A SHORT SURVEY ON THE CLINICAL PRESENTATION AND MANAGEMENT OF HYPERTENSIVE CRISIS AMONG INDIA PHYSICIANS

Dr. Balaji More* and Mr. Anand T Madhavan

ABSTRACT

Hypertension is a chronic disorder whose burden is being carried by millions of patients around the world. Approximately 1% of patients with hypertension will develop hypertensive crises at some point during their lifetime. The agent of choice in any particular situation will depend on the clinical presentation. The preferred agents include IV, Nitroglycerine, IV labetalol, IV Enalaprilat, IV Sodium Nitroprusside, Sublingual nifedipine, etc. Hypertensive crisis relatively rare type of clinical presentation out of the surveyed doctors 66.67% of the doctors say they see only less than 10 cases per month presented with hypertensive emergency, and it is commonly seen among the elderly patients aged between 51-60 year of age. Hypertensive emergency associated with cardiological complications, these include Heart failure with or without Left ventricular hypertension, Myocardial infarction, and Accelerated hypertension. Among the surveyed doctors 91% of the doctors have used enalaprilat IV in the management of hypertensive crisis with a starting dose of 1.25 mg as a 5 minute slow infusion. According to doctors opinion enalaprilat is a fast, safe and effective treatment option in the management of hypertensive crisis.

Keywords: Hypertension, Hypertnsive crisis, Enalaprila IV.