing the use of drugs of fast action and for the parenteral way. Epidemiologia the hipertenso incidence has diminished since 1940, when she was not considered an illness of bigger clinical consequences. ' was seen for many as one; ' element essencial' ' to force the blood through the esclerticas arteries until the privacy of diverse fabrics and agencies.