What is the long-term prognosis of patients with hypertensive emergency or urgency?

Updated: Feb 05, 2018
  • Author: Christy Hopkins, MD, MPH; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Answer

The long-term prognosis for patients with hypertensive emergencies or urgencies is not good. In a retrospective study of 670 adults who presented with acute severe hypertension, short-term mortality was primarily due to neurovascular emergencies, but cardiovascular emergencies were severe and had high 12-month mortality. [23] Of the 670 patients, 57.5% had hypertensive emergencies; 98% of those with hypertensive emergencies and 23.2% of those with hypertensive urgencies were hospitalized. Median survival was 14 days for those with neurovascular emergencies and 50 days for those with cardiovascular emergencies. [23]


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