Hypertension
Severity
BP
- Stage 1140–160 / 90–100
- Stage 2160–180 / 100–110
- Hypertensive emergency> 180 / 120 with end-organ damage
🚨 Life-Threatening — exclude first
If suspected, escalate now.
Hypertensive encephalopathy
Aortic dissection
Acute pulmonary oedema
Intracerebral haemorrhage
Pre-eclampsia / eclampsia
🚨
Hypertensive emergency Causes
Aortic dissectionAcute pulmonary oedemaHypertensive encephalopathyStroke / ICHPre-eclampsia / eclampsia
💊
Common reversible Causes
Pain / anxietyMissed antihypertensive doseUrinary retentionStimulants (cocaine, amphetamines)
🧬
Secondary Causes
Renal artery stenosisPhaeochromocytomaCushing'sConn'sOSA